Quiz 1 Prep

Question 1

Public health nurse: focus, setting, main prevention level (s)

Answer 1

Focus: population health.
Setting: client homes, community settings, public health office.
Main prevention levels: primordial, primary, secondary

Question 2

Primary care nurse: focus, setting, main prevention level (s)

Answer 2

Focus: individual health
Setting: primary care clinic, school clinics
Main prevention level: primary, secondary, tertiary

Question 3

Home health nurse: focus, setting, main prevention level (s)

Answer 3

Focus: individual health
Setting: client nomes, schools, workplaces
Main prevention level: tertiary, palliative care

Question 4

What are the 5 keys of primary health care?

Answer 4

Accessibility, public participation, health promotion, appropriate technology, intersectoral collaboration

Question 5

What are the 3 features of social justice?

Answer 5

→ concerned w/ ethical use of power
→ tends to view persons as unique, connected to others an independent, that is vulnerable and unequal in power
→ concern for issues of everyday life, not primarily with crisis issues

Question 6

Name the l0 social justice attributes:

Answer 6

Equity, human rights, democracy and civil rights, capacity building, just institutions, enabling environments, poverty reduction, ethical practice, advocacy an partnerships

Question 7

Primary health pyramid from smallest to largest impact:

Answer 7

Counselling an education, clinical interventions, long lasting protective interventions, changing the context to make ppl default decisions healthy, socioeconomic factors

Question 8

What’s an example of counselling an education?

Answer 8

Eat healthy, be physically active

Question 9

What’s an example of clinical intervention s?

Answer 9

Medicine for high blood pressure, high cholesterol, diabetes

Question 10

What’s an example of long lasting protective interventions?

Answer 10

Immunizations, brief intervention, cessation tx, colonoscopy

Question 11

What’s an example of changing the context to make ppl default decisions healthy?

Answer 11

Fluoridation, og trans fat, iodization, smoke free laws, tobacco tax

Question 12

What’s an example of socioeconomic factors?

Answer 12

Poverty, education, housing, inequality

Question 13

specific areas of ethical concern relate to:

Answer 13

capacity building, access and equity, professional responsibility and accountability, negligence

Question 14

what is a legal responsibility of CHNs?

Answer 14

required to disclose health info on a need to know basis and abide by relevant privacy legislation (court orders, subpoenas, or emergency situations)

Question 15

what do CHNs do?

Answer 15

work collaboratively when building individual and community capacity by using strategies involving empowerment and advocacy

Question 16

what are the 4 levels of prevention in order?

Answer 16

primordial, primary, secondary, tertiary

Question 17

what is primordial?

Answer 17

targets social and economic policies affecting health

Question 18

what is primary?

Answer 18

targets risk factors leading to injury/disease (safety belt laws or vaccinations)

Question 19

what is secondary?

Answer 19

prevents injury/disease once exposure to risk factors occurs but still in early “preclinical” stage

Question 20

what is tertiary?

Answer 20

rehabilitating persons with injury/disease to reduce complications (vocational rehab to retrain workers after injury)

Question 21

what is upstream?

Answer 21

are often prevention and promotion strategies focused on policy interventions that benefit the whole population
- extend beyond addressing individual behaviours an identify programs, policies and environmental changes

Question 22

what is downstream?

Answer 22

acute care service are usually tertiary prevention measures, are focused on individual tx and cure

Question 23

what is the Ottawa charter?

Answer 23

the process of enabling people to increase control over and to improve their health

Question 24

what are the five key areas of the Ottawa charter?

Answer 24

• build healthy public policy
• create supportive environments
• strengthen community action
• develop personal skills
• reorient health services

Question 25

what is a community health nurse?

Answer 25

collaborates with individuals, families, groups, communities, populations or systems to do assessments of assets and needs

Question 26

what is a public health nurse?

Answer 26

• Build community capacity to improve health and address health inequities
• Advocate for the reduction of inequities in health through legislative policy making activities
• Participate in collaborative, interdisiplinary and intersectoral partnerships to enhance the health of individuals, families, groups, communities and populations

Question 27

example of building healthy public policy:

Answer 27

health on the agenda of policy makers

Question 28

example of creating a supportive environment:

Answer 28

socioeconomical approach to health

Question 29

example of strengthening community action:

Answer 29

empower communities to take ownership an control over their health

Question 30

example of developing personal skills:

Answer 30

provide info and education for health to enhance life skills

Question 31

example of reorienting health services:

Answer 31

reorganizing health services to focus on community and individual health needs

Question 32

what is traditional clinical prevention?

Answer 32

increasing the use of evidence based services

Question 33

what is innovative clinical prevention?

Answer 33

provide services outside the clinical setting

Question 34

what is total population or community wide prevention?

Answer 34

implement interventions that reach whole populations

Question 35

what makes the HI-5 list different?

Answer 35

health: improves health an well being in as early in 5 years
cost: cost effectiveness or savings over the lifetime of the population or earlier

Question 36

how was the HI-5 list developed?

Answer 36

step 1: earned highest evidence rating from: guide to community preventive services, Robert wood Johnson foundation
step 2: excluded bucket 1 an 2 interventions and duplicates
step 3: included those with evidence reporting: impact on health in 5 years, cost effectiveness in population lifetime, those not implemented in more than 85% of states
step 4: excluded those with evidence of potential harm and or distinct programs not implemented at policy level