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test 1 Flashcards

1
Q

social determinants of health (SDOH) definiton

A

conditions in which people are born, grow, live, work, and age, shaped by distribution of power, money and resources

they include a range of personal, social, economic, and enviromental factors

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2
Q

what must a nurse do before a intervention

A

identify SDOH

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3
Q

a larger group whose members may or may not interact with each other, but share at least one characteristic such as age, gender, ethnicity, residence, or a shared health issue

A

population

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4
Q

refers to a group of individuals living within the same geographical area, such as a town or a neighborhood, or a group of individuals who share some other common denominator. they have interaction

A

community

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5
Q

difference between community and population

A

interaction

population does not need to have a interaction

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6
Q

public health is the science and art of

A

preventing disease, prolonging life, promoting health, addressing environmental safety and improvement, improving health for all citizens, regardless of ethnicity, age, socioeconomic status, or gender

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7
Q

acute care vs community care

A

acute is hospital based, more controlled patient care, more resources

community based is in clinic or home so its more comfortable, its not as controlled with patients decisions- they have more options available

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8
Q

social security act

A

1935

resulted in more public health nurses and increased education for nurses

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9
Q

social security act update

A

1965

medicare and medicaid

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10
Q

Florence nightingale

A

founder of nursing
developed first School

directive to manipulate pt environment to allow nature to take its course

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11
Q

public health in 21st century

A

move toward population health

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12
Q

cultural context includes

A

food preferences
gender roles
birthing practices
language
spiritual beleif

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13
Q

cultural competency vs cultural humility

A

competency- attitude, knowledge, skills of provider to provide quality based care

humility- awareness of ones own culture. we must approach everyone as equals

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14
Q

ethnicity

A

includes shared geographical origin, language or dialect, religious faith, folklore, food preferences, and culture

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15
Q

global health

A

the collaborative trans-national research and action for promoting health for all

based on country level income

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16
Q

WHO health definition

A

a state of complete physical, mental and social well being, and not merely the absence of disease or infirmity.

expanded in 1986:
the extent to which an individual or group is able on the one hand, to realize aspirations and satisfy needs; and on the other hand, to change to cope with the enviroment

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17
Q

united nations sustainable development goals

A

a shared blueprint for peace and prosperity for people and the planet, now and into the future

there is 17 goals

18
Q

CDC

A

established in 1946

19
Q

patient protection and affordable care act (PPACA)

A

Established in 2010

improves experience of care, health, reducing costs

insurance reform, health system reform

20
Q

what does healthy people 2030 align well with

A

UN sustainable development goals

21
Q

primary prevention

A

prevent development of disease

ex- immunizations

22
Q

secondary prevention

A

early detection and treatment

ex- screening

23
Q

tertiary prevention

A

prevention of disability and premature death

ex- health education

24
Q

family

A

2 or more individuals who identify themselves as family. They do not need to be blood related

25
Q

human ecology model

A

focuses on external factors that influence a family

26
Q

family systems model

A

focuses on the organization of relationships among family members

27
Q

5 core values

A

caring
courage
inclusion
reflective thinking
social responsibility

28
Q

Environmental health

A

addressees all the physical, chemical and biological factors external to a person, and all the related factors impacting behavior.

29
Q

ANA principles for healthy safe environment

A
  1. knowledge of environmental health
  2. precaution and preventative actions in uncertainty
  3. nurses have right to work in a environment that’s safe and healthy
  4. healthy environments are sustained through multidisciplinary collaboration
  5. choices of materials, technology and practices in environment impact nursing
  6. approaches to promoting a healthy environment respect the values, beliefs, cultures and circumstances of patients/families
  7. nurses assess quality of environment
  8. everyone has right to know about potentially harmful products.
  9. nurses participate in research of best practices
  10. nurses must be supported in advocating for and implementing environmental health principles
29
Q

Florence nightingale belief for healthy home

A

clean water and air
basic sanitation
cleanliness and light

30
Q

nursing alliance of healthy environments

A

international professional nursing organizaton

3 areas for action: research, advocacy, practice

31
Q

when did environmental protection agency (EPA) form

A

1979

32
Q

The built environment

A

human made surroundings created for the daily activities of people. includes a range of physical and social elements that made up a community

33
Q

community environmental health assessment

A

protocol for assessing community excellence in environmental health (PACE EH)

identifies local environmental issues, sets priorities for action, targets populations most at risk, addresses identified issues

34
Q

hazardous substances routes of entry

A

ingestion
inhalation
dermal absorption

35
Q

types of hazardous exposures

A

Chemicals - carbon monoxide, metals, pesticides. (80k + worldwide)

biological agents- bacteria, viruses, rickettsia, molds, fungi, allergens

physical agents- heat/cold, radiation, noise, falls, vehicle crashes, violence, vibration

psychosocial factors

36
Q

mixed exposure

A

usually more then one threat of exposure

37
Q

exposure risk assessment

A
  1. hazard identification
  2. dose response assessment
  3. exposure assessment (level, timing, extent of exposure)
  4. risk chatacterization
38
Q

Blood lead level

A

measured in mcg/dL

no amount of lead is safe. Above 5 is when we are concerned

39
Q

environmental sustainability

A

reflects the rates at which renewable resources are harvested, the depletion of nonrenewable resources, and the creation of pollution that can continue for a indefinite period of time

40
Q

environmental justice

A

fair distribution of environmental burdens

fair application of environmental laws, policies, and regulation regardless of race, color, national origin, or income

41
Q

climate change: care of older adults NURSING ACTIONS

A

assess
recommend
advocate
volunteer - serve as a first responder in emergency

community (4 decks)

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