ward prelim Flashcards

1
Q

is a vital part of public health nursing

A

Community Organizing Participatory Action Research

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2
Q

COPAR aims to transform

A

the apathetic, individualistic and voiceless poor into dynamic, participatory and politically active community

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3
Q

The sequence of steps whereby members of a community come together to critically assess

A

Process

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4
Q

Importance of COPAR in community development

A

empowers communities
builds leadership
maximizes participation
mobilizes resources

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5
Q

helps people take control of their own develop

encourages collaboration and problem solving among community members

A

Empowers communities

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6
Q

prepares the community to manage future development programs independently

A

Builds leadership

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7
Q

Ensures everyone’s voice is heard and increases commitment to projects

A

Maximizes participation

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8
Q

Utilizes local skills, materials, and time efficiently

Reduces dependency on external assistance, fostering self - reliance

A

Mobilizes resources

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9
Q

COPAR core principles

A

open to change

should be based on the interest of the community

should lead to a self-reliant community and society

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10
Q

Build trust and establish a strong relationship with the community to gain insight

A

INTEGRATION

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11
Q

collect detailed and accurate information about the community’s problems, needs, resources, and socio-political dynamics

A

SOCIAL INVESTIGATION

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12
Q

develop a preliminary plan of action based on community needs and available resources

A

TENTATIVE PROGRAM PLANNING

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13
Q

Prepare and mobilize the community for collective action by organizing resources, building skills, and setting the foundation

A

GROUNDWORK

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14
Q

Present the tentative plan to the community, encourage discussion and feedback, finalize the plan

A

MEETING

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15
Q

acting out the meeting that will take place between the leaders of the people and the government representatives

A

ROLE PLAY

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16
Q

way of training the people to anticipate what will happen and prepare them

A

ROLE PLAY

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17
Q

mobilizing communities to identify their needs and take sustained action through participatory and experiential learning

A

MOBILIZATION OR ACTION

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18
Q

The COPAR method includes phases of entry, organizing, sustained participation, and eventually transitioning control

A

MOBILIZATION OR ACTION

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19
Q

A process that critically examines a community project or a programme

A

EVALUATION

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20
Q

it involves collecting and analysing information about a project’s activities, characteristics, and outcomes

A

EVALUATION

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21
Q

reflective practices

A

REFLECTION

22
Q

entails the formation of more formal structures and the inclusion of more formal procedures of planning

A

ORGANIZATION

23
Q

where the organized leaders or groups are being given trainings

A

ORGANIZATION

24
Q

the initial phase of the organizing process where the community organizer looks for communities to serve and help

A

PRE ENTRY PHASE

25
Q

PRE ENTRY PHASE INCLUDES:

A

preparation of the institution

site selection

initial site selection

identifying potential

choose final community

26
Q

Build trust, familiarize with the community, and gather initial data.

A

Pre entry Phase

26
Q

Analyze the community’s needs and resources with the members

A

Entry Phase

27
Q

Form and develop community groups to address identified issues.

A

organization building

28
Q

Ensure sustainability by training leaders and developing local resources.

A

sustenance and strengthening

29
Q

Assess the impact of the actions and prepare for the gradual exit of the facilitators.

A

Evaluation

30
Q

also knows as “social preparation phase”

A

ENTRY PHASE

31
Q

the organizers immerse themselves into the community

A

ENTRY PHASE

32
Q

approached by most people

A

key persons

33
Q

approached by key persons

A

opinion leader

34
Q

never or hardly consulted

A

isolates

35
Q

organization must adhere to local laws and regulation, establish constitutions and bylaws

A

LEGAL REQUIRMENTS

36
Q

by creating key roles like chief health officer and committees and ensuring chain of command

A

establishment of formal structures

37
Q

to appoint leaders, ensuring democratic leadership based on qualifications and objectives

A

elections

38
Q

Pregnancy induced hypertension (PIH), also known as

A

gestational hypertension,

39
Q

Gestational hypertension is classified as

A

mild preeclampsia , severe preeclampsia, and eclampsia

40
Q

classic signs of gestational hypertension.

A

vision changes, typically hypertension, proteinuria, and edema

41
Q

Blood pressure is 140/90 mmHg or systolic pressure elevated 30 mmHg or diastolic pressure elevated 15 mmHg above prepregnancy level;

No proteinuria or edema;

Blood pressure returns to normal after birth.

A

GESTATIONAL HYPERTENSION

42
Q

Blood pressure is 140/90 mmHg or systolic pressure elevated 30 mmHg or diastolic pressure elevated 15 mmHg above prepregnancy level;

Proteinuria of 1+–2+ on a random sample;

Weight gain over 2 lb/wk in the second trimester and 1 lb/wk in the third trimester;

Mild edema in upper extremities of face.

A

MILD PREECLAMPSIA

43
Q

Blood pressure is 160/110 mmHg;
Proteinuria 3+–4+ on a random sample and 5 g on a 24-hr sample;
Oliguria (500 ml or less in 24 hr or altered renal function tests;
Elevated serum creatinine more than 1.2 mg/dl);
Cerebral or visual disturbances (headache, blurred vision);
Pulmonary or cardiac involvement;
Extensive peripheral edema;
Hepatic dysfunction;
Thrombocytopenia;
Epigastric pain.

A

SEVERE PREECLAMPSIA

44
Q

Either seizure or coma accompanied by signs and symptoms of preeclampsia are present.

A

ECLAMPSIA

45
Q

Persistent or severe headaches.
Blurred vision.
Excessive swelling in the hands, face, or feet.
Unusual vomiting, especially in the second half of pregnancy.
Pain or discomfort in the upper abdomen.
Feelings of dizziness or faintness.

A

Subjective Data: OF PIH

46
Q

Consistently elevated blood pressure readings 140/90 mmHg during 20 weeks of pregnancy.
Observable swelling in the hands, face, or feet.
Abnormal eye movements during an eye examination.
Ultrasound findings showing intrauterine growth restriction (IUGR)

A

OBJECTIVE DATA OF PIH

47
Q
  • Deficient fluid volume related to fluid loss to subcutaneous tissue
  • Social isolation related to prescribed bed rest
  • Ineffective tissue perfusion related to vasoconstriction of blood vessels
  • Risk for fetal injury related to reduced placental perfusion secondary to vasospasm
A

Nursing Diagnosis

47
Q

Nursing Interventions for a Woman With Mild PIH:

A

Monitor Antiplatelet Therapy

Promote Bed Rest

Promote Good Nutrition

Provide Emotional Support

48
Q

Nursing Interventions for a Woman With Mild PIH:

A

Support Bed Rest

Monitor Maternal Well-being

Support a Nutritious Diet

Administer Medications to Prevent Eclampsia

49
Q

medications to Prevent Eclampsia

A

hydralazine (Apresoline), labetalol (Normodyne), or nifedipine

50
Q

Medical
Management

A

Prenatal Appointments

Lifestyle Changes

Medications

Fetal Monitoring