Community Heralth Nursing Part 2

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Author:
Anonymous
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100196
Filename:
Community Heralth Nursing Part 2
Updated:
2011-09-06 22:00:02
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Community Health Nursing ATI Chpt
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Description:
Review of Community Health Nursing
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  1. Community health nurses can practice as:
    • Home health nurses
    • Hospice nurses
    • Occupational health nurses
    • Parish nurses
    • School nurses
    • Case managers
  2. Home health nurses provide care in what settings?
    • Where the client lives:
    • traditional homes
    • assisted living facilities
    • nursing homes
  3. Home health nurse functions (3)
    • 1. educator
    • 2. provide skilled nursing care
    • 3. coordinator of care
  4. The nurse must evaluate the home environmentally for...
    safety
  5. What things should the nurse pay attention to when evaluating the safety of a client's environment?
    • nonsecure rugs
    • electrical outlets
    • extension cords
    • use of O2
    • safety devices in the bathroom
    • any other potential environmental hazards
  6. Home health nurses often provide care after a hospital stay. What would the nurse educate the family about regarding complications or adverse reactions?
    • When to contact the agency, emergency room, or provider
    • Information & resources that can provide support for the family and client
  7. Why is educating the client and their family important?
    • It encourages clients to be independent
    • It involves the family in care and decision making regarding their family member
  8. Palliative care
    hospice care
  9. Hospive nurses work in what kinds of settings?
    Any
  10. What client gets hospice care and to what aim?
    • Terminally ill clients expected to pass away in less than 6 months
    • Aimed at relieving pain and suffering and improving the quality of life
  11. The clients of a hospice nuse include
    the client and their family
  12. Hospice services are directed by whom and managed by whom?
    • Directed by the clent's provider
    • Managed by the nurse
  13. Hospice nurses may continue to work with the family for how long
    Up to a year
  14. What role does the nurse play in helping her client transition from expected recovery to acceptance of death
    This transition is an important part of hospice care. Helps manage the stages of grief
  15. Occupational health nurse works towards what?
    the health and safety of workers
  16. How does the occupational health nurse work toward the health and safety of workers?
    • Assessing for work related illness/injury
    • Planning and delivery of health and safety services in the workplace
    • Facilitating health promotion activities that lead to a more productive workforce
  17. In assessing risk, the occupation health nurse should keep in mind what factors affecting susceptability to illness/injury
    • Host factors
    • Agent factors
    • Environmental factors
  18. What host factors affecting susceptability to illness/injury should the occupational health nurse keep in mind when assessing risk ?
    Worker characteristics (e.g. job experience, age, pregnancy)
  19. What agent factors affecting susceptability to illness/injury should the occupatonal health nurse keep in mind when assessing risk?
    • Biological agents (viruses, bacteria, fungi, ect)
    • Chemical agents (smoke, asbestos)
    • Mechanical agents (strains from repetitive motions, poor worker-station fit, lifting heavy loads)
    • Physical agents (temp extremes, vibrations, noise, radiation)
    • Phsychological agents (work related stress, burnout, violence)
  20. What environmental factors affecting susceptability to illness/injury should the occupational health nurse keep in mind when assessing risk?
    • Physical factors (heat, ventilation, odor, pollution)
    • Social factors (sanitation, housing conditions, literacy, overcrowding)
    • Psychological factors (addictions, stress)
  21. Name a few occupational nurses' roles in primary prevention.
    • teaching
    • providing info on immunizations, use of protective equipment, & smoking cessation
  22. Name a few occupational nurses' roles in secondary prevention
    • Early detection through health surveillance and screening
    • Counseling and referral
    • Prevention of further limitations
  23. Name a few occupational nurses' roles in tertiary prevention
    Restorative health thorugh rehabilitation strategies and limited duty programs
  24. The goal of assessing a clients occupational history is?
    To identify agents and health factors that place the worker at risk and to identify ways to eliminate or minimize exposure and prevent potential health problems
  25. The information elicited from a client regarding occupational health history should include what?
    • Current and past jobs
    • Current and past exposure to agents and any relevance of symptoms related to exposure
    • Any precipitating factors
  26. Focus of a walk-through or survey of a workplace assessment should include
    • Observation of work processes and equipment
    • Job requirements
    • Actual and potential hazards
    • Employee work practices
    • Incidence/prevalence of work-related illness/injury
    • Control strategies to eliminate exposures
  27. Explain a school nurse's role as a case manager
    Ensures the provision and evaluation of comprehensive school-based health services and other related services for the children
  28. Explain a school nurse's role in community outreach
    Strives to meet the needs of all school-age children by cooperative planning and collaboration between the educational system and other community agencies
  29. Explain a school nurse's role as a consultant
    Assiste students, families, and personnel in information gathering and decision making about a variety of health needs and resources
  30. Explain a school nurse's role as a counselor
    Supports students on a wide variety of health needs
  31. Explain a school nurse's role as a direct caregiver
    Provides nursing care to ill or injured children at school
  32. Explain a school nurse's role as a health educator
    Helps prepare children, families, school personnel, and community to make well-informed decisions
  33. Explain a school nurse's role as a researcher
    contributes to the base of knowledge for school health and educational needs
  34. Explain the health education component of a comprehensive school health program
    Teaching children the concepts of health
  35. Explain the physical education component of a comprehensive school health program
    Providing physical activity in school
  36. Explain the health services component of a comprehensive school health program
    Providing health services in school at an appropriate nurse-student ratio of 1:750
  37. Explain the nutrition services component of a comprehensive school health program
    • Teaching nutrition and diet concepts
    • Providing breakfast & lunch for children who qualify
  38. Explain the couseling, psychological, and social services component of a comprehensive school health program
    Promote the health of children with special needs
  39. Explain promotion of a healthy school environment as a component of a comprehensive school health program
    • Reducing violence
    • Reducing tobacco use
    • Promoting safety
  40. Explain health promotion for staff as a component of a comprehensive school health program
    Providing health care for teachers and other school staff
  41. Explain facilitation of family/community involvement as a component of a comprehensive school health program
    Promoting health services in the community
  42. Health concerns/leading causes of death in children
    • 1. Perinatal conditions/congenital abnormalities
    • 2. Sudden Infant Death Syndrome (SIDS)
    • 3. Motor vehicle/other unintentional injuries
  43. Health concerns/leading causes of death in adolescents
    • 1. Motor vehicle/other unintentional injuries
    • 2. Homicide
    • 3. Suicide
  44. Screening/preventive services for children should include what
    • Height/weight
    • Vision
    • At birth- Hemoglobinopathy, phenylalanine level, T4, & TSH
    • Dental health
  45. Screening/preventive services for adolescents
    • Height/weight
    • Dental health
    • Pap smear (females)
    • Chlamydia screen (females)
    • Rubella serology/vaccination history (females)
    • Substance abuse
    • Immunizations
    • Mental health screenings
  46. Health care goals for children and adolescents include reductions in:
    • Obesity
    • Passive smoking
  47. Health care goals for children and adolescents include increases in:
    • Childhood immunizations
    • Child safety restraints
    • Exercise in schools
    • Lead-based paint testing
  48. Health care goals for community education regarding children include
    • Breastfeeding
    • Sleeping positions
    • Nutrition
    • Physical activity
    • Substance abuse
    • Dental hygiene/health
    • Skin protection
    • Injury prevention and CPR training
  49. Health care goals for community education regarding adolescents include:
    • Substance abuse
    • Sexual behavior
    • Nurtrition; especially Calcium intake in females
    • Physical activity
    • Skin protection
    • Injury prevention
  50. Health concers/leading causes of death for women
    • Reproductive health
    • ~Childbearing
    • ~Menopause
    • ~Osteoporosis
    • Heary disease
    • Diabetes mellitus
    • Malignant neoplasm
  51. Health screening/preventive services for women
    • Height/weight
    • Blood pressure
    • Cholesterol (Ages 45-64)
    • Dental health
    • Pap smear
    • Mammogram/clinical breast exam
    • Fecal occult blood test/sigmoidoscopy (~50 years +)
    • Rubella serology/vaccination history (childbearing years)
    • Immunization status
    • Diabetes mellitus
    • HIV
    • Skin cancer
  52. Health care goals for women include reductions in:
    • Disease involving bone
    • Death from cancer
    • Sexual assaults
  53. Health care goals for women include increases in:
    • Number of planned pregnancies vs unplanned
    • Those who receive early and adequate prenatal care
    • The number of mothers that breastfeed
    • Identification of warning signs related to heart disease
  54. Community education regarding women could include:
    • Nutrition
    • STD prevention
    • Substance abuse
    • Breast self-examination
    • Skin protectant
    • HIV prevention
    • Injury prevention
  55. Health concers/leading causes of death for men include:
    • Heart disease
    • Malignant neoplasm
    • Accidents
    • Lung disease
    • Liver disease
  56. Screening/preventative services for men include:
    • Height/weight
    • Blood pressure
    • Digital rectal exam
    • Fecal occult/sigmoidoscopy (~50 yrs +)
    • Immunization status
    • Diabetes mellitus
    • HIV
    • Skin cancer
    • Cholesterol (Ages 35-64)
  57. Health care goals for men include reductions in
    • Death from cancer
    • Incidence of HIV/AIDS
    • Death by violent means
  58. Health care goals for men include increases in:
    • # of men actively involved in pregnancy prevention/family planning
    • Identification of warning signs related to heart disease
  59. Community education in regards to men could include:
    • Nutrition
    • Self-testicular exams
    • Skin protectant
    • Substance abuse
    • HIV prevention
    • Injury prevention

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