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Primary Intervention for Domestic Abuse client:
SAFETY...Removing the client from the environment!
Self Report Instruments for Substance Abuse:
- CAGE questionnaire
Biological Screens for Substance Use:
Urine, Blood, Hair, Saliva, Breath, Meconium
A community health nurse is meeting with group of individuals who have been dx with serious mental illness. The nurse interprets this to mean what?
The clients have impaired level of functioning and quality of life
When developing appropriate programs for adult mental health promotion, the nurse incorporates knowledge about the most prevalent mental disorders. Which would the nurse identify as the most prevalent mental disorder?
When determining a target population about alcohol use, which age group would the CHN most likely plan to address?
18-25 (young adults)
Describe the National Alliance on Mental Illness (NAMI):
It is committed to enhancing the care of those with mental illness and improve the quality of life of those who are affected
Role of CHN in homelessness:
Provide care for marginalized (excluded from mainstream society) and disenfranchised (deprived of rights)
Which is NOT homeless:
Someone in Public Shelter
Someone living in the Park
Someone who is Incarcerated
Someone who lives in car
When addressing homeless children/youth, what are situations to be considered homeless according to education subtite of McKinney-Vento Homeless Assistance Act
Children who share housing with others due to economic hardship or loss of housing
Children who are abandoned in hospitals
Children who are awaiting placement in foster care
Children who are living in motels, trailer parks, or camping grounds
What are some reasons that make it difficult to estimate the # of people homeless?
It is a temporary condition (hard to estimate number)
Difficult to locate and account for people who are homeless
Some people are unable to access shelters where they would be counted as homeless bc the shelter is already crowded and limited
Rural areas have fewer housing options and resources for the homeless and as result people may be forced to live with friends/family
What subpopulation of the homeless would the CHN identify as the fastest growing segment?
Families with Single-MOM
_____ or being released from institutions into the community contributes to the # of people who have severe mental illness and are homeless
What would a CHN expect to assess in the population of homeless men?
Single, Low-Income homeless men only qualify for medical assistance if:
they are disabled
Why are homeless youth at higher risk for HIV, Hep, STIs?
They lack education or job training skills and may resort to prostitution or survival sex which would increase their risk for HIV, Hep, STIs
Primary level of prevention for intimate partner violence:
Assisting them to locate a safe shelter
Tertiary level of care for clients with substance abuse problems:
Assist in ensuring participation in substance abuse rehab programs
A nurse that is practicing in the community but also has targeted community practice should:
Share assessment findings with everyone in the community
Why is it important to get to know the community/environment you are working in
You will have resources others might not...you have more knowledge and participant observation
If doing a windshield survey, why would the nurse spend the 1st day reading information before going to work?
Save time and energy once they are in the community
How do you decide what priority need is for a community:
Whatever the community wants to focus on....it has to be of high concern for THEM
Why is it beneficial to drive by the community at different parts of the day?
The people within the family is based on:
what they say it is
When dealing with a family confronting many challenges, what should you do:
Focus on the positives!
How to stage home-health visit:
- Research before you go
- Make sure you know where you are going and that someone else does too
- Put stuff in trunk BEFORE you get there
Secondary prevention interventions for community with high prevalence STDs:
Surveys and Screenings