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Nursing 250 > COMMUNITY---WEEK # 3 > Flashcards

COMMUNITY---WEEK # 3 Flashcards

1
Q

define “FAMILY”

A

Two or more persons who share emotional closeness and identify themselves as members of a family

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2
Q

_________________ is purposeful and focused to gain information (WE ARE LISTENING)

A

THERAPEUTIC

CONVERSATION

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3
Q

___________ is used to identify expectations and assign priorities (URGENT NEEDS)

A

THERAPEUTIC QUESTIONS

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4
Q

____________________ occurs when a family is not able to cope with an event

A

Family Crisis

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5
Q

________________ are times of risk for families

A

TRANSITIONS

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6
Q

“TRANSITIONS” are times of ‘RISKS’ for families.

List “7” examples of transitions

A

M-arriage

B-birth of child

C-child moving out

D-eath of family member

D-ivorce

I-llness

I-ncome loss

REMINDER: “My Birthed Child Doesnt Do Illness-Income”

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7
Q

PRIMARY PREVENTION

(FAMILY INTERVENTIONS)
(4)

A
  1. Coping Skills
  2. Living wages
  3. Immunizations
  4. Anticipatory Guidance

REMINDER: Ms. CLIA can foresee the future family

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8
Q

SECONDARY PREVENTION

(Family Interventions)

(4)

A
  • Crisis Intervention
  • Meeting (family)
  • Aid for existing problem
  • Referrals to community resources

REMINDER:CrisisMeetingsAidReferrals

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9
Q

Tertiary Prevention

(Family Interventions)

(4)

A
  • Coping with long-term illness
  • home modifications
  • assistance with caregiver burden or respite care
  • assistance with loss
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10
Q

During a family assessment interview, what kind of questions should the nurse ask?

A
  • who is part of the family
  • who is key informant
  • where is interview located
  • where do members live
  • time available
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11
Q

Community health nurses provide health care services to clients where they reside. This includes _________ , ____________ and ____________

A
  • Assisted living facilities
  • Traditional home
  • Nursing homes
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12
Q

Skilled Services provided by HOME HEALTH nurses are:

A

A-ssessment

W-ound care

L-abs

M-edication admin

P-arenteral nutrition

I-V fluids

C-entral line care

U-rinary cath care

C-oordination, delegation and supervision of various other participants in health services

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13
Q

(9)

Components of INTERDISCIPLINARY TEAM

A

D-octor

N-urse

S-piritual caregiver

S-ocial worker

G-rief counselor
H-ome health aide

V-olunteer

M-edical director

T-herapist (physical, occupational, nutritional, speech)

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14
Q

This member of the INTERDISCIPLINARY TEAM provides support by working with your community of faith.

A

SPIRITUAL CASEWORKER

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15
Q

This member of the INTERDISCIPLINARY TEAM provides companionship and respite care to give your family a rest

A

VOLUNTEER

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16
Q

This member of the INTERDISCIPLINARY TEAM helps the family to coordinate services and identify community resources

A

SOCIAL WORKER

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17
Q

This member of the INTERDISCIPLINARY TEAM provides support for the patients family

A

GRIEF COUNSELOR

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18
Q

This member of the INTERDISCIPLINARY TEAM assists with bathing and other personal cares

A

HOME HEALTH AIDE

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19
Q

This member of the INTERDISCIPLINARY TEAM consults the hospice team and your doctor

A

MEDICAL DIRECTOR

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20
Q

Qualifying Criteria (4) under Medicare to finance home care

A
  • Must be Homebound
  • Under the care of a physician
  • In need of skilled, intermittent care
  • Face to face requirement for physician intervention
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21
Q

(4) things that happen when initiating a home visit.

A
  1. Referral
  2. orders
  3. hospital visit
  4. contact / directions
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22
Q

(5) things that occur at the ACTUAL home visit

A
  1. Client assessment
  2. Review expectations
  3. Treatment plan
  4. client needs
  5. equipment / technology
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23
Q

Blatant disregard for the safety and welfare of a client is called ______________

A

ABUSE

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24
Q

____________ is a chronic eroding lack of physical, psychosocial and sprititual support of another person

A

NEGLECT

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25
Q

patient refusing to take meds, or refuse to eat or take care of their personal hygiene is called ___________

A

SELF NEGLECT

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26
Q

Patients receiving HOME CARE are at HIGH RISK for medication errors. What (3) medications are prone to errors?

A

A-ntidepressants

A-ntipsychotics

B-enzodiazipines

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27
Q

(3) Three domains of learning

A
  • COGNITIVE DOMAIN
    • knowledge and development of intellectual skills
  • AFFECTIVE DOMAIN
    • involves a change in attitude and development of values
  • PSYCHOMOTOR DOMAIN
    • involves the performance of a skill
28
Q

Which domain of learning?

“client expresses acceptance of having a colostomy and maintains self-esteem”

A

AFFECTIVE DOMAIN

29
Q

Which domain of learning?

“Community Nurse teaches a client how to self-administer insulin”

A

PSYCHOMOTOR

DOMAIN

30
Q

Which domain of learning?

“Client discusses how sodium intake will affect his blood pressure”

A

COGNITIVE DOMAIN

31
Q

(3) types of LEARNING STYLES

A
  • VISUAL LEARNERS
    • seeing and note-taking
    • video viewing, presentations
  • AUDITORY LEARNERS
    • listening, lectures
    • discussion, reading
  • TACTILE-KINESTHETIC LEARNER
    • doing trial and error
    • hands on approach, return demonstration
32
Q

LEARNING STYLE?

“THINK IN PICTURES”

A

VISUAL LEARNERS

33
Q

learning style?

“INTERPRET MEANING WHILE LISTENING”

A

AUDITORY LEARNER

34
Q

LEARNING STYLE?

“MEANING THROUGH EXPLORATION”

A

TACTILE-KINESTHETIC LEARNER

35
Q

SELF EFFICACY

A

CLIENTS BELIEF THAT CHANGE IS POSSIBLE

36
Q

HEALTH COACHING

A
  • WHAT WORKS FOR THEM
  • IDENTIFY CONCERNS THAT SUPPORT OR HINDER LIFESTYLE CHANGES
  • NURSE AS A PARTNER WITH MEETING CLIENTS GOALS
37
Q

HEALTH EDUCATION PLAN

A
  • SHORT AND LONG TERM GOAL
  • WRITTEN AT 5TH, 6TH GRADE LEVEL
38
Q
A
38
Q

Barriers to Learning

A

A-ge

B-arriers to access

C-ultural / language barriers

L-ack of motivation

P-oor reading and comprehension skills

39
Q
A
40
Q

Things to review with the caregiver in evaluating caregiver role strain

A

C-oping skills

F-inancial resources

R-oles and responsibilities

L-oneliness

S-chedules and care

S-upport services

P-lacement in long term care

R-espite care for caregiver

<strong>HINT:</strong> <strong>R</strong>espite <strong>C</strong>oping <strong>R</strong>esponsibilites<strong> S</strong>chedule<strong> S</strong>upport<strong> P</strong>lacemen<strong>t</strong> <strong>L</strong>onely<strong> F</strong>inances

41
Q

TERMINATION OF VISIT

(4) objectives

A
  1. Contact information
  2. Emergency plan review
  3. Schedule next visit
  4. Smoking and pet expectations

HINT: SChedule emergency contacts, smoking!

42
Q

POST-VISIT PLANNING

(3) objectives

A
  1. need for other health care providers?
  2. visits schedule
  3. outcomes and plan interventions
43
Q
A
44
Q

Reasons why Home Care DOCUMENTATION is necessary

A
  • legal record
  • standards of care
  • Cost Reimbursement
  • Tools
  • OASIS (Outcome and Assessment Info Set)
45
Q

PRACTICE SETTINGS IN THE COMMUNITY

A

“FLOORPANS CACHE”

F-aith ministry nursing

L-ong term care

O-ccupational health office

O-utpatient surgery center

R-ehabilitation center

P-ublic health unit

A-dult day care

N-urse managed center

S-chool health office

C-ommunity mental health

A-mbulatory clinic

C-orrectional facility

H-ospice center

E-nvironmental nurse

46
Q
A
47
Q

ROLES OF THE

OCCUPATIONAL HEALTH NURSE

A
  1. IDENTIFY WORK ENVIRONMENT RISKS
  2. PROMOTE HEALTH
  3. PREVENT OCCUPATIONAL ILLNESS/INJURY
  4. DEVELOP PARTNERSHIPS WITH WORKPLACE EMPLOYEES, SAFETY SPECIALISTS, UNIONS, INSURANCE AGENCIES AND HR
48
Q

DEVELOPS AND ENFORCES WORKPLACE HEALTH REGULATIONS TO PROTECT THE SAFETY AND HEALTH OF WORKERS. ALSO PROVIDES EDUCATION TO EMPLOYERS ABOUT WORKPLACE HEALTH AND SAFETY

A

Occupational Health and Safety Administration (OSHA)

49
Q

This agency focuses on identification of workplace hazards and research for prevention of work-related injury and illness.

Provides education to safety and health professionsals about workplace safety

A

National Institute for Occupational Safety and Health (NIOSH)

50
Q

This agency/committee advises the secretaries of labor, health and human services on policies and programs that affect occupational safety and health

A

National Advisory Committee on Occupational Safety and health (NACOSH)

51
Q
A
52
Q

(5)

ROLES OF THE

FAITH COMMUNITY NURSE

(AKA: PARISH NURSE)

A
  • work with individuals and families through out lifespan in a faith community
  • In their homes, acute/long term care, schools, church
  • health counseling/education
  • spiritual support
  • liaison between faith community and outside resources
53
Q

Define “school nursing”

A

a specialized pratice of professional nursing that adances the well being, academic success, and lifelong acheivement of students

54
Q

(7)

roles of the

school nurse

A
  • Case manager
    • comprehensive care for complex health needs
  • Community Outreach
    • meets needs of students by collaborating with community agencies
  • Consultant
    • promotes a healthy / safe school environment
  • Counselor
    • psychological and social services
  • Direct Caregiver
    • care for ill or injured children, screening and referrals
  • Health Educator
    • Health promotion for students, staff, community
  • Researcher
    • uses epidemiology information

USES PRIMARY, SECONDARY AND TERTIARY PREVENTION FOR THIS AGE GROUP

55
Q
A
56
Q

(2) EXAMPLES OF PRIMARY PREVENTION

PROVIDED BY A SCHOOL NURSE

A
  1. Teach health promotion practitices (ie, hand hygiene, seat belts)
  2. immunization status of all children
57
Q

(6) EXAMPLES OF ‘SECONDARY’ PREVENTION

PROVIDED BY A SCHOOL NURSE

A
  • Assess children who become ill or injured (ie, headaches, minor injuries)
  • Assess all children faculty and staff during emergencies
    • create emergency plans for children that have potential for anaphylactic reactions
    • maintain inventory of emergency supply equipment
  • Screening for early detection of disease and make referrals PRN
  • Assess children to detect for child abuse
  • Assess children for evidence of mental illness, suicide, violence
  • Respond to school crisis and disasters
58
Q
A
59
Q

(2) EXAMPLES OF TERTIARY PREVENTION

PROVIDED BY A SCHOOL NURSE

A
  • Assess children with disabilities (IEP)
  • Assess children with long term health needs at school
  • provide care for those with chronic disorders
    • asthma
    • diabetes
    • cystic fibrosis
  • Provide ongoing care for adolescent parents or those who are pregnant
60
Q

Discharge planning begins __________

A

at admission

61
Q

Case management nursing is indicated for a variety of health care settings…

A
  • Multidisciplinary Care Coordination
  • Emphasizes health promotion and risk reduction integrated with illness management
  • Client teaching and advocacy are important in coordination and management of care
  • help with all needs: Insurance, transportation, housing
  • Nurses or social workers
    • consults
    • referrals
  • discharge planning
62
Q

Home health care skills that are considered “skilled professional / paraprofessional”

A
  • Skilled nursing
  • Speech therapy
  • Physical therapy
  • speech therapy
  • Occupational therapy
  • Home health aide
63
Q

Which of the following home healthcare services is reimbursed by Medicare?

A.) 150 home visits following a hospital stay

B) A visit to teach a patient how to change a sterile dressing

C.) Assessment of a chronic pre-existing illness

D.) A visit from a social worker to discuss socioeconomic needs

A

B) A visit to teach a patient how to change a sterile dressing

64
Q

What is one essential difference between care of the patient in the hospital and care of the patient at home?

A) Hospitalized patient follow the hospitals routine and schedule

B) Hospitaled patients rarely need referrals or teaching

C) Home care patients are more dependent on the nurse

D) The nurse adapts care to the patients schedule and customs

A

D) The nurse adapts care to the patients schedule and customs

Nursing 250 (9 decks)

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