Competency

Question 1

Why do I need Community health nursing, why is the health care model changing

Answer 1

1/3 of all hospitals closing by 2020 - merging of hospitals
cost of healthcare - astronomical
no longer dealing with “patient”; dealing with savvy CONSUMER
must know patients narrative “the story”
must learn how to ENGAGE people

Question 2

Characteristics of Community Health Provider

Answer 2

We are a GUEST in the COMMUNITY
Be a Role Model
Be Flexible, Adaptable, Organized
Be Patient and Understanding
Be Communicative/Excellent Communication Skills
Practice Autonomy and Collaborative (the pt/consumer)
Be Caring and Compassionate

Question 3

Terms to know for Community Health

Answer 3

the community is dealing with people on an individual basis and their families and surrounding community
Public Health - key word Public (population) decisions based on the greater good of the aggregate (not individuals)

Question 4

houlle and fleece - 3 beliefs shaping the future of healthcare

Answer 4

How we think about health care
How we deliver health care
The economics of health

Question 5

new prescription for promotion of health

Answer 5

gym - exercise

Question 6

role model of community health

Answer 6

consumers wont do as I say - do as I do - be a good role model

Question 7

**view community as our

Answer 7

Client and Partner

Question 8

to prevent hospitalization we must provide

Answer 8

pt education

Question 9

terms to eliminate from nursing practice

Answer 9

non-compliant

frequent flyer

Question 10

what does aggregate refer to

Answer 10

larger group of people

Question 11

**4 P’s of public health

Answer 11

Prevent - Gym
Promote - Understand their story
Protect - Resources/Health/Well-Being
Preserve

Question 12

number one cause of injury to nurses

Answer 12

back injury

Question 13

number one cause of injury to public health nurses

Answer 13

motor vehicle accidents

Question 14

***3 things you need to know/factors for home-care nursing qualifying for payment

Answer 14

Pt must be Home-Bound (extraordinary measures to get pt out of the house)
Their must be a Skilled Need (wound care, education)
Intermittent Care

Question 15

**number one principle in educating a patient

Answer 15

must learn from the patient - what do they already know?

meeting the patient where they are at that moment

Question 16

before beginning pt education in the schools what do you need to know

Answer 16

developmental level/milestones of the age your working with - engaging materials
know resources available (American Dental Assoc)

Question 17

number 1 reason you are admitted to the hospital

Answer 17

24 hr nursing care

Question 18

number 1 skill as a RN

Answer 18

assessment (Environmental, Physical/patient-hygiene, Cognition/how are you)

Question 19

what is a windshield survey/what will you see

Answer 19

surveying/seeing my environment
people (nationalities)
businesses (economy)
homes (condition)
recreate (where can children play)
religion

Question 20

people cannot be healthy if

Answer 20

they’re not living in a a healthy community (work and recreate in - is not healthy)

Question 21

safety issues in the hospital

Answer 21

falls - clutter (rugs number 1 cause of falls in the home)

Question 22

what is the iceberg effect

Answer 22

5-10 percent is surface - 90 percent is below the surface (this is where we find what is really going on)