Diverse/Vulnerable Pop FINAL EXAM Flashcards

(48 cards)

1
Q

Nightingale’s Environmental Theory

A

Highlights the relationships b/w an individual’s environment and health
— Health as a continuum

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2
Q

Health Belief Model

A

Purpose = predict or explain health behaviors
— Emphasize change at the individual level

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3
Q

Milo’s framework for prevention

A

Identifies relationship b/w health deficits and availability of health-promoting resources

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4
Q

Transtheoretical of Stages of Change Model

A

Change can occur over time, and in 6 distinct stages:
— Pre-contemplation = is unaware of the need to change
— Contemplation = considers change
— Preparation = planning to take action
— Action
— Maintenance = continues behavior once action has been placed
— Termination = individual is consistent

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5
Q

Autonomy

A

Individuals select those actions that fulfill their goals

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6
Q

Nonmaleficence

A

“Do no harm” when applying standards of care

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7
Q

Beneficence

A

Maximize possible benefits and minimize possible harms

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8
Q

Distributive justice

A

Fair distribution of the benefits and burden in society is based on the needs and contributions of its members

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9
Q

Continuous quality improvement (CQI)

A

Emphasizes organization and its processes and systems and uses objective data to analyze and improve processes

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10
Q

Healthy People 2030

A

National goal of health objectives that serve as a guide for promoting health and preventing disease
— measures quality of health

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11
Q

Primary prevention

A

preventing a problem
— Education: nutrition, sex, family planning, hygiene, safety (e.g. MVA)
— Smoking cessation
— Prenatal classes
— Immunizations/vaccines
— Advocating for access to health care, healthy environments

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12
Q

Secondary prevention

A

not preventing, but screening
— Community assessments
— Screenings: TB, DM, genetic d/o’s, HTN, cancer
— Lead exposure, control of outbreaks
— Sensory impairments
— Disease surveillance

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13
Q

Tertiary prevention

A

improve quality of health
— Rehabilitation: PT/OT, post-op, exercise (especially for Cardiac and HTN)
— Nutrition counseling
— Case management (chronic/mental illness)
— Support groups

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14
Q

IPREPARE

A

I — Investigator
P — Present work
R — Residence
E — Environmental concerns
P — Past work
A — Activities
R — Referrals and resources
E — Educate

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15
Q

Toxins include

A

Lead, pesticides, mercury, solvents, asbestos, radon

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16
Q

Air pollution includes

A

Carbon monoxide, particulate matter, ozone, lead, aerosols, NO2, SO2, tobacco smoke

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17
Q

Water pollution includes

A

Wastes, erosion after mining or timbering, run-off from chemical added to the soil/ocean

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18
Q

Contamination includes

A

Food and food products w/ bacteria, pesticides, radiation, medication (growth hormones or antibiotics)

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19
Q

What is the order of the disaster management cycle?

A
  1. Mitigation (prevention)
  2. Preparedness
  3. Response
  4. Recovery
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20
Q

Agencies with a role in disaster response

A

— Federal Emergency Management Agency (FEMA)
— Centers for Control Disease and Prevention (CDC)
— US Dept. of Homeland Security (DHS)
— American Red Cross (ARC)
— Office of Emergency Management (OEM)
— Public health system

21
Q

What does WIC stand for?

A

Women, Infants, and Children (WIC)

22
Q

Children’s Health Insurance Program (CHIP) is used for?

A

To offer expanded health coverage to uninsured children whose families do not qualify for Medicaid

23
Q

Medicare vs. Medicaid

A

MediCARE = 65 and older, receiving SSI, disability for >2yrs (federal)
MediCAID = coverage for low socioeconomic adults, children (federal + state)

24
Q

The host triangle

A

Living being that an agent or the environment influences

25
The agent
The physical, infectious, or chemical factor that causes the disease
26
The environment
The setting or surrounding that sustains the host
27
Name susceptible hosts
Age, sex, genetics, ethnicity, immunological status, physiological state, occupation
28
Chemical agents include
Drugs and toxins
29
Physical agents include
Noise and temperature
30
Infectious agents include
Viruses and bacteria
31
Physical environments in communicable diseases include
Geography, water/food supply, presence of reservoirs/vectors
32
Social environments in communicable diseases include
Access to health care, high-risk working conditions, poverty
33
Waterborne illness
*fecal contamination of water* — Cholera — Typhoid fever — Bacillary dysentery — Giardia lamblia
34
Food infections
*bacterial, viral, parasitic infections* — Norovirus — Salmonellosis — Hepatitis A — Trichinosis — Escherichia coli (E.coli)
35
Vector-born illnesses
*via a carrier (e.g. mosquito, tick)* — West Nile virus — Lyme disease — Rocky Mountain spotted fever — Malaria
36
Endemic vs. Epidemic vs. Pandemic
Endemic = outbreak of a disease that is consistently present, but limited to a particular region Epidemic = rate of disease exceeds regions and above the expected rate (e.g. Cholera, measles, malaria, dengue fever) Pandemic = spreads across countries and continents at a fast rate with new incidences daily (e.g. COVID-19, Spanish Flu)
37
Incidence vs. Prevalence
Incidence = # of NEW cases in the population Prevalence = # of existing cases in the population at a specific time
38
Airborne illnesses
— Chickenpox — TB — Pertussis — Influenza — SARS — Measles
39
Herd immunity
Protection due to the immunity of most community members making exposure unlikely
40
Natural immunity
Natural defense mechanisms of the body to resist specific antigens/toxins — e.g. antibodies made after exposure to infection
41
Acquired immunity
Develops through actual exposure to the infectious agent
42
Active (artificial) immunity
Antibodies made after getting a vaccination
43
Passive (adaptive) immunity
Resistance a host gains from another individual — e.g. mother’s breastmilk to baby
44
Populations MOST at risk
— Young children — Older adults — Immunosuppressed/compromised — High-risk lifestyle (e.g. homeless, drug abusers) — International travelers — Healthcare workers
45
Types of RN roles in the community
— Public health — Home health — Hospice — Occupational — Faith-based: Missionary, Parish — School — Forensics —
46
Phases of emotional rxn during a disaster
— Heroic — Honeymoon — Disillusionment — Reconstruction
47
Disaster Color Codes
48
Triage Color Coding
RED — immediate attention; needs transfer; e.g. massive hemorrhage, pneumothorax YELLOW— medium priority; isolated fracture GREEN — minimal (“walkie-talkies”); broken arm BLACK— expectant; minimal chance at survival; e.g. CSF coming from head/nose