Exam 2 Flashcards by Kaitlyn Nelson

Q

what are the 6 obligations of PH?

A

prevent epidemics + spread of disease
prevent injuries
protect against enviro hazards
respond to disasters + assist with recovery
promote healthy behaviors
assure quality + accessibility of healthcare

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Q

what is the largest minority pop?

A

hispanics

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Q

re: local function of public health, who determines where the funds go within the county ?

A

county commissioners

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Q

core fxns of public health

A

assessment
policy development
assurance

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Q

assessment, policy development or assurance:

Diagnose + investigate health problems/hazards

A

assessment

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Q

assessment, policy development or assurance:

Mobilize community partnerships to identify + solve health problems

A

assessment

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Q

assessment, policy development or assurance:

Link ppl to needed health services

A

assessment

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Q

assessment, policy development or assurance:

Use EBP for new insights + innovative solutions to health problems

A

assessment

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Q

assessment, policy development or assurance:

Inform, educate + empower communities about health issues

A

policy development

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Q

assessment, policy development or assurance:

Develop policies + plans using EBP that support individual and community health efforts

A

policy development

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Q

assessment, policy development or assurance:

Monitor health status to identify community health problems

A

assurance

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Q

assessment, policy development or assurance:

Enforce laws + regulations that protect health and ensure safety

A

assurance

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Q

assessment, policy development or assurance:

Ensure provision of health care

A

assurance

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Q

assessment, policy development or assurance:

Ensure a competent public health + personal health care workforce

A

assurance

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Q

assessment, policy development or assurance:

Use EBP to evaluate effectiveness, accessibility + quality of services

A

assurance

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Q

the goal of ________ was this:

improve quality + lowering healthcare costs, access to healthcare, and new consumer protections

A

ACA

care, coverage, cost

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Q

spending more than any other country on healthcare but no improvements in health, indicate what?

A

WE. NEED. HEALTHCARE. REFORM.

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Q

this aimed to protect people with preexisting conditions and focused on preventative care

A

ACA

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Q

the intervention wheel shows which 3 things?

A

17 interventions
population focused (on all levels)
the 3 different levels of practice (individual, community, systems)

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Q

re: intervention wheel, case finding is only on what level?

A

individual

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Q

re: intervention wheel, what is the overall theme of red?

A

surveillance + investigation

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Q

re: intervention wheel, what is the overall theme of orange?

A

collective action - building + collaborating!

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Q

does building occur at an individual level?

A

NOPE

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Q

coalition building + collaboration often occurs at which level?

A

community + systems

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re: intervention wheel, what is the overall theme of green?

case management + referral "green means go... you're all set up and good to go"

re: intervention wheel, what is the overall theme of blue?

counseling + consultation

re: intervention wheel, what is the overall theme of yellow?

advocacy + marketing

what is this process referring to? Identify needs → clarify problems → identify strengths → identify health resources

community assessment

community assessment follows which process? what are the components?

ADPIE ``` assessment diagnosis planning intervention evaluation ```

definition of ______: A social network of interacting individuals, usually concentrated in a defined territory

community

Assessing the health status of the populations that comprise the community

community assessment

name some data collection methods *which is most expensive?*

``` key informants surveys *most expensive according to book* focus groups interviews windshield surveys secondary analysis community forum participant observation ```

what kind of data collection method would this be an example of? reviewing past documents of minutes (notes taken on a meeting)

secondary analysis | reviewing information/data already collected

what happens first with community health program planning ?

define the client (community - place, ppl, fxn)

re: community health program planning, what are the data collection steps?

1. gather 2. develop 3. interpret 4. analyze

re: community health program planning, what phase of the nursing process is this: define the problem

diagnosis

re: community health program planning, what phase of the nursing process is this: prioritize, establish goals + objectives, develop interventions

planning

with community health program planning, why do we create objectives?

to evaluate effectiveness | did we tackle the problem?

components of SMART (for objectives)

``` S: specific M: measurable A: attainable R: realistic T: time frame ```

before starting community health program planning, you should perform a ______ ________

needs assessment (1st determine what the community needs) Ex: rise in teen pregnancy → develop program to educate teens on safe sex practices, BC, etc

before implementing a new program, you should assess what?

READINESS is everyone on board? are they all invested? if so, success is much more likely!

what is radon?

basement gas --> linkage to lung cancer

what impact does mercury have on developing fetus and young child?

slows development of nervous system

what are VOC? where are they usually found?

volatile organic chemicals (odorless chemicals that are an environmental hazard) furniture, paint, wood flooring

SE of VOC (3)

1. CNS 2. eye/nose/throat irritation 3. kidney + liver damage

re: enviro health assessment, what are the components of IPREPARE?

``` Investigate potential exposures Present work Residence Enviro concern Past work Activities Referrals + Resources Educate ```

why do we perform an enviro health assessment?

identify current + past exposure

short term goal of enviro health assessment?

reduce or eliminate exposure

long term goal of enviro health assessment?

reduce adverse effects

what are the 3 essential case management skills?

1. advocacy 2. collaboration 3. conflict management

the idea that a given stressor may have a greater psychological impact on individuals with certain demographic characteristics

Differential vulnerability hypothesis

PREVENTABLE circumstances r/t individuals’ health status based on social factors

health disparities

type of poverty: legal definition; used to develop eligibility criteria

administrative

type of poverty: sudden often due to a crisis (such as losing job or eviction from house)

acute/crisis

type of poverty: persists over years; individuals + families who remain poor for long periods of time → pass poverty on to their descendants

persistent/chronic/generational

type of poverty: lack of food, shelter + clothing

absolute

type of poverty: less than average resources; difficulty making ends meet

relative (near poor)

type of poverty: geographically defined areas of high poverty

neighborhood

#1 contribution to death and disability with houseless folks is what?

trauma (GSW, stabbing, other injuries, etc)

health risks of Native americans (Cherokee) - (3)

1. SUD 2. domestic violence 3. T2DM

health risks of migrant farm workers (2)

1. pesticides | 2. infectious disease

health risks of ranchers/farmers (2)

1. enviro hazards | 2. pesticides

health risks of black population (3)

1. HTN 2. DM 3. infectious disease

health risks of native alaskans (3)

1. dental caries 2. depression 3. infectious disease

health risks of coal miners

1. depression 2. SUD 3. trauma/injury

list some barriers to healthcare in rural populations (4)

1. lack of providers (HPSA) 2. transportation 3. limited internet access or service 4. limited technological skills