exam 2 Flashcards

(48 cards)

1
Q

o When time is limited
o Purposeful and focused conversation that helps build a relationship
o Nurses validate family concerns with their active listening

A

therapeutic convo

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2
Q

 Heal people and have absence of disease

 Elimination of disease or symptoms

A

clinical model

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3
Q

 As long as you do your job, you have good health
 Good health is being able to go to work/do job
• Farmers, Hispanic populations
 Health that involves a match between people and social roles. Example a person would only see themselves as unhealthy if they could not fulfill their roles in life

A

role performance model

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4
Q

 Adapt to level of what you can do with illness
 Health that involves adaptation to the environment. Some people consider health to be determined by their ability to adapt in the face of adversity of disease

A

adaptive model

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5
Q

 WHO: mind body and spirit – strives for Eudaimonistic model
 Health that is the actualization or realization of human potential. People would consider themselves to be healthy only if they are functioning not only physically but also emotionally and socially.

A

eudaimonistic model

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6
Q
o	Prayers before bed
o	Wear shoes and socks if it’s raining
o	Spaghetti Sunday
o	Christmas
o	Resistive and predictive behavior
A

health routine/ritual

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7
Q

Sharing geographic boundaries and governing structures

 Look at zip code

A

geopolitical communities

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8
Q

Sharing common interests or beliefs

 Nelson- check schools, home schools, teachers, etc

A

phenomenological communities

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9
Q

Huge community assessment if doing it on nation/global

o ** first thing in communities assessment is to DEFINE THE COMMUNITY** which from above is it?

A

societal, national or international communities

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10
Q

Examination of biological, psychological and sociocultural influences of environment that surrounds a specific group of people *

A

community assessment

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11
Q

 Look at health data for specific population and describe it
 Describing the health of a population
 Determining relationships that can predict health and illness
 Developing and testing interventions to empower communities and effect change

A

epidemiologic approach to community assessment

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12
Q

 Rita’s favorite- know community so you can work with them on what they feel is important
 A systems approach
 Focus on partnerships to effect change

A

community as partner framework

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13
Q

 Evaluates health patterns in the community

 People getting immunizations, getting BP screened, going to health checks up, if they exercise

A

functional health status approach

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14
Q

 Use a retrospective historical approach to understand cultural changes over time to provide information for future initiatives

A

developmental models and approaches

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15
Q

 Rita’s favorite: changes mindset and helps communities grow
 The asset-based approach identifies community resources and strengths along with community needs

A

community assessment asset based approach

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16
Q

 Involves assessment by an interdisciplinary team and members of the community

A

collaborative model

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17
Q

ensures employees are ready for change
 Unfreezing: moves a community from the stage of denial or lack of awareness
 Changing: execute the intended change
 Refreezing: ensures that the change becomes permanent

A

Lewin’s model of change

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18
Q

force field analysis is a tool used to identify the forces driving or reinforcing change
 One agent is driving the change and another agent is a straining force, straining agent to change

A

fore field analysis

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19
Q

purpose is to increase driving force and or decrease restraining forces
 Public policy are levers of change
• Tax increase on tobacco, alcohol or soft drinks
 Tools or techniques that achieve the largest changes with the least investment of resources

A

levers of change

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20
Q

o Goal is to make change, use of marketing principles and practices to change health behaviors or beliefs, social or cultural norms and community standards to improve health or benefit society
o Goal is to catch attention to make change
 Sign says “don’t text and drive”

A

social marketing

21
Q

o A group that works on the principle that each part contributes to the way the whole functions
o A system of interrelated statements that is used to explain, predict, control, or understand a phenomenon

A

systems theory

22
Q

o Promoting and preventing illness in community
o May lead focus groups, plan an active role in data collection and provide consulting services to an agency/community
o Health planning, assessment, resource allocations

A

role of nurse in community program

23
Q

 an environment that promotes gaining weight and one that is not conducive to weight loss

A

obesogenic environment

social determinate of health

24
Q

 Term coined by Aaron Antonovsky (1996), a professor of medical sociology. The term describes an approach focusing on factors that support human health and well-being, rather than on factors that cause disease.

A

salutogenic environment

social determinate of health

25
 Preventable differences in the burden of disease, injury, violence, or opportunities to achieve optimal health that are experienced by socially disadvantaged populations
health disparities | social determinate of health
26
 Absence of systematic disparities in health (or in the major social determinants of health) between social groups who have different levels of underlying social advantage/disadvantag
health equity | social determinate of health
27
 View that everyone deserves equal economic, political and social rights and opportunities
social justice | social determinate of health
28
o The ability to replicate or reproduce a successful program within a different community or with a new population aggregate is a test of the strength of design of an intervention o When an intervention has yielded positive results in one community, the next step in est. evidence for practice is to test the intervention by replication
program replication
29
o Provide health promotion and primary care services to vulnerable and undeserved populations o Clinical placement of students o Community aspect with federal funding
unique characteristics of nurse managed healthcare
30
o Study of the distribution and determinants of states of health & illness in human populations  Used both as: o A research methodology for studying states of health and illness  A body of knowledge that results from the study of specific states of health or illness
epidemiology
31
 Published an analysis of mortality data  First publication to quantify patterns of birth, death, and disease occurrence and noting disparities between men and women
josh graunt and bills of mortality
32
 Built upon Graunt’s work by systematically collecting and analyzing Britain’s mortality statistics  Considered the father of modern vital statistics and surveillance  Developed many of the basic practices used today in vital statistics and disease classification
William farr, registrar general
33
 Anesthesiologist conducted a series of investigations in London  Father of field of Epidemiology  Conducted studies of cholera outbreaks to discover the cause of disease and to prevent its recurrence
john snow and broad street pump
34
 Created a plan for reform for the health of the British Army  Notes on Matters Affecting the Health, Efficiency, and Hospital Administration of the British Army (1958)  Monitoring of disease mortality rates showed that with improved sanitary methods in hospitals death rates decreased
Florence nightingale, nurse and epidemiologist
35
 The triad consists of an external agent, a host and an environment in which host and agent are brought together, causing the disease to occur in the host
epidemiologic triad
36
 A more encompassing model  Not used as often as the Epidemiological triangle  Contains a hub with the host at its center  Surrounding the host is the total environment divided into the biological, physical, and social environments
wheel of causation
37
 Represents the complex group of subjects and relationships that can contribute to the occurrence and spread of a disease  Rita’s favorite
web of causation
38
 Course a disease takes in individual people from its pathological onset ("inception") until its eventual resolution through complete recovery or death. The inception of a disease is not a firmly defined concept.
natural history of disease
39
o The primary measurement used to describe the occurrence (quantity) of a state of health in a specific group of people in a given time period
rate
40
 Endemic: Constant or usual prevalence of a specific disease or infectious agent within a population or geographic area  Epidemic: Significant increase in the number of new cases of a disease than past experience would have predicted for that place, time, or population; an increase in incidence beyond that which is expected
endemic and epidemic
41
o Establishing the existence of an outbreak o Describing cases by person, place, and time  Common Source Outbreak • Same person or reservoir or means of transmission o Propagated Outbreak (continuous)  Infection transmitted from person to person over a longer period of time than with a common source outbreak
process of investigating an outbreak
42
``` o AGENT  Infectious agent o HOST  Portals of entry & exit  Incubation period • Time period between initial contact with the infectious agent and the appearance of the first signs or symptoms of the disease o Environment: Reservoir o Transmission  Airborne  Direct  Indirect  Droplet ```
chain of infection
43
o Airborne – measles, severe acute respoiratory syndrome, chicken pox, B o Direct - o Indirect o Droplet – pneumonia, influence, whooping cought, bacterial meningitis
transmission of disease
44
Necessary for a disease to be communicable or contagious:  Portal of Exit from the infected person (or animal)  Means of Transmission  Portal of Entry to a susceptible host  Flu, hep whatever, MRSA
communicable disease
45
 Presence and replication of an infectious agent in the tissues of a host, with manifestation of signs and symptoms  Pathogenicity—ability of the agent to produce an infectious disease in a susceptible host
infectious disease
46
o Multiple sexual partners o Do not use condom o Have other STDs o Sexual partner who has had an STD
risk for STD
47
o Serious infectious disease o Highly contagious o Mainly affects one’s lungs o Can spread to other parts of the body
mycobacterium TB
48
o Wearing masks if known TB infection present o N95 Respirator Mask o Need to be fitted o N95-class respirator mask filters at least 95 percent of air particulates  Spread: Tiny droplets released into the air via coughs and sneezes  Especially communicable in areas of close proximity of individuals
stop spread of TB