exam 2 Flashcards by britt rank

STDs, physical/sexual abuse, skin disorders, anemia, drug/alcohol abuse, unintentional injuries

Depression; suicidal ideation; disorders of behavior, personality, or thought

Family disruption; school failures; prostitution or “survival sex”; involvement with the legal system

Unintended pregnancy

are common with

Homeless Adolescents

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a specially trained registered nurse who applies the nursing process during forensic examinations to victims or perpetrators of sexual assault

sexual assault nurse examiner (SANE

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The school-aged child with developmental delays or disabilities should work with a team of resource providers following an ________

individualized education plan

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what are 2 common reasons for home health

about to be dicharged from hospital or nursing facility

safety issue

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what 6 tests must be done every year for senior patients?

complete physical 
bp screening
blood glucose
fecal occult blood test
visual screening
dental exam

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PSA blood test, digitial rectal and prostate examinartion must be done how often in senior patients?

yearly

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mamogram is reccomended every ______ years if age 40 or older

1-2

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Asthma, iron deficiency anemia, and obesity
Mental health problems and developmental delays

Problems with educational achievement and acceptance by other students

are common with

Homeless Children

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Who are eligible for home health

clients who are homebound

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5 occupational risk hazards

Biological 
Environmental 
Chemical 
Physical 
Psychological

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The availability, relative costs, variety, and safety of foods and the health of animal and plant food sources

Food Quality

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crossing guards 
no open toe shoes in gym 
Bicycle safety and helmets
Proper use of backpacks
Schoolyard and playground safety
Motor vehicle safety for adolescents

are all examples of ______

Safety Measures in a school setting

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The availability and volume of the water supply and the mineral content levels, pollution by toxic chemicals, and the presence of pathogenic microorganisms

consists of the balance between water contaminants and existing capabilities to purify water for human use and plant and wildlife sustenance

Water Quality

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High levels can permanently affect the brain, bones, kidneys and the heart

Often there are no symptoms until too late

determined by a blood test

inhalation or ingestion

Lead

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4 leading eye diseases affecting older adults

age related cataracts
macular degeneration
diabetic retinopathy
glaucoma

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breast exam done every______

clinical breast exam done every ____

every month

every year

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Isolation Precaution for:

MRSA

contact

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Defined as an anatomical, mental, or psychological loss or abnormality

May be measured

Examples: Spina Bifida, spinal cord injury, amputation, detached retina

Impairment

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For senior patients: how often for

Herpes zoster (shingles):

One-time dose

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legal document used to perform a home health assessment

lay out physiological state

med condition and ability to perfom ADLS

assesses the need for home health, what services should be started and if the goals have been met

used in terms of reimbursment

OASIS form

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gave all children the right to public education in the least restrictive environment possible regardless of mental or physical disabilities

Public Law 99-142 (1976)

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Type of Homelessness that :

homeless under federal statutes- unaccompanied youths, and families with children

Category 3-

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7 Components of School Health Programs

Health education

Physical education

Health services

Nutrition services

Counseling, psychological, and social services

Healthy school environment

Health promotion for staff

Family and community involvement

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patient must be _________ in order to recieve home health paid by medicare

homebound

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Impoverished and marginalized groups living close to industry contamination Danger of illness or injury related to violence, poisoning, exposure, fires, malignant disease, work environment Unable to move due to cost and family ties

Environmental Racism

what 4 screenings do schol aged children need

Vision is required in most states Hearing screenings Scoliosis or postural screening (pre adolescense) High blood pressure screening (high risk)

Increases available choices-access to vocational services; provides new methods for retaining health insurance after returning to work.

Ticket to Work and Work Incentives Improvement Act (TWWIIA)

Respiratory infections, trauma, and skin disorders Chronic disorders and poor dentition HIV/AIDS, TB, HCV, and STDs Alcohol abuse Drug abuse Mental health issues and minor emotional problems are comon with:

homeless males

strong privacy protection act of education and health records

Family Educational Rights and Privacy Act (FERPA)—

describes a phenomenon in which public structures and homes cause occupants to experience a variety of symptoms, such as headache, fatigue, and exacerbation of allergies. It typically results from poor ventilation and building operations, hazardous building materials, furniture and carpeting substances, and cleaning agents

Sick Building Syndrome

Isolation Precaution for: Pediculosis Capitis

contact

disability benefits are payable to workers or widow(er)s who are disabled or adults who have been disabled since childhood and are eligible Funded through disability trust fund monies must be “insured” through Federal Insurance Contributions Act (FICA) earnings of self, parents, and/or spouse

Social Security Disability Insurance

For senior patients dentures must be cleaned every __years

Operate outside the Medicare system are licensed by the state of Illinois provide services in patients home for a fee

Private Duty agencies

all the physical, chemical, and biological factors external to a person and all the related factors impacting behaviors

environmental health

Isolation Precaution for: STI

contact

pelvic exam and pap smear are to be done _____ with older patients

every year

For senior patients Tetanus-diphtheria: Every __ yr.

Type of Homelessness that : Individuals who are fleeing or attempting to fell due to domestic violence, sexual assault, and other violence-related reasons.

Category 4-

For senior patients hearing test every __-__ years

2-5

nurse that is responsible for maintaining records of workers exposed to physical or chemical risks, monitoring compliance with Occupational Safety and Health Administration (OSHA)

Occupational Health nurse

Home Health is paid for by what 3 methods

Insurance, Medicare and Medicaid

A restriction or inability to perform an activity within the normal range May be objective and measureable Examples: Cannot walk unassisted, uses crutches or a cane, blind

Disability

special cases of medicade and are free include what 2 things

children on vents | special needs

Environmental Health Assessment (I PREPARE ) stands for what?

I- Investigate ``` P- Present work R-Residence E-Environmental concerns P-past work A- activities R- referrals and resources E- educate ```

Are Home Health services intermittent or continuious?

intermittent

Isolation Precaution for: Cholera

contact

6 Psychosocial Issues and Role Changes Affecting Seniors

Retirement Relocation Widowhood Loss of family and friends Possibly raising their grandchildren Sexuality

Number of years a person has lived

Chronological age

2 Common medical illnesses affecting school aged children

diabetes | asthma

4 things to remember with occupational health nursing when addressing the needs of the employees (CARE)

charachteristics age group risk factors environment

Isolation Precaution for: Scabies

contact

Isolation Precaution for: Pertusis

droplet

Hospice to be eligible according to Medicare have less than ______ to live.

6 months

Isolation Precaution for: TB

airbourne

following the death ofthe client, the nurse can work with the family for up to __ years

1 year

3 government agencies that help control environmental problems

``` The Environmental Protection Agency (EPA) Sets regulations (water &air qulity) ``` Occupational Health and Safety Administration (OSHA) Work place safety Nuclear Regulation Commission (NRC) protects public in relation to nuclear energy

patients between 65- 70 can discontinue pap smear and pelvic exam if what 2 things occur

3 consecutive negative tests | no abnormal results in previous 10 years

circle model for spiritual care stands for what

``` Caring Institution Respect for religious beliefs Caution Listening Emotional support ```

________ are licensed by the state of Illinois and follow state law Not covered by Medicare. Usually paid for privately. Special home health programs can include chronic care in specific cases depending on patient and insurance.

Private duty agencies

disability benefits are payable to adults and children who are disabled or blind and are eligible Funded through general tax revenues person with disabilities (PWD) must have limited income and resources

Supplemental Security Income (SSI)

5 things that contribute to Food Quality

Malnutrition Bacterial food poisoning Food adulteration Disrupted food chains by ecosystem destruction Carcinogenic chemical food additives

Who are eligible for hospice care

clients who have 6 months or less to live

More stressful life events, foster care as children, Intimate Partner Violence as adults, hospitalization for psychiatric issues Pregnancy (often unintended) with higher preterm births and low-birth-weight infants History of violence from childhood to adulthood High risk for victimization (history of mental illness, substance use/abuse, and engaging in survival strategies, including selling sex and drugs) are common with

homeless women

For senior patients Pneumonia vaccine: Once after age __; ask physician about booster every __ yr.

65 5 years

For senior patients Influenza (flu) vaccine:____ years

every year

A disadvantage resulting from an impairment or disability that prevents the fulfillment of an expected role It is not objective or measureable but more about the responses of others Reflects on specific circumstances and the physical and psychological characteristics of the person

Handicap

healthy home refers to what 6 things

``` availability safety structural strength cleanliness location indoor air quality ```

The management of waste materials resulting from industrial and municipal processes, human consumption, and efforts to minimize waste production

waste control

Type of Homelessness that : An individual who lacks a fixed, regular, and adequate nighttime residence – live in shelter

Category 1

employers must inform employees of the different occupational hazards that they can be exposed to on the job proper documerntation of injuries & treatment in timely manner must provide training in a perfered language is federal legislation enforced by ____

OSHA

Discrimination avoided Equal oppertunity Accomidations (reasonable) are the important factors of

Americans with Disabilities Act (ADA)

Guarantees equal opportunities for people with disabilities related to employment, transportation, public accommodations, public services, and telecommunications.

Americans with Disabilities Act (ADA)

Type of Homelessness that : Imminent risk of being homeless- who will imminently lose their night time residence

Category 2-

Average indoor radon concentration of __ pCi/L

1.3

Average Exposure Radon | _____mrem

620

Most useful in determining health Refers to the ability to perform ADL’s

Functional age

For senior patients colonoscopy every ___-____ years

5- 10

what is the main focus with faith based (parish) nursing

spiritual health

For senior patients cholesterol screening every __years

EPSDT stands for what?

Early and Periodic Screening, Diagnosis, and Treatment created by Medicaid

The availability, safety, structural strength, cleanliness, and location of shelter, including public facilities and family dwellings

Housing

Can Home Health services be ordered by any medical professional?

must be ordered by an MD

Health dangers posed by the various forms of ionizing radiation relative to barriers preventing exposure of humans and other life forms

Radiation Risks

Increases available choices when obtaining employment services, vocational rehabilitation services, and other support services needed to get or keep a job.

Ticket to Work and Work Incentives Improvement Act (TWWIIA)

Home Health services are determined by the__________

OASIS assessment

4 things to remember with Environmental Health History

Asessment Accuracy Agrivation Awareness

All _________ in State of Illinois are licensed by the State and must comply with state and federal guidelines. Services paid by Medicare or Medicaid or Private insurance if patient is covered by one of these insurances.

home care agencies

Ensured a free appropriate public education (FAPE) in the least-restrictive setting to children with disabilities based on their needs.

Individuals with Disabilities Education Act (IDEA) (1975)

exam 2 Flashcards

(89 cards)