Final

Question 1

Care Management

Answer 1

coordination of a plan or process to bring health services together as a common whole in a cost-effective way

Question 2

Case Management

Answer 2

development and coordination of care for a selected client and family
Disease management emphasizes prevention at the secondary and tertiary level – needs collaborative practice models

Question 3

Criteria for Medicare for a Home Visit

Answer 3

Homebound - Must require taxing effort to leave home due to weakness.
Necessity - Reasonable for acuity
Skilled needs - Which professionals are needed.
intermittent care needs - Medicare requires 60 hours a week

Question 4

Health professional shortage area (HPSA):

Answer 4

Geographic area, population group, or medical facility with shortages of healthcare professionals that may not allow a full complement of healthcare services.

Question 5

Medically underserved area (MUA):

Answer 5

Area that is determined through calculation of a ratio of primary medical care physicians per 1,000 population, infant mortality rate, percentage of the population with incomes below the poverty level, and percentage of the population aged 65 or older.

Question 6

Medically underserved population (MUP):

Answer 6

A U.S. federal designation for those populations that face economic barriers (low-income or Medicaid-eligible populations) or cultural and/or linguistic access barriers to primary medical care services.

Question 7

Advocacy

Answer 7

Always moving the needs of patients, families, and communities to a point of awareness that will advance change and increase quality of a life and experience.

Question 8

Tricare

Answer 8

Tricare - federal funds for military personnel and their dependents

Question 9

5 phases to home visits

Answer 9

initiating the visit
preparation
the actual visit
termination of the visit
post-visit planning

Question 10

Who needs special attention and creative solutions to overcome health disparities

Answer 10

High‐risk mothers
Chronically ill and disabled people
People living with HIV/AIDS
Mentally ill people
Substance abusers
Homeless people
Immigrants and refugees
Rural/migrant population
LGBT

Question 11

Category A Priority Risk

Answer 11

Small Pox, Botulism, Anthrax, Tularemia, Ebola, Plague

Question 12

American Disabilities Act

Answer 12

Americans with Disabilities Act (ADA): Wide-ranging federal legislation enacted in 1990 that is intended to make American society more accessible to people with disabilities.

Question 13

OSHA

Answer 13

1970 - The federal agency that sets exposure standards and is Responsible for enforcement of safety and health legislation
Employers must “furnish a place of employment free from recognized hazards that are causing or likely to cause death or serious physical harm to employees.”

Question 14

Sane Nursing

Answer 14

Assists victims of sexual assault
Cultural / developmental differences
Trauma training
Documents detailed physical examination findings, collects forensic evidence, testifies as an expert witness – makes referrals – pregnancy risk assessment and interception as needed

Question 15

Competency of occupational nursing

Answer 15

COMPETENT
SUFFICIENT EXPERIENCE TO RECOGNIZE A RANGE OF PRACTICE ISSUES AND FUNCTION AS CLINICIAN, OCCUPATIONAL HEALTH SVS COORDINATOR AND CASE MANAGE
RELIES ON CHECKLISTS & CLINICAL PROTOCOLS

Question 16

PROFICIENT

Answer 16

HAS INCREASED ABILITY TO PERCEIVE SITUATIONS AS A WHOLE- ABLE TO PERDICT THE EVENTS TO BE EXPECTED AND CAN RECOGNIZE PROTOCOLS SOMETIMES NEED TO BE ADJUSTED TO MEET NEEDS OF SITUATION

Question 17

EXPERT

Answer 17

HAS EXTENSIVE EXPERIENCE – BROAD KNOWLEDGE BASE- GRASP SITUATIONS QUICKLY AND INITIATE ACTION. LEADERSHIP ROLES, POLICY, SERVES UPPER EXECUTIVE OR MANAGEMENT ROLES.

Question 18

Equation for environmental risk

Answer 18

risk = hazard + exposure
Presence of a hazard alone does not determine the amount of risk the hazard poses
If a substance is hazardous, but there is no exposure to the substance, then a person is not at risk

Question 19

Environmental media

Answer 19

Include groundwater, surface water (lakes, ponds, rivers), air, surface soil, subsurface soil, sediment, and biota (plants and animals)

Question 20

Example of routes of exposure

Answer 20

Ingestion
Inhalation
Direct skin contact

Question 21

Hippocrates of Cos - who was he- what did he offer to Epidemiology?

Answer 21

First person to realize environment may impact health

Question 22

William Farr

Answer 22

Registrar General - vital statistics
Father of modern stat

Question 23

John Graunt

Answer 23

Bills of Mortality - death

Question 24

Florence Nightingale

Answer 24

Founder of modern nursing + epidemiology
Crimean War - environment (rats, fleas, overcrowding, dirty linen, lack of supplies, open sewer under barracks) w mortality 42.7%
Pioneering epidemiologist - effectively demonstrated stats provide organized way of learning from experience

Question 25

John Snow

Answer 25

Plotted areas of sickness → realize in certain area with contaminated water pumps → remove pump handle → dec of cholera

Question 26

Sensitivity

Answer 26

Ability of a test to identify correctly people who have the health problem under study

Question 27

Specificity

Answer 27

Ability of a test to correctly identify people who do not have the health problem

Question 28

Stages of infection (know each stage and be able to identify in story problem)

Answer 28

Latent period
Infectious agent invaded host + hospitable conditions to reproduce
Reproduce before shedding
Communicable period
Follows latency
Begins w shedding of agent
Incubation
Time from invasion to when first symptoms appear
May overlap with communicable period

Question 29

Vector

Answer 29

being/animal that transports pathogen thru biological and mechanical routes

Question 30

Fomite

Answer 30

non living surface or inanimate objects, materials, or substances that act as transport agents for a microbe

Question 31

Types of Vaccines
Live

Answer 31

Can still replicate → immune response without pathogenicity
Ex: MMR, Varicella (chickenpox), rotavirus and nasal influenza; less common are adenovirus, typhoid, and Bacille-Calmette Guerin

Question 32

Types of Vaccines
Inactivated

Answer 32

Not live and don’t replicate
Don’t cause any disease even in those who are immunodeficient people