Fundmental SG Ch 3 Community based nursing practice

Question 1

Community based health care focuses on:

Answer 1

• Health promotion
• Disease prevention
• Restorative care

Question 2

Give two ex of comprehensive community assessments.

Answer 2

Gathering information on incident rates for identifying and reporting new infections or diseases, adolescent pregnancy rates, MVAs by teenage drivers.

Question 3

describe the difference between

Public health nursing focus & Community health nursing focus

Answer 3

Public health nursing focus: Focus requires understanding the needs of a population (e.g. high risk infants, older adults, or cultural group)

Community health nursing focus: Its a nursing practice in the community, with the primary focus on the health care of individuals, families, and groups in the community.

Question 4

Community based nursing care takes place in:

Answer 4

In community settings such as the home or clinic, where focus is on the needs of the individual or family.

Question 5

Vulnerable populations are those pts who:

Answer 5

• Are more likely to develop health problems as a result of excess risks.
• Have limits in access to health care services.
• Are dependent on others for care.

Question 6

Identify the risk factors for the following:
1-Immigrant populations
2-poor and homeless
3-abused pt's
4-Substance abusers
5-Severely mentally ill
6-Older adults

Answer 6

1 Access to health care is limited because lack of benefits, resources, language barriers and transportation
2 they live in hazardous environments. work at high risk jobs, eat less nutritious foods, and have multiple stressors.
3 Mental health problems, substance abuse, socioeconomic stressors, dysfunctional relationships.
4 Socioeconomic problems result from financial strain of the cost of drugs, criminal convictions, communicable disease and family breakdown
5 Homeless or live in poverty and lack the ability to maintain employment or to care for themselves.
6 they suffer from chronic diseases and have a greater demand for health care services.

Question 7

Briefly explain the competencies the nurse needs in the following role.
caregiver

Answer 7

together w/ the family, you develop a caring partnership to recognize actual and potential health care needs and identify community resources

Question 8

Identify the 3 components of a community that need to be assessed and give examples.

Answer 8

structure (geographical boundries, emergency services, housing, economic status)
population ( and and sex distribution, growth trends, education level, ethnic and religious groups)
Social ( education and communication systems, government, volunteer programs, welfare system)

Question 9

Which of the following is an example of intrinsic risk factor for the homeless?

1 Severve anxiety disorders
2 Psychotic mental disorders
3 living below the poverty line
4 Progressive chronic alcoholism

Answer 9

3 living below the poverty line

they are usually jobless and do not have the advantage of shelter to cope with finding a place to sleep at night and finding food.

Question 10

Briefly explain the competencies the nurse needs in the following role.
case mgr

Answer 10

The ability to establish an appropriate plan of care based on assessment of pts and families and to coordinate needed resources and services for the pt’s well being across a continuum of care.

Question 11

Briefly explain the competencies the nurse needs in the following role.
change agent

Answer 11

Acts to empower individuals and their families to creating change within a health care agency

Question 12

Briefly explain the competencies the nurse needs in the following role.

pt advocate

Answer 12

often is the one who presents the pts point of view to obtain appropriate resources

Question 13

Briefly explain the competencies the nurse needs in the following role.

collaborator

Answer 13

Mutual trust and respect for each professional’s abilities and contributions, clarifying roles, and developing a care plan.

Question 14

Briefly explain the competencies the nurse needs in the following role.

counselor

Answer 14

assist pts in identifying and clarifying health problems and in choosing appropriate courses of action.

Question 15

Briefly explain the competencies the nurse needs in the following role.

educator

Answer 15

Establishes relationships w/ community service organizations and assesses pts’ learning needs and readiness to learn within the context of the individual, the system with which the individual interacts, and the resources available for support.

Question 16

Briefly explain the competencies the nurse needs in the following role.

epidemiologist

Answer 16

may be involved in case findings, health teaching, and tracking incident rates

Question 17

When the community health nurse refers pts to appropriate resources and monitors and coordinates the extent and adequacy of services to meet family health care needs, the nurse is functioning in the role of :
1 advocate
2 counselor
3 collaborator
4 Case mgr

Answer 17

4 Case mgr
The coordinating of activities of multiple providers and payers in different setting throughout a pt’s continuum of care.

Question 18

The first step in community assessment is determining the community's:
1 goals
2 set factors
3 boundaries
4 throughputs

Answer 18

3 boundaries

Observe the community’s design, location of services, and locations where residents meet.