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Community Health Nursing > Module 4 > Flashcards

Module 4 Flashcards

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1
Q

Is the practice of nursing directed towards maximizing the health and well-being of all individuals within a family system

A

Family Nursing

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2
Q

A logical, systematic or scientific problem solving activity utilized by nurses to deliver total quality health-care services to the patients.

A

Family Nursing Process

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3
Q

used as a framework or a tool; dynamic and cyclical in nature

A

Family Nursing PRocess

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4
Q

in this process, the community health nurses use the nursing

A

Family Nursing Process

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5
Q

is the process of establishing a trusting and productive relationship with the family.

A

Relating

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6
Q

the main essence of this word is that it establishes rapport with the family members with the use of good communication (concern and interest)

A

Relating

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7
Q

when you are relating with the patient/family, you are building what?

A

trust and confidence with each other, shesh

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8
Q

Relating maintains a what?

A

two-way communication between the parties involved

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9
Q

The first step in the nursing process where the nurse observes the client or the family objectively as well as subjectively

A

Family Health Assessment

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10
Q

This form serves as a guide in data collection of information about the family, environment or community as a whole.

A

Family Health Assessment Form

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11
Q

What are the 3 steps in family health assessment?

A
  1. Collection of data
  2. Analysis and interpretation of data
  3. Validation and statement of the problem
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12
Q

What are the two types of data?

A

Primary and Secondary Data

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13
Q

THis refers to the data which have not be collected before

A

Primary Data

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14
Q

What are the methods of collection in gathering primary data?

A
  1. Observation
    2, Interview
  2. Focus group discussion
  3. Physical Examination
  4. Surveys
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15
Q

Critical components of interview [under primary data/interview/methods of collection]

A
  1. Manners
  2. Therapeutic questions
  3. Therapeutic conversations
  4. Genogram and ecomap
  5. Commending family or individual strengths
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16
Q

data which have been collected and kept as records; records in registries, health facilities, health centers or other agencies who have worked with the family

A

Secondary data

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17
Q

a tool that helps the nurse outline the family structure.

A

Genogram

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18
Q

type of tool in family health assessment that affirms the belief that childhood and family background affect the planning for care of the parent and child

A

Genogram

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19
Q

This tool in family healht assessment intendeds to identify the intergenerational trends and patterns within the family and to find out about the family’s history, genetically, emotionally and psychologically.

A

Genogram

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20
Q

a tool which helps the nurse by providing a mechanism for recording the family medical and health histories.

A

Family Health tree

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21
Q

What does the family tree usually shows/displays. enumerate them all

A
  1. Causes of death, genetically linked diseases (lifestyle diseases)
  2. Environmental and occupational diseases
  3. Infectious diseases
  4. Familial risk factors for health problems
  5. Risk factors associated with family’s methods of illness prevention
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22
Q

a tool in family health assessment tha portrays an overview of the family in their situation.

A

Ecomap

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23
Q

a tool in family health assessment that shows the contacts that occur between the family and the suprasystems (everything outside the system)

A

Ecomap

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24
Q

This tool in doing family health assessment shows interaction of the family to other people or sectors in the community such as types of resources and relationships they have with other people.

A

Ecomap

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25
What are the 4 types of family data?
1. Family structure and characteristics (use of tools in FHA) 2. Socioeconomic data 3. Family environment 4. Family health and health behavior
26
this step Utilize the Initial data base for Family Nursing Practice by categorizing the problems or needs identified.
Initial Assessment
27
in doing the initial assessment, what are the problems that are usually identified and categorized?
1. Presence of a wellness condition (Potential or Readiness) 2. Health threat 3. Health deficit 4. Foreseeable crisis
28
Typology of Nursing Problems in Family Nursing Practice
Second Level assessment
29
A clinical judgement about the family's response to actual or potential health problems or life processes.
Family nursing diagnosis
30
which part of the family nursing process utilize the Typology of Nursing Problems in Family Health Care
Diagnosis
31
what are the 5 main nursing problems?
1. Inability to recognize the presence of the condition/problem due to ... 2. Inability to make decisions with respect to taking appropriate health actions due to... 3. Inability to provide nursing care to the sick, disabled, dependent or at-risk member of the family due to... 4. Inability to provide a home environment which is conducive to health maintenance and personal development due to... 5. Failure to utilize community resources for health care due to...
32
an alternative tool for formulating a nursing diagnosis.
family coping index
33
a tool based on the premise that a nursing action may help a family in providing for a health need or resolving a health problem by promoting the family's coping capacity.
family coping index
34
this tool provide a basis for estimating the nursing needs of a particular family
family coping index
35
In using the Family Coping Index, a family health care need is present when:
The family has a health problem with which they are unable to cope. There is a reasonable likelihood that nursing will make a difference in the family’s ability to cope.
36
what are the 9 areas of assessment in the family coping index
Physical Independence Therapeutic Competence Knowledge of health condition Application of principles of personal and general hygiene Health care attitudes Emotional competence Family Living partners Physical Environment Use of community facilities
37
Identify what Area of Assessment of the Family Coping Index (performance of ADLs, mobility)
Physical Independence
38
Identify what Area of Assessment of the Family Coping Index (ability to comply with prescribed or recommended procedures and treatmens)
Therapeutic Competence
39
Identify what Area of Assessment of the Family Coping Index (interpersonal relationship with family members)
Family living patterns
39
Identify what Area of Assessment of the Family Coping Index (understanding the health conditions)
Knowledge of health condition
40
Identify what Area of Assessment of the Family Coping Index (family's perception to health care)
Healthcare attitudes
41
Identify what Area of Assessment of the Family Coping Index (home, school, work and community)
Physical Environment
42
Identify what Area of Assessment of the Family Coping Index (family's ability to seek and utilize health services)
Use of community facilities
43
The process of setting the health-care goals and generating the plans for action to collect specific data or make decisions on the family care.
Planning
44
in this stage of the family nursing process, helps in the setting of health goals and making health care plans
planning
45
This part of the family nursing process involves priority setting, establishing goals and objectives and determining appropriate interventions to achieve goals and objectives
Planning
46
in this part of the family nursing process, The family should benefit from the plan and the family has the right to self-determination and decision have to be respected
planning
47
planning is also known as the stage of?
outcomes identification
48
what are the factors to be considered in priority setting?
1. family safety 2. family perceptions 3. practicality 4. projected effects
49
what factor is considered when life threatening situations are given top priority; cases of communicable diseases in priority setting
family safety
50
what factor is considered when the need of the family recognizes as most urgent or important
Family perceptions
51
what factor is considered when we give consideration to the existing resources and constraints of the family
practicality
52
what factor are we considering if we should give family a sense of accomplishment and confidence
projected effects
53
a desired observable family response to planned interventions in response to a mutually identified problem
Goals
54
define the desired step-by step family responses as they work towards the goal; used to measure family achievement for monitoring and evaluation
Objectives
55
these things should be and must be set jointly with the family
Establishing goals and objectives
56
characteristic of a goal where the family will manifest a particular behavior
Specific
57
characteristic of a goal pertaining to the quantifiable indications of the family achievement
Measurable
58
characteristic of a goal in conformity with the family's resources
attainable
59
characteristic of a goal pertaining to realistic, appropriate to the family need or problem
relevant
60
characteristic of a goal that has specified target time or date
Time bounded
61
What are the 3 types of nursing intervention
Supplemental interventions Facilitative interventions Developmental interventions
62
It is the process of carrying the health care plan as formulated through caring, curing and coordinating.
Implementation
63
This is the step when the family and/or the nurse execute the plan of action.
Implementation
64
The pattern of implementation is determined by the?
mutually agreed upon goals and objectives and selected course of action.
65
what are the 3 necessary skills for community health nurses?
Human skills Technical skills Conceptual skills
66
the ability to work with and for the people which include communicating and understanding others
Human skills
67
the ability to use the tools, equipment, procedures and techniques of a specialized field
technical skills
68
the ability to understand all the organization's activities, parts and how it relates to others
conceptual skills
69
Nursing activities that involves actions with Dependent, Independent, Interdependent, Supplemental collaboration
Utilize health action or measure according to the level of prevention and promotion of health
70
what are the following approaches in line with the nursing care plan that we should apply in our nursing activities?
care, cure, coordination
71
things to remember:
Teach non-sick member to perform home care in accordance with nursing care plan
72
Things to remember:
Execute, administer and provide health care based on allowable nursing standards and procedures anticipatory guidance and service health education and maintenance medical regimen or treatment supervision of midwives and BHWs recording and documentation referral or coordination with other health and non-health services = total care
73
Nurse should take into considerations the different barriers during the implementation phase.
Remember
74
what barrier is being described: apathy and indecision on the part of the family
family related barrier
75
what barrier is being described: imposing ideas
Nurse related
76
neglecting culture and gender implications
Nurse related nbarried
77
It is the process of determining the outcome or result of the action taken, whether it is successful or not in meeting the objectives of care.
Evaluation
78
It is considered as the final step in the nursing process that helps the nurse decide whether to continue with the plan of care for the patient/client/family or not.
Evaluation
79
It refers to the critical assessment of whether the patient's/client's goal has been achieved within the time frame and what changes are to be made in the client's plan of care
Evaluatio n
80
2 types of evaluation
formative and summative
81
a judgement made about the effectiveness of nursing interventions as they are implemented.
Formative evaluation
82
considered as ongoing ang continuing evaluation
Formative evaluation
83
results of this evaluation guides the nurse and the family in updating plans as necessary
Formative evaluation
84
evaluation that determines the ends results of the family nursing care and usually involves measuring outcomes or degree to which goals have been achieved.
summative evaluation
85
what are the 4 aspects of evaluation?
Effectiveness Appropriateness Adequacy Efficiency
86
what are the nursing activities in the evaluation phase?
Evaluate outcome based on the objectives and criteria set Determine if the interventions/plan of care/objectives/desired outcomes Evaluate nursing interventions/activities based on the standards and protocols in all of the steps in the nursing process. Evaluate the care provided by the nurse and non-sick family members against the standard of care Continue the nursing process like a cycle until the optimum level of health functioning is achieved.

Community Health Nursing (5 decks)

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