PRELIMS_Community Health Nursing Flashcards
(117 cards)
1
Q
synthesis of nursing knowledge and practice and the science and practice of public health
A
COMMUNITY HEALTH NURSING
2
Q
how is community health nursing implemented and what does it aim to promote and prevent?
A
implemented via a systematic use of nursing process (ADPIE) and other process to promote health and prevent illness in population groups
3
Q
what is the 2 major setting ?
A
- Community or public
2. Hospital setting
4
Q
differentiate 2 major setting
A
1.Community or public
➜theoretically different
➜community-wider scope
2.Hospital setting
Community health nursing ➜deals with different population groups =individual =family =group
5
Q
give 5 goals of COMMUNITY HEALTH NURSING
A
- Promotion of health and prevention of disease
- Comprehensive, general, continual and not episodic
- Individuals, families and population groups and practitioner
- Nurse and the client have greater control in making decisions
- The nurse recognizes the impact of different factors on health and has a greater awareness of his/her clients’ lives and situations
6
Q
- prevent community to be hospitalized
- health promotion and prevention
A
1.Promotion of health and prevention of disease
7
Q
-for as long as you are assigned to a community care is continual
A
2.Comprehensive, general, continual and not episodic
8
Q
even sick or well mayroong intervention
A
3.Individuals, families and population groups and practitioner
9
Q
- active partnership with the client
- participatory
- home visits
- active interaction
- collaboration
- mutual understanding
A
4.Nurse and the client have greater control in making decisions
10
Q
Nurses play a major role in decision making
true or false
A
true
11
Q
Emphasize or help the px to see the problem or why there is a need
true or false?
A
true
12
Q
know factors or determinants of health
-what are the causes of the problem?
-what problems are they experiencing that
limits their access to health
A
5.The nurse recognizes the impact of different factors on health and has a greater awareness of his/her clients’ lives and situations
13
Q
give 6 client oriented roles
A
✅Caregiver ✅Educator ✅Counselor ✅Referral resource ✅Role model ✅Case manager
14
Q
give 3Delivery-Oriented Roles
A
✅Coordinator
✅Collaborator
✅Liaison
15
Q
give 8 Population-Oriented Roles
A
✅Case finder ✅Leader ✅Change agent ✅Community mobilizer ✅Coalition builder ✅Policy advocate ✅Social marketer ✅Research
16
Q
practice of community health nursing is based on the 4 ff:
A
➤ Clients
➤ Health
➤ Healthcare delivery system
➤ National health situation
17
Q
give 4 clienteles
A
Individual
Families
Population groups
Community
18
Q
point of entry of nursing care.
A
Individual
19
Q
differentiate patient and client
A
o Patient –– people who are sick or unwell.
o Client –– people who are well or not sick.
20
Q
basic unit of society; center of the delivery of care.
A
Families
21
Q
collection of people that are integrated, interdependent, live in the same household
A
Families
22
Q
share same experiences
A
Families
23
Q
interacting on a daily basis
A
Families
24
Q
action of one affects other members
A
Families
25
point of specific care
Population groups
26
these are individuals who share a common characteristics.
Population groups
27
common developmental state, disease or condition
Population groups
28
not related by blood or part of the family but share same characteristics
Population groups
29
give 5 examples of population groups
```
people living with HIV in a community
Senior citizens
School age
Disability
Hypertension
```
30
point of entire care.
Community
31
share common geographic boundaries, values and interests
Community
32
not same social status
Community
33
one vision for community and baranggay
Community
34
collection of population group, family, or individua
Community
35
what is health viewed as and what is its goal?
Viewed as a continuum, considered as a goal of public health and community health in particular
36
how did dunn decribe health?
emphasized high-level wellness which require that individual maintain a continuum of balance and purposeful direction within the environment where he is functioning
37
how did Florence Nightingaledecribe health?
looked into health and illness in relation to the environment.
o environment has a relationship with health and wellness
38
Societal services and activities designed to protect or restore the health of individuals, families, groups and communities
C.HEALTHCARE DELIVERY SYSTEM
39
standards of public health depends on the?
D.NATIONAL HEALTH SITUATION
40
practice of community health nursing is greatly affected by?
health situation
41
what are you going to take in national health situation
➤ Demographic profile
| ➤ Health Profile
42
➤ examples of Health Profile
```
✅ Births and deaths
✅ Morbidity and mortality
✅ Infants and children
✅ Maternal mortality
✅ Elderly
✅ Infectious and communicable diseases
✅ Mental illness
```
43
why is nx process more complex in CHN?
- applied now to a group of people
| - addresses it as a family or a community
44
dealing with entire family not only one fam member
Family nx process
45
process of collecting, organizing, and analyzing data/ information about the client
Assessment
46
identification of the clients wellness status or needs and problems based on an analysis of the data/information gathered
2. Diagnosis
47
logical step-by-step process in designing a plan of action to accomplish specific goals and objectives
3.Planning of outcomes
48
➤ Appropriate and responsive
➤ Evidence-based and reflective of nursing standards
➤ Culturally sensitive and appropriate tot he client’s personal circumstances
4.Nursing intervention
49
➤ Enhance the capability and empowering potential of clients
➜nurse decides with px
➜doing intervention with px
4.Nursing intervention
50
➤ Provision of nursing care, counseling, health education, capacity-building, coordinating and making referrals
➜goal is to make community self-reliant and independent
➜health education
4.Nursing intervention
51
➤ Doing or carrying out the interventions specified in the care plan in partnership with client-partners and/or other members of the team
5.Implementation
52
➤ Enhancing client-partners’ ability to unleash their
empowering potential for wellness prevention,
management or control of health problems
5.Implementation
53
➤ Includes the use of participatory action methodology
5.Implementation
54
Planned, ongoing, purposeful activity in which the nurse and the client-partner determine the client’s progress toward achievement of goals and outcomes.
6.Evaluation
55
Include client assessment and health needs/problems identified, interventions carried out, client response to interventions, outcome of interventions and future plan of care
7.Documentation
56
COMMUNITY HEALTH NURSING IN THE PHILIPPINES
give 3
A.Public Health Nursing
B.School Nursing
C.Occupational Health Nursing
57
➜city health offices or baranggay health centers
1.Public Health Nursing
58
➜Implementers of the local government unit’s mandate in promoting and protecting
the health of their constituents
1.Public Health Nursing
59
➜Participates in planning, implementation, monitoring and evaluation of the LGU’s
health programs
1.Public Health Nursing
60
company nurses
2.Occupational Health Nursing
61
care for employees @ workplace
2.Occupational Health Nursing
62
Aimed at assisting workers in all occupations to cope with actual and potential stresses in relation to their work and work environment
2.Occupational Health Nursing
63
Helping workers attain and maintain optimum level of physical and psychological functioning
2.Occupational Health Nursing
64
Aims to promote the health of school personnel and pupil/students (health nutrition & assessment)
3.School Nursing
65
what does a school nurse do?
Health advocacy, health promotion, disease
| prevention, early detection of disease
66
what does occupational health nursing aim at?
assisting workers in all occupations to cope with actual and potential stresses in relation to their work and work environment
67
what does a public health nurse impplement?
local government unit’s mandate in promoting and protecting
| the health of their constituents
68
where does public health nurse participate @?
planning, implementation, monitoring and evaluation of the LGU’s
health programs
69
3 CORE PUBLIC HEALTH FUNCTIONS
1. ASSESSMENT
2. POLICY DEVELOPMENT
3. ASSURANCE
70
what is assessment?
Regular collection, analysis and information sharing about health conditions, risks and resources in a community.
71
Regular collection, analysis and information sharing about health conditions, risks and resources in a community.
assessment
72
how will you develop a policy?
Use of information gathered during assessment to develop local and state health policies and to direct resources toward those policies.
73
Use of information gathered during assessment to develop local and state health policies and to direct resources toward those policies.
POLICY DEVELOPMENT
74
Focuses on the availability of necessary health services throughout the community.
ASSURANCE
75
it includes maintaining the ability of both public health agencies and private providers to manage day to day operations and the capacity to respond to critical situations and emergencies.
ASSURANCE
76
give the first 7 STANDARDS OF CARE
```
ASSESSMENT
POPULATION DIAGNOSIS PRIORITIES
OUTCOMES IDENTIFICATION
PLANNING
IMPLEMENTATION
EVALUATION
QUALITY OF PRACTICE
```
77
The public health nurse collects comprehensive
| data pertinent to the health status of the population.
Standard 1: ASSESSMENT
78
The public health nurse analyses the assessment data to determine the population diagnosis and priorities
Standard 2: POPULATION DIAGNOSIS PRIORITIES
79
The public health nurse identifies outcomes for a
plan that is based on population diagnosis and
priorities.
Standard 3: OUTCOMES IDENTIFICATION
80
The public health nurse develops a plan that reflects best practices by identifying strategies, action plans and alternatives to attain expected outcomes
Standard 4: PLANNING
81
The Public Health Nurse implements the identified plans by partnering with others.
Standard 5: IMPLEMENTATION
82
Standard 5: IMPLEMENTATION
Coordinates programs, services
and other activities to implement the identified
plan.
Coordination
83
Standard 5: IMPLEMENTATION
employs multiple strategies to promote health,
prevent disease and ensure a safe environment
for population
Health education and Health Promotion
84
Standard 5: IMPLEMENTATION
Provides consultation to various
community groups and officials to facilitate the
implementation of programs and services.
Consultation
85
Standard 5: IMPLEMENTATION
Identifies, interprets and implements public health laws, regulations and Policies
Regulatory Activities
86
The Public Health Nurse evaluates the health status of the population.
Standard 6: EVALUATION
87
systematically enhances the
| quality and effectiveness of nursing practice.
Standard 7: QUALITY OF PRACTICE
88
give the last 6 STANDARDS OF CARE
```
EDUCATION
PROFESSIONAL PRACTICE EVALUATION
COLEGIALITY AND PROFESSIONAL RELATIONSHIP
COLLABORATION
ETHICS
RESEARCH
RESOURCE UTILIZATION
POPULATION
LEADERSHIP
```
89
attains knowledge and
competency that reflects current nursing and public
health practice.
Standard 8: EDUCATION
90
The Public Health Nurse evaluates one’s own
nursing practice in relation to professional practice
standards and guidelines, relevant statutes, rules
and regulations
Standard 9: PROFESSIONAL PRACTICE EVALUATION
91
Public Health Nurse establishes collegial
partnership while interacting with representatives
of the population, organizations and health and
human services professionals and contributes to the professional development of peers, students,
colleagues and others.
Standard 10: COLEGIALITY AND PROFESSIONAL RELATIONSHIP
92
The Public Health Nurse collaborates with the
representatives of the population, organization and
health and human service professionals in
providing for and promoting the health of the
population.
Standard 11: COLLABORATION
93
INtegrates ethical
| provisions in all areas of practice.
Standard 12: ETHICS
94
The Public Health Nurse integrates research
| findings in all areas of practice
Standard 13: RESEARCH
95
The Public Health Nurse considers factors related to safety, effectiveness, cost and impact on practice and in the planning and delivery of nursing and public health programs, policies and services
Standard 14: RESOURCE UTILIZATION
| POPULATION
96
The Public Health Nurse provides leadership in
| nursing and public health.
Standard 15: LEADERSHIP
97
The Philippine Regulatory Board of
Nursing expects beginning professional
nurses to be able to perform three roles:
✅health care provider,
✅Manager leader
✅researcher.
98
The use of the nursing process applied in the natural environment of the client pertains to this role.
1.HEALTHCARE PROVIDER
99
Caring is the essence of nursing and has been widely expected in all setting
1.HEALTHCARE PROVIDER
100
GIVE example of roles of HEALTHCARE PROVIDER
Taking the history of a pregnant woman in the village clinic (Barangay Health Center)
101
Communicating information to help patients make an informed choice regarding their health is a
key activity in public health work
2.HEALTHCARE EDUCATOR
102
hoped that awareness will impact people’s behavior to achieve health in their own hands.
2.HEALTHCARE EDUCATOR
103
GIVE example of roles of HEALTHCARE EDUCATOR
Instructing patients how to take their prescribed medicine or sharing information about the benefits of healthy lifestyle.
104
Nurses working under Local Government Units deliver healthcare to the grassroots. This also requires that programs initiated by the National Government thru the Department of Health are
executed at all levels.
3.PROGRAM IMPLEMENTER
105
GIVE example of roles of 3.PROGRAM IMPLEMENTER
Implementation of the different health programs
(NIP, Maternal, FP, NCD, CD, Environmental Sanitation)
and submission of reports.
106
what is best captured by 4.COMMUNITY ORGANIZER?
Working with people in communities and providing them ownership of their healthcare needs and to act collectively on their issues
107
what is the form of community engagement that seeks to rally people to work together and act on issues owned, identified, and solved thru and by the people’s own efforts?
Community Organizing
108
Educating the people and mobilizing all stakeholders to address problems.
4.COMMUNITY ORGANIZER
109
Community and Public health work deals with competing claims specifically on utilization
of limited resources. Hence, the nurse employs principles of management to maximize resources effectively and efficiently
5.MANAGER/LEADER
110
Budgeting, inventories, scheduling and conducting training sessions are likewise included in this role.
5.MANAGER/LEADER
111
takes a proactive stance in ensuring that the right to health of the population he/she works with is realized and protected
7.CLIENT ADVOCATE
112
also initiates organizing activities to form coalitions and linkages to foster awareness of people to various health related issues.
7.CLIENT ADVOCATE
113
engages stakeholders in clamoring and lobbying for policies that impact health of communities
7.CLIENT ADVOCATE
114
hey keep track of illnesses encountered in their areas of jurisdiction and submits reports to health authorities as required by the law.
6.RESEARCHER/EPIDEMIOLOGIST
115
event of an outbreak, public health nurses work with other professionals and agencies in conducting investigation to identify etiology of the epidemic and ultimately identify potential solutions to halt the progress of the problem.
6.RESEARCHER/EPIDEMIOLOGIST
116
part from collecting actual data for research, the nurse utilizes research findings to provide evidence to convince decision makers to enact policies for health
6.RESEARCHER/EPIDEMIOLOGIST
117
7 ROLES AND RESPONSIBILITIES OF A
| COMMUNITY HEALTH NURSE
1. HEALTHCARE PROVIDER
2. HEALTHCARE EDUCATOR
3. PROGRAM IMPLEMENTER
4. COMMUNITY ORGANIZER
5. MANAGER/LEADER
6. RESEARCHER/EPIDEMIOLOGIST
7. CLIENT ADVOCATE
