Public Health Nursing - Past, Present, Future

Question 1

social determinants of health

Answer 1

social conditions in which people live and work

Question 2

what are healthcare disparities

Answer 2

gaps in healthcare by one population compared to another

Question 3

Changes in healthcare in the 21st century

Answer 3

patient/client-centered care
increased use of technology
increased personal responsibility

Question 4

3 core functions of the role of govt in healthcare

Answer 4

Assess healthcare problems
Intervene by developing policy providing access to services
Ensure delivery of services and outcomes achieved

Question 5

what is the PPACA - Patient Protection and Affordable Care Act

Answer 5

provides insurance to most Americans
lower costs
improve access to primary care
preventative care and prescription benefits
coverage of pre-existing conditions
young adults covered
*Law signed by Obama

Question 6

patient/client-centered care focuses on

Answer 6

cultural traditions
personal preferences
values
families
lifestyles
***Maintaining Health is Client Responsibility

Question 7

advancing forms of technology are dramatically improving lives, T or F

Answer 7

True

Question 8

what is HIT

Answer 8

Management of health information and its exchange between consumers, providers, govt and insurers in a secure manner
Electronic Health Records

Question 9

what is tele-health

Answer 9

electronic information and telecommunications to support long distance clinical healthcare, pt education, public health and health admin

Question 10

define personal responsibility for health

Answer 10

active participation in ones own health through education and lifestyle changes

Question 11

what is public health nursing

Answer 11

Population based practice
Preventing disease and disability
Promoting and protecting health for entire community

Question 12

principles of public health nursing

Answer 12

Client is population
Primary obligation - achieve greatest good for greatest number of people as a whole
Collaborate w/client as an equal partner
Primary prevention is priority
Focus on strategies for a healthy environment where people thrive
Actively reach out to all who may benefit from services
Optimal use of resources and evidenced-based strategies to improve health populations
Collaborate with other professions to promote/protect the health of people

Question 13

who sets the scope and standard of practice for nursing practice

Answer 13

ANA

Question 14

who establishes the characteristics of competent public health nursing practice and is a legal standard of practice

Answer 14

the publication Public Health Nursing: Scope and Standards of Practice

Question 15

public health nursing interventions

Answer 15

population based model
applied to individuals, families, communities
focuses on prevention

Question 16

public health initiatives in early America

Answer 16

influenced by British traditions

Shattuck, Dix, Barton

Question 17

what is Dix famous for

Answer 17

improving life for mentally ill

Question 18

what is Barton famous for

Answer 18

red cross

Question 19

what is Shattuck famous for

Answer 19

reporting unsanitary conditions and the relationship to ill health/disability

Question 20

what is Kass famous for

Answer 20

“benefits of biomedical progress are obvious, clear and powerful. The hazards are much less well appreciated..”

Question 21

what is evidenced based practice

Answer 21

best evidence available to increase the quality of care

Question 22

what is epidemiology

Answer 22

Science of prevention

Knowledge of hx of disease and risk fxrs increasing susceptibility to illness

Question 23

what is health

Answer 23

state of physical, mental and social well-being; not just absence of disease

Question 24

healthcare is closely linked to

Answer 24

ethical issues

Question 25

challenges for public health nursing in the 21st century

Answer 25

Engaging in Evidenced based practice
Helping eliminate health disparities in under served populations
Demonstrating cultural competence (awareness, sensitivity, inclusion)
Planning for community change
Contributing to a safe and healthy environment
Responding to emergencies, disasters, terrorism
Responding to global environment