Quiz 1 Prep Flashcards

1
Q

Public health nurse: focus, setting, main prevention level (s)

A

Focus: population health.
Setting: client homes, community settings, public health office.
Main prevention levels: primordial, primary, secondary

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2
Q

Primary care nurse: focus, setting, main prevention level (s)

A

Focus: individual health
Setting: primary care clinic, school clinics
Main prevention level: primary, secondary, tertiary

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3
Q

Home health nurse: focus, setting, main prevention level (s)

A

Focus: individual health
Setting: client nomes, schools, workplaces
Main prevention level: tertiary, palliative care

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4
Q

What are the 5 keys of primary health care?

A

Accessibility, public participation, health promotion, appropriate technology, intersectoral collaboration

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5
Q

What are the 3 features of social justice?

A

→ concerned w/ ethical use of power
→ tends to view persons as unique, connected to others an independent, that is vulnerable and unequal in power
→ concern for issues of everyday life, not primarily with crisis issues

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6
Q

Name the l0 social justice attributes:

A

Equity, human rights, democracy and civil rights, capacity building, just institutions, enabling environments, poverty reduction, ethical practice, advocacy an partnerships

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7
Q

Primary health pyramid from smallest to largest impact:

A

Counselling an education, clinical interventions, long lasting protective interventions, changing the context to make ppl default decisions healthy, socioeconomic factors

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8
Q

What’s an example of counselling an education?

A

Eat healthy, be physically active

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9
Q

What’s an example of clinical intervention s?

A

Medicine for high blood pressure, high cholesterol, diabetes

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10
Q

What’s an example of long lasting protective interventions?

A

Immunizations, brief intervention, cessation tx, colonoscopy

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11
Q

What’s an example of changing the context to make ppl default decisions healthy?

A

Fluoridation, og trans fat, iodization, smoke free laws, tobacco tax

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12
Q

What’s an example of socioeconomic factors?

A

Poverty, education, housing, inequality

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13
Q

specific areas of ethical concern relate to:

A

capacity building, access and equity, professional responsibility and accountability, negligence

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14
Q

what is a legal responsibility of CHNs?

A

required to disclose health info on a need to know basis and abide by relevant privacy legislation (court orders, subpoenas, or emergency situations)

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15
Q

what do CHNs do?

A

work collaboratively when building individual and community capacity by using strategies involving empowerment and advocacy

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16
Q

what are the 4 levels of prevention in order?

A

primordial, primary, secondary, tertiary

17
Q

what is primordial?

A

targets social and economic policies affecting health

18
Q

what is primary?

A

targets risk factors leading to injury/disease (safety belt laws or vaccinations)

19
Q

what is secondary?

A

prevents injury/disease once exposure to risk factors occurs but still in early “preclinical” stage

20
Q

what is tertiary?

A

rehabilitating persons with injury/disease to reduce complications (vocational rehab to retrain workers after injury)

21
Q

what is upstream?

A

are often prevention and promotion strategies focused on policy interventions that benefit the whole population
- extend beyond addressing individual behaviours an identify programs, policies and environmental changes

22
Q

what is downstream?

A

acute care service are usually tertiary prevention measures, are focused on individual tx and cure

23
Q

what is the Ottawa charter?

A

the process of enabling people to increase control over and to improve their health

24
Q

what are the five key areas of the Ottawa charter?

A
  • build healthy public policy
  • create supportive environments
  • strengthen community action
  • develop personal skills
  • reorient health services
25
what is a community health nurse?
collaborates with individuals, families, groups, communities, populations or systems to do assessments of assets and needs
26
what is a public health nurse?
- Build community capacity to improve health and address health inequities - Advocate for the reduction of inequities in health through legislative policy making activities - Participate in collaborative, interdisiplinary and intersectoral partnerships to enhance the health of individuals, families, groups, communities and populations
27
example of building healthy public policy:
health on the agenda of policy makers
28
example of creating a supportive environment:
socioeconomical approach to health
29
example of strengthening community action:
empower communities to take ownership an control over their health
30
example of developing personal skills:
provide info and education for health to enhance life skills
31
example of reorienting health services:
reorganizing health services to focus on community and individual health needs
32
what is traditional clinical prevention?
increasing the use of evidence based services
33
what is innovative clinical prevention?
provide services outside the clinical setting
34
what is total population or community wide prevention?
implement interventions that reach whole populations
35
what makes the HI-5 list different?
health: improves health an well being in as early in 5 years cost: cost effectiveness or savings over the lifetime of the population or earlier
36
how was the HI-5 list developed?
step 1: earned highest evidence rating from: guide to community preventive services, Robert wood Johnson foundation step 2: excluded bucket 1 an 2 interventions and duplicates step 3: included those with evidence reporting: impact on health in 5 years, cost effectiveness in population lifetime, those not implemented in more than 85% of states step 4: excluded those with evidence of potential harm and or distinct programs not implemented at policy level