test 1

Question 1

social determinants of health (SDOH) definiton

Answer 1

conditions in which people are born, grow, live, work, and age, shaped by distribution of power, money and resources

they include a range of personal, social, economic, and enviromental factors

Question 2

what must a nurse do before a intervention

Answer 2

identify SDOH

Question 3

a larger group whose members may or may not interact with each other, but share at least one characteristic such as age, gender, ethnicity, residence, or a shared health issue

Answer 3

population

Question 4

refers to a group of individuals living within the same geographical area, such as a town or a neighborhood, or a group of individuals who share some other common denominator. they have interaction

Answer 4

community

Question 5

difference between community and population

Answer 5

interaction

population does not need to have a interaction

Question 6

public health is the science and art of

Answer 6

preventing disease, prolonging life, promoting health, addressing environmental safety and improvement, improving health for all citizens, regardless of ethnicity, age, socioeconomic status, or gender

Question 7

acute care vs community care

Answer 7

acute is hospital based, more controlled patient care, more resources

community based is in clinic or home so its more comfortable, its not as controlled with patients decisions- they have more options available

Question 8

social security act

Answer 8

1935

resulted in more public health nurses and increased education for nurses

Question 9

social security act update

Answer 9

1965

medicare and medicaid

Question 10

Florence nightingale

Answer 10

founder of nursing
developed first School

directive to manipulate pt environment to allow nature to take its course

Question 11

public health in 21st century

Answer 11

move toward population health

Question 12

cultural context includes

Answer 12

food preferences
gender roles
birthing practices
language
spiritual beleif

Question 13

cultural competency vs cultural humility

Answer 13

competency- attitude, knowledge, skills of provider to provide quality based care

humility- awareness of ones own culture. we must approach everyone as equals

Question 14

ethnicity

Answer 14

includes shared geographical origin, language or dialect, religious faith, folklore, food preferences, and culture

Question 15

global health

Answer 15

the collaborative trans-national research and action for promoting health for all

based on country level income

Question 16

WHO health definition

Answer 16

a state of complete physical, mental and social well being, and not merely the absence of disease or infirmity.

expanded in 1986:
the extent to which an individual or group is able on the one hand, to realize aspirations and satisfy needs; and on the other hand, to change to cope with the enviroment

Question 17

united nations sustainable development goals

Answer 17

a shared blueprint for peace and prosperity for people and the planet, now and into the future

there is 17 goals

Question 18

CDC

Answer 18

established in 1946

Question 19

patient protection and affordable care act (PPACA)

Answer 19

Established in 2010

improves experience of care, health, reducing costs

insurance reform, health system reform

Question 20

what does healthy people 2030 align well with

Answer 20

UN sustainable development goals

Question 21

primary prevention

Answer 21

prevent development of disease

ex- immunizations

Question 22

secondary prevention

Answer 22

early detection and treatment

ex- screening

Question 23

tertiary prevention

Answer 23

prevention of disability and premature death

ex- health education

Question 24

family

Answer 24

2 or more individuals who identify themselves as family. They do not need to be blood related

Question 25

human ecology model

Answer 25

focuses on external factors that influence a family

Question 26

family systems model

Answer 26

focuses on the organization of relationships among family members

Question 27

5 core values

Answer 27

caring courage inclusion reflective thinking social responsibility

Question 28

Environmental health

Answer 28

addressees all the physical, chemical and biological factors external to a person, and all the related factors impacting behavior.

Question 29

ANA principles for healthy safe environment

Answer 29

1. knowledge of environmental health 2. precaution and preventative actions in uncertainty 3. nurses have right to work in a environment that's safe and healthy 4. healthy environments are sustained through multidisciplinary collaboration 5. choices of materials, technology and practices in environment impact nursing 6. approaches to promoting a healthy environment respect the values, beliefs, cultures and circumstances of patients/families 7. nurses assess quality of environment 8. everyone has right to know about potentially harmful products. 9. nurses participate in research of best practices 10. nurses must be supported in advocating for and implementing environmental health principles

Question 29

Florence nightingale belief for healthy home

Answer 29

clean water and air basic sanitation cleanliness and light

Question 30

nursing alliance of healthy environments

Answer 30

international professional nursing organizaton 3 areas for action: research, advocacy, practice

Question 31

when did environmental protection agency (EPA) form

Answer 31

1979

Question 32

The built environment

Answer 32

human made surroundings created for the daily activities of people. includes a range of physical and social elements that made up a community

Question 33

community environmental health assessment

Answer 33

protocol for assessing community excellence in environmental health (PACE EH) identifies local environmental issues, sets priorities for action, targets populations most at risk, addresses identified issues

Question 34

hazardous substances routes of entry

Answer 34

ingestion inhalation dermal absorption

Question 35

types of hazardous exposures

Answer 35

Chemicals - carbon monoxide, metals, pesticides. (80k + worldwide) biological agents- bacteria, viruses, rickettsia, molds, fungi, allergens physical agents- heat/cold, radiation, noise, falls, vehicle crashes, violence, vibration psychosocial factors

Question 36

mixed exposure

Answer 36

usually more then one threat of exposure

Question 37

exposure risk assessment

Answer 37

1. hazard identification 2. dose response assessment 3. exposure assessment (level, timing, extent of exposure) 4. risk chatacterization

Question 38

Blood lead level

Answer 38

measured in mcg/dL no amount of lead is safe. Above 5 is when we are concerned

Question 39

environmental sustainability

Answer 39

reflects the rates at which renewable resources are harvested, the depletion of nonrenewable resources, and the creation of pollution that can continue for a indefinite period of time

Question 40

environmental justice

Answer 40

fair distribution of environmental burdens fair application of environmental laws, policies, and regulation regardless of race, color, national origin, or income

Question 41

climate change: care of older adults NURSING ACTIONS

Answer 41

assess recommend advocate volunteer - serve as a first responder in emergency