Week 1 Content

Question 1

Cultural blindness:

Answer 1

persons tendency to think everyone is basically the same and should be treated the same way

Question 2

Cultural imposition:

Answer 2

person’s tendency to impose their own beliefs, values, and patterns of behavior on individuals from another culture

Question 3

Cultural conflict:

Answer 3

perceived threat that occurs when different cultural values and beliefs clash

Question 4

Cultural shock:

Answer 4

feelings of helplessness, discomfort, and disorientation experienced when faced with a culture that has different beliefs and values

Question 5

Discrimination:

Answer 5

an action or behavior which favors some people or groups and disadvantages others

Question 5

Disenfranchisement:

Answer 5

feel separated / invisible from mainstream society

Question 6

Human capital:

Answer 6

all the strengths, knowledge, and skills that enable a person to live a productive and happy life

Question 7

Ethnocentrism:

Answer 7

the belief that one’s own group identification is the most important or is superior to those of other groups.
Judging other groups in relation to our own culture, especially with regards to language, appearance, behavior, and customs

Question 8

Institutional privilege:

Answer 8

a privilege given to a certain group based on their group membership

Question 9

Oppression:

Answer 9

the state of being subjected to unjust treatment or control

Question 10

Prejudice:

Answer 10

a preconceived opinion that is not based on reason or actual experience

Question 11

Racial identity:

Answer 11

a group or people identified as distinct from other groups because of supposed physical or genetic traits shared by the group

Question 12

Racism:

Answer 12

prejudice, discrimination, or antagonism directed against someone of a different race based on the belief that one’s own race is superior

Question 13

Resilience:

Answer 13

ability to resist the effects of vulnerability adapting well in the face of adversity, trauma, tragedy, threats, or even significant sources of stress (such as family and relationship problems, serious health problems, or workplace and financial stressors)

Question 14

Stereotyping:

Answer 14

a widely held by fixed and oversimplified image or idea of a particular type of person or thing

Question 15

What is the goal of public health?

Answer 15

Promote health and prevent disease within populations

Question 15

What is the focus of public health?

Answer 15

Populations, communities, or subpopulations

Question 16

What are the 10 great public health achievements of the 20th century?

Answer 16

1. Safer, healthier foods
2. Vaccines
3. Fluoride in the water
4. Healthier mother and babies
5. Family planning
6. Reduction in CVD and stroke
7. Safer and healthier workplaces
8. MV safety
9. Control of infectious disease
10. Tobacco as a health hazard

Question 17

What distinguishes public health nursing from other areas of nursing?

Answer 17

Focus is on health of populations and the goal is to promote health and prevent disease

Question 18

What is considered downstream in upstream thinking?

Answer 18

Patient care, clinical care, and medication interventions

Question 19

What is midstream in upstream thinking?

Answer 19

Individual interventions

Question 20

What is upstream in upstream thinking?

Answer 20

Interventions and actions that impact the community level, focuses on modifying economic, political, and environmental factors to improve health outcomes downstream

Question 21

What are the 5 domains of the social determinants of health

Answer 21

S = social and community context
H = health and health care
E = education
E = economic
N = neighborhood and built enviornment

Question 22

What is primary prevention?

Answer 22

Prevention of problems before they occur

Question 23

What is secondary prevention?

Answer 23

Detects and treats problems in their earlier stages

Question 24

What is tertiary prevention?

Answer 24

Limits further negative effects from existing problems, this is typically in the hospital when patient is sick

Question 25

What are the 3 core functions of public health?

Answer 25

1. Assessment 2. Policy development 3. Assurance

Question 26

What core function is the following essential service under: monitor health status to identify and solve community health problems

Answer 26

assessment

Question 27

What core function is the following essential service under: diagnose and investigate health problems and health hazards in the community

Answer 27

assessment

Question 28

What core function is the following essential service under: inform, educate, and empower people about health issues

Answer 28

policy development

Question 29

What core function is the following essential service under: mobilize community partnership to identify and solve health problems

Answer 29

policy development

Question 30

What core function is the following essential service under: develop policies and plans that support individual and community health efforts

Answer 30

policy development

Question 31

What core function is the following essential service under: enforce laws and regulations that protect health and ensure safety

Answer 31

assurance

Question 32

What core function is the following essential service under: link people with needed people health services and assure the provision of healthcare when otherwise unavailable

Answer 32

assurance

Question 33

What core function is the following essential service under: assume competent public and personal healthcare workforce

Answer 33

assurance

Question 34

What core function is the following essential service under: evaluate effectiveness, accessibility, and quality of personal and population based health services

Answer 34

assurance

Question 35

What core function is the following essential service under: research for new insights and innovative solutions to health problems

Answer 35

assurance

Question 36

what interventions are included in the red section of the PHN intervention wheel?

Answer 36

surveillance disease and other health event investigations outreach screening

Question 37

what interventions are included in the green section of the PHN intervention wheel?

Answer 37

referral and follow up case management delegated functions

Question 38

what interventions are included in the blue section of the PHN intervention wheel?

Answer 38

health teaching counseling consultation

Question 39

what interventions are included in the orange section of the PHN intervention wheel?

Answer 39

collaboration coalition building community organizing

Question 40

what interventions are included in the yellow section of the PHN intervention wheel?

Answer 40

advocacy social marketing policy development policy enforcement

Question 41

health disparity:

Answer 41

a particular type of health difference that is closely linked with social, economic, and / or environmental disadvantage

Question 42

health inequities:

Answer 42

health differences that are avoidable, unnecessary, unfair, and unjust

Question 43

inequality:

Answer 43

unequal access to opportunities

Question 44

equality:

Answer 44

evenly distributed tools and assistance

Question 45

equity:

Answer 45

custom tools that identify and address inequality

Question 46

justice:

Answer 46

fixing the system to offer equal access to both tools and opportunities

Question 47

discrimination:

Answer 47

Treatment based on class or category rather than individual merit

Question 48

prejudice:

Answer 48

A preconceived preference or idea about certain groups

Question 49

bias:

Answer 49

An unfair act or policy stemming from prejudice

Question 50

implicit bias:

Answer 50

Attitudes or stereotypes that affect our understanding, actions, decisions in an unconscious manner

Question 51

what are the facts about implicit bias we need to know?

Answer 51

-Are pervasive -Implicit and explicit biases are related but distinct mental constructs -Do not necessarily align with our declared beliefs -Generally tend to hold implicit biases that favor our own ingroup -Are malleable

Question 52

System 1 thinking:

Answer 52

fast, automatic susceptible to environmental influences

Question 53

System 2 thinking:

Answer 53

slow, reflective considers goals and intentions

Question 54

what is a community?

Answer 54

A group of individuals who share something in common, or are linked by social ties

Question 55

utilitarianism:

Answer 55

doing the greatest good for the greatest number of people

Question 56

distributive justice:

Answer 56

treating people fairly and distributing resources and burdens equitably among members of a society

Question 57

primary data:

Answer 57

information collected by you the investigator

Question 58

secondary data:

Answer 58

information from another source

Question 59

what is included with a community nursing diagnosis:

Answer 59

risk of... among... related to... as evidenced by...

Question 60

what is formative evaluation

Answer 60

evaluation at each stage of intervention implementation

Question 61

what is summative evaluation

Answer 61

evaluation at the end of the intervention

Question 62

3 main things Public health core function #1 assessment does?

Answer 62

monitor, diagnose, investigate.

Question 63

What 5 things does public health core function #2 policy development do?

Answer 63

- inform a/b health - educate a/b health - empower a/b health - mobilize (partnerships) - develop policies (to support individuals and communities) - develop plans (to support individuals and communities)

Question 64

What 5 things does public health core function #3 assurance do?

Answer 64

1. Enforce laws & regulations (health/safety) 2. Link people to services 3. Ensure competent workforce 4. Evaluate effectiveness, accessibility, & quality 5. Research for future

Question 65

PH Nursing intervention wheel has ____ number of actions and ____ number of assumptions? (Red, green, blue, orange, yellow)

Answer 65

Actions: 17 Assumptions: 10

Question 66

The PH Nursing Intervention Wheel interventions are implemented at 1 of 3 levels. What are the 3 levels?

Answer 66

1. Individual/small groups/fam. 2. Communities as a whole 3. Systems that impact the health of communities

Question 67

Health inequity is reflected in 5 differences in:

Answer 67

1. Length of life 2. Quality of life 3. Rates of disease, disability, & death 4. Severity of disease 5. Access to tx

Question 68

Health equity is achieved when?

Answer 68

Every person can attain their full health potential & no one is disadvantaged b/c of social position or socially determined circumstances

Question 69

The public health nursing process is (ADPIE) what does that stand for?

Answer 69

Assessment (recognize cues) Diagnosis (analyze and prioritize hypoth.) Planning (generate solutions) Implementation (take action) Eval (eval outcomes)

Question 70

Blooms taxonomy pyramid (bottom to top)

Answer 70

(Bottom of triangle) knowledge Comprehension Application Analysis Synthesis Evaluation (top of triangle)

Question 71

Health planning model: in the summative evaluation, what is the difference in outcome eval vs. impact eval?

Answer 71

Outcome eval: examines immediate outcomes, & direction affect immediate post program Impact eval: examines long term outcome conditions/behaviors

Question 72

Health planning model: evaluation includes (7 things)

Answer 72

1. Relevance 2. Adequacy (addresses entire prob) 3. Progress 4. Efficiency $ (benefit vs. cost) 5. Effectiveness (results) 6. Impacts (long term results) 7. Sustainability (is the program able to continue)