SOLVED QUESTIONS AND SOLUTIONS
◉Barriers to health care include:. Answer: ◯ Inadequate health
care insurance
◯ Inability to pay for health care services
◯ Language barriers
◯ Cultural barriers
◯ Lack of health care providers in a community
◯ Geographic isolation
◯ Social isolation
◯ Lack of communication tools (e.g., telephones)
◯ Lack of personal or public transportation to health care facilities
◯ Inconvenient hours
◯ Attitudes of health care personnel toward clients of low
socioeconomic status or those with
different cultural/ethnic backgrounds
◯ Eligibility requirements for state/federal assistance programs
,◉Centers for Medicare and Medicaid Services (CMS) - Also
administers. Answer: the Health Insurance Portability and
Accountability Act (HIPAA), disability insurance, Aid to Families with
Dependent Children (AFDC), and Supplemental Security Income
(SSI).
◉Medicare. Answer: Individuals must be older than 65 years and
receiving Social Security, have been receiving disability benefits for 2
years, have amyotrophic lateral sclerosis and receive disability
benefits, or have kidney failure and be on maintenance dialysis or
had a kidney transplant to qualify for Medicare
◉Medicaid. Answer: coverage for individuals of low socioeconomic
status and children, through the combined efforts of federal and
state governments. Eligibility is based on household size and
income, with priority given to children, pregnant women, and those
who have a disability
◉State Departments of health. Answer: Manages WIC program;
reports notifiable communicable disease within the state *to the
CDC*
◉Local Health Department. Answer: Responsible for identifying and
intervening to meet health needs of the local community.
◯ Work closely with local officials, businesses, and stakeholders.
,◯ Report notifiable communicable diseases to *state* departments
of health.
◯ Nurses at the community level typically function in the nursing
roles of caregiver, advocate, teacher, coordinator, and consultant.
◯ Funded through local taxes with support from federal and state
funds
◉Factors influenced by an individual's culture (note: not a
comprehensive list). Answer: religious preferences, family structure,
food patterns, health practices and interactions
◉The nurse's first action when beginning a cultural assessment is to.
Answer: collect self-identifying data about the client, including
specific information about how the client's cultural beliefs influence
family structure, food patterns, religious preferences, and health
practices
◉National health goals:. Answer: ◯ Reduction in per capita
domestic water usage
◯ Reduction in blood lead levels in children
◯ Reduction in indoor allergens
◯ Reduction in the number of new schools near highways
◯ Increase in schools with policies/practices to promote health and
safety
, ◉Community assessment is a comprehensive approach that
emphasizes. Answer: the community as a client.
◉Secondary data collection. Answer: Use of existing data (death
statistics; birth statistics; census data; mortality, morbidity data;
health records; minutes from meetings; prior health surveys) to
assess problem
› Database of prior concerns/needs of population
› Ability to trend health issues over time
› Possibility that data may not represent current situation
› Can be time-consuming
◉Steps in analysis of community assessment data include:. Answer:
◯ Gathering collected data into a composite database.
◯ Assessing completeness of data.
◯ Identifying and generating missing data.
◯ Synthesizing data and identifying themes.
◯ Identifying community needs and problems.
◯ Identifying community strengths and resources.
◉Program Planning: Preplaning. Answer: obtain community
awareness, support, involvement * should not move forward without
community support