Ch 1 and 2 Community/Public Health Nursing (Nies/McEwen)

Ch 1 and 2 Community/Public Health Nursing (Nies/McEwen) Public health assumes that it is ___________ responsibility to meet the basic needs of the people. Anssociety's __________ health relates to community vitality and isa result of positive interaction among groups within the community with an emphasis on health promotion and illness prevention Ans- social the WHO definition of health considers several ___________ of health including social, mental, and physical Ans- dimensions the variety of characterizations of the word Health illustrates the difficulty in ______________ the conceptualization of health Ans- standardizing in recent nursing literature, _____________ is seen as a group or collection of individuals interacting in social units and sharing common interests, characteristics, values and goals Ans- community two main types of communities Ans- geopolitical & phenomenological most traditionally recognized , are defined or formed by natural and/or man-made boundaries and include cities, counties, states and nations Ans- geopolitical communities refer to relational, interactive groups; the place or setting is more abstract, and people share a group perspective or identity based on culture, values, history, interests and goals Ans- phenomenological communities schools, colleges, universities, churches, synagogues, mosques, and various social networks are examples of _______________ communities Ans- phenomenological type of phenomenological community: collection of people who form a group specifically to address a common need or concern Ans- community of solution term used to denote a group of people having common personal or environmental characteristics Anspopulation subgroups or subpopulations that have some common characteristics or concerns Ans- aggregates It is estimated that individual behaviors are repsonsible for about _____ percent of all premature deaths in the united states Ans- 50% leader on the list of "actual cases of death" implicated in almost 20% of annual deaths in the US Anstobacco deemed to account for about 16.6% of deaths yearly Ans- poor diet and physical activity ____________ was implicated in about 85000 deaths because of it's association with accidents, suicides, homicides etc Ans- alcohol Commonly reported health indicators include: (4) Ans- life expectancy infant mortality age-adjusted death rates cancer incidence rates Healthy People 2020 has a total of ____ leading health indicators as major public health concerns Ans12 Health indicators can be correlated as causes of ______ and ______ Ans- morbidity and mortality Community health nurses should be aware of health _________ and _______ within their practice. Anspatterns & indicators What are the 3 primary functions of public health? Ans- assessment assurance policy development availability of necessary health services throughout the community Ans- assurance Public health efforts that protect the public from hazards such as polluted water and air, tainted food, and unsafe housing Ans- community health services Public health efforts such as immunization and family planning services, well infant care, and STD treatment Ans- Personal health care services Personal health care services often target: Ans- populations most at risk prevention of problems before they occur (like immunization) Ans- Primary prevention early detection and intervention (like screening for STDs) Ans- secondary prevention Correction and prevention of deterioration of a disease state ( like teaching insulin admin in the home) Ans- Tertiary prevention the synthesis of public health and nursing practice Ans- public health nursing concentrates on specific groups of people and focuses on health promotion and disease prevention regardless of geographic location Ans- population-focused nursing Healthy People 2020 is divided into how many topic areas? Ans- 42 Community health nursing practice is ___________ and it based in research and __________. Anscollaborative theory The goal of population focused nursing is to promote healthy _____________ Ans- communities initially proposed in the late 1990s by nurses from the Minnesota Dept of Health; to describe the breadth and scope of public health nursing practice Ans- The Public Health Intervention Wheel Public Health Intervention: describes and monitors health events through ongoing and systematic collection, analysis, and interpretation of health data for the purpose of planning, implementing, and evaluating public health interventions Ans- Surveillance Public Health Intervention: Systematically gathers and analyzes data regarding threats to the health of populations, ascertains the source of the threat, identified cases and others at risk, and determines control measures Ans- Disease and other health event investigation Public Health Intervention: Locates populations of interest or at risk and provides info about the nature of the concern, what can be done about it, and how services can be obtained Ans- Outreach Public Health Intervention: Identified individuals with unrecognized health risk factors or asymptomatic disease conditions AnsScreening Public Health Intervention: locates individuals and families with identified risk factors and connects them with resources Ans- Case finding Public Health Intervention: Assists individuals, families, groups, etc to identify and access necessary resources to prevent or resolves problems or concerns Ans- Referral and follow-up Public Health Intervention: Optimizes self care capabilities of individuals and families and the capacity of systems and communities to coordinate and provide services Ans- Case mgmt Public Health Intervention: Carries out direct care tasks under authority of a health care practitioner as allowed by law AnsDelegated functions It must be recognized that populations are not _______________; it is necessary to address the needs of special subpopulations within populations Ans- homogen