ATI Community Health Nursing: Chapter 1 Graded A

ATI Community Health Nursing: Chapter 1 Graded A Nursing theories provide Correct Answer-the basis for care of the community and family Nurses working in the community should have an understanding of Correct Answer-the foundations of community health nursing, the principles of community health nursing, and health promotion and disease prevention Nightingale's Theory of Environment Correct Answer-Highlights the relationship b/w and individual's environment and health; depicts health as a continuum; emphasizes PREVENTIVE care. Health Belief Model -- Purpose Correct Answer-to predict or explain health behaviors; assumes that preventive health behaviors are taken primarily for the purpose of avoiding disease;emphasizes change at the INDIVIDUAL level Health Belief Model -- Describes the likelihood of taking an action to avoid disease based on: Correct Answer-perceived susceptibility, seriousness, and threat of a disease; modifying factors; cues to action; perceived benefits minus perceived barriers to taking action Milio's Framework for Prevention Correct Answer-complements the health belief model; emphasizes change at the COMMUNITY level; ID's relationship b/w health deficits and availability of health- promoting resources; theorizes that behavior changes within a large number of people can ultimately lead to social change Community Correct Answer-a group of people and institutions that share geographic, civiv, and/or social parameters A community's health is determined by Correct Answer-the degree to which the community's collective health needs are ID'd and met Health indicators Correct Answer-mortality rate, disease prevalence, levels of physical activity, obesity, tobacco use, and substance use Population Correct Answer-an aggregate who shares one or more personal characteristics Who is the client in community health nursing? Correct Answer-Community or Population Community-Based Nursing Correct Answer-Focuses on: Individuals and Families Activities: ILLNESS CARE -- management of acute or chronic conditions in settings where individuals, families, and groups live, work, and "attend" Ex) Home health nursing, school nurse, employee health, student health, camp nurse, prison clinic Community-Oriented Nursing Correct Answer-Focuses on: AT-RISK individuals, families, and groups + the community Activities: HEALTH CARE -- determining health needs of the community, and intervening at the individual, family, and group level to improve the collective health of the community Community Health Nursing Practice Correct Answer-Focuses on: synthesis of nursing and public health theory Activities: DOING -- promote, preserve, and maintain the health of a population by DELIVERY of health services to individuals, families, and groups in order to impact "community health" Public Health Nursing Practice Correct Answer-Focuses on: Synthesis of nursing and public health theory Activities: PREVENTING -- promote, preserve, and maintain health through disease and disability PREVENTION and health protection of community as a whole Public Health Nursing Core Functions: Correct Answer-1. Systematic assessment of the health of a population 2. Development of policies to support the health of populations 3. Ensuring that essential health services are available to all persons Ethical Considerations Correct Answer-Preventing harm, doing no harm, promoting good, respecting both individual and community rights, respecting autonomy and diversity, and providing confidentiality, competency, trustworthiness, and advocacy. CH Nurses are concerned with: Correct Answer-protecting, promoting, preserving, and maintaining health; as well as preventing disease Client rights include: Correct Answer-the right to information disclosure, privacy, informed consent, information confidentiality, and participating in treatment decisions Respect for AUTONOMY Correct Answer-Definition: individuals select those actions that fulfill their goals Situation: respecting a client's right to self-determination (ex: making the decision to no pursue chemotherapy) NONMALIFICENCE Correct Answer-Definition: no harm is done when applying standards of care Situation: developing plans of care that include a system for monitoring and evaluating outcomes BENEFICENCE Correct Answer-Definition: max. possible benefits and min. possible harms Situation: assessing risks and benefits when planning interventions DISTRIBUTIVE JUSTICE Correct Answer-Definition: fair distribution of the benefits and burden in society is based on the needs and contributions of its members Situation: determining eligibility for health care services based on income and fiscal resource Advocacy roles of the nurse Correct Answer-informer, supporter, and mediator (pg. 5) Epidemiology Correct Answer-the study of health-related trends populations for the purpose of disease prevention, health maintenance, and health protection; relies on stat. evidence to determine rate of spread of disease and the promotion of people affected Epidemiology provides a broad understanding of: Correct Answer-spread, transmission, and induce of disease and injury Epidemiology triangle Correct Answer-relationship among an agent, a post, and an environment; their interaction determines the development and cessation of communicable diseases The AGENT Correct Answer-is the animate or inanimate object that causes the disease The HOST Correct Answer-is the living being that is affected by the agent The ENVIRONMENT Correct Answer-is the setting or surrounding that sustains the host INCIDENCE Correct Answer-number of cases in the population at a specific time DIVIDED BY population total TIMES 1,000 = __________ per 1,00