(Summary)ATI Community Health Nursing
Proctored Focus (Answered) With Complete Verified
Solution, Updated Fall 2023/2024
Care of specific populations: Migrants
Migrant workers health problems include:
1. Dental disease
2. TB
3. Chronic conditions
4. Stress, anxiety, & other mental health conditions
5. Leukemia
6. Iron deficiency anemia
7. Stomach, uterine, & cervical cancers
8. Lack of prenatal care
9. Higher infant mortality rates
Primary Prevention for Rural or Migrant Health care:
-educate on measures to reduce exposure to pesticides
-teach on accident prevention
-prenatal care
-mobilize preventative services (dental, immunizations)
Secondary Prevention measures for Rural/Migrant Health care:
SCREENING! screen for:
-pesticide exposure
-skin cancer
-chronic preventable diseases
-communicable diseases
Tertiary Prevention measures for Rural/Migrant Health care:
-treat for symptoms of pesticide exposure
-mobilize primary care and emergency services
Client's rights include...
-right to info disclosure
-privacy
-informed consent
-info confidentiality
-participation in treatment decisions
Autonomy
respecting a client's right to choose (i.e. refusing chemo)
Nonmaleficence
doing no harm
Beneficence
maximize benefits and minimize possible harms
Justice situation:
determining eligibility for health care services based on income and fiscal resources
,HIPAA rules about information security:
-only staff assigned to the patient may view/read client's health record (no other nurses
or doctors)
-client's have the right to read or obtain a copy of their health record
-nurses may not photocopy any part of med record except for authorized exchange of
docs between facilities & providers
-staff must keep records/names of client in secured place
-electronic records are password protected
-no sharing info to family members w/out code in person, email, or phone call
-talking about a client must be in a private setting so no one can overhear
HIPAA info security protocols include:
-log off computer before leaving workstation
-never share ID or password
-never leave med records where ppl can see it
-shred any printed info about client after use
-don't use or view social media in clinical settings
-no posting about clinical stuff
Agent
-the animate or inanimate object that causes the disease.
-ex. chemical (drugs, toxins); physical (noise, temperature); infectious (viruses, bacteria)
Host
the living being that is affected by the agent
-ex. age, gender, genetics, ethnicity, immunological status, physiological state,
occupation
environment
the setting or surrounding that sustains the host
-ex. Physical (geography, water/food supply, presence of reservoirs/vectors); Social
(access to health care, high-risk working conditions, poverty)
Caring for a client with gonorrhea:
-nationally notifiable disease
-women are frequently asymptomatic
-CDC recommends yearly screening for all sexually active women 25 yrs or older or
w/risk factors
-at risk pregnant women must be screened at first prenatal visit
-identify & treat all partners
-admin erythromycin to all infants following delivery
-ceftriaxone IM or azithromycin PO
-it is the responsibility of the provider to report gonorrhea to local health dept
-state notification to CDC is voluntary
-if left untreated in women it can lead to PID which can cause infertility
Referrals: Client barriers include:
-lack of motivation
-inadequate info about community resources
, -inadequate understanding of the need for referral
-accessibility needs
-priorites
-finances
-cultural factors
Referrals: Resource barriers include:
-attitudes of health care personnel
-costs of services
-physical accessibility of resources
-time limitations
-limited expertise working w/culturally diverse populations
Just because someone is exposed to asbestos once doesn't mean they will
develop health problems...
long term exposure can lead to mesothelioma and lung conditions. Risk factors include
workers (office buildings with it when they work there everyday).
Priority action(s) in developing a disaster plan:
-set up communication alternatives
-highlight possible evac routes
-identify local & distant meeting places
-create disaster kit
AS A NURSE:
-identify at risk populations in community
-identify community disaster warning system & how to access
-identify 1st responders
-make list of agencies for all levels of disaster
-triage
-gather equipment, check often
Hyperthyroidism: Radioactive iodine therapy home safety:
Client is radioactive!
-no pregnant people
-no breastfeeding
-keep distance from others, limit visits to 30 min at a 6 ft distance
-drink lots of fluid
-maintain good hygiene to prevent infection
Teaching safe disposal of insulin syringes:
-put in strong plastic container i.e. old detergent container (no soda bottles)
-DO NOT recycle old needles, throw container in trash
-seal the container when 3/4 full with duct tape
-facilities throw it in sharps red container
Teaching about use of crutches:
-don't alter crutches after fitting
-follow prescribed crutch gait
-support body weight at the hand grips w/elbows flexed at 30 degrees
-position crutches on unaffected side when sitting or rising from a chair
Demographics of homeless population:
Proctored Focus (Answered) With Complete Verified
Solution, Updated Fall 2023/2024
Care of specific populations: Migrants
Migrant workers health problems include:
1. Dental disease
2. TB
3. Chronic conditions
4. Stress, anxiety, & other mental health conditions
5. Leukemia
6. Iron deficiency anemia
7. Stomach, uterine, & cervical cancers
8. Lack of prenatal care
9. Higher infant mortality rates
Primary Prevention for Rural or Migrant Health care:
-educate on measures to reduce exposure to pesticides
-teach on accident prevention
-prenatal care
-mobilize preventative services (dental, immunizations)
Secondary Prevention measures for Rural/Migrant Health care:
SCREENING! screen for:
-pesticide exposure
-skin cancer
-chronic preventable diseases
-communicable diseases
Tertiary Prevention measures for Rural/Migrant Health care:
-treat for symptoms of pesticide exposure
-mobilize primary care and emergency services
Client's rights include...
-right to info disclosure
-privacy
-informed consent
-info confidentiality
-participation in treatment decisions
Autonomy
respecting a client's right to choose (i.e. refusing chemo)
Nonmaleficence
doing no harm
Beneficence
maximize benefits and minimize possible harms
Justice situation:
determining eligibility for health care services based on income and fiscal resources
,HIPAA rules about information security:
-only staff assigned to the patient may view/read client's health record (no other nurses
or doctors)
-client's have the right to read or obtain a copy of their health record
-nurses may not photocopy any part of med record except for authorized exchange of
docs between facilities & providers
-staff must keep records/names of client in secured place
-electronic records are password protected
-no sharing info to family members w/out code in person, email, or phone call
-talking about a client must be in a private setting so no one can overhear
HIPAA info security protocols include:
-log off computer before leaving workstation
-never share ID or password
-never leave med records where ppl can see it
-shred any printed info about client after use
-don't use or view social media in clinical settings
-no posting about clinical stuff
Agent
-the animate or inanimate object that causes the disease.
-ex. chemical (drugs, toxins); physical (noise, temperature); infectious (viruses, bacteria)
Host
the living being that is affected by the agent
-ex. age, gender, genetics, ethnicity, immunological status, physiological state,
occupation
environment
the setting or surrounding that sustains the host
-ex. Physical (geography, water/food supply, presence of reservoirs/vectors); Social
(access to health care, high-risk working conditions, poverty)
Caring for a client with gonorrhea:
-nationally notifiable disease
-women are frequently asymptomatic
-CDC recommends yearly screening for all sexually active women 25 yrs or older or
w/risk factors
-at risk pregnant women must be screened at first prenatal visit
-identify & treat all partners
-admin erythromycin to all infants following delivery
-ceftriaxone IM or azithromycin PO
-it is the responsibility of the provider to report gonorrhea to local health dept
-state notification to CDC is voluntary
-if left untreated in women it can lead to PID which can cause infertility
Referrals: Client barriers include:
-lack of motivation
-inadequate info about community resources
, -inadequate understanding of the need for referral
-accessibility needs
-priorites
-finances
-cultural factors
Referrals: Resource barriers include:
-attitudes of health care personnel
-costs of services
-physical accessibility of resources
-time limitations
-limited expertise working w/culturally diverse populations
Just because someone is exposed to asbestos once doesn't mean they will
develop health problems...
long term exposure can lead to mesothelioma and lung conditions. Risk factors include
workers (office buildings with it when they work there everyday).
Priority action(s) in developing a disaster plan:
-set up communication alternatives
-highlight possible evac routes
-identify local & distant meeting places
-create disaster kit
AS A NURSE:
-identify at risk populations in community
-identify community disaster warning system & how to access
-identify 1st responders
-make list of agencies for all levels of disaster
-triage
-gather equipment, check often
Hyperthyroidism: Radioactive iodine therapy home safety:
Client is radioactive!
-no pregnant people
-no breastfeeding
-keep distance from others, limit visits to 30 min at a 6 ft distance
-drink lots of fluid
-maintain good hygiene to prevent infection
Teaching safe disposal of insulin syringes:
-put in strong plastic container i.e. old detergent container (no soda bottles)
-DO NOT recycle old needles, throw container in trash
-seal the container when 3/4 full with duct tape
-facilities throw it in sharps red container
Teaching about use of crutches:
-don't alter crutches after fitting
-follow prescribed crutch gait
-support body weight at the hand grips w/elbows flexed at 30 degrees
-position crutches on unaffected side when sitting or rising from a chair
Demographics of homeless population:
