role of rural and remote area nurses in primary health care -
Answer✅
Rural area nursing: presence of medical officer
- serves a wide area, health services are limited (specialist surgery and maternity services)
- nurses may provide other emergency, rehabilitation and primary healthcare depending on
the presence/ absence of other health professionals
Remote area nursing: absence of medical officer
- scope of practice determined by lack of other healthcare professionals, many services are
FIFO (physiotherapists, optometrists)
- few inpatient facilities, healthcare centres open during office hours with on-call backup
- nurses provide emergency services, age-appropriate wellness checks, detection/
monitoring of chronic diseases, mental health services and end-of-life care
Quiz_________________?
interview and assessment techniques -
Answer✅
Active listening: concentrates on patient responses - avoid formulating the next question
during responses
- Facilitation: verbal/ non-verbal phrases to encourage patient to continue talking
1
, - Clarification: to gather more information
- Restatement: repeating what patient said in different words to confirm interpretation
- Reflection: repeating what the patient said to encourage elaboration
- Confrontation: when inconsistencies are noted between patient's report and nurse's
observations - use tone of voice to convey confusion
- Interpretation: share conclusions drawn from data - patient may confirm, deny or revise
Quiz_________________?
factors that influence the interview -
Answer✅
Nurse behaviours, type questions - how they are asked, personality/ behaviour of patient
- Patient's age, physical/ mental/ emotional status
- Talkative patients - refocus on events relevant to the present, close-ended questions
- Language barriers - interpreter should be an objective observer of the same gender
- Others in the room - don't assume, always clarify, parents may answer for child - ask
adolescents directly
Quiz_________________?
stages of the interview process -
Answer✅
Introduction: prepare the patient for what to expect
- Discussion: facilitate, collect, and record health history/ data- keep it patient-centred,
nurse prompts questions + takes notes
- Summary: allows for clarification of data + accurate understanding, provides closure
Discuss the application of the Australian Safety and Quality Framework for Health Care
(ASQFHC) to primary healthcare
Quiz_________________?
skin tears, tissue types, and silicone foam adhesives -
Answer✅
2
, If viable, gently realign the flap back into place using a dampened cotton tip or gloved finger
- 1A: edges can be realigned; skin colour is NOT dusky or darkened
- 1B: edges can be realigned; skin colour is dusky or darkened
- 2A: edges can NOT be realigned; skin colour is NOT dusky or darkened
- 2B: edges can NOT be realigned; skin colour is dusky or darkened
- 3: skin flap is absent
Silicone foam dressing:
- manages non to low exudate wounds and provides a moist wound environment which aids
the wound healing process
- helps to minimise maceration and damage to the surrounding skin
- provides cushioning and protects from water and bacteria
- stay up to 7 days but should be changed once saturated with exudates
Quiz_________________?
evidence-based practice -
Answer✅
Assessment, planning, implementation, review - care plans
Quiz_________________?
health promotion and behaviour change using theoretical and conceptual frameworks -
Answer✅
Stages of change: pre-contemplation, contemplation, preparation, maintenance, relapse
5 As:
- Assess the client's beliefs, behaviour and knowledge
- Advise the client about health risks + benefits of behavioural change
- Assist the client in identifying personal barriers + work through these
- Agree on goals based on client's interest + confidence to change behaviour
- Arrange referrals to other services, plan for follow-up (visit/ phone call)
Motivational interviewing:
3
, - Engaging: establish relationship with client
- Focusing: developing a directed conversation about behaviour change
- Evoking: identifying motivation for change
- Planning: developing commitment to change + establish action plan
- Intrinsic motivation: internal rewards for self
- Extrinsic motivation: approval from others
Quiz_________________?
quality improvement is applied in community nursing -
Answer✅
Accreditation - improve safety and quality
Examples:
- National digital health strategy - my health record
- National disability insurance scheme (NDIS)
- Health care home services - better outcomes for people with chronic conditions
Discuss legal and ethical issues relating to nursing practice in a community setting
Quiz_________________?
risk populations -
Answer✅
Refugee, migrant, indigenous and other minority + gender groups
- Diversity - generalisations/ stereotypes, discrimination
- Access to healthcare - location, diversity of healthcare workers
- Language barriers, unhealthy environments (DV)
- Scio-economic disparities
Quiz_________________?
common safety concerns and risk assessments when providing health care in people's
homes -
4