Education & Assessment
There are 3 domains for Client Education. Name them.
Cognitive, Affective, Psychomotor
Nursing assessment of the Home Environment during a home health visit entails full assessment of the client's dwelling and living circumstances. Give the 6 basic components of this full home health nursing assessment.
1)Assessment of Home 2)Safety 3)Basic Factors 4)Transportation 5)Infestations 6)Emergency Procedural Knowledge
Poverty comes with specific risk factors. Name some risk factors.
1)Unemployment 2)Day to Day Living 3)Despair 4)Unstable Family 5)Poor Self Respect 6)Isolation
Prevalence of a specific health concern or disease at a specific time is calculated based on what type of cases?
Existing cases
Cultural Humility involves setting aside biases and paying close attention to three keystone tenets which aim to view patients as individuals from whom we can learn, these three principles are...
Lifelong learning & self-reflection, mitigating power imbalances, and institutional accountability
Health Coaching is a very useful and effective teaching strategy for the Nurse during a Home Health Visit, and this patient education strategy has four areas of attention for positive patient outcomes and learning. Identify components of Health Coaching.
1)Be WITH Client, don't talk at them
2)Health Conversation in CONTEXT of the Patient's Life, what works for them?
3)Identify CONCERNS/challenges that SUPPORT/Hinder Lifestyle Changes
4)Nurse as PARTNER in meeting client goals
This type of care relieves the home caregiver to help alleviate caregiver role strain. It could include 24 hour care or time-limited care. Name this type of care.
Respite Care
An increased relative risk to adverse health outcomes in certain social groups.
What is Vulnerability?
The Epidemiology Triangle depicts essential interrelationships between infectious agents, susceptible hosts, and the environment. Extending this epidemiological model, this causal model explains factors that increase or decrease risk for disease. What is this causal model?
Web of Causality
The Purnell Model of Cultural Competence incorporates 12 domains of culture which both interrelate and very definitively influence one another. Four levels of professional functioning with regard to competence include unconsciously incompetent, consciously incompetent, consciously competent, and what highest level.
What is unconsciously competent?
Dependent on both individual and systemic factors, this is the degree to which individuals have the capacity to obtain, process, and understand basic health information and services needed to make appropriate health decisions.
What is Health Literacy?
When two or more individuals sharing emotional closeness, and identifying themselves as members of a family, are interviewed in the community to allow voice and avoid premature therapeutic advice, nurses utilize three key techniques to assess the family. Name these three techniques.
Therapeutic Conversation, Therapeutic Questions, and Family Strengths (Assets/Resources)
Unauthorized immigrants and refugees are still eligible for certain medical and preventive services and these include 4 primary areas of care.
Immunizations, School Lunches, Treatment of Communicable Disease, and Emergency Care
Components of a Community Health Assessment include the following...
Physical, Environmental, Social Systems, Human Services, and Power Systems
Community nurses perform many functions in caring for individuals, families, and the larger community. One key role for these professionals is as one who works for the best outcomes and resources for those they serve which includes this attribute.
Benificence/Patient Advocate
There are 5 components to a Community Health Education Plan. Name them.
1)Short & Long-Term Goals 2)Education Method based on Learning Objectives & Styles 3)Written material at 5-6th Grade Level 4)Content 5)Evaluation Method
Home Health Visits by nurses require detailed preparation and active safety planning for successful outcomes for both the patient and practitioner. Give the 5 stages and areas of planning and preparation in each stage for home health visits to achieve successful outcomes.
Initiating the Visit: Referral, Orders, Hospital Visit, Contact/Directions
Preparation: Supplies & SAFETY (Arrival Time, ID, Animals, Personal Belonging, Phones, Disputes, Car)
Actual Visit: Client Assessment (Include Risk/Abuse), Expectation, Treatment Plan, Client Needs, Equipment/Technology
Terminating Visit:Contact Info, Emergency Review, Schedule Next Visit, Smoking/Pet Expectations
Post Visit Planning: Necessary Referrals/Other Health Providers, Schedule of Visits, Outcomes/Plan Interventions
This may include an entire county or group of contiguous counties, is calculated based upon the ratio of primary care physicians per 1000 residents, infant mortality rate, percentage of population below poverty level and over age 65 this subgroup of the population has a higher health problem risk due to marginalization.
What is a Medically Underserved Population
Lillian Wald was the first Nursing pioneer who incorporated what components as major contributors to health and wellness?
Socioeconomic factors; financial stability
There are 8 Guidelines for providing Culturally Competent Care. Name them.
1)Develop Cultural Self-Awareness 2)Understand how personal Beliefs/Spiritual Beliefs affect care 3)Recognize how meaning of Health differs w/each culture 4)Develop Cultural Knowledge 5)Accommodate Cultural Practices in Healthcare (Interpreter) 6)Respect Culturally Based Family Roles 7)Avoid Mandating Change 8)Seek Cultural Assistance
Home Visit medication education is vital to assist clients and home caregivers with accurate daily medication regimens. To give safe care to clients, there are 5 primary areas of attention and patient education that are necessary to deliver safe & appropriate patient care. Name them.
1)High Risk for INCORRECT Meds 2)Negative Side Effects 3)Incorrect Order 4)Importance of Medication Profile 5)FOCUS of Antidepressants, Benzodiazepines, and Antipsychotics -PRONE to ERROR
In a family, there are specific types of primary, secondary, and tertiary prevention that are necessary interventions for improved outcomes in family healthcare. Name the 4 areas for each level of prevention in the family structure.
Primary: Living Wage, Immunizations, Coping Skills, Anticipatory Guidance.
Secondary: Aid for Existing Problems, Family Mtgs, Referrals to Community Resources, Crisis Intervention.
Tertiary: Coping w/Long-Term Illness, Home Modifications, Assistance w/Loss
School Nurses perform multiple roles in caring for student populations. Comprehensive care, collaborating with outside agencies in the community, health promotion & maintaining a safe school environment, and mental health are all critical components. Name these 4 roles of the School Nurse.
1)Case Manager 2)Community Outreach 3)Consultant 4)Counselor/Psychological &Social Services
In the context of preventing disease along with promoting & protecting the health of a community, public health nursing involves four primary areas of concentration which include...
Research, Assessment, Policies, and Essential Health Services
The four processes which culturally competent nurses must actively participate in and advocate for with each patient.
What are Preservation, Accommodation, Re-Patterning, and Brokering.