Mix
Primary/Secondary/Tertiary Prevention
Chapter 22 Older Adults
Chapter 15 Community as a Client
Chapter 30 Home Health and Hospice Care
100

Primary focus of community nursing?

Promoting health and prevention of disease within a population

100

Aims to prevent the occurrence by reducing risk factors; happens before the health problem

Primary Prevention

100

Discuss the services provided at the following care facilities: assisted living, skilled nursing facility, nursing home (custodial care)

Assisted living-supervision, activities, assist with ADLS, may give meds if needed, may have dementia unit

SNF-24 hour nursing, pt/ot/speech, gives meds, no dementia

Nursing home (custodial care)-24 hour nursing, assist with ADLs, give meds, may have a dementia unit

100

What is the most common measure of the health of a community?

Status/people (physical, emotional, social determinants of health)

100

Primary responsibility of hospice nurse

Comfort management, emotional support patient/family, case manager until death, spiritual care

(review table 30-1)

200

What is the value of developing a contract with clients?

Motivation, self promotion, unique to client, increases success, fosters participation, client autonomy, nursing services more efficient/cost effective

200

Focuses on early detection

Secondary Prevention

200

List three risk factors for falls in the older adult population.

balance/walking, vit d deficiency, medications, vision problems, poor footwear, hazards (throw rugs, clutter, uneven steps)

200

List four methods of collecting community data. 

surveys, descriptive epidemiological studies, geographic information system (GIS), community forums, focus group

200

To qualify for hospice, the patient must...

Have a prognosis of six months or less to live, as certified by a physician and elect to no longer have treatment for hospice diagnosis (example cancer)
300

List barriers to effective communication.

Selective perception, filtering, emotional influence, language barriers, language of nurse

300

Managing and supporting severity of health problem; minimizing disability and restore/preserve function

Tertiary Prevention
300

What vitamins do older adults need more of?

Calcium, Vit D (bone health), folic acid, Vit B6, B12 (cognitive function)

300

Name three types of community needs assessment.

Windshield survey (actually look at community), problem-oriented assessment (gather info about specific problem), community subsystem assessment (single dimension/looks at leaders, churches to ask what they identify as problem), comprehensive assessment (all community data), community assets assessment (looks at strengths instead of weaknesses)  

300

Name the three of the five Medicare eligibility criteria for Home Health.

Home-bound, needs skilled service, under the care of the physician, have a POC that is reviewed by physician, face to face (Box 30-1)

400

What are the two basic components of community/public health practice?

Promotion of health and prevention of health problems

400

Which level of prevention? Installing shaded areas at outdoor community event to reduce sun exposure.

Primary Prevention 

400

List the five examples of ageism discussed in the book.

Senility (confusion), rocking chair (withdraw/inactive), homogeneity (become more alike), old benefiting at the expense of young (older people pulling down economy/expensive), inability (unable to learn new things/set in way)

400

What is a SMART goal?

Specific, Measurable, Achievable, Time bound

400

What is an OASIS and what is it used for?

Outcome and Assessment Information Set (OASIS). Used to collect and report data back to Centers for Medicare and Medicaid Services

500

Name the four characteristics of the advocate role.

 assertive, take risks, communicate/negotiate well, identify/obtain resources for client benefit

500

Which level of prevention? Developing a patient navigation program to help individuals with skin cancer access treatment and follow-up care.

Tertiary Prevention

500

List the symptoms for mild, moderate, and severe stages of Alzheimer's Disease.

Mild-complete and participate in most activities, forgets commonly used words, difficulty in creating new memories

Moderate-stuggle to complete routine tasks, wandering, behavior/personality changes

Severe-bedbound, cannot communicate in words understood by others

500

Name four of the eight principles of CPH nursing?

Focus on community, give priority to community needs, work in partnership with the people, focus on primary prevention, promote a healthful environment, target all who might benefit, promote optimum allocation of resources

500

Give an example of compassion fatigue.

informal caregiver that has a lot of physical, psychological, and economic burden due to care of loved one at home

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