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Contemporary community-based nursing practice is a collaborative, ___ _____ model designed to meet the health care needs of the community |
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___ ____ ___ ___ is a model of care that reaches everyone in the community (including the poor and underinsured), focuses on primary rather than institutional or acute care, and provides knowledge about health and health promotion and models of care to the community |
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Community-based health care |
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Examples of assessment include, but are not limited to, gathering information on ____ ____ for identifying and reporting of new infections or diseases, |
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The five-level health services pyramid is an example of how to provide community-based services within existing health care services in a community In this population-focused health care services model the goals of _____ ___,____ , and _____provide a foundation for primary, secondary, and tertiary health care services. |
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disease prevention, health protection, and health promotion |
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A ____ _____ nursing focus requires understanding the needs of a population, or a collection of individuals who have in common one or more personal or environmental characteristics |
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____ _____ nursing is a nursing practice in the community, with the primary focus on the health care of individuals, families, and groups in a community. The goal is to preserve, protect, promote, or maintain health |
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____ ____ nursing care takes place in community settings such as the home or a clinic, where the focus is on the needs of the individual or family. It involves the acute and chronic care of individuals and families and enhances their capacity for self-care and promotes autonomy in decision making |
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____ ____ nursing care takes place in community settings such as the home or a clinic, where the focus is on the needs of the individual or family. It involves the acute and chronic care of individuals and families and enhances their capacity for self-care and promotes autonomy in decision making |
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The social interaction units of the humn ecology model are represented by four circles: the inner circle of the _____ and the immediate family, the second circle of people and settings that have frequent contact with the client and _____, the third circle of the local ______ and its values and policies, and the outer circle of larger social systems such as _____ and church |
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client family community government |
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______ ______ are those clients who are more likely to develop health problems as a result of excess risks, who have limits in access to health care services, or who are dependent on others for care. |
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It is important to provide the information necessary for clients to make informed decisions in choosing and using services appropriately. In addition, it is important for you to support and, at times, defend your clients' decisions when you are a ____ ____ |
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1. The overall goal of Healthy People 2010 is to: 1.Assess the health care needs of individuals, families, or communities 2.Develop and implement public health policies and improve access to care 3.Gather information on incident rates of certain diseases and social problems 4.Increase life expectancy and quality of life and to eliminate health disparities |
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2. Community health nursing is a nursing approach that merges knowledge from which of the following professional nursing theories? (Select all that apply.) 1.Population sciences 2.Public health sciences 3.Mental health sciences 4.Environmental sciences |
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3. You are caring for a Bosnian community. You identify that the children are undervaccinated and the community is unaware of resources. As you assess the community, you determine that there is a health clinic with a 5-mile radius. You meet with the community leaders and explain the need for immunizations, the location of the clinic, and the process of accessing health care resources. Which of the following practices are you providing? (Select all that apply.) 1. Educating about community resources 2. Teaching the community about illnesses 3. Promoting autonomy in decision-making 4. Improving the health care of the community's children |
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4. Vulnerable populations of clients are those who are more likely to develop health problems as a result of: 1.Chronic diseases, homelessness, and poverty 2.Poverty and limits in access to health care services 3.Lack of transportation, dependence on others for care, and homelessness 4.Excess risks, limits in access to health care services, and dependency on others for care |
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5. Which of the following are major public health problems commonly affecting older adults? (Select all that apply.) 1.Substance abuse 2.Confusional states 3.Financial limitations 4.Communicable diseases 5.Acute and chronic physical illnesses |
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6. The local health department received information from the Centers for Disease Control and Prevention that the flu was expected to be very contagious this season. You are asked to set up flu vaccine clinics in local churches and senior citizen centers. This activity is an example of which level of prevention?
1. Tertiary intervention 2. Primary intervention 3. Nursing intervention 4. Secondary intervention |
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7. The local school has an increasing number of adolescent parents, and you work with the school district to design and teach classes about infant care, child safety, and time management. These are examples of which nursing role? 1.Educator 2.Advocate 3.Consultant 4.Case manager |
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8. You are practicing in an occupational health setting. There are a large number of employees who smoke, and you design an employee assistance program for smoking cessation. This is an example of which nursing role: 1.Educator 2.Counselor 3.Collaborator 4.Case manager |
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9. In your community clinic you care for Lisa, a 40-year-old woman who takes insulin to manage her diabetes. She is having increased difficulty in managing her disease, and you want her to try a new insulin pump to help her control the disease. Which of the following change factors increase the likelihood that she will accept this new insulin pump? (Select all that apply.) 1. Lisa tries the insulin pump on a limited basis. 2. Lisa views use of the insulin pump as a simpler way to control her blood sugars. 3. The insulin pump is compatible with Lisa's existing needs, values, and past experiences. 4. Lisa perceives the insulin pump as more advantageous than other alternatives to insulin administration. |
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10. What are the three elements that are included in a community assessment? 1.Environment, families, and social systems 2.People, neighborhoods, and social systems 3.Structure or locale, people, and social systems 4.Health care systems, geographic boundaries, and people |
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