NUR 426 Exam 4: Questions & Answers
what is health protection in primary care?(Ans- clinical interventions such as immunization.
what is risk reduction in primary care?(Ans- behavioral changes learned through health education.
What are examples of health promotion at the individual and family level that would help people change their lifestyle to achieve health?(Ans- Free exercise programs in a community by public health offering classes or clubs for cycling, yoga, walking and Zumba to encourage residents to increase their physical activity.
school nurses should consider all of these factors when implementing sex education in a school (Ans-
- parent's concerns
- cultural and environmental issues
- public health prevention concerns
How can a PHN or primary care nurse advocate for their patients who have addictions?(Ans-
- identify causes of pain
- assess for risk factors for medication miss-use
- determine and educate patient on expected/acceptable level of pain
- use non-opioid analgesics when possible
- scheduled pain management is better than prn for controlling pain
- use adjunctive pain management techniques
- avoid using extended release opioids
- limit supply to 3-5 days
- reduce supply of opioids in the home 1 / 3
(some pain is okay)
- advocate for mental health care when appropriate
what is collaboration in community health?(Ans- PHN works with key individuals, groups, coalitions, and organizations to change public health policies, programs, and community services to produce better health outcomes
why would a community assessment be important for formulating primary prevention measures?(Ans- assessing a community's strengths and weaknesses can help to determine what resources are needed to prevent disease
what level of care is the WHO focusing on currently?(Ans-
- primary health care now more than ever in crisis
- primary care: reduces mortality from cancer, heart disease, stroke, and all
other causes of mortality.
- U.S. dealing with issue by use of advanced practice RNs
what are some components of case management?(Ans- assess, plan, facilitate, and advocate for patients as soon as they enter their care to help plan discharge
what are some benefits of case management?(Ans-
- contain cost
- improve patient outcomes
- improve patient care
- improve health of the community one patient at a time
- reduce duplication of care by preventing clients from getting the same
type of service twice
Older adults also have higher body burdens of chemicals that have been absorbed over their lifetimes. What is this called?(Ans- Bioaccumulation 2 / 3
what is the patient centered medical home model?(Ans- It is a method of delivering health care that addresses preventive, acute, and chronic care needs by having the primary care physician act as a "gatekeeper" to coordinate the patient's care across providers.
what is included in the patient centered medical home model?(Ans-
- personal physicians
- focuses on patient as a whole
- coordinates/integrates care from multiple disciplinaries
- EBP creates safe and high quality care
- expands access to care
what are the five functions of the patient centered medical home model?(Ans- 1- patient centered care 2- comprehensive care 3- coordinated care 4- accessible care 5- committed to quality and safety
what is the challenge and response of workers in the primary healthcare field?(Ans-
- problem: the primary care workforce is shrinking
- response: nurse practitioners are taking over especially in low income
areas because they are more affordable which increases access to healthcare but also has its own challenges
What are the mechanisms of exposure?(Ans- inhalation, ingestion, dermal
- / 3