What did Lillian Wald suggest in regard to giving care to individuals and families? Show Nurses should recognize the larger social and economic forces that the family cannot control. Wald emphasized that one could not understand an individual without understanding the family, and the family is in the grip of larger social and economic forces that they cannot control. In giving care to an individual person, why would it be important for the nurse to be knowledgeable about the community? Individuals and families are strongly influenced by the community and environment around them. In what way does the Health Planning Model for care of aggregates differ from the customary nursing process applied to the care of an individual? The nurse must first decide on and define the aggregate to receive care. Whether caring for an individual, a family, or an aggregate, the nurse can use a systems framework. Which aspect might be more challenging in caring for an aggregate as opposed to caring for an individual? Analyzing power and decision making within the system What is the nurse’s first task when dealing with an aggregate as client? a. Determining the setting of the aggregate b. Gaining access into the aggregate c. Identifying the nurse’s own strengths and preferences d. Reviewing the resources available for the nurse to use ANS:B Once the nurse has chosen the target aggregate (which would not be possible without also knowing the aggregate’s meeting place or geographic location), the nurse must gain entry into the group. It can be assumed that the nurse is knowledgeable about personal strengths and preferences and what resources are available to function. A nurse decided that a high-risk aggregate most needed education about diabetes. What might be the best approach to teaching the group? Involve participants in small-group activities applying the information Most persons do not enjoy lectures, so the nurse must initiate small-group involvement and participation. Those with less educational experience are more comfortable in informal learning settings. A community health nurse determined that the number one priority was to help families in which one member had diabetes. Which decision would be best to maximize services to persons with diabetes? Meet with the diabetic organization to see how the public health department can augment what it is offering. A student’s assignment was to determine the needs of a selected aggregate. Eight percent of the aggregate have diabetes. How should the student determine whether that should be a priority? Review the literature to determine the national and state diabetic rate A nurse assessed an aggregate, determined the priority health needs, and decided what intervention to offer. What may determine whether the nurse’s intervention will be successful? Determination of the aggregate’s perspective of the need for the intervention Interventions are seldom successful unless the aggregate has input into determination of need, its priority, and appropriateness of the intervention. What must a nurse do to be successful in addition to the typical assessment, diagnosing, and planning directly related to the intervention project? Advocate for community empowerment throughout the process An essential component is to have a strong level of community involvement. The nurse is responsible for advocating for client empowerment throughout the process. Attention to community involvement and empowerment helps ensure that the outcomes reflect the community’s needs and will be accepted. A nurse found that several professionals resented time spent interacting with and teaching clients. What might be the underlying motivation for resisting client involvement? Empowering others shifts power from the experts to the community. A nurse assessed carefully and created a comprehensive intervention plan including primary, secondary, and tertiary care for individuals and families. What crucial factor might the nurse have overlooked? Are there adequate resources for such a project? The nurse must validate the practicality of any planned intervention, in other words, determine whether there are adequate resources to implement it. What must be created before establishing the evaluation plan to determine the success (or lack of) for a health project? Observable and measurable objectives Goals are generally what is desired, while observable and measurable objectives are used to determine whether or not the goal was achieved and whether the project was successful. A nurse had all the details carefully arranged for a project: location, speaker, seating arrangement, refreshments, handouts, visual aids, and students to distribute and collect evaluation sheets. What might be a problem? Something totally unexpected and unplanned for. Although implementation should follow the plan, the nurse must also prepare for unexpected problems. If the project fails, it is crucial to analyze what went wrong so it can be avoided in the future. What would be the purpose of a nurse starting to collect evaluation data when a major heath project has only been in process for short period of time? Formative evaluation allows the nurse to make changes if needed. In which type of intervention does a community health nurse spend most of the allotted time? a. Caring for individuals b. Caring for families c. Caring for groups d. Caring for aggregates ANS:A Although the focus of care is the aggregate, the community health nurse will find the majority of time is spent caring for individuals. What was the principal outcome of the Hill-Burton Act? a. An increase in the number of hospital beds b. Increase in the availability of high technology in health care c. Reduced overall health care costs d. Required certificates of need before expensive new construction or technologies are purchased and used ANS:A The Hill-Burton Act was also called the Hospital Survey and Construction Act, which was to address the need for better hospital access. Federal aid was given to states for construction of hospitals. What was the primary purpose of the Heart Disease, Cancer, and Stroke Amendments of 1965? a. to improve coordination and planning of health care b. To increase the availability of high technology in health care c. To reduce overall health care costs d. To require certificates of need before expensive new construction or technologies are created ANS:B Its purpose was to make the latest technology for the diagnosis and treatment of heart disease, cancer, stroke, and related diseases available to community health care providers through the establishment of regional cooperative arrangements. What is a flaw in many of the health care bills passed during the last four decades that became obvious in hindsight? They avoided interfering with the current health care approach and did not improve problems of access or duplication of efforts. Why was the National Health Planning and Resources Development Act of 1974 unsuccessful in its efforts to increase accessibility and acceptability, improve quality, and constrain rising costs? The law did not affect the current health care delivery system. What were the first efforts at improving community health? a. Environmental planning of water and sewer systems b. Mass community immunizations c. Passing laws requiring quarantine of infected persons d. Segregation of ships from harbors until harbormaster checked the sailors ANS:A The first community-wide efforts toward improving health were environmental planning for water and sewer systems. What is the most important component of the Planning Approach to Community Health (PATCH) model? Community participation throughout the process An essential element of the PATCH model is community participation. The idea is that health promotion is a process that enables the population to have more control of its own health. The Assessment Protocol for Excellence in Public Health (APEX-PH), created by the APHA, ASPH, ASTHO, NACCHO, USCLHO, and CDC, is a voluntary process for what purpose? An evaluation process involving both community and public organizations The APEX-PH program is a true self-assessment and is intended to be more of a public endeavor involving the community, as well as public organizations. The most recent planning model, the Mobilizing for Action Through Planning and Partnership (MAPP) model, has three phases. What is the first and perhaps most important phase? Mobilize the community to become involved The MAPP Model is a planning model that is based on first mobilizing the community; then guiding the community toward a shared vision for long-range planning; and, third, conducting assessments of community strengths, forces of change, health status, and the local health system. Why is it believed that states will increasingly monitor and report on quality and cost of health care? Failure of Congress to act to reduce health care costs forced states to assume responsibility. What is one approach the textbook suggests to improve the functioning of local and national health planning? Increase nursing involvement What were the major concepts recognized through the 1950s that Lillian Wald emphasized as nursing responsibilities?
Although obtaining information from the aggregates themselves would be optimal, what other source of information might the nurse use to quickly and easily become informed about an aggregate?
What might be an appropriate indicator for determining what an aggregate’s needs are?
What must be done to evaluate a project once it has been completed?
What were important events related to health care during the Reagan administration in the 1980s?
What is the primary purpose of health assessment?Health assessments are usually structured screening and assessment tools used in primary care practices to help the health care team and patient develop a plan of care. Health assessment information can also help the health care team understand the needs of its overall population of patients.
What is the purpose of the health assessment quizlet?State the purpose of health assessment. Gathering info about health status of the patient, analyzing and synthesizing those data, making judgements about nursing interventions based on findings, and evaluating patient care outcomes.
What is one purpose of documentation of the health assessment quizlet?What is one purpose of documentation of the health assessment? The nurse organizes and documents assessment data to identify actual and potential health problems, to make nursing diagnoses, to plan appropriate care, and to evaluate the client's response to treatment.
What is the purpose of the nursing assessment quizlet?What is the purpose of the nursing assessment? To gather data about the patient (individual, family or community) that can be used in diagnosing, identifying outcomes, planning and implementing care.
|
Which best describes the purpose of the assessment protocol for excellence in public health?
zusammenhängende Posts
Urheberrechte © © 2024 ketiadaan Inc.
