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NR 442 Exam 2 study notes
1. Specialties of Community Nurses: School
Occupational Forensic Correctional Faith Based Home Health and Hospice
2. Levels of prevention with School nursing: Primary: nutritional education, im-
munizations,Health education Secondary: Screenings, identify at risk students, administer medications, Develop health plan, Home visits Tertiary: Referral of students for substance abuse, Prevention of complications and adverse effects and staff monitoring.
3. Levels of prevention with occupational nursing: Primary: Set up programs to
watch health conditions of workers, Do "walk throughs" to look at environmental hazards, Safety and educational resources Secondary: Health screenings, job transfer evaluations, periodic assessments.
2 / Tertiary: workplace accommodations, disability management, physical demands analysis, Support and counseling.
4. Levels of prevention for forensic and correctional nursing: Primary: start drug
teaching in high schools and drug resistance programs, Support programs, life- skills training. Secondary: identify or screen for evidence of drug use, provide info on area groups that provide support for students who avoid drugs. Tertiary: Reduce risk that additional students will abuse drugs, refer to support groups (Narcotic Anoymous)
5. Levels of prevention for Faith-based nursing: Primary: teaching about parent- ing,
health and wellness, social support programs to prevent social isolation Secondary: Screenings to identify families at risk, educational programs to meet individual needs Tertiary: resources for rehab, coping with chronic health or disabilities
6. Levels of Prevention for Home Health Nursing: Primary: intervening early on
preventing problems such as skin breakdown and pain control. Education on hospice/dying Secondary: Responding quickly when needs arise, Continued education about dying
4 / patient free of pain; administered on a regular schedule. Help in managing other symptoms (nausea and vomiting, constipation, diarrhea, fatigue, decreased appetite).
13. Caring for the caregiver in dying process: Careful assessment of the care-
giver's mental and physical health is important .All decisions regarding care are made considering the health of the caregivers. Caregivers need reassurance for the care they provide. Need to understand the patient will not die from something they did or did not do.
14. Nursing care in dying process: Relieves the suffering throughout the illness
Support the patient and family through dying process Provide grief support after the patient has died.
15. other departments in Home health to promote safety: physical therapists,
occupational therapists, social workers, nurse assistants, chaplains, physician.
16. Roles of the Faith Based Nurse:: -Integrator of faith and health
-Personal health counselor -Health educator -Health advocate -Referral agent -Coordinator of volunteers
5 / -Accessing and developing support groups
17. Ethical issues with faith-based nursing: Providing care to vulnerable popula-
tions: Should not try and treat entire population alone End of life issues: FCN need a theoretical base that includes an understanding of grief and loss from a developmental and social perspective, knowledge of the man- ifestations of normal and complicated grief, and nursing interventions to facilitate healthy grieving. Confidentiality: They should only share the clients information when given permis- sion and they should be aware of this before going to the church community and talking with people. Accountability: They should know how to store and keep secure the medical records of the people in the church community and ensure the health information is current and appropriately practiced.
18. Subspecialties of forensic nursing.: • Sexual assault nurse examiner: who
applies the nursing process during forensic examinations to victims or perpetrators of sexual assault.
- Nurse coroner: responsible for ensuring that appropriate measures are taken to perform death investigations and to certify death certificates. Death investigator: evaluates the death scene from a holistic nursing perspective
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- Forensic nurse examiner: In this role, they deliver care to living patients who are involved with the legal system, and their services may include several subspecialties.
19. vulnerable populations: Elderly
Disabled Homeless Mental health migrant health
20. Primary prevention in Community violence: Community education concern- ing
violence Reduction of media violence Development of community support services such as crisis lines, respite care for families with dependent members, shelters for battered women and their children, and development and vigorous enforcement of ant stalking measures, including cyberstalking Handgun safety education
21. Disaster preparedness as nurses: Preparedness includes surveillance and
reporting of suspicious illnesses (e.g., signs and symptoms of biological agents, foodborne diseases, and communicable diseases) in the community by physicians
8 / and nurses in local health care facilities or private offices and clinics.
22. Nursing Consideration with disabilities: be familiar with effective strategies for
communicating and caring for individuals with a variety of disabilities procuring the knowledge related to health conditions that may result from or lead to the disability, as well as being aware of the resources available and legal implications that affect the PWD. Look at own perspective of disability will affect how to care for patients. discern the needs and resources of the client and his or her family.
23. nursing interventions with disabilities: Rather than assuming a need for
intervention, the nurse should ask whether the client wants assistance, ask the client/family to describe the goal(s), and ask how and in what way(s) the nurse can help. Nurses should listen to understand, collaborating with the person/family to make plans and goals that meet the identified needs and that draw on strengths and improve weaknesses.
24. knowledgeable patient: a client has been living with disability for an extended
time and has become sensitive to the needs of his or her body. if the nurse attempts to tell the Knowledgeable Client what to do without seeking input, the client may become angry and seek help elsewhere.
25. knowledgeable nurse: The client with a newly diagnosed condition can benefit
10 / People with no families Men are more likely Veteran are more likely
29. Housing Challenges with homeless: lack of income
market force that prohibit the private housing sectors to promote affordable housing Lack of employment
30. cost factors with homeless: lack of income and employment
High rent that prevents them from affording food, clothing and healthcare.
31. Nursing care with homeless: work on the primary contributions to homeless-
ness like lack of affordable housing, income and services. work on an individual and family level to help with disease prevention, intervention, education and collaboration.
32. Health problems in rural/migrant: Cigarette smoking, high blood pressure and
obesity. Lower seat belt use as well.
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33. Problems faced with rural/migrant: Lack of income lack
of access to healthcare services lack of health insurances Higher environmental risk
34. Approach to respiratory disease in migrant health: know the s/s of exposure risk
Refer them to the appropriate health service Provide support and educational sessions to inform the patients and families. importance of follow-up and referrals are to ensure safety.
35. environmental hazards of rural/migrant: pesticide exposure
temperature extremes wide variety of work tasks unpredictable circumstances
36. migrant health centers vs clinic: harder to access
tend to be more expensive Staff shortage with migrant health lack of participation from rural community
37. most frequent type of mental disorder in USA: Depression
13 / EX: minor being pregnant
42. Common injuries in children: Dental Caries
Asthma Sport injuries: (strains, sprains, fractures, dislocations) Concussion Cuts/Bruises
43. Drugs with Adolescents: Alcohol
Marijuana Cocaine Opioids, Valium, Xanax, Adderall are the most commonly abused
44. Sexual Education in Schools: 24 states are teaching sex ed in schools
Controversial topic due to responsibility of parents to teach this. nurses are looked at for education and start discussions about human sexuality in a nonjudgmental manner.
45. Workers Compensation: state mandated and state funded. Workers' compen-
sation programs provide income replacement and pay for health care services for workers who sustain a work-related injury, temporary or permanent disability, or death. Protects employers if employee seeks legal issues
14 / Each state regulates their own worker's comp.
46. Nurses role in worker's compensation: Accurate assessment of the injury or
illness and appropriate treatment are essential educates the employee regarding benefits under the Workers' Compensation Act and is often the one who files the claim. nurse provides case management support and remains in contact with the employee until they return to work
47. What has to be done before the employee can come back to work? Health
examination Reasonable accommodations related to injury.
48. disability syndrome: a state in which an individual chooses not to work when
medical clearance to do so has been granted
