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236-5 Chapter 35 Community HealthNursing
Dorothea Dix - Community health nursing - CORRECT ANSWER-more humane
treatment & establishment of number of psych hospitals
Deinstitutionalization movement - CORRECT ANSWER-moved care to the
community as it is more cost effective
- led to the expansion of community resources
A downfall of the deinstitutionalization movement - CORRECT ANSWER-state
funding couldn't match federal funding that was provided to state hospitals
How are decisions made on how to treat individuals - CORRECT
ANSWER-consideration of cost & method of payment - many with chronic mental
illness are uninsured, under treated & homeless
Public Health Model - Primary Prevention - CORRECT ANSWER-targets
individuals & environment
Public Health Model - Primary prevention aims at - CORRECT ANSWER--
preventing disease/injury
- reducing incidents of MH disorders in the population
(Teaching parenting skills, teaching stress management, providing education)
Public Health Model - Secondary Prevention aims at - CORRECT
ANSWER-reducing impact of disease or injury that has already occured
Public Health Model - Secondary Prevention involves - CORRECT
ANSWER-Identifying symptoms & provision of/or referral for treatment
(Ex. ongoing assessment for those at high risk for exacerbation, providing care
for those with illness, referrals for treatment)
Public Health Model - Tertiary prevention aims at - CORRECT
ANSWER-softening impact of ongoing illness/injury that is chronic
, Public Health Model - Tertiary Prevention involves - CORRECT ANSWER-1.
prevent complications of illness
2. promote rehab toward max level of functioning
(Ex. teaching ADL's, encouraging independence, referral for support services)
Community defined - CORRECT ANSWER-a group, population, or cluster of
people with at least 1 common characteristic - geographical location, occupation,
ethnicity, health concern
Primary prevention involves... - CORRECT ANSWER-interventions to identify
stressful life events that create prices & targets relevant population at risk
- interviewing these high-risk populations to prevent/minimize harmful
consequences
Primary Prevention - A way to look at populations at risk is to focus on what 2
type of crises - CORRECT ANSWER-Maturational & Situational
Primary Prevention - Maturational crises defined - CORRECT ANSWER-crucial
experiences associated with stages of growth & development
Primary Prevention - Maturational Crisis - adolescents - CORRECT
ANSWER-volatile time in life, trying to spread their winds - nurse provide support
& accurate information
Primary Prevention - Maturational Crisis - Marriage - CORRECT ANSWER-many
differences, compromise & communications, conflict between generations - nurse
educate on what to expect during each stage of marriage
Primary Prevention - Maturational Crisis - Parenthood - CORRECT
ANSWER-degree of chaos - nurse educate childbirth classes, baby information
Primary Prevention - Maturational Crisis - Midlife - CORRECT
ANSWER-alteration in perception of self or others - nurse assist to change in life
& adapt effectively
Primary Prevention - Maturational Crisis - Retirement - CORRECT
ANSWER-ambivalence - nurse to provide information & support 1 on 1 group
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