N2220 Midterm Exam Questions And All
Complete Solutions.
-begin in the late 19th century
-came to the forefront in the early 20th century too address issues such as
-high infant mortality, communicable disease, and
childhood morbidity - Answer the emergence of community health nursing
-individuals, families, groups, communities and populations
-emphasis on creating environments that promote health - Answer today, CHNs work with
-describe the scope & depth of nursing practice in community health - Answer the CCHN Standards of
Practice were created to
-an evolving concept
-dynamic
-not static
-changes according to the environment in which it occurs - Answer health is...
-individuals and their environment
-which are also influenced by the context of the person's life
ex. in MH - adolescent units have some of their highest admission rates when school starts b/c of the
environmental aspect of school and how that is impacting an adolescent's life & their health - Answer
there is an important link b/t ...
-health is holistic; includes
-physical, emotional, social, and
spiritual dimension
,ex. may have a client w/ a terminal illness but regardless considers themselves to be quite healthy based
on their subjective interpretation of health - Answer health is more than the absence of disease (that
would be the medical model).
Instead...
-your view of health is different from others
-Important to be cognizant of this as a CHN
-we don't want to accidentally judge out clients based on the actions they take
-we need to understand what health means to the individuals
-b/c it will shape how they respond to
their health concerns
ex. might have 2 clients w/ the same dx but their actions & response to those health concerns may differ
quite vastly depending on how those individuals respond to those health concerns - Answer health is
subjective
(the absence of disease)
-just one aspect of health - Answer the medical definition of health
as CHNs, we want to be...
-enabling/empowering people to increase control over and improve their health
-want to do this for them to reach a
state of complete well-being
-to reach a state of complete physical, mental, and social well-being, an individual/group must be able to
ID and realize aspirations in order to satisfy needs, and to be able to change & cope w/ the environment
(CHNs must help them ID)
-health is seen as a resource for everyday life, not the object of living - Answer health promotion
according to WHO
,-the conditions in which ppl are born, grow, live, work, and age
-shaped by the distribution of $, power, and resources @ global, national, and local levels
-relevant for CHNs b/c the SDoH are responsible for a number of inequities in Canada that affect the
health of individuals and marginalized populations - Answer social determinants of health
INCOME!
-In canada, income determine the quality of the other sdoh such as food security, housing, and other
basic prerequisites for health such as meds, medication, transportation - making it the most significant
influence on health - Answer which SDoH has the most significant influence on health?
-important to be aware of your definition, perception, and assumptions of family
-b/c it can influence your provision of
family nursing care
-your assumptions, presuppositions or
your stereotypes of what a family
consists of can influence your nursing
care
ex. if raised by a single mother, may not know the role of the father since you were not able to
experience that in your own family health system - Answer what is family to you?
"any combination of 2 or more persons who are bound together over time by ties of mutual consent,
birth, adoption and/or placement" (Vanier Institute of Family)
"unique and whomever the person defines as being family. can include, but not limited to parents,
children, siblings, neighbours, and significant people in the community" (RNAO)
, "the family is who they say they are" (Wright & Leahey)
family is subjective & unique to the individual
-could be friends, parents, roommates, etc. - Answer definitions of family
-more than just individuals who are r/t one another through blood...instead it is people who are bound
together through consent, birth, adoption, or placement
-family is subjective & unique to individuals, so they get to decide who their family is
-can be made up of an individual/their parents, and individual and their roommates & friends....whoever
they say they are!
family is who the person states their family members are - Answer within nursing, family is defined
quite broadly
-historically, always has a traditional heterosexual nuclear family
-now in media, we are seeing different representations and that traditions definition is now being
challenged and replaced - Answer how has the definition of family changed over time?
-physical maintenance & care of members
-members care for one another
-addition of new members through procreation or adoption
-families can grow over time
-socialization of children and social control of members
-soc of children an important aspect
of a health fam
-want to ensure adequate socialization
