NUR 443 FINAL EXAM QUESTIONS AND
ANSWERS
Community/Public Health - Answer-- Population-based
- Prevention of disease for entire population
Community-based nursing - Answer-- Individual/family focused
- Setting specific
- Services outside of hospital
Upstream thinking - Answer-- "On the bridge"
- Proactive
- Focus = population
Downstream thinking - Answer-- In the river"
- Reactive
- Focus = individual
Built envrionment - Answer-- How we live our lives
- How long we live
- Presence of physical and social barriers leads to unhealthy lifestyles
- NOT how much income we earn
Market justice - Answer-- Emphasis on individual
- Work hard and earn rewards
- Supply and demand
- Micro thinking
Social justice - Answer-- Emphasis on population
- All citizens entitled to equal opportunity
- Macro thinking
Case management - Answer-Goal: decrease hospital stays and readmissions, promote
client satisfaction, and provide education to optimize health participation
Referral process - Answer-- Explore resources available
- Communicate results to client
- Engage client in informed decision-making
- Accept client's decision
- Facilitate referral
- Evaluate outcomes
U.S. Healthcare System - Answer-- Private (Non-profit and for-profit)
- Public (Federal, state, local)
, Affordable Care Act - Answer-Covered under parents insurance until age 26
Community health program development - Answer-1: Needs Assessment and baseline
data collection
2: Review scientific literature
3: Planning
4: Implementation
5: Evaluation
6: Presentation with abstract
Lewin's Change Theory - Answer-- Unfreeze: letting go of old pattern
- Change: more liberating or more productive
- Refreeze: establish change as new habit
Natural hx of disease - Answer-Exposure to agent -> physiologic response -> symptoms
-> diagnosis -> death, disability, recovery
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