Parish Nursing and Environmental Exposures

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Questions and Answers

Which type of exposure assessment focuses on the duration and extent of contact with environmental hazards?

Chemical exposure assessment

Physical exposure assessment

Overall exposure assessment (correct)

Biological exposure assessment

What is the primary aim of a patient-centered medical home?

To focus only on emergency healthcare services

To ensure comprehensive, coordinated, and continuous care for all populations (correct)

To reduce healthcare costs exclusively

To provide care primarily for seniors only

What does the Air Quality Index (AQI) measure?

The effectiveness of air filtration systems

The degree of air pollution in an area (correct)

The impact of noise pollution on health

The volume of air pollution in schools

Which of the following best describes the role of parish nursing?

To provide holistic health practices that combine nursing and spiritual care Signup and view all the answers

Which component is NOT part of the three components of Primary Care?

Focus exclusively on urgent care services Signup and view all the answers

What is the purpose of community collaboration in nursing?

To engage with various groups to enhance public health outcomes Signup and view all the answers

Which of the following is a characteristic of Federally Qualified Health Centers (FQHC)?

They offer sliding scale fees based on income Signup and view all the answers

What type of exposure assessment involves stress and anxiety from perceived threats?

Psychosocial exposure Signup and view all the answers

What is one of the primary goals of community organizing?

Achieve common goals to improve health Signup and view all the answers

Which of the following is an effective strategy to decrease health disparities in rural areas?

Increase use of telehealth Signup and view all the answers

What is the primary function of the Occupational Safety and Health Administration (OSHA)?

To promote workplace safety and prevent injuries Signup and view all the answers

Which route of exposure is associated with the inhalation of substances?

Respiratory Signup and view all the answers

What is the main purpose of Safety Data Sheets (SDS)?

To describe properties and safe handling of substances Signup and view all the answers

Which is NOT one of the five levels of control for managing workplace hazards?

Increase profits Signup and view all the answers

What is a primary focus of school nurses in the context of health promotion?

Bridging healthcare and education for students Signup and view all the answers

What does the Individuals with Disabilities Education Act (IDEA) aim to achieve?

Provide special education for all children regardless of disability Signup and view all the answers

What is one key component of disaster management?

Integrating emergency response plans during a disaster event Signup and view all the answers

Which of the following interventions is classified as secondary prevention in schools?

Conducting health screenings for vulnerabilities Signup and view all the answers

What is one way to promote health within school environments?

Educate students on healthy lifestyles Signup and view all the answers

Which population is considered to be at greatest risk during a disaster?

Elderly individuals Signup and view all the answers

What should be included in a well-equipped school concerning health emergencies?

Availability of automated external defibrillators (AEDs) Signup and view all the answers

Which group might school nurses specifically advocate for?

Students with chronic health conditions Signup and view all the answers

Which of the following would be considered the best primary prevention method regarding bioterrorism?

Creating a bioterrorism response plan Signup and view all the answers

Which principle of environmental health is not relevant to nursing?

Monitoring community health statistics Signup and view all the answers

In assessing a client affected by a hazardous substance, which factor should not be included?

If the substance reaches susceptible organs Signup and view all the answers

What process does a nurse use to evaluate possible health effects from environmental exposure?

Exposure risk assessment Signup and view all the answers

Rising temperatures due to climate change can contribute to which human health issues?

Injuries and malnutrition Signup and view all the answers

Which measure would best assess air pollution levels in a community?

Air quality index Signup and view all the answers

Which organization is primarily responsible for enforcing federal guidelines in workplace environments?

OSHA Signup and view all the answers

Which prevention measure is reflected by the use of appropriate PPE in the workplace?

Primary prevention Signup and view all the answers

What type of exposure classification does frostbite from cold temperatures fall under?

Physical exposure Signup and view all the answers

Which question is not essential during a workplace assessment?

What are the primary business expenses? Signup and view all the answers

Which program can help employees confidentially discuss work-related stress?

Employee assistance program Signup and view all the answers

Which intervention is most effective for coping with job stress in the workplace?

Meditation & relaxation exercises Signup and view all the answers

Which criteria does NOT indicate a disability?

Legally bankrupt status Signup and view all the answers

Which action by a nurse helps underrepresented clients facing poor working conditions?

Utilizing cultural competence in care planning Signup and view all the answers

What should the school nurse recommend regarding an emergency plan?

Practice the plan a number of times each year. Signup and view all the answers

In dealing with patients exposed to toxic substances, what aspect of the epidemiological triangle is crucial for understanding exposure events?

Time of exposure. Signup and view all the answers

What type of environmental hazard is indicated by a patient experiencing difficulty breathing after mixing household cleaning products?

Chemical. Signup and view all the answers

What are the feelings of stress, pain, and anxiety following a natural disaster classified as?

Psychosocial. Signup and view all the answers

What aspect of toxic exposure is a nurse most concerned about in a patient with a long history of chemical exposure?

Bioaccumulation/Accumulation. Signup and view all the answers

Which term best describes a source that decreases air quality in a rural area?

Point source. Signup and view all the answers

What is the correct response of a nurse regarding the OSHA 300 form status for a company with 35 employees?

It's incorrect. The OSHA 300 logs should be kept when the company has 10 employees. Signup and view all the answers

What level of prevention does the use of Personal Protective Equipment (PPE) fall under?

Primary. Signup and view all the answers

Which statement about the American workforce is true?

Approximately 43% of teenagers are in their first job by age 19. Signup and view all the answers

Which potential health issue should a nurse screen for routinely among migrant workers?

Skin cancer. Signup and view all the answers

Which level of health care focuses on developing preventive initiatives such as anti-smoking campaigns?

Primary Signup and view all the answers

What is considered one of the most effective health promotion efforts within primary health care?

Administration of vaccines Signup and view all the answers

In planning a response to an E.coli contamination, which PHN role is most relevant?

Disaster preparedness Signup and view all the answers

What aspect of case management is demonstrated when a nurse helps a client access an addiction treatment program?

Advocacy Signup and view all the answers

Establishing affordable housing for low-income clients is an example of which nursing role?

Community partnership Signup and view all the answers

Which factor primarily affects health disparities in rural communities?

Difficulty recruiting healthcare providers Signup and view all the answers

What should a nurse emphasize when addressing health care needs in rural communities?

Cultural competence Signup and view all the answers

In an urban community, which factor is a significant influence on health?

Air quality Signup and view all the answers

What is the role of a public health nurse in community empowerment activities?

Community organizing Signup and view all the answers

What is a key function of a school health nurse in terms of immunization?

Promoting vaccination and monitoring status Signup and view all the answers

What factor should influence the content of sex education taught by school nurses?

Parental concerns Signup and view all the answers

Which intervention is an example of primary prevention in the context of dating violence?

Awareness campaigns Signup and view all the answers

Which health screening is typically not performed by a school nurse?

Mental health assessment Signup and view all the answers

What is a potential need for students with disabilities that the school nurse can address?

Development of individual care plans Signup and view all the answers

Which of the following represents an example of local regulation related to school nursing?

Hearing and vision screenings must be completed for each student prior to the start of the school year Signup and view all the answers

What is a critical action for a school nurse to take in preparing for a potentially life-threatening event?

Training staff in CPR Signup and view all the answers

In addressing cyberbullying in schools, what is a key role of the school nurse?

Provision of treatment for victims Signup and view all the answers

What type of prevention does a community-wide program aimed at raising awareness about the dangers of nicotine represent?

Health promotion Signup and view all the answers

What type of public health initiative is focused on encouraging unvaccinated patients to get vaccinated?

Primary health prevention approach focused on health promotion Signup and view all the answers

Which statement does not fit into the medical home model?

Specialized focused care Signup and view all the answers

What is the primary characteristic of collaboration in healthcare?

The nurse partners with key individuals, group coalitions, and organizations Signup and view all the answers

Which characteristic is NOT typically associated with the needs of a rural population?

Higher rates of educational attainment Signup and view all the answers

What action is most feasible for a nurse at a free clinic when patient load increases?

Set up a telehealth arrangement for basic consultations Signup and view all the answers

The initiative to repair community damage through local volunteers is an example of what?

Community organization Signup and view all the answers

In the role of a parish nurse, what unique activity is emphasized?

Improving spiritual health through practices like grief counseling Signup and view all the answers

When assessing a school for health education, which element is NOT part of the WSSC program?

Standardized testing metrics Signup and view all the answers

What element is involved in health protection according to a school nurse's role?

Administering STI vaccines Signup and view all the answers

What should a new school nurse do regarding scoliosis screenings previously established?

Check state screening guidelines for requirements Signup and view all the answers

Study Notes

Parish Nursing

Parish nurses practice holistic health for self, individuals, and the community, combining nursing knowledge with spiritual care.
Grief counseling and health problem screening are common components.

Environmental Exposures

Toxicity: The inherent ability of something to harm humans, considering how it enters the body and affects susceptible organs.
Exposure Assessment: Consideration of the length and extent of exposure.
Types of Exposures:
- Chemical: Metals, pesticides (natural and man-made).
- Biological: Bacteria, viruses, molds, fungi, allergens.
- Physical: Heat, cold, radiation, noise, vibration, bodily injuries (falls, accidents, violence).
- Psychosocial: Stress, panic, anxiety (real or perceived threats affecting health).
- Mixed: Combining different agents (e.g., cleaning agents).
Point Sources: Outdoor air contaminants from stationary sources (e.g., chemical plants, refineries).
Air Quality Index (AQI): Measures air pollution (0-500; under 100 is good).

Primary Care

Three Core Components:
- Meeting lifelong health needs.
- Addressing social determinants of health (SDOH) through policy and action.
- Empowering individuals, families, and communities to manage their health.

Case Management

A collaborative process for assessing, planning, facilitating, and advocating for options and services to meet individual needs.
Uses communication and available resources to promote cost-effective care.

Federally Qualified Health Centers (FQHCs)

Provide care to underserved populations on a sliding scale.
Receive grants, Medicare/Medicaid reimbursements, and offer comprehensive services.

Patient-Centered Medical Home

Provides comprehensive, coordinated, continuous care for all ages (children to seniors).
Physician-led, team-based approach highlighting comprehensive care, patient-centeredness, coordinated care, service accessibility, and quality/safety promotion.

Community Collaboration

Nurses partner with individuals, groups, coalitions, and organizations to improve public health programs, policies, and services.
Building relationships and engaging stakeholders is crucial.

Community Organizing

Building relationships with government, churches, and community groups to achieve common goals for population health improvement.

Health Disparities (Urban/Rural)

Urban: Increased rates of crime, violence, mental health stress, poor air quality.
Rural: Lower patient-to-PCP ratio, limited healthcare access, higher tobacco use among youth, and inadequate internet access.

Decreasing Rural Health Disparities

Increasing the number of nurse practitioners.
Providing incentives for training healthcare professionals in rural areas.
Increasing the use of PCMHs and telehealth.

Occupational Health Nursing

Goal: Ensure worker safety.
Responsibilities: Assessing hazards, implementing interventions, promoting healthy/safe working environments.
Prevention Focus:
- Primary: Eliminating hazards (better engineering controls, PPE).
- Secondary: Early recognition (screening/monitoring).
- Tertiary: Treatment.

Routes of Exposure

Respiratory: Inhalation of substances (pesticides, solvents, cleaning agents).
Integumentary: Absorption through the skin.
Gastrointestinal: Ingestion into the GI tract, potentially leading to organ failure.

Safety Data Sheets (SDSs)

Describing properties, hazards, safe handling, and first aid.
Knowledge essential for employee/employer protection.

Employee Assistance Programs (EAPs)

Provide confidential settings for discussing work, financial, and social issues.
Can refer for further counseling/treatment.

Health Promotion Programs

Exercise, relaxation, and meditation interventions.

Levels of Control (Hierarchy)

Elimination/Substitution: Removes the hazard.
Engineering Controls: Changes the workplace to reduce risks.
Administrative Controls: Alters work processes (e.g., training).
Warnings: Signals potential dangers.
PPE (Personal Protective Equipment): Provides protection.

Disaster Planning/Management

Planning: Approaches to minimize adverse consequences.
Management: Integrating emergency response plans throughout a disaster.
Team Focus: Evaluating risks, identifying high-risk populations, clarifying responder roles, ensuring collaboration among support services, evaluating potential problems, and considering the impact of disasters/pandemics.

School Nursing

Health promotion and disease prevention for students.
Care coordination, advocacy, positive health behaviors, and connection to well-child services/policies.
WSSC Program: Healthy, Safe, Engaged, Supported, and Challenged.

School Health Screenings

Vision, hearing, obesity screening per district regulations.
May include substance use, type 2 diabetes, and asthma screenings for vulnerable populations.

School Nursing and Vulnerable Populations

Including children of racial and ethnic diversity as well as those with access/lack of access to safe housing and health care are of great importance.

IDEA (Individuals with Disabilities Education Act)

Defines children with specific diagnoses (mental/hearing/visual/speech/language/emotional impairment, autism, TBIs) or developmental/cognitive/social/emotional/communication delays who need special education.
School nurses provide medication administration, treatment, emergency care plans, individualized healthcare plans, health teaching, health counseling, and help to generate a safe and healthy environment.

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Description

This quiz explores the integration of holistic health practices in parish nursing alongside the assessment of various environmental exposures that can affect human health. It covers topics such as toxicity, exposure types, and the impact of psychosocial factors on wellness. Test your knowledge on how nursing care can address both spiritual and environmental aspects of health.