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?

<p>To provide holistic health practices that combine nursing and spiritual care (A)</p> Signup and view all the answers

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

<p>Focus exclusively on urgent care services (C)</p> Signup and view all the answers

What is the purpose of community collaboration in nursing?

<p>To engage with various groups to enhance public health outcomes (D)</p> Signup and view all the answers

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

<p>They offer sliding scale fees based on income (C)</p> Signup and view all the answers

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

<p>Psychosocial exposure (C)</p> Signup and view all the answers

What is one of the primary goals of community organizing?

<p>Achieve common goals to improve health (D)</p> Signup and view all the answers

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

<p>Increase use of telehealth (B)</p> Signup and view all the answers

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

<p>To promote workplace safety and prevent injuries (A)</p> Signup and view all the answers

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

<p>Respiratory (D)</p> Signup and view all the answers

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

<p>To describe properties and safe handling of substances (A)</p> Signup and view all the answers

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

<p>Increase profits (B)</p> Signup and view all the answers

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

<p>Bridging healthcare and education for students (A)</p> Signup and view all the answers

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

<p>Provide special education for all children regardless of disability (C)</p> Signup and view all the answers

What is one key component of disaster management?

<p>Integrating emergency response plans during a disaster event (D)</p> Signup and view all the answers

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

<p>Conducting health screenings for vulnerabilities (D)</p> Signup and view all the answers

What is one way to promote health within school environments?

<p>Educate students on healthy lifestyles (A)</p> Signup and view all the answers

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

<p>Elderly individuals (D)</p> Signup and view all the answers

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

<p>Availability of automated external defibrillators (AEDs) (D)</p> Signup and view all the answers

Which group might school nurses specifically advocate for?

<p>Students with chronic health conditions (C)</p> Signup and view all the answers

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

<p>Creating a bioterrorism response plan (C)</p> Signup and view all the answers

Which principle of environmental health is not relevant to nursing?

<p>Monitoring community health statistics (A)</p> Signup and view all the answers

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

<p>If the substance reaches susceptible organs (A)</p> Signup and view all the answers

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

<p>Exposure risk assessment (C)</p> Signup and view all the answers

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

<p>Injuries and malnutrition (B), Mental health impacts and fatalities (C)</p> Signup and view all the answers

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

<p>Air quality index (D)</p> Signup and view all the answers

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

<p>OSHA (C)</p> Signup and view all the answers

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

<p>Primary prevention (A)</p> Signup and view all the answers

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

<p>Physical exposure (C)</p> Signup and view all the answers

Which question is not essential during a workplace assessment?

<p>What are the primary business expenses? (D)</p> Signup and view all the answers

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

<p>Employee assistance program (A)</p> Signup and view all the answers

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

<p>Meditation &amp; relaxation exercises (B)</p> Signup and view all the answers

Which criteria does NOT indicate a disability?

<p>Legally bankrupt status (B)</p> Signup and view all the answers

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

<p>Utilizing cultural competence in care planning (A)</p> Signup and view all the answers

What should the school nurse recommend regarding an emergency plan?

<p>Practice the plan a number of times each year. (A)</p> 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?

<p>Time of exposure. (B)</p> Signup and view all the answers

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

<p>Chemical. (A)</p> Signup and view all the answers

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

<p>Psychosocial. (A)</p> 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?

<p>Bioaccumulation/Accumulation. (D)</p> Signup and view all the answers

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

<p>Point source. (C)</p> 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?

<p>It's incorrect. The OSHA 300 logs should be kept when the company has 10 employees. (C)</p> Signup and view all the answers

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

<p>Primary. (B)</p> Signup and view all the answers

Which statement about the American workforce is true?

<p>Approximately 43% of teenagers are in their first job by age 19. (A)</p> Signup and view all the answers

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

<p>Skin cancer. (D)</p> Signup and view all the answers

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

<p>Primary (A)</p> Signup and view all the answers

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

<p>Administration of vaccines (C)</p> Signup and view all the answers

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

<p>Disaster preparedness (B)</p> Signup and view all the answers

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

<p>Advocacy (C)</p> Signup and view all the answers

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

<p>Community partnership (D)</p> Signup and view all the answers

Which factor primarily affects health disparities in rural communities?

<p>Difficulty recruiting healthcare providers (C)</p> Signup and view all the answers

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

<p>Cultural competence (B)</p> Signup and view all the answers

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

<p>Air quality (B)</p> Signup and view all the answers

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

<p>Community organizing (A)</p> Signup and view all the answers

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

<p>Promoting vaccination and monitoring status (C)</p> Signup and view all the answers

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

<p>Parental concerns (B)</p> Signup and view all the answers

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

<p>Awareness campaigns (D)</p> Signup and view all the answers

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

<p>Mental health assessment (A)</p> Signup and view all the answers

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

<p>Development of individual care plans (A)</p> Signup and view all the answers

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

<p>Hearing and vision screenings must be completed for each student prior to the start of the school year (A)</p> 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?

<p>Training staff in CPR (D)</p> Signup and view all the answers

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

<p>Provision of treatment for victims (A)</p> 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?

<p>Health promotion (A)</p> Signup and view all the answers

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

<p>Primary health prevention approach focused on health promotion (C)</p> Signup and view all the answers

Which statement does not fit into the medical home model?

<p>Specialized focused care (C)</p> Signup and view all the answers

What is the primary characteristic of collaboration in healthcare?

<p>The nurse partners with key individuals, group coalitions, and organizations (A)</p> Signup and view all the answers

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

<p>Higher rates of educational attainment (B)</p> Signup and view all the answers

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

<p>Set up a telehealth arrangement for basic consultations (D)</p> Signup and view all the answers

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

<p>Community organization (B)</p> Signup and view all the answers

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

<p>Improving spiritual health through practices like grief counseling (C)</p> Signup and view all the answers

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

<p>Standardized testing metrics (D)</p> Signup and view all the answers

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

<p>Administering STI vaccines (C)</p> Signup and view all the answers

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

<p>Check state screening guidelines for requirements (D)</p> Signup and view all the answers

Flashcards

Parish Nursing

A type of nursing that combines holistic health, spiritual care, and nursing knowledge. It focuses on the well-being of the self, individuals, and the community, including grief counseling and health screenings.

Exposure Assessment

Evaluating the length and extent of exposure to various environmental factors (chemical, biological, physical, psychosocial, mixed) to understand potential health risks.

Inherent Toxicity

The ability of a substance to cause harm to the human body, reaching susceptible organs.

Air Quality Index (AQI)

A scale (0-500) that measures air pollution, aiding in understanding the degree of air contamination in an area (under 100 considered good).

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FQHC (Federally Qualified Health Center)

Healthcare centers that offer services to underserved populations on a sliding scale, receiving grants and reimbursements for Medicare/Medicaid. They provide various comprehensive healthcare options and are funded at federal, state, or local levels.

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Primary Care - Components

  1. Meeting health needs throughout a lifetime; 2. Addressing social determinants of health; 3. Empowering individuals, families, and communities to manage health proactively.
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Case Management

A collaborative process involving assessment, planning, facilitation, and advocacy to meet individual health needs by accessing resources effectively and promoting cost-effectiveness.

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Community Collaboration (in nursing)

Nurses partnering with individuals, groups, coalitions, and organizations to improve public health programs, policies, and services. It focuses on building relationships and impacting the community positively.

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Community Organizing

Building relationships with government and community groups to improve population health through shared goals.

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Rural Health Disparities

Unequal access to healthcare and resources in rural areas compared to urban areas.

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Nurse Practitioners

Registered nurses with advanced education and training in primary care and other specialties.

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PCMh

Patient-Centered Medical Home- An approach to healthcare focusing on patient needs and ongoing support by a medical team.

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Telehealth

Using technology to provide healthcare services remotely, especially useful in rural areas with limited access.

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Occupational Hazards

Potential risks in the workplace that can cause injury or illness.

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OSHA

Occupational Safety and Health Administration- Federal agency to ensure safe workplaces.

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Safety Data Sheet (SDS)

Document providing information about chemical hazards, safe handling, and first aid procedures.

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EAP

Employee Assistance Program- confidential support for employees facing work, financial, or personal issues.

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Routes of Exposure

Ways harmful substances enter the body (e.g., inhalation, absorption through skin, ingestion).

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Disaster Planning

Strategies to lessen disaster consequences.

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Disaster Management

Managing emergency response during a disaster.

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School Nurses

Health professionals in schools who provide health promotion and care coordination.

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Health Promotion Programs

Activities to encourage a healthy lifestyle, like exercise and stress management.

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Primary Health Care

The initial level of health care focused on prevention, health promotion, and early detection of diseases. It includes services like vaccinations, health screenings, and lifestyle counseling.

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Secondary Health Care

The level of health care that focuses on diagnosing and treating existing health problems or conditions. This includes services like hospitalization, surgery, and specialized treatments.

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Tertiary Health Care

The most specialized level of health care that focuses on treating complex health problems or conditions requiring advanced medical expertise. This includes services like rehabilitation, palliative care, and organ transplants.

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Health Promotion

The process of enabling people to increase control over and improve their health. It involves raising awareness about healthy behaviors, providing resources, and encouraging community involvement.

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Disease Surveillance

The ongoing, systematic collection, analysis, and interpretation of health data to identify potential health threats and monitor disease patterns in a population.

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Disaster Preparedness

The planning and training for potential disasters or emergencies to minimize their impact on people and communities. This includes developing response plans, organizing resources, and conducting drills.

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Advocacy (in Case Management)

Speaking up for clients' needs and rights, ensuring they have access to necessary resources and support, and empowering them to participate in their care.

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Community Partnership

Working collaboratively with community members, organizations, and stakeholders to address health issues and improve community well-being.

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Challenges in Rural Health Care

Factors that hinder healthcare accessibility and quality in rural areas, including limited resources, distance to services, lack of providers, and socioeconomic disparities.

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Health Disparities in Rural Communities

The unequal distribution of healthcare resources and outcomes in rural areas, often linked to factors like poverty, access to providers, and limited technology.

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Cultural Competence

Understanding and respecting the beliefs, values, and practices of different cultures to provide culturally sensitive and effective healthcare.

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Community Empowerment

The process of building the capacity and power of communities to take control of their health and well-being, improving their resources and involvement.

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Epidemiological Triangle

A framework used to understand the factors involved in disease outbreaks, including the agent, host, and environment. It helps identify the cause and spread of diseases.

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Environmental Hazards

Factors in the environment that can harm human health. They include chemical, biological, physical, and psychosocial hazards.

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Psychosocial Hazards

Environmental hazards that arise from stress, anxiety, and other mental or emotional factors. These can impact health negatively.

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Bioaccumulation

The process of toxins building up in an organism over time, especially through prolonged exposure, leading to health problems.

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Point Source

A specific identifiable source of pollution, such as a factory or sewage treatment plant, that releases pollutants into the environment.

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OSHA 300 Form

A workplace safety record kept by companies with 10 or more employees. It logs work-related injuries and illnesses, helping to identify and address safety concerns.

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Primary Prevention

Actions taken to prevent a disease or injury from occurring in the first place. This includes education, immunization, and promoting healthy behaviors.

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Migrant Worker Health

Assessing and addressing health concerns specific to migrant workers, who often face unique challenges due to their lifestyle and work environment.

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PPE (Personal Protective Equipment)

Specialized equipment worn by workers to protect themselves from hazards in the workplace. This can include gloves, masks, and safety glasses.

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Local Regulation

Rules or laws made by a local government (like a city or county) that apply to people in that specific area.

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Emergency Preparedness

Actions taken to plan for and respond to potential life-threatening events, like a school shooting or natural disaster.

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School Nurse's Role in Cyberbullying

A school nurse can help address cyberbullying by providing resources for victims, educating students about online safety, and working with parents and school staff to prevent it.

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Hazard Communication Standard

A policy requiring both employers and employees to understand the risks of dangerous substances in the workplace.

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Medical Home Model

A healthcare system focused on providing comprehensive, patient-centered care throughout a person's life, including coordinating care with specialists.

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Collaboration in Healthcare

Working together with different healthcare professionals, organizations, and communities to provide better patient care.

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Rural Population Needs

People living in rural areas often have less access to healthcare, higher poverty rates, and poorer health outcomes.

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Community Organization

Bringing people together to solve problems and improve their community.

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Whole School, Whole Community, Whole Child (WSCC)

A program that promotes student well-being by addressing health, safety, learning, engagement, and support needs within the school and community.

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Health Protection (School Nurse)

Actions taken by a school nurse to protect students from health risks, like promoting healthy eating.

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Scoliosis Screening

A test to check for spinal curvature problems, typically done in schools.

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Bioterrorism Prevention: Primary

Actions taken to stop bioterrorism from happening in the first place.

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Environmental Health Principles

Guidelines for nurses to protect communities from environmental hazards.

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Exposure Risk Assessment

A process used to evaluate how much a community is at risk from environmental hazards.

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Climate Change Health Impacts

Rising temperatures can lead to severe weather, causing injury, malnutrition, mental health issues, and death.

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OSHA: Workplace Safety

The organization responsible for protecting workers by enforcing safety guidelines in the workplace.

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Primary Prevention: PPE

Using personal protective equipment (PPE) to prevent injuries and illnesses in the workplace.

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Physical Hazards: Cold Exposure

Extreme cold temperatures can cause physical harm, such as frostbite.

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Workplace Assessment: Important Questions

Questions asked during a workplace assessment to understand potential hazards and how to prevent them.

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Employee Assistance Program (EAP)

A confidential program to help employees deal with work, financial, or social problems, which can contribute to job stress.

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Workplace Stress: Interventions

Strategies like physical exercise, job sharing, and meditation can help employees manage work-related stress.

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Disability Criteria

Criteria that determine if someone qualifies for disability benefits, including physical or mental impairments that limit life activities.

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Cultural Competence in Workplace

Using cultural awareness and sensitivity to provide care that meets the needs of underrepresented workers.

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Hierarchy of Controls: Most Effective

Elimination or substitution of hazards is the most effective way to control and prevent workplace risks.

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Workplace Health Promotion: Well-being

Health promotion programs, like discounted health club memberships, aim to improve employees' overall well-being.

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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.

Additional Questions & Answers

(Summary of question and answer components; avoids listing out all questions in detail)

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