Parish Nursing and Environmental Health Quiz

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Questions and Answers

What is the primary focus of parish nursing?

Performing surgical procedures

Practicing holistic health through nursing knowledge and spiritual care (correct)

Administering medications

Providing emergency medical care

What components contribute to the Air Quality Index (AQI) scale?

Economic activity and population density

Temperature averages and humidity levels

Degree of air pollution levels in an area (correct)

Urbanization and transportation patterns

Which category does not fall under the types of environmental exposures?

Chemical

Psychosocial

Nutritional (correct)

Biological

How do Federally Qualified Health Centers (FQHC) primarily support underserved populations?

Offering comprehensive services on a sliding scale Signup and view all the answers

Which of the following types of exposure involves threats to mental well-being?

Psychosocial exposure Signup and view all the answers

What is a key feature of Patient-Centered Medical Homes?

Coordination of care among a team-based approach Signup and view all the answers

Which of the following best describes 'exposure assessment'?

Considering the length and extent of environmental exposure Signup and view all the answers

What is a fundamental aspect of community collaboration in public health?

Engagement with key individuals and organizations Signup and view all the answers

What is one of the suggested methods to decrease health disparities in rural areas?

Increase the number of nurse practitioners Signup and view all the answers

Which of the following hazards is primarily addressed by engineering controls in occupational health?

Reducing exposure with safer chemicals Signup and view all the answers

What is the primary focus of a Worksite Health Promotion Program?

Preventing workplace injuries Signup and view all the answers

What is an example of secondary prevention in health promotion?

Screening for signs of abuse Signup and view all the answers

Which emergency response plan is crucial during disaster management?

Identifying populations at greatest risk Signup and view all the answers

What is the role of a safety data sheet (SDS) in the workplace?

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

What is one advantage of telehealth in rural healthcare settings?

Improves access to healthcare services Signup and view all the answers

What is the main purpose of primary prevention strategies in schools?

To provide comprehensive educational efforts Signup and view all the answers

Which intervention is part of tertiary prevention in school health settings?

Development of individualized health-care plans Signup and view all the answers

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

Criteria for special education eligibility Signup and view all the answers

Which of the following best describes the goal of disaster planning?

To prevent or reduce risks associated with adverse events Signup and view all the answers

What is one role of the school nurse in promoting health behaviors among students?

Providing care coordination Signup and view all the answers

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

Decrease employee hours Signup and view all the answers

Study Notes

Parish Nursing

Parish nurses practice holistic health for individuals and the community, combining nursing knowledge and spiritual care.
Services may include grief counseling and health screenings.

Environmental Exposures

Exposure assessment considers duration and extent of exposure.
Exposure types include:
- Chemical (e.g., metals, pesticides)
- Biological (e.g., bacteria, viruses, allergens)
- Physical (e.g., heat, radiation, noise, injury)
- Psychosocial (e.g., stress, anxiety)
- Mixed (combinations of agents)
Point sources are major stationary sources of outdoor air contaminants (e.g., power plants, refineries).
Air Quality Index (AQI) measures air pollution (0-500; <100 is good).

Primary Care

Three core components:
- Meeting lifelong health needs
- Addressing social determinants of health (SDOH) through policies and actions
- Empowering individuals, families, and communities to manage health.

Case Management

Case management is a collaborative process to meet individual health needs through assessment, planning, facilitation, and advocacy.
It utilizes available resources to promote cost-effective care.

Federally Qualified Health Centers (FQHCs)

FQHCs provide care to underserved populations on a sliding scale.
They receive grants and Medicare/Medicaid reimbursements.
Services are typically comprehensive, funded at federal, state, and local levels.

Patient-Centered Medical Home

A physician-led, team-based approach focused on comprehensive, coordinated, continuous care for all populations (children to seniors).
Emphasizes comprehensive care, patient-centeredness, coordinated care, accessible services, and quality/safety.

Community Collaboration and Organizing

Nurses partner with community members, groups, and organizations to improve public health programs and services.
Community organizing establishes relationships with governmental organizations and community groups to achieve common goals.

Urban/Rural Health Disparities

Urban: Increased crime, violence, mental health stressors, decreased air quality contribute to health disparities.
Rural: Lower patient-to-PCP ratios, limited access to healthcare, higher tobacco use among youth, and insufficient internet access contribute to disparities.
Strategies for decreasing rural health disparities include increased nurse practitioners, training incentives, greater use of PCMHs, and telehealth.

Occupational Health Nursing

Goal: Ensure worker safety.
Assessments and interventions prevent occupational hazards.
Promotes safe/healthy work environments.
Prevention is paramount; work cultures are designed for health and safety.
- Federal agencies (e.g., OSHA) require record-keeping for >10 employee businesses of injuries/illnesses to identify and correct problems
Levels of control include:
- Elimination
- Modification
- Warnings
- Administrative controls
- PPE

Routes of Exposure

Respiratory (inhalation)
Integumentary (skin absorption)
Gastrointestinal (ingestion)

Safety Data Sheets (SDS)

SDSs describe properties, hazards, safe handling, and first aid.
Knowledge is crucial for employers/employees.

Employee Assistance Programs (EAPs)

EAPs offer confidential settings for discussing work, financial, or social issues.
Support and referrals may be available for counseling or treatment.

Health Promotion Programs

Strategies like exercise, relaxation, and meditation are used.

Disaster Planning and Management

Disaster planning aims to lessen disaster severity.
Disaster management integrates emergency response throughout a disaster event.
Disaster team responsibilities include risk evaluation, identifying vulnerable populations, understanding responder roles, and facilitating interagency collaboration while considering epidemic/pandemic impacts.

School Nursing

Focuses on health promotion/disease prevention for students.
Acts as a bridge between healthcare and education, providing care coordination.
Advocates for student-centered quality care and positive health behaviors
Advocates for well child services/policies.
Supports a safe, healthy environment using a "5 W's" framework (Healthy, Safe, Engaged, Supported, Challenged), with emphasis on accessible personalized learning

Interventions within the school community

Keeping current with school regulations/policies/programs,
Primary prevention encompasses diverse educational programs, including sexuality education, mental/substance use/violence prevention, health education, and life skills training.
Vaccination compliance is included
Secondary prevention: Scrutinizing signs/causes of substance abuse/violence/abuse, including cyberbullying and dating/domestic violence. Collaboration with community, parents, and districts is crucial in establishing safety protocols and education.
Health screenings (vision, hearing, etc.) comply with district regulations.
Identifying vulnerable populations (racial/ethnic variety, access to safe housing/healthcare.) is critical.
Screening for substance use, type 2 diabetes, and asthma is also performed.
Tertiary prevention includes preparation for potentially life-threatening situations in schools. Adequate equipment, trained staff, and established emergency response plans are necessary.

Students with disabilities

The Individuals with Disabilities Education Act (IDEA) encompasses students with disabilities needing special education due to developmental delays or cognitive/social/emotional/communication difficulties.
School nurses assist with medication administration, treatments, emergency care plans, individualized health care plans, health teaching, and counseling.

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Description

Test your knowledge on parish nursing, environmental exposures, and primary care concepts. This quiz covers essential topics such as holistic health, types of exposure, and the role of case management in improving community well-being. Enhance your understanding of how these areas intersect to promote health.