Public Health Nursing Overview
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Questions and Answers

Which criterion refers to the potential for reducing, controlling, or eradicating a problem?

  • Nature of the problem
  • Preventive potential (correct)
  • Magnitude of the problem
  • Modifiability of the problem

    • What is the BEST indicator of increasing accountability in nursing?

  • Improved public image of nurses in social media
  • Increasing number of nurses with doctoral degrees
  • Demonstrate competency and high-quality care (correct)
  • Increasing salary scale for nurses

    • What is the MOST important element for nursing to gain full autonomy of practices?

  • Gaining and maintaining control of nursing practice by nurses (correct)
  • Restricting the latitude of decisions made by nurses
  • Maintaining the education system for nurses as it is now
  • Economic well-being and welfare of nurses

    • What is the BEST method for nurses to prepare for future professional practice?

    <p>Understand and explore the issues involved in professional practice</p> Signup and view all the answers

    Which action allows a nurse to exert legitimate power over a client?

    <p>The power given to the nurse by reason of licensure examination and registration</p> Signup and view all the answers

    What element is required for nurses to maintain and enhance professional standards?

    <p>Continuing education and personal development</p> Signup and view all the answers

    What is critical for teamwork effectiveness in nursing practice?

    <p>Effective communication and collaboration</p> Signup and view all the answers

    Which of the following best promotes patient safety during nursing practice?

    <p>Consistent evaluation of care practices</p> Signup and view all the answers

    What type of education is characterized by ongoing training and learning after initial qualifications?

    <p>Continuing education</p> Signup and view all the answers

    What does the acronym PDCA stand for in quality improvement processes?

    <p>Plan-Do-Check-Act</p> Signup and view all the answers

    Which set of activities best exemplifies the use of the PDCA cycle?

    <p>1, 2, 3, 5</p> Signup and view all the answers

    Which of the following is NOT a common area of application for the PDCA cycle?

    <p>Delegation of work to lower levels</p> Signup and view all the answers

    What is the main purpose of continuous quality improvement (CQI) in public health?

    <p>Monitor processes involved in the provision of safe, effective client care</p> Signup and view all the answers

    Quality performance standards are crucial in a public health department because they:

    <p>Are used to guide improvement in the public health system</p> Signup and view all the answers

    How did Public Health Nurse Rosita learn about the PDCA management process?

    <p>During undergraduate studies in Nursing</p> Signup and view all the answers

    Which of the following actions is essential for ensuring quality in nursing care?

    <p>Implementing standardized protocols</p> Signup and view all the answers

    Which of the following is NOT a type of record in public health?

    <p>Analysis of a problem situation REPORT: NARRATIVE, GRAPHIC, OR TABULAR FORM</p> Signup and view all the answers

    Which example does NOT represent a report in public health?

    <p>Client information and profile</p> Signup and view all the answers

    What information is NOT typically included in an individual clinical record?

    <p>Family history of illness</p> Signup and view all the answers

    Which part of the Family Service and Progress Record (FSPR) comes first?

    <p>Assessment of the family and the environment</p> Signup and view all the answers

    Which of the following best describes a family's nursing problem?

    <p>Inability to assume health tasks with respect to health problems</p> Signup and view all the answers

    What commonly leads to the necessity for supervision in public health nursing?

    <p>Conflict between personal and organizational goals</p> Signup and view all the answers

    In public health, which aspect is a crucial part of effective record management?

    <p>Maintaining confidentiality of client information</p> Signup and view all the answers

    Which technique is important for building a parent's self-concept in public health?

    <p>Teaching therapeutic communication techniques</p> Signup and view all the answers

    Which law must a nurse follow to ensure public health, safety, and welfare?

    <p>Nursing Practice Act</p> Signup and view all the answers

    Which situation indicates a potential malpractice charge against a nurse?

    <p>Failure to exercise reasonable and prudent care</p> Signup and view all the answers

    What factors does the court take into account for determining a nurse's liability for standards of care?

    <p>Professional education, experience, and specific conduct</p> Signup and view all the answers

    What is true regarding the rules and regulations imposed by the board of nursing?

    <p>They carry the force of law</p> Signup and view all the answers

    Following a wound treatment, what is the most likely outcome if a patient fails to follow aftercare instructions provided by the nurse?

    <p>The nurse is not liable for assuming instructions would be followed</p> Signup and view all the answers

    Which option reflects a misconception about the role of the Nursing Practice Act?

    <p>It exclusively governs nurse's educational requirements</p> Signup and view all the answers

    When considering professional accountability, which aspect is most critical for nurses?

    <p>Staying within their scope of practice</p> Signup and view all the answers

    In the context of malpractice, which statement is incorrect regarding a nurse's responsibility?

    <p>Nurses can delegate all responsibilities to others</p> Signup and view all the answers

    What is the term used to describe the patient's data or assessment and the subsequent actions taken?

    <p>Progress Note</p> Signup and view all the answers

    What is the best response for Nurse Gemma when Patient Shiela asks why she has to walk the day after her caesarean section?

    <p>Walking ensures fast recovery from anesthesia</p> Signup and view all the answers

    Which laboratory finding should Nurse Gemma assess for Patient Shiela 24 hours after her caesarean section, as per the doctor's request?

    <p>White blood cell count 20,000/[cu mm]</p> Signup and view all the answers

    What should be the nurse's immediate action when Patient Shiela complains of 'afterpains'?

    <p>Assess vital signs and pain level</p> Signup and view all the answers

    Which observation by the nurse would cause a delay in Patient Shiela's discharge after her caesarean section?

    <p>Moderate amount of lochia rubra</p> Signup and view all the answers

    When Patient Shiela reports voiding five times that morning, what should be the nurse's initial action?

    <p>Collect the next voiding and measure the urine amount</p> Signup and view all the answers

    What is an important consideration regarding Patient Apple’s personal data during her prenatal check-up?

    <p>She may refuse to provide information if uncomfortable</p> Signup and view all the answers

    During her prenatal check-up, what is the best way for the nurse to address Patient Apple's numerous questions?

    <p>Provide clear and informative answers to each question</p> Signup and view all the answers

    Study Notes

    Public Health Nursing

    • Public health nursing focuses on improving population health by providing services and interventions that address community needs.

    • Effective record-keeping is crucial for quality care delivery in public health.

    • Records document events, consultations, and data collected during home visits.

    • Reports provide analyses and summaries of services, accomplishments, failures, and program descriptions.

    • The individual clinical record contains socio-demographic characteristics, patient chief complaints, physical examination findings, prescriptions, frequency of clinic checkups, and attendance to community settings.

    • The Family Service and Progress Record (FSPR) uses the family as the unit of care and consists of four parts: Assessment of the family and the environment, Health and nursing problems, Nursing care plan, and Service and Progress Notes.

    • Nursing problems in the FSPR refer to the family's inability to assume health tasks, crisis situations, developmental deficits, and strained relationships or disunity.

    Supervision and Development

    • Supervision aims to improve performance, address knowledge gaps, and promote professional growth.

    • When prioritizing health problems, consider the modifiability, preventive potential, magnitude, and nature of the problem.

    • Increasing accountability in nursing is reflected by demonstrating competency and high-quality care, which contributes to a positive public image.

    • Gaining autonomy in nursing practice requires control over nursing practice and promoting economic well-being and welfare for nurses.

    • To prepare for future professional practice, nurses should understand and explore the issues involved, establish coalitions with professional organizations, and engage in continuous learning.

    • Legitimate power in nursing arises from having a professional and personal relationship with the client, demonstrating empathy and competence.

    • In-service education provides informal training on new procedures or techniques, enhancing skills for current practice.

    Quality Improvement

    • The Plan-Do-Check-Act (PDCA) cycle is a framework for quality improvement in public health.

    • PDCA is used for continuous improvement, implementing changes, developing new designs, and planning problem prioritization.

    • The PDCA cycle can be applied to needs analysis, overall strategic planning, staff goal setting and evaluation, and process optimization.

    • The purpose of continuous quality improvement (CQI) is to monitor processes and ensure safe, effective, and client-centered care.

    • Quality performance standards guide improvement in the public health system and help monitor performance at various levels.

    • Nurses must follow the Nursing Practice Act, which sets legal guidelines for safe and ethical nursing practice.

    • Malpractice occurs when a nurse fails to exercise reasonable and prudent care, resulting in harm to a patient.

    • The court considers a nurse's professional education, experience, and specific conduct when determining liability.

    • Rules and regulations enforced by the Board of Nursing have the force of law and impact nurse practice.

    • Nurses are not liable for a patient's failure to follow instructions unless they have a duty to ensure compliance.

    Communication and Documentation

    • Progress notes record patient data, assessments, actions, and rationale for interventions.

    • Flow sheets capture patient information, usually in a structured format, visually tracking vital signs, medication administration, or other relevant data.

    • Standard of care refers to the accepted practices and guidelines that nurses must follow to ensure safe and effective care.

    • The focus format is a documentation style that focuses on a specific problem, goal, or intervention, providing a concise and organized record.

    Postpartum Care

    • Walking after childbirth is encouraged to hasten recovery, relieve pain, and promote wound healing.

    • Post-caesarean section, nurses assess laboratory values such as white blood cell count, hematocrit and hemoglobin, and urine protein levels.

    • Afterpains are common after delivery due to uterine contractions. Nurses assess vital signs and pain levels and administer analgesics as needed.

    • Discharge criteria for postpartum patients include normal vital signs, absence of complications, and stable physical condition.

    • If a client voids only a small amount of urine, the nurse assesses residual urine and notifies the physician.

    Prenatal Check-up

    • Prenatal check-ups are important to monitor the health of both the mother and the growing fetus.

    • Nurses gather personal data from pregnant women to assess individual needs and provide tailored care.

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    Description

    This quiz covers key aspects of public health nursing, emphasizing the importance of effective record-keeping for quality care delivery. It explores various documentation methods, including the Family Service and Progress Record (FSPR), and highlights their role in improving population health by addressing community needs.

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