basic nursing chapter 3 study guide

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Basic Nursing
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A nurse lives in a community that has had a steady increase in the number of older residents. The nurse has been approached by some of these residents and asked a variety of health-related questions. The nurse decides to investigate the needs of older adults and the resources available to this population.
A. For the older adult, what problems and needs should the nurse anticipate?

B. What kind of programs or services may be available or could be offered in this community for the older adult residents?

A. There are a variety of physiological, psychological and sociocultural problems that the older adults may have, including:

physiological- heart disease, hypertension, arthritis, stroke, diabetes, sensory impairments, cognitive impairments, caner, malnutrition

psychological- depression, anxiety, substance abuse,dependence, other altered coping abilities, loss

sociocultural- Fiances, housing, seperation from family

B. The nurse should investigate what is already available for older adults. This infromation should be available at the local municipal building/center, library, and/or health department. If not already available, the nurse should look into the possibilty of working with the local goverment, health department, and other members of the community to offer such services as the following: Older adult day care; community activities and transportation; health screenings, nutrional programs, in person and telephone support groups.


One challenge for community-based health care is

increased sexually transmitted diseases, pollution, new life-threatening diseases, and underimmunization of infants.


The differnce between public health and community

public health nursing focuses on the factors that influence health promotion and health mainenance needs of a population, while community health nursing focuses on the health care of individuals, families, and groups within the community.


Identify a particular risk for individuals from the following vulnerable populations.

a. Immigrant
b. Poor and homeless
c. Mentally ill
d. Older adult

a. Immigrant-access to health care may be limited because of language barriers and lack of benefits, resources, and transportaion. Some have health care risks such as hep B, TB and dental problems

b. poor and homeless- people who live in poverty are more likely to live in dangerous enviroments, work in high-risk jobs, have less nutritious diets, and experience multiple stressors.

c. mentally ill- patients in the community are at a greater risk for abuse, assault and injury.

d. older adult- there is a greater incidence of chronic disease and an increased need for health care services.


Identify the role of the nurse in community-based practice for each of the following examples:

a. coordinating the visits of physical and occupational therapists
b. demonstrating the use of an aerosol nebulizer

a. case manager
b. educator/teacher


A nurse is aware that the homeless population has a higher prevalance of

mental illness


A nurse is working with a member of a vulnerable population within the community. What is the most appropriate intervention?

considering the meaning of the patients language and behavior


In completing an assesment of a community's social system, the nurse investigates the:



For an older adult with a cognitive impairment living in the community, a nurse should specifcally plan to

promote activites that reinforce reality.


The focus of community-based care is to

prevent disease, restore care and promote health