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Chapter 5
Community Health ATI
29
Nursing
Undergraduate 4
11/20/2013

Additional Nursing Flashcards

 


 

Cards

Term
Types of violence within communities
Definition
homicide
assault
suicide
abuse
economic maltreatment
Term
recognizing actual or potential child abuse
Definition
- unexplained injury
- unusual fear of the nurse and others
- injuries/wounds not mentioned in history
- fractures, including older healed fractures
- presence of injuries/wounds/fractures in various stages of healing
-subdural hematomas
- trauma to genitalia
- malnourishment or dehydration
- general poor hygiene or inappropriate dress for weather
- considered to be a "bad" child
Term
recognizing actual/potential abuse in older adults
Definition
- unexplained or repeated physical injuries
- physical neglect and unmet basic needs
- rejection of assistance by caregiver
- withdrawal and passivity
- depression
Term
when caring for clients who experience violence
Definition
- build trust and confidence with the client
- focus on the client rather than the situation
- assess for immediate danger
- provider emergency care as needed
- develop a plan for safety
- make needed referrals for community services and legal options
- if abuse has occurs: complete mandatory reporting by agency
Term
Cardinal signs of dependence are?
Definition
Tolerance and Withdrawal
Term
A primary sign associated with dependence and what it may include is?
Definition
Denial
- defensiveness
- lying about use
- minimizing use
- blaming or rationalizing use
- intellectualizing
Term
front-line assistance with substance use and addiction disorder?
Definition
Community health nurse
Term
Alcohol
Definition
- most commonly used substance in US
- depressant, dulls the senses to outside stimulation and sedated the inhibitory centers of the brain
- direct effect of alcohol is determined by the blood alcohol level
Term
how does the body process alcohol?
Definition
- the size and weight of the drinker
- gender (metabolism)
- carbonation (increases absorption)
- time elapsed during consumption
- food in the stomach
- emotional state of drinker

- burns 0.5 oz per hour
- excess not metabolized circulated in the blood and affects the CNS and brain
Term
Withdrawal of alcohol
Definition
Within 4-12 hours; Manifestations:
- irritability
- tremors
- N/V
- headaches
- diaphoresis
- anxiety
- sleep disturbances
- tachycardia
- high BP
Term
delirium tremens
Definition
alcohol withdrawal delirium

- increased BP, tachycardia and diaphoresis
Term
Nicotine
Definition
stimulant that temporarily creates a feeling of alertness and energy
- repeated use to avoid subsequent down leads to a vicious cycle of physical use and physical dependence and withdrawal effects
- tolerance develops quickly
Term
Stimulants
Definition
tobacco, caffeine, amphetamines, methamphetamines, cocaine
Term
Depressants
Definition
barbiturates, alcohol, benzodiazepines, chloral hydrate and GHB
Term
Opiates
Definition
morphine, heroin, codeine and fentanyl
Term
hallucinogens (psychedelics)
Definition
produce anxiety, paranoia, impaired judgment and hallucinations

lysergic acid diethlamide (LSD), phencyclidine (PCP) and Ecstasy (MDMA)
Term
Inhalants
Definition
volatile substances inhaled or huffed. Death may result from acute cardiac dysrhythmias or asphyxiation
Term
Primary prevention for substance use disorders
Definition
- increase public awareness, esp among young, regarding hazards and addictive qualities
- encourage development of life skills
Term
Secondary Prevention for substance use disorders
Definition
- ID at risk individuals and assist them to reduce sources of stress, possible referral for social/financial/other
- Screen individual for maladaptive substance use
Term
Tertiary prevention to reduce substance use disorders
Definition
- assist client to develop plan to avoid high risk situation and enhance coping
- refer to community groups: AA, NA
- monitor pharmacological management
- provide emotional support to recovering abusers, and their families, including positive reinforcement
Term
primary prevention for improving mental health
Definition
- educate populations regarding MH issues
- teach stress reduction techniques
- provide parenting classes
- provide bereavement support
- promote protective factors and risk factor reduction
Term
secondary prevention for improving MH
Definition
- screen to detect MH d/o
- work directly with at risk individuals, families and groups - therapeutic relationship
- conduct crisis intervention
Term
tertiary prevention for improving MH
Definition
- medication monitoring
- MH interventions
- referrals
- maintain level of function to prevent relapse/rehospitalization
- ID triggers
- assist in planning regular lifestyle
- educate on med side effects and interactions
Term
Health problems of migrant workers
Definition
dental disease
TB
chronic conditions
stress, anxiety, MH concerns
leukemia
iron deficiency anemia
stomach, uterine and cervical cancers
lack of prenatal care
higher infant mortality
Term
primary prevention for rural and migrant health care
Definition
- educate regarding measures to reduce pesticide exposure
- tach accident prevention
- provide prenatal care
- mobilize preventative services
Term
secondary prevention for rural and migrant health care
Definition
screening
- pesticide
- skin cancer
- chronic preventable disease
- communicable disease
Term
tertiary prevention for rural and migrant health care
Definition
- treat for symptoms of pesticide exposure
- mobilize primary care and emergency services
Term
Veterans Health Administration (within US dept of Vet. Affairs)
Definition
responsible for purchasing covering and delivering health care to veterans and dependents
- nations largest integrated health care system
- hospical, home health, hospice/palliative, rehab, counseling, outPT, nursing home
Term
Strategies for Veteran Health Care
Definition
- coordinate referrals to vet resources
- advocate for continued strengthening of VHA system
- assist clients to transition from active duty
- ensure continuity of care
- develop partnerships with local agencies to strengthen resources and achieve mutual goals
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