4 Community Week 4 Modules

Research is an important part of the ten essentials of public health services. When the nurse uses research for community problems, what purpose does this serve? Identification of new solutions Improvements in policy development Connections between practice and theory Supporting public health practices

Identification of new solutions

Cultural Sensitivity

being aware that cultural differences exist and have an effect on values, learning, and behavior.

Self-awareness

-be aware of your own cultural context which may predispose you to assumptions -If you catch yourself making an assumption, don't feel bad. Simply cultivate curiosity and move forward with awareness

Individual Assessment of Culture

-simple ask, you will never know the values of every culture -conduct an interview where you inquire about cultural values and boundaries -people feel respected and honored when you show genuine interest in their lives and culture -check in regularly to update and correct your understanding

10 essential public health services

1. Monitor health status to identify and solve community health problems. 2. Diagnose and investigate health problems and health hazards in the community. 3. Inform, educate, and empower people about health issues- potential and existing 4. Mobilize community partnerships and action to identify and solve health problems. 5. Develop policies and plans that support individual and community health efforts- with clear plans of action 6. Enforce laws and regulations that protect health and ensure safety. 7. Connect people to needed personal health services and assure the provision of health care when otherwise unavailable. 8. Assure competent public and personal health care workforce. 9. Evaluate effectiveness, accessibility, and quality of personal and population-based health services. 10. Research for new insights and innovative solutions to health problems.

During an intake assessment at the local health department, the nurse asks a Hispanic client where in Mexico they were born. The client becomes angry and reports being were born in Colombia. What is the best action for the nurse to take? Express regret for the assumption and seek a Hispanic nurse to complete the interview process. Ask the client to provide education on the differences between Hispanics from Mexico versus Colombia. Apologize for the cultural insensitivity and make a mental note to be more careful in the future. Explain to the client most of the Hispanic individuals who come to the health department are from Mexico.

Apologize for the cultural insensitivity and make a mental note to be more careful in the future.

A new client is scheduled at the clinic. During the assessment, the nurse notes a circular, dark-pink indention on the client's abdomen. The nurse is aware the client is not from the United States. What is the nurse's next best action in assessing this client? Ask the client to describe usual health beliefs and practices when the client becomes sick. Assume the client performs the cultural practice of cupping and ask when the client last did this. Apply pressure to the area to determine if it blanches, then proceed with the assessment. Assess the indention and ask the client the origins of the circular mark on the abdomen.

Ask the client to describe usual health beliefs and practices when the client becomes sick.

While providing in-home wound care, the nurse notes the client is frequently vocal and screams at relatives when in pain. In performing a cultural assessment, in what area would the nurse document the frequent outburst and vocalizations? Communication Cultural identification Biological variations Family dynamics

Biological variations

A community nurse is working with clients in the communicable disease clinic. A client seeking treatment confides to the nurse that she has sex for money sometimes to pay her rent. The nurse provides the client with education on how to protect herself from further infection and offers her free condoms. Which of the elements of the American Nurses Association Code of Ethics is the nurse practicing while taking care of this client? (Select all that apply.) Encouragement, regardless of the circumstance Compassion, regardless of the health problem Consideration, regardless of economic influence Dignity, regardless of personal attributes Respect, regardless of social status

Compassion, regardless of the health problem Dignity, regardless of personal attributes Respect, regardless of social status

When considering health views, which statement is the basis for discussions concerning the effect of culture? Cultures generally share a world view regarding how illness should be treated. Cultural world views are responsible for the different beliefs regarding the cause of illness. The beliefs concerning the causes of illness are shared by most world cultures. Cultural world views are seldom concerned with health care issues.

Cultural world views are responsible for the different beliefs regarding the cause of illness.

A community nurse who routinely works in the immunization clinic notes an influx of new patients from Russia. The nurse wants to improve self-awareness of this new population. What steps can the nurse take to cultivate cultural sensitivity toward this new client population? (Select all that apply.) Demonstrate a genuine interest in the lives and culture of the new clients. Provide care to the new population based on broad cultural values of health. Interview some of the new members and inquire about cultural values. Acknowledge that differences in culture occur even within a common culture. Perform an Internet search to improve knowledge on the new client population.

Demonstrate a genuine interest in the lives and culture of the new clients. Interview some of the new members and inquire about cultural values.

While taking a walk around the school at lunch, the school nurse notices the cafeteria dumpsters are next to the playground. The nurse goes over to the dumpster to investigate and finds the dumpsters leaking, which is attracting bees. Which of the ten essentials is the nurse demonstrating? Monitoring Diagnosing Connecting Developing

Diagnosing

Which of the following are examples of inequities that may interfere with health? (Select all that apply.) Empowerment Economic Social Advocacy Political

Economic SOcial Political

What is the initial nursing intervention when conducting a cultural assessment regarding the health beliefs and values of a member of a non-white American culture? Arriving at mutually agreed-upon definitions of health beliefs and values Determining the presence of any existing language or communication barriers Establishing an accepting environment Gaining insight into the patient's cultural world view

Establishing an accepting environment

The public health nurse is offering nutrition classes and developing a walking program for the community residents. Which of the ten essential public services is the nurse demonstrating? Competency Monitor Inform Develop

Inform

What are included in the ten essential services of public health? (Select all that apply.) Mobilize Perform Enforce Inform Collaborate

Mobilize Enforce Inform

Individual Cultural Assessment

Person beliefs and values- what are their concerns, what d they perceive as you being able to help them, do they believe they have control over the future, do they orient to past, present, or future, do they believe they have the power to change their circumstances Communication- primary langue and nonverbal cues for the community (eye contact) Family Dynamics- who is the decision maker, is there trust, styles of communication among the family members, who is closest Cultural Identification- who do they consider to be a part of their culture, do they belong to multiple cultures, what are their roles, what are their beliefs and values (diet, spiritual) Biological Variations- health status of member, is pain freely expressed or only when asked, how do they perceive pain (tolerated or overcome?)

When considering cultural influences, how would the nurse interpret a Chinese patient's lack of eye contact during a discussion about a newly prescribed medication as a sign of what? Disinterest Respect Misunderstanding Depression

Respect

In preparing a health and wellness care plan for the local senior citizen center, the nurse ensures the consideration of the three universal needs. What are the three universal human needs of the community? Support for decisions Sense of belonging Safety and security Satisfaction in life transitions Social relationships

Safety and Security Sense of Belonging

Which value is central to nursing and public health? Self-determination Ethical dilemma Social justice Trust

Social Justice

Social justice is the fair and equitable distribution of social benefits and burdens and is tied to issues of human rights. FALSE TRUE

TRUE

Unbiased care plans

Your mission- improve health outcomes and improve quality of life Universal needs- clear plan, use Maslow's Cultural Language- understand signs of distress/happiness for each person's unique cultural context to ID what they are trying to communicate about their health Environmental influence- cultural context and their health status

Social Justice

promoting a just society by challenging injustice and valuing diversity exist when all people share a common humanity and deserve equitable treatment, human rights support, and a fair allocation of community resources