CHN

Family

"a number of persons joined together by bonds of marriage, blood or adoption" (Burgess, 1963) "two or more persons who are joined together by bonds of sharing and emotional closeness and who identify themselves as being part of the family" (Friedman, 1992) A very important social institution that performs two major functions-reproduction and socialization.

ASSESS THE WOMAN IN LABOR

1. Last menstrual period (LMP) 2. Number of pregnancy 3. Start of labor pains 4. Age/height 5. Danger signs of pregnancy

Health Task of the Family (Freeman, 1981)

1. Recognizing interruptions of health or development 2. Seeking health care 3. Managing health and non-health crises 4. Providing nursing care to the sick, disabled and dependent member of the family 5. Maintaining a home environment conducive to good health and personal development

MEC 4

6 days postpartum breastfeeding women can't use Hormonal contraceptive pills without restriction under what WHO Medical eligibility in contraceptive category?

Measles

A boy is 20 months old. He has had fever for 5 days, cough for 3 days; he is able to drink, does not have convulsions, and is not lethargic or unconscious. His breathing rate is 51 per minute, there is no chest indrawing or stridor. The boy does not have diarrhea, but has generalized rash and a runny nose. There is no clouding of the cornea or mouth ulcers. The boy should be classified as having

Give paracetamol for fever

A child was diagnosed with dengue with high fever, severe headache, and melena (black stock). All must be avoide except

COMMUNITY

A group of people sharing common geographic boundaries and/or common values and interests.

POPULATION GROUP (AGGREGATE)

A group of people who share common characteristics, developmental stage or common exposure to particular environmental factors, and consequently common health problems

Philosophy of Community Health Nursing Practice

A philosophy is defined as "a system of beliefs that provides a basis for and guides action." A philosophy provides the direction and describes the whats, the whys and the how's of activities within a profession. CHN practice is guided by the following beliefs

Community Mobilization

A process through which action is stimulated by a community itself, or by others, that is planned, carried out, and evaluated by a community's Individuals, groups, and organizations on a participatory and sustained basis to improve the health, hygiene and education levels so as to enhance the overall standard of living in the community

COPAR

A social development approach that aims to transform the apathetic, individualistic and voiceless poor into participatory and politically responsive community.

COMMUNITY MENTAL HEALTH NURSING

A unique clinical process which includes an integration of concepts from nursing, mental health, social psychology, psychology, community networks, and the basic sciences

Over period of 4 hours

According to "Plan B: Treat Some Dehydration with ORS," How long will the community health midwife give the recommended amount of ORS in the health center?

Dogs

Almost 99% of rabies infection is caused by

Levels of clientele in community health nursing 1. Individual 2. Family 3. Population group 4. Community

Clients of the Community Health Nurse

Interest

Communities of people who share the same interest or passion

Major Concepts of Community Health Nursing

Community Client Health Goal Nursing the Means

Virus

Condylomata is?

Pre entry

Courstesy call conducted by the nurse she is in what phase of Community Organing

H Fever

Disease commonly seen during rainy seasons.

Primary Health Care

Essential Health Care based on practical, scientifically sound and socially acceptable methods and technology made universally accessible to individuals and families in the community through their full participation and at a cost that the community can afford to maintain at a every stage of their development in the spirit of self-reliance and self- determination" (WHO/UNICEF, 1978).

Health needs

Exists when there is a health deficit that can be alleviated with medical or social technology.

Vitamin C

FeS04 must be taken up with

viral diseases

HIV, influenza, polio, smallpox, chickenpox, common cold, mumps, measles.

2015

High maternal deaths in developing countries are recognized as a public health issue. However, despite focused efforts, the maternal health targets in developing regions may not be achieved by 2015. In response, the fifth of the eight MDGs was included specifically to advance maternal health. This MDG 5 is to reduce maternal deaths by (MMR) three quarters or 75% by

Pneumonia

How do you classify a 3-year-old child with cough who has a respiratory rate of 55 breaths/minute and chest indrawing?

Over a period of 4 hours

How long will the community health nurse give the recommended amount of ORS in the health center?

Family

IS THE UNIT OF CARE

Leader and Change Agent

Influences people to participate in the overall process of community development. (Ex.: The PHN initiates a community wide clean-up of the water system in the area.)

A health problem

Is a situation in which there is a demon- strated health need combined with actual or potential resources to apply remedial measures and a commitment to act on the part of the provider or the client.

Health

Is a state of complete physical, mental and social well-being and not merely the absence of disease or Infirmity" (WHO, 1995).

Public Health

Is the science and art of preventing disease. prolonging life, and promoting health and efficiency through organized community effort; for the sanitation of the environment; the control of communicable infections, the education of the individual in personal hygiene; the organization of medical and nursing services for the early diagnosts and preventive treatment of disease; and, the development of the social machinery to ensure everyone a standard of living adequate for the maintenance of health, so organizing these benefits as to enable every citizen to realize his birthright of health and longevity" (Winslow, 1920)

Tender swelling in the posterior portion of the ear

Mastoiditis is classified in the presence of

Chills

Most common symptoms of malaria infection?

Pneumonia

Not prevented vaccine

Hospital or Institutional Nursing

Nursing in hospitals and related health facilities such as extended care facilities, nursing homes, and neighborhood clinics, comprises all of the basic components of comprehensive patient care and family health. The concept of the modern hospital as a community health center where in-patient and out-patient care are continuous describes the goal of medical care in most general hospitals.

Researcher

Participates in the conduct of research and utilizes research findings in practice. (Ex.: The PHN conducts disease surveillance or the continuous collection and analysis of data on dengue.)

Giving 2 sachets of oresol

Plan B in the management of diarrhea means

Paragonimus Westermani

Pulmonary Tuberculosis is often misdiagnosed

Oral Polio Vaccine

Sabin formulated

COMMUNITY HEALTH NURSING

Service rendered by a professional nurse to communities, groups, families, and individuals at home, in health centers, in clinics, in schools, and in places of work for the promotion of health, prevention of illness, care of the sick at home, and rehabilitation, Ruth B. Freeman

Slit Skin Smear

Test is used to determine the type of leprosy a patient has contracted?

PATIENT

The COMMUNITY is the____in the CHN

Rhino Virus, Corona Virus, Adeno Virus

The Coryza or common cold, is a viral infectious disease of the upper respiratory tract that primarily affects the nose, throat, sinuses, and larynx may also be affected.

INDIVIDUAL

The PHN deals with individuals - sick or well- on a daily basis. Since the health problems of the individual are intertwined with those of the other members of the family, he/she can also be considered as the "entry point" in working with the whole family.

Philippine Constitution Article XIII, Section 11

The State shall adopt an integrated and comprehensive approach to health development which shall endeavor to make essential goods, health and other social services available to all the people at affordable cost. There shall be priority for the needs of the underprivileged sic elderly, disabled, women, and children. The State shall endeavor to provide free medical services to paupers"

OCCUPATIONAL HEALTH NURSING

The application of nursing principles and procedures in conserving the health of workers in all occupations

SCHOOL HEALTH NURSING

The application of nursing theorist and principles in the care of the school population

Camote

The cheapest source of iron for the indigenous people in the community which is usually accessible in their backyard

Give paracetamol every 4 hours

The community health nurse examines a child who has fever above 19.5C for 3 days. The nurse action to to

Short Course Chemotherapy (SCC)

The comprehensive strategy which primary health services around the world is using to detect and cure TB patients is known as

Septicemia

The condition occurs when organisms are present and multiply in the blood streams.

Wednesday

The designated immunization day and is adopted in all parts of the country is every.

Individual's perception of susceptibility to an illness

The first component of this model involves an individual's perception of susceptibility to an illness.

MULTISECTORAL EFFORTS

The goal of CHN is achieved through

Nisce, Reyala, et.al.

The goal of community health nursing is to raise the level of health of the citizenry by helping communities and families cope with the discontinuities in and threats to health in such a way as to maximize their potential for high-level wellness

NOLA PENDER'S HEALTH PROMOTION

The health promotion model focuses on helping people achieve higher levels of well- being. It encourages health professionals to provide positive resources to help patients achieve desired changes.

5years

The incubation period of leprosy is

4 weeks

The minimum interval between dose of DPT is?

Saliva

The most common mode of transmission of Rabies is

0

The mother is on her first prenatal checkup, the nurse injects her tetanus toxoid immunization, TT1 will give the mother how how many years of protection

Presence of one vein and one artery in the cord

The nurse performs cord care to the newborn, among which of the following needs further assessment

PUBLIC HEALTH NURSING

The practice of nursing in national and local government health departments which: include health centers and rural health units), and public schools

BP Apparatus and Stethoscope

The public health bag should contain all the necessary articles, tender care in the community, Only necessary articles, supplies and equipment should be contained inside the bag. What must be removed to the bag

Cold Chain

The system for ensuring the potency of vaccine from the time of manufacture to the time it is administered to the child of pregnant woman is called the

Likelihood of taking preventive action

The third component-the likelihood that a person will take preventive action-results from a person's perception of the benefits of taking action. Preventive actions include tifestyle changes, increased adherence to medical theraples, or a search for medical advice or treatment.

DPT , OPV, Hep B

The three vaccines administered in 3 dases

Dr. Araceli Maglaya, et al

The utilization of the NURSING PROCESS IN THE DIFFERENT LEVELS OF CLIENTELE INDIVIDUALS, FAMILIES, POPULATION GROUPS AND COMMUNITIES, concerned with PROMOTION OF HEALTH, PREVENTION OF DISEASE AND DISABILITY AND REHABILITATION

Health deficit

The youngest child of the Madrigal family has been diagnosed as mentally retarded. This is classified as a

Rashes, Varicella, Rubella

These are viral diseases

RA 7160

This Code establishes the system and defines powers of provincial, city, municipal and barangay governments in the Philippines.

Public Health Nursing and Community Health Nursing

This is also called community health nursing. The National Health Program of the Philippines gives as much emphasis on the promotion of health and prevention of diseases rather than care of the sick.

Bag technique

This is the tool trough which the nurse, during home visit can perform nursing procedures with ease and deftness, saving time and effort with the end of view of rendering effective nursing care

Individual's perception of the seriousness of the illness

This perception is influenced and modified by demographic and socio psychological variables, and cues to action (e.g., mass media campaigns and advice from family, friends, and medical professionals).

Defrost the freezer when you notice more than 1-2 cm of ice build up

To help maintain the fridge temperatures between 2°C and 8°C you can:

1.Public Health Nursing and Community Health Nursing 2.Hospital or InstitutionalNursing

Two Major Fields of Nursing in the Philippines:

Right to and Responsibility for Health

Universal Declaration of Human Rights Article 25. Section 1 "everyone has the right to a standard of thing adequate for the health and well-being of himself and of his family, including food, clothing, housing and medical care and necessary social services, and the right to security in the event of unemployment, sickness, disability. widowhood, old age or other lack of livelihood in circumstances beyond his control"

2-3 cm

Vaccine refrigerators are designed to store vaccines and other medical products at a stable temperature to ensure they do not degrade. The nurse must defrost the freezer of vaccine refrigerator when the ice buildup thickness is about.

Cholera

Vibrio El Tor is disease known as?

PCV2, OPV2, Penta2

What are to be injected to the child for his 2nd visit for immunization schedule at 10 weeks?

Oral polio vaccine

Which biological vaccine is Sabin formulated?

Lyssa

Which is the other term for rabies infection

Infant mortality rate

Which of the following is a good index of the general health condition of a community?

To maintain potency

Which of the following reason why vaccines like measles is contained in a dark or brown bottle of angle?

Home Visits

a family-nurse contact which allows the health worker to assess the home and family situations in order to provide the necessary nursing care and health related activities.

Health threats

are conditions that promote disease or injury and prevent people from realizing their potential. An example of a health threat is when the population is inadequately immunized against preventable diseases

Primary Health Care

as defined by the World Health Organization, is "essential health care made universally accessible to individuals and families in the community by means acceptable to them, through their full participation and at a cost that the community and country can afford at every stage of development."

Coordinator and Collaborator

establish linkages and collaborative relationships with other health professionals, government agencies, the private sector, non- government organizations and people's organizations to address health problems. (Ex.: The PHN taps a local NGO for a joint sponsorship of a one-day free circumcision program during summer.)

Foreseeable crisis

include stressful occurrences such as death or illness of a family member

CHN

is a PART of HEALTH CARE SYSTEM and the LARGER HUMAN SERVICES SYSTEM.

Client

is considered as an ACTIVE PARTNER, not a passive recipient of care.

Ampalaya

it is effective used for mild not dependent diabetes mellitus

Supervisor

monitors and supervises the performance of midwives and other auxiliary health workers; also initiates the formulation of staff development and training programs for midwives and other auxiliary health workers as part of their training function as supervisors. (Ex.: The PHN assigns midwives under her supervision to attend a provincial training on updates regarding IMCI.)

Health Deficit

occurs when there is a gap between actual and achievable health status. Exploration and evaluation of possible precursors of health deficits such as history of repeated infections or miscarriages are noted. No regular health check-up is another example.

Clinician

or health care provider - utilizes the nursing process in the care of the client in the home setting through home visits and in public health care facilities; conducts referral of patients to appropriate levels of care when necessary. (Ex.: The PHN conducts follow-up home visits to families with children who are taking antibiotics for pneumonia.)

Manager

organizes the nursing service component of the local health agency or local government unit (Ex.: Nursing service plan component of the overall municipal health plan) Also, as program manager, the PHN is responsible for the delivery of the package of services provided by the health program to the target clientele. (Ex.: The PHN is assigned as the program manager of the National Tuberculosis Program.)

FOUR LEVELS OF CLIENTELE

the INDIVIDUAL, the FAMILY, the POPULATION GROUP (sub-units of the population who share common characteristics, developmental stages, and common exposure to health problems-e.g., children, elderly), and the COMMUNITY

Health Educator

utilizes teaching skills to improve the health knowledge, family and the community, and conducts health information campaign to various groups for the purpose of health promotion and disease prevention. (Ex.: The PHN conducts a lecture on the different vaccines covered in the EPI and its importance to children at the health center

MILIO'S FRAMEWORK FOR PREVENTION

•Health status of population is a function of the lack o excess of health sustaining resources. •Behavior patterns of populations are related to habits of choice from actual or perceived limited resources and related attitudes. ▸ Organizational decisions determine the range of personal resources available. •Individual health-related decisions are influenced by efforts to maximize valued resources in both the personal and social domains. ▸ Social change is reflective of a change in population behavior patterns. ▸ Health education will impact behavior patterns minimally without new health- promoting options for investing personal resources.

HEALTH BELIEF MODEL (HBM)

•Rosenstoch and Becker and Malman proposed the Health Bellef Model •This model addresses the relationship between a person's beliefs and behaviours. •The Health Belief Model helps to understand the factors influencing patients perceptions, beliefs, and behaviour to plan the care.