NUR 388 Midterm Exam Concordia University 2024/2025
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Course
NUR 388
Institution
NUR 388
NUR 388 Midterm Exam Concordia University 2024/2025/NUR 388 Midterm Exam Concordia University 2024/2025/NUR 388 Midterm Exam Concordia University 2024/2025/NUR 388 Midterm Exam Concordia University 2024/2025
1. Chapter 1
a. Social Determinants of Health (2)
i. Socioeconomic determinants are the bottom tier of the health impact pyramid,
represents changes in socioeconomic factors (poverty reduction, improved
education), often referred to as social determinants of health, that help form
the basic foundation of society.
ii.
b. Levels of Prevention (4)
i.
ii.
2. Chapter 2, pg 6, 15-16
a. Origin of government sponsored boards of health (1)
i. Occurred after the American Revolution due to the threat of diseases (yellow
fever). Public support for disease prevention sparked the establishment of
government sponsored boards of health.
ii. By 1800, NYC established public health services including water quality
monitoring, sewer construction, planting trees, burying the dead (wtf?).
b. Public health nursing roles (2)
i. PHN is a specialty with a distinct focus and scope of practice; it requires a special
knowledge base. The role of the public health nurse has changed over the years
in response to the following:
, 1. Changes in health care
2. Priorities for health care funding
3. The needs of the population
4. The educational preparation of nurses
ii.
iii. Public health nurses assess the health and health care needs of a population in
collaboration with other disciplines to identify subpopulations, families and
individuals at increased risk for illness, disability or premature death. Develops
and plans interventions to meet these needs. The plan includes resources
available and activities that contribute to health and its recovery and the
prevention of illness, disability and premature death. Implements the plan
effectively, efficiently and equitably. Evaluates progress to determine the extent
to which these activities have influenced the health-status outcomes of the
population. Uses the results to influence and direct the delivery of care, the use
of health resources and the development of local, regional, state and national
health policy and research to promote health and prevent disease.
c. Population health jurisdiction (1)
i. Local protections and services unique to a community’s needs are those
determined to be of additional critical significance to a specific community’s
health and are supported by the public health infrastructure and programs. This
work is essential to a given community and cannot be visually depicted because
it varies by jurisdiction.
d. Public health infrastructure (1)
i. Public health system is mandated through laws that are developed at all
government levels.
ii. Public health infrastructure consists of the foundational capabilities, which are
the cross-cutting skills and capacities needed to support basic public health
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