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2024-2025 NR442 Community Health Nursing Exam 2 with Answers (41 Solved Questions) - Document preview page 1

2024-2025 NR442 Community Health Nursing Exam 2 with Answers (41 Solved Questions) - Page 1

Document preview content for 2024-2025 NR442 Community Health Nursing Exam 2 with Answers (41 Solved Questions)

2024-2025 NR442 Community Health Nursing Exam 2 with Answers (41 Solved Questions)

2024-2025 NR442 Community Health Nursing Exam 2 with Answers provides real-world exam experience to sharpen your test-taking skills.

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2024-2025 NR442 Community Health Nursing Exam 2 with Answers (41 Solved Questions) - Page 1 preview imageNR442/ NR 442 Community Health Nursing Exam 2Objectives (chap 13, 15, 19, 21, 23, 24, 25, 28, 29, 30, 31, 32,33, 34)2024/2025 new updateExam2Objectives(chap13,15,19,21,23,24,25,28,29,30,31,32,33,34)Chapter13:CulturalDiversityandCommunityHealthNursing-DescribeethicaldefinitionsofAutonomy,Non-maleficence,Beneficence,DistributiveJusticeandhowlackof canaffect health careand accesstoall.Autonomy-patientindependence,makingowndecisions,aself-governingstateNon-maleficence-todonoharmBeneficence-doinggoodDistributivejustice-perceivedfairnessofhowrewardsandcostsaresharedby(distributedacross)groupmembers.Distributivejusticeconcernstheequitabledistributionofscarceresourcesamongallsocioeconomicgroupsandpopulationsectors.Chapter19:SeniorHealth-Identifyage-relatedriskfactorsandeducationforSeniorHealthNutritionstatusandexerciseFallsDental,hearing,&visionproblemsAbuse/maltreatmentMedicationsafetyoWhenapplicable,anti-inflammatorymedicationsmaybeadministeredbeforephysicalactivitytoaddressaccompanyingpainColdandheatstress:oHypothermia(veryserious)-keepthepatientwarm;watchforthesigns:confusionorsleepiness, slowed slurred speech, weak pulse, shivering, poor control of bodymovementsoHeatstroke (life-threatening)-wrap a wet sheet, move to a cooler area; watch forhotdry skin that’s usually red, mottled, or cyanotic, loss of consciousness, orconvulsions-Whatarefunctionalassessmentsandwhyaretheyusedwhenassessingtheelderly?Examinations and Tests; a continuous collaborative process that combines observing, askingmeaningful questions, listening to family stories, and analyzing individual child skills andbehaviorswithinnaturallyoccurringeverydayroutinesandactivitiesacrossmultiplesituationsandsettings.ForAllOlderAdultsoCompletephysical:AnnuallyoBloodpressure:Annually;morefrequentlyifhypertensiveoratriskoBloodglucose:Annually;morefrequentlyifdiabeticoratriskoSerumcholesterol:Every5years;morefrequentlyifathighrisk
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2024-2025 NR442 Community Health Nursing Exam 2 with Answers (41 Solved Questions) - Page 2 preview image
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2024-2025 NR442 Community Health Nursing Exam 2 with Answers (41 Solved Questions) - Page 3 preview imageoFecaloccultbloodtest:AnnuallyoSigmoidoscopy:Every5yearsoColonoscopy:Every10years;morefrequentlyifathighriskoVisualacuityandglaucomascreening:Annually
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2024-2025 NR442 Community Health Nursing Exam 2 with Answers (41 Solved Questions) - Page 4 preview imageoDental examination: Annually for those with teeth with cleaningevery 6 months;cleaningevery2years fordenture wearersoHearingtest:Every2to5yearsForWomenoBreastself-examination:MonthlyoClinicalbreastexamination:AnnuallyoMammogram:Every 1 to 2 yearsif aged 40 years or older; check with health careproviderif 74yearsorolderoPelvic examination and Papanicolaou smear:Annually; may check with healthcareprovideraboutdiscontinuationat66+yearsorafterthreeconsecutivenegativePaptestresultsor>2consecutivenegativeHPVandPaptests,noabnormal results in previous 10 years and not otherwise at risk, or have had atotalhysterectomyoDigitalrectalexamination:AnnuallywithpelvicexaminationoBonedensity:OnceaftermenopauseandmorefrequentlyifatriskForMenoDigitalrectalexaminationandprostateexamination:AnnuallyoProstate-specificantigen(PSA)bloodtest:AnnuallyImmunizationsforAllOlderAdultsoTetanus,diphtheria,pertussis(Tdap):Every10yearsoInfluenza/fluvaccine:AnnuallyoPneumoniavaccine:Onceafterage65years;askphysicianaboutboosterevery5yearsoHepatitis A (liver infection found in stool and blood very contagious )and B(isspread when blood, semen, or other bodyfluidsfrom a person infected)those atriskoHerpeszoster(shingles):One-timedoseoVaricella(chickenpox):IfevidenceoflackofimmunityandsignificantriskforexposureChapter21:PopulationsAffectedbyDisabilities-MedicareandMedicaidaccessandfundingmedicareoMedicareisthefederalhealthinsuranceprogramfor:people65oroldercertainyoungerpeoplewithdisabilitiespeoplewithESRD(endstagerenaldisease)fundedbythesocialsecurityadministration(taxpayers)medicaidoForlow-incomefamiliesw/disabilityandpregnantwomenoFundedbyfederalandstategovernment
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2024-2025 NR442 Community Health Nursing Exam 2 with Answers (41 Solved Questions) - Page 5 preview imageeligibilityisbasedoffofhouseholdsizeandincomeandprioritygiventochildren,pregnantwomen,andthosewithadisability(federallyfunded)-WhatprotectionisprovidedtothosewhoidentifyhavingadisabilityContemporary disability policyminimizes the disadvantaged viewandmaximizesopportunitiesfor people with disabilities to live productively in their communities.Public policy on disability (these are your programs)includescivil rights protections,skillenhancementprograms,andincomeandin-kindassistanceprograms(e.g.,SocialSecurityDisabilityInsurance[SSDI]andMedicare)-WhatdoesADAaccommodationsmeananddotheyrefertoTheAmericans with Disabilities Act (ADA)(PL 101-336) became a law in July 1990. Thislandmark civil rightsstyled legislationprohibits discrimination against people withdisabilitiesbyguaranteeingequalopportunitiesforpeoplewithdisabilitiesinrelationtoemployment,transportation,publicaccommodations,publicservices,andtelecommunicationsAqualifiedindividualwithadisabilitymustmeetlegitimateskill,experience,education,orotherrequirementsofanemploymentposition.Thepersonmustbeabletoperformthe essential job functions, such as those contained within a job description, with orwithout reasonable accommodation(s). Reasonable accommodations should make iteasiertobesuccessfulinjobdutiesandmayeitherinvolvealteringthedutiesorthetasks of the job performed. Qualifying organizations must provide reasonableaccommodationsunlesstheycandemonstratethattheaccommodationwillcausesignificantdifficultyorexpense,producinganunduehardship.-DiscusstheTickettoWorkActandhowitaffectsMedicaidorMedicareAddressesemploymentandbenefitissuesforpersonswithdisabilities.Increaseaccesstovocationalservicesandprovidedmethodsforretaininghealthinsurance.Provided higher cap to accommodate earnings when beneficiaries make progress in theiremployment plans but before they reach the level of earnings that would terminate theirbenefitsChapter23:HomelessPopulations(atipg64)-IdentifyhealthcareworkersengagementandcarewithhomelesspopulationsReferthosewhohaveunderlyingmentalhealthdisorderstotherapyandcounselingEnhanceparentingskillsthatcanpreventteensfromrunningawayAssistintemporaryshelter,long-termshelterAdvocateandprovideeffortstowardspoliticalchangeMakereferralsforemployeeassistanceandemotionalprogramsoProvidesinsurancetopeopleoflowsocioeconomicstatusandchildren,
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2024-2025 NR442 Community Health Nursing Exam 2 with Answers (41 Solved Questions) - Page 6 preview imageChapter24:RuralandMigrantHealth-IdentifyfactorsthatplacefarmersandmigrantworkersatriskforillnessandaccidentsWorkinginhighlyvariableenvironmentalconditions(e.g.,temperatureextremes,awidevariety of work tasks, and unpredictable circumstances) is associated with an increasedfrequencyof accidentsandfatalities.Occupationalasthmaandmoreexoticfungalortoxicgasrelatedconditionsalsooccurinhigherfrequencyinagriculturalthannonagriculturalpopulations.Exposuretopesticides,herbicides,andotherchemicalsisalsoamajorconcernforfarmersandtheirfamilies.-DiscusstheimpactofbarriersandaccesstohealthcareonruralaggregatesIngeneral,migrantandseasonalfarmworkers(MSFWs)mayhavethepooresthealthofanyaggregateintheUnitedStatesandtheleastaccesstoaffordablehealthcare.Barriers: distance from services, lack of transportation, unpredictable weather/travelconditions,inabilitytopayforcare,shortageofruralhospitals/HCP-DescribetheMigrantHealthCenters(MHCs)undertheMigrantHealthProgramThe MHC program provides comprehensive nursing and medical care and supportservices to MSFWs (migrantandseasonalfarmworkers)and theirfamilies.Thecenters provide culturally sensitive care to a racially and culturally diverse farm laborforcefrommanycountriesinLatinAmericaandtheCaribbean.Bilingual,biculturalhealth personnel, including lay outreach workers, use culturally appropriate protocols toprovide primary care, preventive health care, transportation, dental care,pharmaceuticals, andenvironmentalhealthservices.Chapter25:PopulationsAffectedbyMentalIllness-FactorsthatinfluencementalhealthGeneticfactorsAbnormalitiesofBrainStructureandFunctioning(schizophrenia,depression,andAlzheimerdisease)Socialfactors(schoolshootings,publicbombings,bullying,domesticviolence,andothertragicevents,unemployment,bereavement).Anothersocialconcernisthetendencyofcommunitiesto make use of prisons rather than psychiatric hospitals as a solution to the “mental healthproblem.Gender,racial,&sexualorientationdisparitiesNatural&human-madedisastersandmentalillnessPoliticalfactors
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