Study guide for Community final exam:
1. tertiary prevention for occupational health nursing
organization (a guidebook for clinic workers). Health promotion and illness and injury
prevention is a function that the OHN performs along a continuum for the worker population.
The objective is to create an environment for the worker that provides a sense of balance among
work, family, personal, health, and psychosocial concerns. The actual prevention activities
performed at any given time are a result of many changing variables in the organization, and a
balance among primary, secondary, and tertiary prevention efforts is essential. For example, the
nurse who is concentrating on developing strategies to pre-vent work site injuries and disease
(primary prevention) may have little time or resources for testing individual employees for risk
factors that increase the potential for illness or injury
(secondary prevention).
2. Spiritual care assessment for a hospice care nurse. What is the point of it?
Nurses must be confident in their clinical skills when caring for the dying—awareness of the
ethical, spiritual, and legal issues they may confront while providing end-of-life care is essential.
Many nurses believe that the first step in the process is confronting their own personal fears
about death and dying. By addressing their own fears, nurses are better able to help patients and
families when they are confronted with impending death. The nurse may then more objectively
recognize and respect the patient and family’s values and choices which guide their decisions at
the end of life.
3. End of life care (nursing intervention – “it’s the same across the board”)
The role of the community health nurse in providing quality end-of-life care for seriously ill
patients and their families. (go to page 508-510 chp.24)
4. Know diff between man-made disaster and natural disaster
Major natural emergencies are fires, floods, hurricanes, tornadoes, earthquakes, and
winter storms. Human-made or technologic events include fires, violence, bomb threats
transportation accidents, industrial accidents, civil disturbance, radiation, and
unintentional or intentional release of chemicals or infectious organisms (bioterrorism)
oNatural – sunami, meteor, tornado, etc.
oMan – made: accidental and terrorist attack.
Japan’s nuclear plant melt down after the tsunami was deemed a human
made disaster.
5. Hospice – how are you approved for hospice care?
Begins after treatment of disease is stopped and it is clear that person is not going to survive the
illness. Patient is eligible for Medicare part A, physician and hospice medical director
certify patient is terminally ill and has 6 months or less to live if illness runs it course,
patient signs a statement choosing hospice care, patient receive care from a Medicare
approved hospice program
6. HP 2020 and their objectives
oNew: adolescent health, blood disorders and blood safety, dementias (including
AD), early and middle childhood, genomics, global health, health-related quality
