family violence that includes sexual, emotional, and physical abuse that may cause injury or death
intimate partner violence (IPV) aka Spouse Abuse
usually wife abuse that involves physical, emotional, and frequently, sexual abuse within a context of coercive control. It usually increases in severity and frequency and can escalate to homicide of either partner.
active forms of maltreatment of children
one or more episodes of physical aggression often resulting in serious physical damage to the internal organs, bones, central nervous system, or sense organs.
physical or emotional neglect.
the failure to provide adequate food, clothing, shelter, hygiene, or necessary medical care
the omission of basic nurturing, acceptance, and caring essential for health personal development.
extreme debasement of a persons's feelings so that he or she feels inept, uncared for, and worthless
coerced sexual acts ranging from fondling to rape or sexual degradation; it can happen to children or adults and be perpetrated by anyone inside or outside the family
Any act or series of acts of commission or omission by a parent or other caregiver (e.g., clergy, coach, teacher) that results in harm, potential for harm, or threat of harm to a child. (CDC)
Older adult abuse
a form of family violence against older members. It may include neglect and failure to provide adequate food, clothing shelter, and physical and safety needs; it can also include roughness in care and actual violent behavior toward the elderly.
sexual intercourse forced on an unwilling person by threat of bodily injury or loss of life.
sexual activity in which consent was not obtained or freely given.
Spousal rape aka Marital rape
occurs when your spouse forces you to take part in certain sex acts without your consent. It is a form of intimate partner violence,
rape committed by someone known to the victim. Involves coercive sexual activities that occur against a person's will by means of force, violence, duress, or fear of bodily injury. These sexual activities are imposed upon them by someone they know (a friend, date, etc.)
Rape of a woman by a man with whom she is acquainted. The rapist is usually the woman's "date."
Munchausen by proxy
Exaggeration or fabrication of child illness by parent/caregiver; Parent/caregiver appears to be very caring & attentive
Follow agency protocols to report suspected abuse.
What action is best for the community health nurse to take if the nurse suspects that an infant is being physically abused?
communities having fewer than 20,000 residents or fewer than 99 persons per square mile
a person whose primary employment is in agriculture on a seasonal basis, who has been employed in that work within the past 2 years, and who has a temporary abode.
one whose primary employment is in agriculture on a seasonal basis, who has been employed within last 24 months & who establishes temporary abode for purpose of that employment
work cyclically in agriculture but don't migrate
mal de ojo
caida de mollera
Skin Testing for TB
The nurse is working in a community clinic that serves a population comprised mainly of migrant families. In planning the use or resources for secondary prevention, which activity should be the priority?
Acquired immunodeficiency syndrome (AIDS)
can affect the immune and CNS and cause infections or cancers. It is caused by HIV.
Federal public health agencies
federal level government agencies that develop regulations that implement policies formulated by congress and provide a significant amount of funding to state and territorial health agencies for public health activities
Local Public Health Agencies
the agencies responsible for implementing and enforcing local, state, and federal public health codes and ordinances and providing essential public health programs to a community.
State Public Health Agencies
each of the U.S. states and territories has a single identified official state public health agency, managed by a state health commissioner.
The U.S. Department of Health and Human Services (USDHHS)
a federal agency that most influences public health activities at the state and local levels.; Facilitates development of the nation's Healthy People objectives.; includes: the CDC, Health resources and services Administration (HRSA), the agency for healthcare, research, and quality (AHRQ), the FDA
Food and Drug Administration (FDA)
A federal agency included in the USDHHS that is responsible for protecting and promoting public health through the regulation and supervision of food safety, tobacco products, dietary supplements, prescription and over-the-counter pharmaceutical drugs (medications), vaccines, biopharmaceuticals, blood transfusions, medical devices, electromagnetic radiation emitting devices (ERED), and veterinary products.
Centers for Medicare and Medicaid (CMS)
the federal body responsible for administering Medicare and Medicaid programs.; also runs the State Children's Health Insurance Program (SCHIP), which is jointly financed by the Federal and State governments and administered by individual States.
Environmental Protection Agency (EPA)
A federal agency that most influences public health activities at the state and local levels.; an agency of the U.S. federal government which was created for the purpose of protecting human health and the environment by writing and enforcing regulations based on laws passed by Congress.
Occupational health nursing
a specialty practice focusing on promotion, prevention, & restoration of health within context of safe & healthy work environment
treat illness or injury & help pt. regain independence & become as self-sufficient as possible
the primary goal of home health care
care provided to a client that requires the knowledge and skill of an RN
Medicare's definition of homebound
Leaving home isn't recommended because of pt's condition or keeps pt. from leaving home without help (such as using a wheelchair or walker, needing special transportation, or getting help from another person).; Leaving home takes considerable & taxing effort.; Pt. may leave home for medical treatment or short, infrequent absences for non-medical reasons, such as attending religious services or hair dresser.; Can still receive home health care even if attend adult day care
services or supplies that are needed for the diagnosis or treatment of your medical condition and meet accepted standards of medical practice.
Outcomes and Assessment Information Set (OASIS)
an instrument to collect clinet data for doing outcome assessments in home health.
They don't recognize their symptoms as possibly being due to HIV.
What is the most common reason that people do not immediately seek medical treatment when they first become ill with HIV?
African-American homosexual men
In the United States, which demographic group has the highest risk for HIV infection?
Health care workers are required to have a tuberculosis skin test or chest x-ray.
Which infectious disease intervention represents secondary prevention?
Thinning of the skin with loss of elasticity
A home health nurse knows that a 70-year-old male client who is convalescing at home following a hip replacement, is at risk for developing decubitus ulcers. Which physical characteristic of aging contributes to such a risk?
Impaired physical mobility related to muscle rigidity and weakness.
The home health nurse is admitting a client with Parkinson's disease to the home healthcare service. In planning care for this client, which nursing diagnosis has priority?
Schedule an appointment with the healthcare provider for prompt evaluation.
During a home health visit, a male client reports to the nurse that he felt a solid testicular mass during self-exam, but that it wasn't painful. What instruction should the nurse provide the client?
Meals On Wheels
The nurse is preparing to discharge an elderly, recently widowed female client following a mild stroke. At this time she is able to walk with the aid of a walker. As part of the discharge planning, what referral is most important for the nurse to make?
Assign a home health care aide to provide care daily.
The multidisciplinary home health care team is discussing a female client diagnosed with Parkinson's disease. The home health care nurse reports the client is getting worse and her husband is no longer able to care for her in the home. Which action should the home health nurse implement first?