NU 3600 exam 2: nursing process part 2- week 3 – Flashcards

A) 1-risk of, among, related to (newfield) AND B) NANDA

-clarify who receives the care, provide a statement identifying problems faced by those receiving the care, and identify the factors contributing to the identified problem 3 steps: 1) *Risk of*... 2) *among*... 3) *Related to*... **these are "risk" diagnoses- the condition is not currently happening ex) Risk of infant malnutrition among ____county r/t lack of community resources, knowledge deficit in the community, lack of screening...

population, community, or aggregate

1) readiness for enhanced community coping OR ineffective community coping 2) contamination: community OR Risk for contamination: community 3) deficient community health 4) ineffective community self-health management

"presence of one or more health problems or factors that *deter wellness* or *increase the risk of health problems* experienced by an aggregate" defining characteristics: incidence of risks r/t physiologic or psychological states experienced by a population -no programs available to enhance wellness, prevent select health problems -examples of related factors: limited resources, lack of access, lack of community experts

"*unsatisfactory pattern* of regulating and integrating programs for illness treatment and the sequelae of illness (or the course of the illness" defining characteristics: (=AEB) -morbidity, mortality above normal - verbalized difficulty meeting health needs in community - accelerated illnesses related factor examples: -unavailability of community programs -problems accessing programs -multiple needs of vulnerable groups

-the state in which a community's pattern of activities for adaptation and problem solving is *unsatisfactory* for meeting the demands or needs of the community -Ineffective community coping related to [etiology or contributing factors] as evidenced by [data from the composite data base]

-a state in which a community's pattern for adaptation and problem solving is *satisfactory* for meeting the demands or needs of the community desires to improve management of current and future problems/stressors -example: readiness for enhanced community coping related to availability of community programs to augment [specify]

-*analyze*; establish prioritize; establish goals and objectives; identify interventions -addressed in the Wisconsin State Health Plan and/or HP 2020? -explore research, evidence based practice -problem prioritizing -establishing goals and objectives: *goals are general broad statements; objectives are precise statements of the desired outcomes* -identifying intervention activities: value; probability

-community awareness of the problem -community motivation to resolve or better manage the problem -nurse's ability to influence problem solution -availability of the expertise to solve the problem -severity of the outcomes if the problem is unresolved -speed with which the problem can be solved

-look and see what's already being addressed in the community -what are the community's priorities? -HP2020/Healthiest Wisconsin -cost -might want to start something that shows immediate rewards (~6 months)

*content expert* is a *change agent* (person who provides vision for change/ info you need to make a change) ex) 40% are in obese range & will cause health probs *process expert (change partner)*: walks community through process of change

-appraisal of the effects of an organized activity or program -*begins at the planning stage when goals and objectives are established* -decide whether the costs in money and time are worth the resulting benefits -*analyze meeting of the outcomes*