Community Nursing

Part 1: Community Nursing

A neighbor, who is 3 months pregnant, asks to talk to you because she has felt tired for the last 2 days, has a headache, a rash, and does not feel like eating. You take her vital signs and find that she has a low-grade fever. She has recently traveled to an area where there is risk for Zika virus disease.

1. To what could your neighbor have been exposed

2. how could the exposure have occurred?

3. What advice would you give your neighbor?

Part 2: Crisis intervention

1. Discuss what is complicated grieving.

2. Mention at least 3 clues for identifying complicated grief reaction and explain them.

Part 3: Ethical

Case Study, Chapter 15, Collective Bargaining and the Professional Nurse
A nurse manager is concerned about a competing hospital in town that is publically hearing a lot about collective bargaining and the steps that the nurses have been taking to start a union. The nurse manager’s organization is aggressively providing in-depth education to all employees about collective bargaining in order to answer numerous questions that have arisen recently.

1. What are reasons that nurses want to join a union?

2. What are the reasons that nurses do not want to join a union?

3. What are the common union organizing strategies?

Part 4: Aging

When caring for older adults, it is important for the nurse to understand special considerations for medication use in the older population.

1. List at least two considerations and education you would provide for following medication: Analgesics: Aspirin, acetaminophen and Diuretics: Thiazides, loop diuretics, potassium-sparing diuretics?

You are the nurse caring for an 82-year-old patient with a diagnosis of: Ineffective Breathing Pattern.

2. List two (2) interventions for this diagnosis with supporting rational.

Part 5. Health care Policy

1. Reflect on the current roles of advanced practice nurses in healthcare as the care providers at the front line of disease management and health promotion in primary care and many other specialty settings.

2. What do you think are some effective tactics for APN strategic positioning regarding pay equality?

3. Should APNs position themselves as lower-cost providers who provide better care or push for comparable worth, same service and same pay?

Below is an article that provides great practical information that highlights how provider productivity is calculated in the clinical setting, which is important to know as future nurse practitioners.

Calculating Your Worth: Understanding Productivity and Value- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4093517/

Part 6. Health care Policy

1. Reflect on the current roles of advanced practice nurses in healthcare as the care providers at the front line of disease management and health promotion in primary care and many other specialty settings.

2. What do you think are some effective tactics for APN strategic positioning regarding pay equality?

3. Should APNs position themselves as lower-cost providers who provide better care or push for comparable worth, same service and same pay?

Below is an article that provides great practical information that highlights how provider productivity is calculated in the clinical setting, which is important to know as future nurse practitioners.

Calculating Your Worth: Understanding Productivity and Value- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4093517/

Part 7

1. What spiritual considerations surrounding a disaster can arise for individuals, communities, and health care providers? Explain your answer in the context of a natural or manmade disaster.

2. How can a community health nurse assist in the spiritual care of the individual, community, self, and colleagues?

Part 8

Watch the “Diary of Medical Mission Trip” videos dealing with the catastrophic earthquake in Haiti in 2010. Reflect on this natural disaster by answering the following questions:

1. Propose one example of a nursing intervention related to the disaster from each of the following levels: primary prevention, secondary prevention, and tertiary prevention. Provide innovative examples that have not been discussed by previous students.

2. Under which phase of the disaster do the three proposed interventions fall? Explain why you chose that phase.

3. With what people or agencies would you work in facilitating the proposed interventions and why?

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