Hesi Topics

Topics: Public health, Prevention, Infectious disease Pages: 10 (2097 words) Published: December 4, 2013
Potential Community Health HESI Topic Areas

These are some additional areas you may want to considering being familiar with:

Ancathosis nigricans
A skin condition characterized by dark, thick, velvety skin in body folds and creases. Most often, acanthosis nigricans affects your armpits, groin and neck.

There's no specific treatment for acanthosis nigricans — but treating any underlying conditions, such as diabetes and obesity, may cause the changes in your skin changes to fade

Characteristics of acanthosis nigricans include:

Skin changes. Skin changes are the only signs of acanthosis nigricans. You'll notice dark, thick, velvety skin in body folds and creases — typically in your armpits, groin and neck. Sometimes the lips, palms or soles of the feet are affected as well. Slow progression. The skin changes appear slowly, sometimes over months or years. Possible itching. Rarely, the affected areas may itch.

Acanthosis nigricans is often associated with conditions that increase your insulin level, such as type 2 diabetes or being overweight. If your insulin level is too high, the extra insulin may trigger activity in your skin cells. This may cause the characteristic skin changes.

Question pertained to nurse checking for lice and noticing dark patch of skin on neck.

Advisor role
Antepartum – risk factors
Anthrax incubation and exposure
Assess trends and patterns
Assessing income
Assessment - validation
Assignments – home care; Make sure students know how to prioritize home health clients (i.e. which ones to see/call back first.) When given the choice between a patient with COPD who is short of breath, a terminally ill pt who refuses to eat or drink, or a pt with congestive heart failure who has gained 3 lbs, choose the last one. Asthma triage

Battering-communication
If the question pertains to a nurse suspecting a female patient has been abused and the woman has her child in the room with her, the nurse should ask the child to leave the room and question the woman about the abuse. The question does not pertain to the child being abused. Breast cancer-risk (who is at greatest risk)

Calculate rate - population
COBRA-cost (client still has to pay for expenses)
When the question asks what would be a concern for a person who has lost their job but has COBRA, the answer is paying for health care/expenses. Communicable disease (pertussis)
Community - assessment
Community Assessment - TB
Community data source
Community education – evaluate
Community resource - elderly
Community resources-population age
Community resources – rural
Community strategies – mental deficiencies
Cultural competence
Cultural –lactose intolerant
Cultural – Native American (Native Americans are at high risk for diabetes – have the highest rates, so the nurse needs to screen for and educate about this). Culturally sensitive teaching
CV disease – African American
Diabetes A1C
If a nurse is working in a community with high rates of diabetes and implements a program, at the end of 1 year (or whatever evaluation period is stated) the nurse will want to evaluate hemoglobin A1C levels to determine effectiveness of program. Disaster – Cholera (Priority for treating those with cholera: fluid and electrolytes) Disaster- Professional

Disaster – red tag triage
Disaster planning
Disaster Preparedness – START
Disaster triage – color system
Elder abuse-Home setting
Elder health – assessment
Employee health
Epidemiological triad host
Epidemiological triad agent
Fall in home
Family assistance – ophthalmic meds
Family ecomap
Flu vaccine-priority
Gatekeeper
Genetic risk – assessment
Geriatrics – home nutrition
Geriatric syndrome – home health
GTD-hCG values
Health Promotion Program – Planning
Heart healthy diet - limit
Heat stroke
If an adolescent is playing sports at school and goes to the school nurse with red, dry skin and other symptoms of heat stroke, the first thing the nurse should do is...
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