1. Mary Lipsky has worked for a

1. Mary Lipsky has worked for a visiting nurse association in a large urban area for 2 years. She is responsible for a wide variety of services, including caring for older and chronically ill clients recently discharged from hospitals, new mothers and babies, mental health clients, and clients with long-term health problems, such as chronic wounds. Daily when she leaves the field to go home, she finds that she continues to think about her clients. She keeps going over these and other questions in her mind: Why is it so difficult for mothers and new babies to qualify for and receive Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) services? Why must she limit the number of visits and length of service for clients with chronic wounds? Why are so few services available for clients with behavioral health problems? In particular, she thinks about the burdens and challenges that families and friends face in caring for the sick at home. A. Why might it be difficult to solve these problems at the individual level, on a case-by-case basis? B. What information would you need to build an understanding of the policy background for each of these various populations? 2. A school nurse is planning prevention activities for students. Define primary prevention Define secondary prevention Define tertiary prevention Include two primary prevention activities the nurse should plan. Include two secondary prevention activities the nurse should plan. Include two tertiary prevention activities the nurse should plan. 3. A case manager at a dialysis clinic is using the Health Belief Model (HBM) to guide discussions with clients who have not been adhering to the treatment plan. Describe two components of the HBM Name two cues to action that could influence an individual to take a positive action related to health. Name two interventions the nurse could implement with clients who have kidney disease to promote individual adherence to the treatment plan. 4. Which of the nurses in the following categories are practicing population-focused nursing: 1. School nurses 2. Staff nurses in home care 3. Director of nursing for a home-care agency 4. Nurse practitioners in a health maintenance organization 5. Vice president of nursing in a hospital 6. Staff nurses in a public health clinic or community health center 7. Director of nursing in a health department

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