TY - CHAP M1 - Book, Section TI - COMPETENCY #1 Applies the Public Health Nursing Process to Communities, Systems, Individuals, and Families A1 - Schoon, Patricia M. A1 - Martin, Karen S. A1 - Krumwiede, Kelly A1 - Kleinfehn-Wald, Noreen A2 - Schoon, Patricia M. A2 - Porta, Carolyn M. A2 - Schaffer, Marjorie A. Y1 - 2019 N1 - T2 - Population-Based Public Health Clinical Manual: The Henry Street Model for Nurses, 3e AB - Kristi is listening to Beth, her public health nurse (PHN) preceptor, tell her about the client they are about to visit for the first time. The local public health agency received a maternal child health visit referral from a local OB/GYN for a 16-year-old, 20-weeks-gestation primipara. The client, Sara, has been diagnosed with anemia and is underweight with poor weight gain. Sara is single and living with her mother, mother's boyfriend, and two younger siblings. Sara and her family are uncomfortable with the idea of a public health nurse who works for the government visiting them in their home.Beth says, “Well, I think the first thing we do is go and visit them. We need to get them to trust us if we are to help them.”Kristi responds, “I have never visited a pregnant teenager or her family in their home. I don't think I will feel comfortable. Will the family be okay with me there?”Beth responds, “I asked Sara's mother if you could covisit with me and she was okay with that. We will ask Sara and her mother what their health concerns and goals are and talk with them about how to arrange our visits and what we can do to help Sara. We will open a case file on Sara and begin to do a family assessment. You can observe and listen on this visit and take a more active part in future visits.”Kristi says, “That sounds good to me!”As they walk to Beth's car she mentions, “We can start to do a windshield survey on our way to Sara's home as part of the community assessment that you and your student work group are going to do of the local community.”Kristi responds, “Great. I just happen to have my camera with me.” SN - PB - Sigma Theta Tau International CY - New York, NY Y2 - 2024/12/11 UR - apn.mhmedical.com/content.aspx?aid=1189289553 ER -