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BSMCON NUR 2102 - TEST 1
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BSMCON NUR 2102 - TEST 1
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BSMCON NUR 2102 - TEST 1Primary prevention - CORRECT ANSWER-Addresses the needs of healthy
clients to promote health and prevent disease with specific protections;
decreases the risk of exposure of an individual or a community to disease.
Immunization programs
Child car seat education
Nutrition and fitness activities
Health ed. in schools - CORRECT ANSWER-Examples of Primary Prevention
Secondary prevention - CORRECT ANSWER-Focuses on identifying illness,
providing treatment, and conducting activities that help prevent a worsening
health status.
Communicable disease screening and case finding
Early detection and treatment of diabetes mellitus
Exercise programs for older, frail adults - CORRECT ANSWER-Examples of
Secondary Prevention
Tertiary prevention - CORRECT ANSWER-Aims to prevent the long-term
consequences of a chronic illness or disability and to support optimal functioning.
Begins after an injury or illness
Prevention of pressure ulcers after spinal cord injury
Promoting independence after traumatic brain injury
Referrals to support groups
Rehab center - CORRECT ANSWER-Examples of Tertiary Prevention
Improve health priorities
Improve awareness and understanding of the progress involving health, disease,
and disability
Apply measurable health goals at the local, state, and national level
Apply best practice to strengthen policies and improve health practice
Identify the need for research, evaluation, and date collection of health disparities
- CORRECT ANSWER-Healthy People 2020 Objectives to promote health and
prevent disease among the national population; updated every 10 years
,Biographical Data - CORRECT ANSWER-Name, Gender, Address, phone
number, email address, birth date, birthplace, race/ethnicity, religion, marital
status, occupation, contact person, and source of data
Reason for Seeking Health Care - CORRECT ANSWER-Chief complaint (CC) or
presenting problem
History of Present illness - CORRECT ANSWER-Conduct a symptom analysis -
include OLDCARTS
Present Health Status - CORRECT ANSWER-Focus on patient condition's (acute
and chronic), medications the patient is currently taking, and allergies the patient
has experienced.
Past Health History - CORRECT ANSWER-Explore past and present conditions
that may have some effect on patient's current health needs and problems.
Family History - CORRECT ANSWER-Review of patient's blood relatives
(biologic), spouse and children to identify illnesses of genetic, familial or
environmental nature that may affect the patient's current or future health.
Personal and Psychosocial History - CORRECT ANSWER-Explores a variety of
topics, including any information that affects the patient's physical and mental
health.
Review of Systems - CORRECT ANSWER-Conducted to inquire about past &
present health of each of the patient's body systems. Use OLDCARTS. If
sufficient data has been collected about the body system in the Present
Illness/Present Health status section, these questions are not repeated.
No delegation to NAP.
The RN is not only responsible for gathering data, but clustering it and using it in
decision making.
The delegating nurse retains responsibility and accountability for nursing care of
the client, including nursing assessment, planning, evaluation, documentation,
,and supervision. The delegating nurse shall assess the clinical status and
stability of the client's condition; determine the type, complexity, and frequency of
the nursing care needed; and delegate only those tasks that:
a. Do not require the exercise of independent nursing judgment;
b. Do not require complex observations or critical decisions with respect to the
nursing task or procedure;
c. Frequently recur in the routine care of the client or group of clients;
d. Do not require repeated performance of nursing assessments;
e. Utilize a standard procedure in which the tasks or procedures can be
performed according to exact, unc - CORRECT ANSWER-According to the ANA
Standards of Practice, what is the registered nurse's role in assessment?
Primary prevention - CORRECT ANSWER-Prevent disease from developing
through healthy lifestyle
Secondary prevention - CORRECT ANSWER-Screening efforts to promote the
detection of disease to halt the progression the disease process
Tertiary prevention - CORRECT ANSWER-Minimizing the disability from acute or
chronic disease or injury
Help the client maximize his or her health
Health promotion - CORRECT ANSWER-Behavior motivated by the desire to
increase well-being and actualize human health potential
Health protection - CORRECT ANSWER-Behavior motivated by a desire to
actively avoid illness, detect it early, or maintain functioning within the constraints
of illness
Clinical prevention - CORRECT ANSWER-Individually focused interventions
such as immunization, screenings, and counseling, aimed at preventing
escalation of diseases and conditions
How does QSEN relate to health assessment? - CORRECT
ANSWER-Patient-centered care, teamwork and collaboration, evidence-based
practice, quality improvement, safety, informatics
, The RN is not only responsible for gathering data, but clustering it and using it in
decision making.
culture - CORRECT ANSWER-all the socially transmitted behavioral patterns,
arts, beliefs, knowledge, values, morals, customs, life ways, and characteristics
that influence a worldview
ethnicity - CORRECT ANSWER-characteristics that a group may share in some
combination such as common geographic origin
Language and dialect, history, lifestyle, and/or religious beliefs, shared tradition
and symbols, music preferences
race - CORRECT ANSWER-genetic in origin and includes physical
characteristics.
Individuals from same racial group are not necessarily the same culture.
cultural sensitivity or cultural humility - CORRECT
ANSWER-Culturally-competent care- new terminology
be culturally sensitive, don't stereotype, use a template for assessment -
CORRECT ANSWER-cultural and ethical considerations
Comprehensive
Problem-based/focused assessment
Episodic/follow-up assessment
Screening assessment - CORRECT ANSWER-4 types of health assessment
Components of health assessment- health history (subjective), physical exam
(objective)- includes lab and dx tests, and documentation - CORRECT
ANSWER-components of health assessment
Clinical Judgment - CORRECT ANSWER-Noticing, Interpreting, Responding,
Reflecting
Requires accurate assessment data
Influenced by: Experience, Knowledge, Attitude, perspectives; Nurse's
Knowledge, Experience, Ethical Perspective, Knowing the Patient
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