BSMCON NUR
2102 - TEST 1
Primary prevention - Answers -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 - Answers -Examples of Primary Prevention
Secondary prevention - Answers -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 - Answers -Examples of Secondary Prevention
Tertiary prevention - Answers -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 - Answers -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 -
Answers -Healthy People 2020 Objectives to promote health and prevent disease
among the national population; updated every 10 years
Biographical Data - Answers -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 - Answers -Chief complaint (CC) or presenting
problem
History of Present illness - Answers -Conduct a symptom analysis - include OLDCARTS
Present Health Status - Answers -Focus on patient condition's (acute and chronic),
medications the patient is currently taking, and allergies the patient has experienced.
Past Health History - Answers -Explore past and present conditions that may have
some effect on patient's current health needs and problems.
Family History - Answers -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 - Answers -Explores a variety of topics, including
any information that affects the patient's physical and mental health.
Review of Systems - Answers -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 - Answers -According to the ANA Standards of Practice, what is
the registered nurse's role in assessment?
Primary prevention - Answers -Prevent disease from developing through healthy
lifestyle
Secondary prevention - Answers -Screening efforts to promote the detection of disease
to halt the progression the disease process
Tertiary prevention - Answers -Minimizing the disability from acute or chronic disease or
injury
Help the client maximize his or her health
Health promotion - Answers -Behavior motivated by the desire to increase well-being
and actualize human health potential
Health protection - Answers -Behavior motivated by a desire to actively avoid illness,
detect it early, or maintain functioning within the constraints of illness
Clinical prevention - Answers -Individually focused interventions such as immunization,
screenings, and counseling, aimed at preventing escalation of diseases and conditions
How does QSEN relate to health assessment? - Answers -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 - Answers -all the socially transmitted behavioral patterns, arts, beliefs,
knowledge, values, morals, customs, life ways, and characteristics that influence a
worldview
ethnicity - Answers -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 - Answers -genetic in origin and includes physical characteristics.
Individuals from same racial group are not necessarily the same culture.