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NUR 211 Exam Questions And 100% Correct Answers A+ Graded
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NUR 211 Exam Questions And 100% CorrectAnswers A+ Graded
Community nursing focus - ANSWER Health promotion and maintenance
Prevention
Slowing disease progression
Improve quality of life
Health promotion: exercise, nutrition, vaccines, smoking cessation, preventative
medicine
We should educate people as early as possible
What is a healthy community? - ANSWER Time magazine link
Buncombe County Unemployment Rate link
Consider the health indicators and health determinants
Five influencers of health:
Policy making
Social factors
Health services
Individual behavior
Biology and genetics
Health Prevention - ANSWER Primary- health promotion and prevention
Secondary -health maintenance, screening
Tertiary - minimizing disease progression, improve quality of life
,Epidemiology - ANSWER Look at statistical information regarding the spread of disease,
number of people affected, evaluate prevention programs
CDC MMWR link
Incidence - number of new cases per 1,000 people
Prevalence - number of existing cases at a specific time per 1,000 people
Mortality Rate - number of deaths from a specific cause per 1,000 people
Morbidity - incidence of a specific disease
Incidence - ANSWER number of new cases per 1,000 people
Prevalence - ANSWER number of existing cases at a specific time per 1,000 people
Mortality rate - ANSWER number of deaths from a specific cause per 1,000 people
Morbidity - ANSWER incidence of a specific disease
Windshield survey - ANSWER Assessing the community health by driving around and
looking at the community
What are you looking for?
Collect data
Assess, Diagnose, Plan, Implement, Evaluate
Policy making helps determine health through how much money goes to services to help
with medical costs, rules about what health providers can and cant do.
Also social factors determine health
Genetics also plays a role in health
What is available for the consumer? - ANSWER Media - Television, radio, commercials,
billboards
Literacy -education materials must be at a 5th grade reading level
,Immunizations
Buncombe County Immunization Rates
What is out in the community for the consumer to learn and know regarding health?
How do you identify what is available and what is needed?
What is sickle-cell? - ANSWER Normally people have Hgb-AA
Glutamic acid
Affected individuals have Hgb-SS
Switches glutamic acid for Valine
Cell has shortened life span
Translation: hemoglobin is abnormal, therefore it doesn't function as well
Autosomal Recessive Disorder
25% chance of children obtaining
What would individuals with Hgb-AS be?
Carriers (Sickle Cell Trait)
Incidence
African Americans
Mediterranean, Caribbean, South America, Central America, Arabia, East India
Hemolytic anemia
It is designated as hemoglobin AA which means it is normal hemoglobin and contains
glutamic acid
If glutamic acid is replaced by Valine, it is changes to Hgb SS
, If someone has AS it means they are a carrier but will not have the active disease.
Autosomal Recessive Disorder: If parents are carriers child has 25% chance of getting
sickle cell and 50% to be a carrier
Genetic, cells become misshaped which causes them to get stuck and also decreases
their oxygen carrying capacity
Genetic inheritance of sickle cell - ANSWER This shows the pattern of gene inheritance
in parents who are carriers who have children
Autosomal Recessive
Genetic counseling for parents that are both carriers
Types of sickle cell disease - ANSWER Sickle Cell Anemia
Most severe
Most common
Homozygous for hemoglobin S (HgbS)
Sickle Cell C Disease
2nd most common
Sickle cell (HgbC)
Sickle Cell
Sickle cell (Hgb E)
Sickle Cell Thalassemia
Less severe and less common
Pathophysiology of sickle cell Cells sickle, begin to clump together and form a stoppage
but it is different from a clot but can function like a clot in stopping blood flow to certain
areas
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