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PPNC Exam 1 Questions With Complete Solutions

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PPNC Exam 1 Questions With Complete Solutions

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  • October 19, 2024
  • 48
  • 2024/2025
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  • PPNC
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PPNC Exam 1 Questions With Complete Solutions

- Wound healing by primary intention Correct Answer occurs
when the wound edges are reapproximated, such as with a clean
surgical incision. Healing is rapid with minimal scarring if
infection is prevented.

-Age: Correct Answer Age and developmental stage affect how
pain is experienced and expressed. Misconceptions about pain
management in infants and older adults must be addressed.

-Aggravating and precipitating factors: Correct Answer
Activities like movement, positions, consuming certain
foods/drinks, and psychological stress can bring on or worsen
pain. Associated symptoms like depression and fatigue can also
exacerbate pain perception.

-Behavioral responses: Correct Answer A person's culture, past
pain experiences, perception of pain, and ability to manage
stress can influence their behavioral response to pain. Untreated
pain significantly impacts quality of life.

-Biological factors Correct Answer refer to processes within
the human body that impact health, such as age, sex, inherited
conditions, and functioning of vital body systems.

-Genetic factors Correct Answer involve the genes inherited
from parents that may increase or decrease risk for certain
diseases and conditions. While genes are not modifiable,
understanding genetic predispositions can guide preventive care.

,-Nature of pain: Correct Answer Pain is a subjective,
individualized experience with physical, emotional, and
cognitive components. It reduces energy, impacts relationships,
and influences quality of life.

-Primary prevention: Correct Answer Its goal is to reduce the
incidence of disease. It includes health education programs,
nutritional programs, physical fitness activities, and all efforts
focused on maintaining or improving general health. Examples
are promoting hearing protection and providing education to
reduce cardiac disease risk factors.

-Secondary prevention: Correct Answer It focuses on
preventing the spread of disease or illness once it occurs.
Activities are directed at early diagnosis and prompt intervention
to reduce severity and enable return to normal health. Examples
include screening for diseases, identifying new cases, and
treating early stages to limit disability.

-Wound healing by secondary intention Correct Answer
involves wounds with tissue loss that are left open to heal by
scar tissue formation over time. Examples include burns,
pressure injuries, and lacerations. Healing takes longer and
scarring is more significant.

-Wound healing by tertiary intention Correct Answer also
called delayed primary closure, initially allows a contaminated
wound to granulate before surgically closing it days later. This
reduces infection risk compared to immediate closure of a
contaminated wound.

,1. Cultural variables: Correct Answer Cultural beliefs, religious
practices, and personal values shape hygiene care practices.

1. Explain the factors associated with sound clinical judgment
and critical thinking in caring for patients who are immobile.
Correct Answer - Anticipating potential risks and complications
related to immobility, such as deep vein thrombosis, pneumonia,
pressure injuries, and muscle atrophy.
- Applying scientific knowledge about the effects of immobility
on various body systems and the patient's specific condition.
- Gathering comprehensive data through patient assessment to
identify actual and potential nursing diagnoses.
- Analyzing assessment findings and synthesizing information
from the patient's history, previous experiences, and clinical
standards.
- Involving the patient and interdisciplinary team in developing
an individualized plan of care.
- Continuously evaluating the effectiveness of interventions and
modifying the plan as needed based on the patient's changing
condition.
- Maintaining a questioning attitude, examining personal biases,
and seeking deeper understanding through critical thinking
attitudes and skills.

1. Pain Assessment: Correct Answer Use a validated pain scale
that is easy to understand and appropriate for the client's age,
language, condition, and ability. The numerical rating scale
(NRS), verbal descriptive scale (VDS), and visual analog scale
(VAS) are all valid and reliable options.

, 1. Structure or locale: Correct Answer Observing the design of
the neighborhood/community, location of services, meeting
places, potential environmental hazards, safety issues like
abandoned buildings or poor road conditions.

2. Goal Setting: Correct Answer Involve the client in setting
realistic pain management goals. Ask what level of pain would
allow them to function and perform desired activities. Plan
interventions to reduce pain to that level.

2. People: Correct Answer Obtaining demographics of the
population from reliable sources like websites, public health
departments,
or libraries.

2. Social practices: Correct Answer Family customs, peer
groups, media, and health education impact hygiene preferences
from childhood through adulthood.

3. Interventions: Correct Answer Implement a multimodal
approach, including pharmacological (analgesics) and non-
pharmacological (e.g., physical therapy, cognitive-behavioral
therapy, relaxation techniques) interventions based on the
client's needs and preferences.

3. Personal factors: Correct Answer Emotional state,
developmental stage, and changes in living conditions or
functional status can affect hygiene practices

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