Exam (elaborations)
Ohlone NURS-301 Exam 1 (Classes 1-4) Questions With Complete Solutions
- Course
- NURS 301
- Institution
- Ohlone Community College
Ohlone NURS-301 Exam 1 (Classes 1-4) Questions With Complete Solutions
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Ohlone NURS-301 Exam 1 (Classes 1-4) Questions WithComplete Solutions
Analyze factors including culture which influence health beliefs
and practices and illness behavior. Correct Answer -
EXTERNAL VARIABLES: External variables influencing a
person's health beliefs and practices include family practices,
socioeconomic factors, and cultural background.
*Family Practices: Their perceptions of the seriousness of
diseases and their history of preventive care behaviors (or lack
of them) influence how patients think about health.
*Socioeconomic Factors: Psychosocial variables include the
stability of the person's marital or intimate relationship, lifestyle
habits, and occupational environment. Social variables partly
determine how the health care system provides medical care.
Economic variables often affect a patient's level of health by
increasing the risk for disease and influencing how or at what
point the patient enters the health care system.
*Culture: Influences the approach to the health care system,
personal health practices, and the nurse-patient relationship.
Cultural background also influences an individual's beliefs about
causes of illness and remedies or practices to restore health.
- INTERNAL FACTORS: Internal variables include a person's
developmental stage, intellectual background, perception of
functioning, and emotional and spiritual factors.
*Developmental Stage: Consider the patient's level of growth
and development when using his or her health beliefs and
practices as a basis for planning care.
*Intellectual Background: Beliefs about health are shaped in part
by the person's knowledge, lack of knowledge, or incorrect
,information about body functions and illnesses, educational
background, and past experiences.
*Perception of Functioning: Patient's perception of physical
functioning such as level of fatigue, shortness of breath, or pain.
*Spiritual Factors: Some religions restrict the use of certain
forms of medical treatment. You need to understand patients'
spiritual dimensions to inv
Analyze how nurses are using evidenced based practice when
assessing the patient for pressure ulcer risk using the Braden
Scale. Correct Answer Nurses are using evidenced-based
practice when assessing the patient for pressure ulcer risk
because the nurse is using current best evidence from nursing
research, clinical expertise, and practice trends to guide nursing
decisions about care provided to patients.
Analyze how the Ohlone College Nursing Program Philosophy
incorporates nursing's metaparadigm. Correct Answer Focuses
on person, health, environment/situation, and nursing.
Ohlone incorporates this by acknowledging that every human
being is unique (complex components; cultural, spiritual,
psychosocial, etc). Health is a reflection of the individual and
his/her family's physical, emotional, intellectual well being. All
of these components combine to form an interaction with the
environment (individual's own health, community health, all
interrelated). Nursing has to bring its knowledge of theories,
teaching, communication and skills together to create optimum
health for all.
Analyze the challenges community based nurses face in
assessing and developing and implementing effective
,interventions for vulnerable populations. Correct Answer
CHALLENGES: Vulnerable patients often come from varied
cultures, have different beliefs and values, face language and
literacy barriers, and have few sources of social support. These
special needs will become a challenge.
OVERCOMING CHALLENGES: Must assess patient
accurately, evaluate and understand patient's and family's
cultural beliefs, values, and practices to determine their specific
needs and interventions, important not to judge or eval your
patient's beliefs and values about health in terms of your own
culture, beliefs, and values. Take into account multiple stressors
in patient's life.
Appreciate the significance of community based health care.
Correct Answer - Model of care that reaches everyone in the
community
- Focus on primary rather than institutional or acute care
- Provides knowledge about health and health promotion and
models of care for the community
- Focus on the health care of individuals, families, and groups in
a community
- GOAL: preserve, protect, promote, or maintain health
Assess a client for his/her normal elimination pattern. Correct
Answer Ask:
- How often do you void during the day?
- When do you go?
- How much do you usually void?
Assess a client for his/her normal patterns of bowel elimination.
Correct Answer - texture/type (see chart below)
, - Ask questions! How often BM occurs?
Briefly describe the role of the RN in acute care, long-term care
and home care. Correct Answer - Acute Care: secondary and
tertiary; hospital ER departments urgent care center and
inpatient med-surg until provide secondary and tertiary levels of
care. Acute care nurses need to be responsive to learning patient
needs and expectations early to form effective partnerships that
ultimately enhance the level of nursing care given
- Long Term Care: continuing care; hospice, adult day care
- Home Care: nurses provide individualized care; they have a
caseload and assist patients in adapting to permanent or
temporary physical limitation so they are able to assume a more
normal daily home routine; requires strong knowledge base in
many areas such as family dynamics, cultural practices, spiritual
values, and communication principles.
Compare and contrast normal reactive hyperemia with
nonblanching erythema and identify other related skin
assessment indicators in the dark-skinned individual. Correct
Answer - normal reactive hyperemia/blanching hyperemia -
When an area is red, then blanches and quickly returns to normal
skin color
- nonblanching erythema - Stage 1 pressure ulcer. Top layer of
skin does not need to be broken/skin intact. (When you press on
it, and it DOESN'T blanch). When it stays red and DOES NOT
get white.
Skin Assessment Indicators in the Dark-Skinned Individuals
(Fundamentals, BOX 48.2, p. 1178)
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