CRRN Latest 2023 Graded A+

CRRN Latest 2023 Graded A+ UMN Chemical suppository or mechanical rectal stimulant, a consistent personalized scheduke, snd appropriate adaptive equipment- UMN or LMN? Beneficence (Definition) Help people in need Nonmaleficence (definition) Do no harm Autonomy (definition) Right to choose and follow an individual plan of action Justice (definition) Concept of trusting everyone in a fair manner The cost of healthcare has been positively impacted by: Payment for home care services with federal funds Trust vs. Mistrust Infant (0-1yr) autonomy vs shame and doubt toddlerhood 1-3 Initiative vs. Guilt Preschool 3-6 yrs. Industry vs. Inferiority School age 6-12 years identity vs. role confusion adolescence 12-19 yrs intimacy vs isolation early adulthood 20-25 yrs Generativity vs. Stagnation Adulthood 26-64yrs integrity vs despair old age 65-death multidisciplinary team Members work independently toward discipline goals, task focused Medical team Physician directs care, traditional way of providing care and is not consistent with rehabilitation philosophy Interdisciplinary team Members work together, communication is primarily lateral, shared goals, patient focused transdisciplinary team One members is the primary provider while other members guide Worden's four dimensions of grief after disability Feelings, thoughts, behaviors and physical sensations Handicap The interaction of a person with a disability with the environment Disability The inability to perform some key life function Impairment The residual limitation that results from disease, injury, or congenital defect myasthenia gravis Auto immune disease that impacts voluntary muscles What is the physiologic cause of sleep disturbance among patients who are diagnosed with myasthenia gravis? Skeletal muscle weakness leading to apnea and sleep disturbances What are common disorders and health-related issues associated with PTSD? HTN, ASHD, problem with pain perception and pain tolerance self-concept A person's perception of oneself In the Gate Control Theory of Pain, what area of the spinal cord is beloved to function as the "gate" and what fibers tend to "open" the gate and allow pain signals to travel the spinal cord to the brain of perception? The cells of the substantial gelatinous function as the gate allowing small, slower pain impulses to travel through the gate to the brain for interpretation S/S of brain stem strokes: Dysarthria (possible cranial nerve involvement), vital sign (regulated by brain stem), quadraparesis or quadriplegia d/t motor pathways crossing the medulla of the brain stem, poor balance and coordination self-efficacy A sense of control over one's life Seventh Day Adventist Believe that Saturday is the seventh day of the week and the day upon which God rested. They maintain Saturday as a holy day What are the three phases identified by Kaplan (1990) as a triphasic model of human sexual response? Desire, excitement, and ejaculation Hierarchy of pain assessment treatment Self report, search for potential causes of pain, assess pain-related behaviors, surrogate reporting Piaget's cognitive and developmental theory Growth results from social and neurological maturity where children develop strategies for interacting with the environment and knowing its properties CN XI: spinal accessory Innervates the skeletal muscle of the soft palate which contract reflexively during swallowing CN XII: hypoglossal Innervates tongue muscles CN IX: Glossopharyngeal Sends motor impulses to pharynx CN V: Trigeminal Innervates muscles of mastication What strategy will prevent aspiration pneumonia during the Frazier Free Water Protocol? Good oral hygiene What MUST be present for a patient to qualify for home health care under the Medicare program? Home bound What is the BEST approach for the rehabilitation nurse with a new interest in political activism? Identify one issue of interest and act on it What is the MOST important factor in the determination of client cost and availability to access transportation? Insufficient healthcare resources fee-for-service payment Financial risk borne to health plan that pays providers for all covered services Prospective Payment Health plan shift part of the financial risk to the hospitals by paying a fixed amount based on admission diagnosis Capitation payment Fixed monthly payment cost sharing Deductible and copayments What is the MOST appropriate intervention for a TBI pt experiencing SIADH? Limit fluid intake Martha Rogers Views health as a value-laden term imposed by society Dorthea Orem Views health as an integrated wholeness of the body and mind; self care theory Lydia Hall Views health as a behavior in which the person achieves maximum potential through learning Imogene King Health includes dynamic life experiences and adjustment to stress Rebound occurs when an individual spends insufficient time in certain stages of sleep. For which of the following is rebound an IMPORTANT concept? Stage 4 Benchmarking Identifying and adapting best practices to improve the processes of care Lateral soinothalamic tract Ascending spinal cord tract responsible for transmitting pain and temperature sensations anterior spinocerebellar tract Transmit impulses regarding body position Posterior columns Convey impulses regarding touch, pressure, two-point tactile discrimination and vibration anterior spinothalamic tract Transmit impulses regarding touch and some type of pressure Health contract When implemented prior to discharge, can promote communication, divine roles of each party, clearly outline outcomes, define the limitation of care, and establish home health care agency liability Network model HMO contracts with more than one physician group practice to provide services Group model HMO contacts exclusively with a group of physicians and separately with hospitals Mandates relay services by telephone companies for patients who have telecommunication devices for the deaf ADA 1990 cost-identification analysis Through identification of direct and indirect costs in a service cost-benefit analysis Determination of whether the dollar value of the devise outweighs its cost and cost-effectiveness Cost-utility analysis Appropriate when the outcome of interest can best be expressed in terms of changes to quality of life Betty Neuman Developed health care systems model utilizing an open system interaction with the environment Jaqueline Fawcett Identified 4 central concepts that provide the foundation for nursing theories: person, environment, health, and nursing Marjory Gordon Standardized model of data collection, including 10 patterns that represent a composite of the individual's life, including internal and external factors Utility Intent to achieve the greatest good Justice Engage in fair practices Fidelity Execution of duties and obligations Beneficence Duty to act in a manner with the intent to be good The sleep and wake cycle is integrated into a 24 hr cycle none as the circadian cycle. This activity is controlled by the: Hypothalamus What is ONE of the overall purposes of spirituality? To help develop a cohesive view of the meaning of their lives