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NUR 211 EXAM QUESTIONS AND ANSWERS
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NUR 211 EXAM QUESTIONS AND ANSWERSCommunity 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 makes a community healthy? - Answer Time magazine link
Buncombe County Unemployment Rate link
Look at 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 both parents are carriers, a child has a 25% chance of getting sickle cell
and 50% to be a carrier
Genetic, cells are more likely to be misshaped which causes them to get stuck and also decreases their
oxygen carrying capacity
Genetic inheritance of sickle cell - Answer This demonstrates the gene inheritance pattern for parents
that are carriers that 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 - Answer 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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