Tertiary Prevention
- Correct Answer - -Prevent recurrence, prevent disability.
-For example: Rehab, Social skills training
Universal Prevention
- Correct Answer - Childhood immunizations, seat belt laws, helmets,
access to health care.
-branches off primary prevention
Selective Prevention
- Correct Answer - -Aimed at persons with increased risk of developing a
psychiatric disorder.
-Examples are those coming back from war
-branches off primary prevention
,Indicated Prevention
- Correct Answer - Aimed at those whose symptoms have begun and
early treatment may decrease magnitude of illness or prevent entirely.
-branches off primary prevention
Types of Crisis
- Correct Answer - -Maturational Crisis
• Normal occurring events in life r/t one's continual growth &
development
-Adventitious (Social) Crisis
• Disaster scenario that impacts one's well being without warning
• Typhoon, War, Earthquake
-Situational Crisis
• unexpected events that disturb one's psychological well being
• unexpected death or loss of employment
Quality improvement
- Correct Answer - -Plan-Do-Study-Act
• "Do" involves implementation. The "Study" involves monitoring for the
plan for successful outcomes and the "Act" involves adjusting the
methods to achieve future desired results. The cycle repeats itself for
future gains.
-Root Cause Analysis
• Method utilized to evaluate adverse events
• Goal is to prevent future harm
,• key question "Why?" leads to the root cause
Reliability:
- Correct Answer - -Test & retest & should get the same results:
-its Reproducible & Consistent.
-Cronbach's alpha estimates reliability of a test
• Ranges from zero - 1.
• 0.70 or higher is a common threshold in research.
Validity:
- Correct Answer - measures what it claims to measure. The treatment
led to the outcome and is generalizable.
P value:
- Correct Answer - -Used to test hypotheses.
-Probability less than 0.5 points towards a statistically significant result.
Incidence:
- Correct Answer - -The number of newly diagnosed cases of a disease
occurring within a period of time.
Prevalence:
- Correct Answer - The total number of cases of disease existing in a
population during a period of time.
Malpractice:
- Correct Answer - Licensed professional such as an APRN, fails to
provide services set forth by the standard of care resulting in harm to the
patient. The action resulted in the harm to the patient.
, Negligence:
- Correct Answer - Failure to provide care that a reasonably prudent
Nurse Practitioner would resulting in harm to the patient. In other words
it is the lack of an action or failure to provide care that resulted in harm to
the patient.
Ethics for the APRN
- Correct Answer - -Autonomy: The right for individuals to make their
own, yet informed decisions.
-Beneficence: Promoting well being & doing good. Obligation to help
others.
-Fidelity: Is being loyal, keeping promises & commitment to obligations.
-Justice: Doing what is fair in all aspects of care.
-Nonmaleficence: Obligation not to inflict harm such as gossiping about
the client.
-Veracity: Telling the truth.
Tarasoff / Duty to warn
- Correct Answer - Involves breaking confidentiality in such
circumstances such as when the client may harm themselves or others.
Top ten Key contributors to the field of psychiatric nursing: Sigmund
Freud
- Correct Answer - -Founder of Psychoanalysis
-Stages of psychosexual development
-Id, Ego, Superego
-Object Relations
-Defense Mechanisms
-Free Association
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