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NUR 443 URI EXAM 2 QUESTIONS WITH CORRECT ANSWERS
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NUR 443 URI EXAM 2 QUESTIONS WITH CORRECT ANSWERS
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NUR 443 URI EXAM 2 QUESTIONS WITHCORRECT ANSWERS
Requirements for home care - answer--referral
-require skilled nursing care/therapy services that cant be provided by patient/caregivers
-homebound
Home care focuses on... - answer-tertiary prevention (and some secondary)
Purpose of home visit - answer-get them to function successfully without nursing
interventions
Purpose of palliative care - answer--providing comfort and easing pain
-symptom management
-discussion of patient's eol goals of care
-prevents readmissions
Difference between palliative and hospice - answer-in palliative care patients are @ any
point of health care continuum, and can still be seeking treatment
Goal of hospice care - answer--reduce pain and suffering
-improve quality of life for client and family
-provide support for client and family
Eligibility for hospice care - answer--6 months life expectancy
Recertification for hospice care - answer--hcp must re-certify pt after the first 90 days
and then every 60 days to determine if still eligible
Family & hospice care - answer--after care with family for up to 1 year after passing of
pt
Who pays for hospice - answer-medicare
Nursing interventions in hospice care - answer--decrease irritating stimuli
-keep warm
-comforting conversation and touch
-soothing music
-managing secretions
-discuss with family members option to say goodbye/give pt permission to die
Major issues in home care/hospice - answer--caregiver strain
-client neglect
-lack of resources
,-ethical dilemmas
What does oasis stand for - answer-outcome and assessment information set
What does oasis do - answer--determine medicare pay rate (medicare requirement)
-forms the basis for plan of care
-measures outcomes for adult home care
-evaluate and improve clinical performance
Domains of oasis - answer--clinical
-functional
-service utilization
Clinical - oasis - answer--all body systems
-sensory (pain), integumentary, respiratory, cardiac, elimination, neurological,
emotional, behavioral, cognitive
Clinical score - oasis - answer-1-3
Functional - oasis - answer--adls (eating, toileting, dressing, transferring, ambulating)
Functional score - oasis - answer-1-3
Service utilization - answer--number of therapy visits
-what will the patient needs? Disciplines, interventions, skills...
What are the components of home visit - answer--planning/visit preparation
-referral
-initial phone contact
-assessment
-perform
-listen & teach
-building trust
-termination phase/wrapping up
Planning phase of home visit - answer--visit preparation
-purpose of admission
-check advance directives
-know who is in home
-coordinate with other disciplines involved
Listen & teach phase of home visit - answer--ask open ended questions, teach back
Case management - answer--monitor progress
-crisis intervention
-health education
, -motivational interviewing
-therapeutic communication
-involve family and support network
-expert knowledge of community resources
What is epidemiology - answer-study of distribution and determinants of health events in
human populations (not individuals)
Process of epidemiology - answer--determine nature and extent of problem
-make hypothesis
-analyze data
-plan for control
-implement plan for control
-evaluate control plan
-make a report
-conduct research
What are the 6 stages of disease - answer--prepathogenesis
-early pathogenesis
-discernible early disease
-advanced disease
-convalescence
-death, disability, chronic state, recovery
Prepathogenesis stage - answer-health promotion and specific protection
Before disease
Early pathogenesis - answer-early diagnosis and prompt treatment
Advanced disease - answer-disability limitation
Convalescence - answer-rehab/recovery
What is morbidity - answer-illness
What is mortality - answer-death
Epidemic - answer-disease occurrence that clearly exceeds normal or expected
frequency in a community or region
Pandemic - answer-worldwide epidemic
Endemic - answer-continuing presence of a disease/infectious agent in a specific
geographic area (flu is endemic in the us, malaria is not)
Epidemiological triangle components - answer-host, agent, environment
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