Shelby

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Anonymous
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171825
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Shelby
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2012-09-18 22:32:49
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systems care
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Systems of care 1
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  1. 1.      Which combinations best describe health
    care services based on primary illness-disease
    prevention?
    Vaccine
  2. Which best describes health care services
    based on secondary illness- disease
    prevention?
    STD screening
  3. Which best
    describes health care services based on tertiary
    illness-disease prevention?
    • Counsel the geriatric client with limited mobility to
    • consider an assisted living facility. 
  4. Which definition
    best describes the University of Florida – College of Nursing concept of wellness would be:
    • Concept
    • of Wellness is an active process of becoming aware of and making choices toward
    • a more successful existence. Wellness is generally used to mean a healthy
    • balance of the mind, body, and spirit that results in an overall feeling of
    • well-being. 
  5. Which
    definition best describes the University of Florida – College of Nursing concept of illness?
    • Morbidity
    • (illness) is a departure from a state of physical or mental well-being resulting
    • from disease or injury, or it is a static impairment of mental or bodily
    • function that results from previous disease or injury; or – the existence of
    • morbidity in an individual resulting from a particular disease, injury, or
    • impairment of mental or bodily function that results from previous disease or
    • injury.
  6. HealthyPeople 2020
    contains four primary goals by which prevention health care is to be provided.
    Which of the following is in alignment with one of the goals? 
    • Provide
    • open wellness clinic
  7. Which of the
    following combinations best describes Professor Mangueira’s favorite fish and
    favorite candy?
    • Red Fish
    • and Peanut M&M’s 
  8. A nurse is
    preparing to deliver a workshop regarding health promotion to a group of
    elderly clients. In describing HealthyPeople
    2020, which of the goals will the nurse emphasize for this group?
    • Increasing
    • quality and use of life
  9. A client
    has had a severe brain injury and has been in a rehab hospital for several
    months. Recently, the client developed pneumonia and is currently on IV
    antibiotic therapy for this. Which level of prevention addresses the pneumonia?
    • Secondary (not hospitalized for pneumonia, happened secondary to
    • main event)
  10. A nurse educator takes students into the school system and provides
    developmental testing for kindergarten through third grade. The nurse educator
    and students are providing care at which level of prevention?
    Secondary prevention
  11. A client with diabetes wants to have better control over her
    blood sugar levels. She has set a goal that she will have laboratory values
    that reflect this, and she has been monitoring her blood sugar twice a day for
    the past month. Along with regular checks, she has kept all appointments with
    her nutritionist. This client is modeling which of the following?
    ages: ACTION. 
  12. A client is learning how to manage his asthma. In providing
    teaching, the nurse stresses the importance of using the peak flow meter every
    morning to help determine changes in respiratory status. The nurse is stressing
    which of the following behaviors of health promotion?
    Competing preferences
  13. A client has joined a fitness club and is working with the
    nurse to design a program for weight reduction and increased muscle tone. The
    client has tried exercise in the past with success, but has not been
    participating in a program for some time. In order to assess the potential for
    success with this client, the nurse should evaluate which of the
    behavior-specific cognitions?
    • KNOW AFFECTIVE ISSUES -interpersonal
    • influences, perceived situations of action, situational influences, perceived
    • self 
  14.  According to the
    National Institutes of Health (NIH) website: NIAAA – Alcohol & Health –
    Special Populations & Co-occurring Disorders – Women, women who have about
    one drink per day have an increased chance of developing breast cancer compared
    to women who do not drink at all.
    TRUE
  15. According
    to the Centers for Disease Control (CDC) website: Life Stages & Specific
    Populations – Keep Them Safe, all
    children younger than 13 years should ride in the back seat and never placed in
    the front seat facing an airbag.
    TRUE
  16. Which best describes The U.S. Preventive Services Task Force
    (USPSTF)?
    An all volunteer group
  17. A client comes to the clinic seeking information regarding
    smoking cessation classes and ways to improve respiratory function. This client
    is modeling which behavior?
    Health Promotion (His own)
  18. A community health nurse wants to provide health promotion
    classes through the local hospital. Which of the following topics might be included
    in this endeavor?
    • Time management, healthy eating
    • habits, and bicycle safety for kids. 
  19. The USPSTF Letter Grade is a recommendation that reflects
    the magnitude of net benefit and the strength of the evidence supporting the
    provision of the specific preventive service. 
    Which definition best describes the recommendation of “I”?
    • “I” statements; help patients
    • understand the uncertainty surrounding these services since the evidence is
    • insufficient to determine net benefit. 
  20. Which best describes the definition of prevalence?
    • Prevalence is a measure of disease
    • that allows us to determine a person's likelihood of having a disease.  The number of prevalent cases is the total
    • number of cases of disease existing in a population;

    • the number of all new and old cases
    • of a disease or occurrences of an event during a particular period. Prevalence
    • is expressed as a ratio in which the number of events is the numerator and the
    • population at risk is the denominator.
  21. Which combination of activities best describes a nurse advocating
    health promotion? (Choose 4)
    • Provide senior citizen program,
    • participate in a university 10 mile run, Pads in community and relaxation
    • activities. NOT the band example. 
  22. A client has an incision with a complex dressing
    change.  The client will be discharged to
    home soon and the wound will require continued dressings at home.  Which statement by the client indicates a
    need to postpone teaching?
    • “I’m feeling nauseous but go ahead
    • and start anyway.” 
  23. (?)When making an assessment of the client’s learning needs,
    the nurse will focus on the learning style of the client and which of the
    following elements?
    • (?)Nurse’s knowledge, Client’s age,
    • Client’s understanding of the health problems, Sensory acuity 
  24. The nurse is working with a group of elderly citizens
    through a community senior citizens center. 
    Which best describes an understanding of health literacy?
    Ample time for teaching.
  25. A client has decided to change his eating habits to be more
    nutritionally sound.  An appropriate
    outcome for this client would be which of the following?
    • The client will list foods that are
    • nutritionally sound, low fat and high fiber. 
  26. At the completion of a teaching session, the nurse wants to
    evaluate the effectiveness of instruction. 
    Which best describes the most effective evaluation activity following a
    lesson on dressing changes? 
    • When the nurse is satisfied with the
    • client in completing the technique
  27. A client tells the nurse that he has no questions about his
    illness, since he did a search on the Internet. 
    The nurse should ask the client for the source of the information
    (website, web address) so document of the instruction can be made in the
    client’s chart. 
    FALSE
  28. A clinic nurse is teaching an adolescent about positive
    lifestyle choices.  Which combination
    best describes content appropriate to this age group?
    • Based on learning outcomes, current
    • and accurate, and adjusted to adolescent. 
  29. A nurse is working with a family of a child hospitalized
    with asthma.  The family members speak
    little English, and the child is being sent home on nebulizer treatments.  In addition to enlisting an interpreter to
    help with the language barrier, which action of the nurse best promotes health?
    • Make sure the parents can set up
    • treatments for the child & make sure parents know how to work the nebulizer
    • when the child is being sent home.
  30. A client who is legally blind requires weekly
    allergy-sensitization injections.  The
    client lives in a rural area and insists on self-administration.  Which action of the nurse best assists this
    client? 
    • Pre-fill the syringe with the
    • correct dose so the client can inject themselves. 
  31. A home health nurse is working with a client who has Chronic
    Obstructive Pulmonary Disease (COPD).  Of
    the following teaching priorities, which will take the highest priority?
    • Client will be able to set up and
    • use nebulizer by the end of the day.
  32. The nurse is going to be working with a client who has a
    non-removable cast on their left foot and will be ready to go home within the
    next several days.  Which action best organizes
    the teaching/learning experience? 
    • ASSESS. Found out how much they know before you
    • teach them
  33. A client needs discharge teaching regarding the use of
    crutches.  In planning a successful teaching
    session, the best thing the nurse can do is to wait until discharge, then do
    the teaching in the hospital lobby where there is ample room.
    FALSE
  34. A nurse is planning a workshop on health promotion for older
    adults.  Which topic will be included?
    Adequate Sleep 
  35. An obese client states previous attempts at weight loss have
    proved unsuccessful and states, “I am genetically supposed to be fat”.  According to the   Health Promotion Model (HPM), the nurse is
    most likely to focus on which behavior-specific variable for this client? One
    of the choices::
    -Percede self edicacy

    -situation influences

    -interpersonal

    • -something something.. look at
    • health promotion model.
  36. Evidence-based practice is clinical decision making based on
    the simultaneous use of the best evidence, clinical expertise, and which of the
    following? 
    Client Values
  37. Each contact between a nurse and a client is an opportunity
    for health promotion.  For the 50-year-old
    professional man who is trying to stop a 2 pack a day cigarettes habit, which learning
    contract component is best? 
    • Praise for positive health
    • promotion. 
  38. A nurse is planning a community health education project
    that deals with organ donation and the target audience is a group of older
    adults.  The nurse should make sure that
    the teaching includes which of the following?
    Directions on how to become a donor. 
  39. The nurse instructs a client on self-care for a new
    ostomy.  Which client behaviors demonstrate
    that instruction has been effective?
    • Client states what items are needed
    • to perform the ostomy care. 
  40. The nurse is designing a teaching plan for a client to learn
    a new psychomotor skill.  The nurse
    understands role-playing is a key teaching strategy of psychomotor learning?
    FALSE
  41. The nurse suspects a client has low literacy when what is
    assessed?
    • Incorrect filling of hospitalized
    • forms, refuse to sign eyeglasses are at home, client says he forget to report
    • to laboratory screenings meaning he missed an apt.
  42. A nurse is presenting teaching sessions to a group of
    residents in a home for long-term physical rehabilitation.  Which of the client exhibits the highest
    motivation?
    • A client is excited about his new
    • prosthesis. 
  43. The nurse is instructing a client on self-administration of
    insulin.  Which statement regarding
    feedback is most beneficial to the client?
    • If you are uncomfortable with the
    • injection, next time I can show you a different approach with the needle. 
  44. A client is having difficulty keeping his medication
    schedule organized.  He makes this
    statement, “There are so many pills and the names are all confusing to me.  I don’t even understand what they’re for.”  Which is the best response by the nurse?
    • “Write out the generic brands” or
    • “Write out the generic and trade name of the pill.”
  45. A nurse educator is working with a group of students who are
    in their first day of clinical rotation in the hospital.  The staff nurse asks the instructor of the
    students would like to perform a Z-track injection.  Understanding the important concepts
    surrounding timing and environment in a learning experience, which is the best
    response by the instructor?
    • “Would it be okay if the students
    • just watched today and we will see if we have time in class to practice?” 
  46. A client has been diagnosed with diabetes mellitus and must
    learn how to do his own finger stick blood sugar analysis.  The client has been sullen and
    uncommunicative since receiving the diagnosis. 
    How can the nurse best increase the client’s motivation to learn?
    • Encourage the client’s
    • participation. 
  47. Which best describes an appropriate outcome for a client who
    has decided to change his eating habits to be more nutritionally sound?
    • Client will be able to list foods
    • that are nutritionally sound, high fiber. 
  48. A client is scheduled to have a diagnostic procedure.  Which question by the nurse will most likely
    produce a “teachable moment”?
    • “What have you heard or read about
    • this procedure?”
  49. Which is the best method of helping a client newly diagnosed
    with diabetes to learn the dietary requirements associated with the disease?
    • Ask client to make a list of their
    • favorite foods to show how it can work in their diet. 
  50. A client is admitted to the hospital experiencing
    hypertensive crisis because of the failure to take his prescribed
    medications.  To determine learning
    needs, which client assessment would have the highest priority?
    Ability to get meds.
  51. How can a nurse best assess a client’s style of learning?
    • Ask the client how she learns best.
    • It’s a contract.
  52. A client has a learning outcome of “Select foods that are
    low in fat content”.  The statement, “I
    understand the importance of a low-fat diet,” reflects that the client has met
    this outcome.
    FALSE. 
  53. All health information obtained through the Internet is invalid.
    False. 
  54. A nurse is scheduling a teaching situation.  Which combination describes clients that are least
    ready to learn?
    8 year old playing video games.

    • [Other options: 70 year old recovering from hip
    • replacement; 55 year old with ovarian cancer, post-op patient on pain
    • meds, 82 year old with dementia]
  55. Which of the following is an example of a primary prevention
    activity?
    • Nutrition counseling for a family with
    • history of high cholesterol

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