?????
Hypothermia is a body temperature below?
36.2° C / 97.2° F
Hyperthemia is body temperature above?
37.6° C / 99.7 ° F
E. Pregnancy-induced hypertension
A. Anemia
G. Caregiving
A. Anxiety
E. Evaluating
A. Assessing
G. Mucous membranes
E. Tendons and ligaments
F. Bony prominences free of redness
E. nail bed with 180 degree angle
D. Evaluate the area later to see if it is better.
A. Reposition every 2 hours
D. Children do not need palliative care
A. Some nurses and practitioners do not feel comfortable communicating with parents regarding palliative care
Diptheria, tetanus, pertussis (DTaP)
Mumps, measles, rubella (MMR)
The development of partnerships to achieve the best possible outcomes that reflect the particular needs of the patient, family, or community, requiring an understanding of what others have to offer.
Collaboration
Complement proteins
Complement proteins
The scope of stress ranges from what to what to what?
No stress
d. Alternating ice and heat to relieve pain and inflammation
Nonpharmacologic strategies encompass a wide variety of nondrug treatments that may contribute to comfort and pain relief. These include the body-based (physical) modalities, such as massage, acupuncture, and application of heat and cold, and the mind-body methods, such as guided imagery, relaxation breathing, and meditation. There are also biologically based therapies which involve the use of herbs and vitamins, and energy therapies such as reiki and tai chi. Pilates, breathing exercises, aloe vera, guided imagery, relaxation breathing, meditation, and alternating ice and heat are multimodal therapies for pain management. They are not exclusively biologically based, which involves the use of herbs and vitamins.
The total process by which organisms produce offspring.
Reproduction
A sense of oneself, and in relation to others, that is influenced by characteristics, norms, and values of the nursing discipline, resulting in an individual thinking, acting, and feeling like a nurse.
Professional Identity
Prevent injury
Promote healing
"Proper care of the skin is important because the immobilized patient will be incontinent."
Proper care of the skin is important because the immobilized patient is at high risk for breakdown.
Zinc and potassium
Protein and calcium
These are what stage of grief?
Protest
Tenderness
Purulence
Vaginal spotting
Quickening
Unlicensed nursing personnel
Registered nurse
Evaluation of staff compliance with infection control measures
Reinforcement of isolation precautions with visitors
This is what stage of grief?
Reorganization
D. Explaining the use of a 0 to 10 pain scale
Using Wong's "Pain Faces"
Virulence
Virulence refers to the ability of pathogens to produce disease once introduced into the body. Highly virulent pathogens produce disease when small numbers invade the body; weakly virulent pathogens produce disease only when large numbers invade the body.
E. To determine whether the client is taking a drug that increases photosensitivity
A. To assist the client in bathing
D. Brief
A. Transient
D. Document your observations
A. Use a finger to apply pressure to the reddened area
D. How much weight have you gained since your stress started
A. What do you think triggers your stress?
E. A young athletic male
A. a patient taking corticosteroid..causes thinning of the bones
F. production center for red blood cells
A. acts as the structural foundation for the body
E. avoiding too hot or too cold of foods
A. avoidance of extreme temperature change
D. muscle
A. bones
D. inflammation
A. contracture
E. coping skills
A. duration
D. SOB
A. fatigue
D. gender
A. income
D. lymphocytes
A. macrophages
D. deconditioned
A. mobility
G. joint crepitation (crackling sound)
A. pain
D. immune system strength
A. re-injury
D. Is a primary prevention tool
A. screens for skin breakdown for patients in the hospital
D. prolong life
A. slow disease progression
D. biophysical
A. sociodemographic
E. Braxton Hicks contractions
A.Fatigue
D. Osteogenesis
A.Gametogenesis
d. Primary health care provider
a. Nurse
to health problems.
a. Nursing diagnoses involve the client when possible.
e. Patient reports, "I'm tired all the time. I haven't felt like myself in days."
a. Oral temperature 38.6C/101.5F
e. Noticing if the client gives nonverbal signs of pain
a. Palpating for tenderness
e. Businessman who consumes six cups coffee/day
a. Parents of a newborn
d. Maintaining a patent airway
a. Private toileting, oral hydration
d. Decreased carbohydrate, protein, and fat destruction
a. Prolonged stress response and a cascade of harmful effects system-wide
e. Equitable
a. Safe
d. They prevent the development of a hospital-acquired infection.
a. They keep the child away from uninfected people.
d. To adapt to the limitations due to an illness
a. To ease the pain from illness
d. To protect only the family
a. To prevent transmission of infectious microorganisms
e. Mostly female gender
a. Uninsured or underinsured status
d. Intractable pain
a. Visceral pain
e. Workers standing at desks at waist level
a. Workers reaching up to high shelf often to obtain cleaning supplies
An anti-inflammatory agent
Administering two antituberculosis drugs
Legal doc that explains how you want medical decisions about you to be made if you cannot make the decisions yourself.
Advance directive
D. Peripheral nerve blocks
Answer: A
D. Every shift
Answer: A & B
D. Mixed pain syndrome
Answer: B
D. Receiving acupuncture and attending church services
Answer: B
D. Nonsteroidal anti-inflammatory drug (NSAID)
Answer: D
Have the client stand for at least two minutes before starting to walk.
Apply a gait belt around the client's waist if the client reports feeling dizzy.
Request an order for antianxiety medication
Arrange for a sitter to stay with the client
Maintain gender-specific terms while questioning during assessment
Ask about menstrual history at the beginning of assessment
d. "This is considered a psychiatric illness requiring behavioral medicine."
b. "An exact cause may not be determined, but a treatment plan will be discussed."
d. "Disinfect showers and bathroom floors weekly after use."
b. "Avoid sharing razors and other personal items."
d. "The infant will be less susceptible to infections later in life."
b. "Breast-feeding will provide protection against bacteria."
d. "I wear a UV shirt and limit exposure to the sun by covering up."
b. "I don't bother with sunscreen on overcast days."
d. "I should wear gloves before touching the site of injury."
b. "I should use the cotton swab placed on the table."
inflammatory response."
b. "Ice should be applied for 15-20 minutes every 2-3 hours over the next 1-2 days."
e. "Develop a care plan that moves the client from the hospital to another level of health care."
b. "Teach the client the safe and effective use of medications and medical equipment."
d. "Your medications have caused drug induced weakness."
b. "Your immobility in the hospital is known as deconditioning."
d. The nursing care is based solely on standards of practice.
b. A collaborative plan of care is developed to achieve optimal health.
d. Diagnosis
b. Assessment
d. Teaching the client and caregivers about how to avoid infection
b. Assisting with personal hygiene
hours
b. BP 90/48, P 112 beats/min, RR 26 breaths/min, urine output 240 mL in past 24 hours
d. Fall risk
b. Bradypnea
e. Side effects of medications
b. Chemotherapy
d. Respiratory syncytial virus
b. Chickenpox
d. Promoting drying of lesions
b. Decreasing pruritus
d. Ensures that clients and other health care team members are shifted to a safe place in case of a fire in the hospital setting.
b. Discusses the development of a special diet chart with a dietician for a diabetic client.
d. Multidimensional Fatigue Inventory (MFI)
b. Fatigue Severity Scale (FSS)
e. Help the client in making health care decisions.
b. Follow interventions to reduce hospital stay.
d. Activity Intolerance related to prolonged bed rest
b. Impaired Skin Integrity related to immobility
f. Decreased protein synthesis
b. Increased heart rate and blood pressure, and cardiac output
d. Tell the client about the dangers of prolonged bed rest.
b. Instruct the client to remain in bed
d. Positive social manifestations
b. Loss of homeostasis
d. Well nourished
b. Low birth weight
d. Acupuncture and attending church services.
b. Music therapy, distraction techniques, meditation, prayer, hypnosis, guided imagery, relaxation techniques, and pet therapy.
d. Mixed pain syndrome
b. Nociceptive pain
e. Fetuses of adolescent mothers are at higher risk for chromosomal defects
b. Pregnant adolescents often seek out less prenatal care.
d. Secondary acute care
b. Preventive care
d. The client needs more education about the use of the pain scalle.
b. The medication is not adequately effective.
e. The nurse prepares a flow chart to show the decline in client injuries after implementing a weekly client education program on the use of nurse call lights.
b. The nurse prepares a graph to compare the effectiveness of regular nursing practice with traditional health care practices.
f. Strict monitoring of intake and output
b. Use of personal protective equipment
d. Explain that the primary nurse will be back from lunch in a few minutes.
b. Verify that the written prescription matches the administration record.
d.Superficial partial-thickness skin destruction
b. full-thickness skin destruction
d. chain of infection
b. pandemic
d.Turn the room temperature up to at least 70° F (20° C) during dressing changes.
b. wear gowns, caps, masks, and gloves during all care of the patient
D. Manage and coordinate health care services
B. Give and/or assist with activities of daily living
E. Providing patient education about the prevention of disease
B. Helping the patients with bathing and hygiene
E. Wellness and health education programs
B. Holmes life events scale C. Ways of coping checklist
D. Because my total hysterectomy was done due to cervical cancer I should still have screenings done
B. I received the HPV vaccination so screening is no longer required for me
D. Infection
B. Incontinence
D. Active children
B. Infants→ diaper rash due to incontinence
D. Signs up for a swimming class three times a week
B. Joins a tennis league and practices every day
E. Anal intercourse
B. Sharing syringe needles
D. Physical
B. Social
D. Acute inflammatory response.
B. Systemic response.
D. Nothing...the patient is most likely lying
B. Take the restraint off immediately
D. Use bath sponges or puffs when bathing.
B. The infected area should be covered with a clean, dry bandage.
D. Inflammation
B. Tissue integrity
D. Refraining from safe-sex practices such as condom use
B. Using alcohol, marijuana, or illicit substances
D. coordinare
B. collaborare
D. biophysical
B. environmental
D. All of the above
B. fail and vulnerable adults and children
D. deconditioned
B. immobility
D. this is a sign of poor tissue integrity
B. this is a sign of gas a exchange problem
D. A surgical incision
B: Scar tissue, or fibrous repair of damaged tissue, occurs when an area is damaged too extensively for the body to replace damaged tissue with identically functioning tissue after removal of injurious agents and pathogens. Optimal functioning of the inflammatory process will result in regeneration of tissue that functions identically to the damaged and replaced tissue. Chronic inflammation can result in fibrous, or scar, tissue, but that scar tissue production is continuous as the inflammation continues. Fibrous tissue production can result from many different kinds of injuries, not just surgical wounds.
D. disseminated infection
sepsis--> A. systemic infection
What are the 4 primary human drives?
thirst, hunger, avoidance of pain, and sex
exudate.
vasodilation.
Differences that occur by gender, race or ethnicity, education or income, disability, living in rural localities, or sexual orientation; differences in access to or availability of facilities and services.
Health Disparities
The absence of disparities or avoidable differences among socioeconomic and demographic groups or geographical areas in health status and health outcomes such as disease, disability, or mortality.
Health Equity
Goal-directed decision-making about health that is the result of an authorized, public decision-making process. Is is defined as those actions, non-actions, directions, and/or guidance related to health that are decided by governments or other authorized entities.
Health Policy
The study of supply and demand of resources and its effect on the allocation of healthcare resources in an economic system.
Healthcare Economics
The arrangements made to pay for healthcare goods and services.
Healthcare Finance
The practice of law involving federal, state, or local law and rules or regulations regarding the delivery of healthcare services. It includes legal issues regarding relationships between and among providers and payors.
Healthcare Law
A purposefully designed, structured social system developed for the delivery of healthcare services by specialized workforces to defined communities, populations, or markets.
Healthcare Organization (HCO)
Patients who are at risk for being under-treated for pain due to inability to communicate
#NAME?
1 in how many couples experiences infertility?
1 in 6
What are the first and second priorities in a palliative plan of care?
1. pt expectations/goals
latent infection
1.Common cold → acute infection
When do humans typically start to experience sexual curiosity?
12-Aug
26-Jan
12-Jan
The defining characteristic is
2.5 cm partial thickness open wound
Normal WBC range is?
4,500 to 10,000
Hyperpyrexia is temperature above?
41.4° C / 106.5 ° F
5. under the right supervision and evaluation
5 rights of delegation
How many sperm cells does a healthy male produce daily?
500 million
79-year-old man with diabetes
79-year-old man with diabetes
A teen who does not use contraception has a ____ chance of becoming pregnant in the first year. Which country has the highest teen pregnancy rate?
90%, U.S.
E. Assessing a patient complaining of an itching rash.
A, B, C, D: All the above options can be delegated to an unlicensed assistive personnel employee except for assessing a patient complaining of an itching rash. Assessment of a rash should be done by the nurse so the appropriate referrals can be made if necessary. The nurse needs to investigate a new rash for the possibility of an allergic reaction.
D. Using cold water in the bath
A, B: Administering pain medications will ensure that the patient is comfortable prior to a dressing change. The nurse should cleanse the wound and then apply the sterile dressing. The order calls for a wet-to-dry normal saline dressing. A cold water bath would be contraindicated for pressure ulcer treatment.
A 79 year-old malnourished client on bed rest
A 79 year-old malnourished client on bed rest
D. Apply sunscreen 30 minutes prior to exposure
A, D: Wearing sunglasses and using sunscreen are recommended by the National Cancer Institute. Drinking water will help with heat exhaustion but will not prevent melanoma. Green tea, fish oil, soy products, and vitamin E are thought to be helpful in minimizing the risk of developing melanoma; however, vitamin K can cause the blood to clot and has not been indicated.
F. "I have found a support group for newly divorced persons in your neighborhood."
A. "A divorce, while stressful, can be the beginning of a new, better phase of life."
D. "As long as I take all my prescribed medications, I won't have to make any lifestyle changes as a result of my SLE."
A. "I need to avoid getting infections because they will increase the immune response in my body, which can make SLE worse."
E. 88 y/o female who is bed bound and is turned every 3-4 hours
A. 45 y/o female receiving radiation therapy due to thyroid CA
D. Asians
A. African Americans
E. Medications such as steroids may increase glucose levels.
A. Blood sugar may be higher in the hospital due to the increased bed rest.
E. Wellness and health education programs
A. Counseling
D. Women taking hormone replacement therapy may not experience climax during sex.
A. Decreased lubrication is frequently cited as the cause for sexual problems.
D. Death of friend
A. Dementia
B. Sexual identity
A. Gender Identify
D. Are you heterosexual, homosexual, or bisexual?
A. Have you had sex with men, women, or both?
D. Is only geared towards the elderly
A. Important to have a holistic approach
C. Increased respiratory rate
A. Increased blood pressure
E. Mediates early inflammation
A. Increases vasodilation
D. Full thickness injury
A. Intact skin and tissue
F. Crackles in lung sounds
A. Orthostatic hypotension
D. He is most likely immunosuppressed from his disease process or its treatment
A. People in hospitals are often more susceptible to infections because they are already ill and they are exposed to germs while they are in the hospital."
D. Individual's expectations and culture
A. Perception of the experience
D. Increase saturated fats in the diet.
A. Practice relaxation techniques.
D. Allow for skeletal position to carry out desired action
A. Provide stability to bones
D. Unlicensed nursing personne
A. Registered nurse
D. "We should all wash hands before eating lunch."
A: Hand sanitizer does not work as well as soap and water, because it is not effective against all pathogens or in all situations. For example, hand sanitizer should not be used when hands are visibly dirty. Repeating the song "Happy Birthday" twice takes about 20 seconds, which is how long hands should be rubbed together with soap. Hand sanitizer needs to be at least 60% alcohol to be effective. Hand washing before eating is recommended by the Centers for Disease Control.
Nursing diagnoses should be prioritized first by immediate needs based on _____________________. The highest priority should also be determined by using _________________________.
ABC (airway, breathing, and circulation)
G. 45 y.o ER nurse
ALL ARE AT RISK
D. Apply wrist restraints.
ANS: A
D. Take the patient to the radiology department for x-rays.
ANS: A
F. Discuss alternatives that are appropriate for this patient with the family.
ANS: C, D, F
D. check the popliteal, dorsalis pedis, and posterior tibial pulses.
ANS: D
Self-initiated action taken to promote wellness, recovery, and rehabilitation.
Adherence
What is synonymous with compliance, concordance, obedience, observance, conformity, acceptance, cooperation, mutuality, persistence, and therapeutic alliance?
Adherence
Audible fetal heartbeat
Audible fetal heartbeat
F. increase risk of falls
B, C, D, F
D. Time management
B.
D. "Delegation is the act of transferring the authority to perform a nursing task in a selected situation."
B. "Delegation is the process for the nurse to direct another person to perform nursing tasks."
D. Notify the health care provider about the symptoms.
B. Administer the prescribed PRN oxygen at 4 L/min.
E. Acute renal failure
B. Anxiety
D. ask him to put gloves on before seeing the next patient
B. Ask the physician to wash her hands with soap and water
D.Maintain bed rest.
B. Assess the level of pain.
D.How many times a day do you take medication for the pain?
B. Can you describe your pain?
D. Provider
B. Caregiver
D. Potato chips
B. Custard
D. Avoid intercourse before the appointments.
B. Determine the estimated time of ovulation.
E. Evaluating
B. Diagnosing
E. Chronic inflammation
B. Eradication of dead tissue
C. Symptom
B. Etiology
D. Normothermia
B. Fever
State of sorrow over the death or departure of a loved one.
Bereavement
D. Turn the patient at least every 2 hours
C, D: The patient should be turned at least every 2 hours because permanent damage can occur in 2 hours or less. If skin assessment reveals a stage I ulcer while the patient is on a 2-hour turning schedule, the patient must be turned more frequently. Protein-calorie malnutrition is another major risk factor for developing pressure ulcers. Additional supplements boost nutritional status, which is essential to healthy skin. Use of donut pads, elevation of the head of the bed, and overstimulation of the skin may all stimulate, if not actually encourage, dermal decline
D. "Physical therapy is not helpful for persons who suffer from RA."
C. "Your joints are still inflamed, and physical therapy can be harmful."
The fertilization of egg by sperm.
Conception
Indicates a diagnosis of systemic lupus.
Confirms the nonspecific presence of inflammation.
D. A daily exercise program
C. A rehabilitation program focused on stress management
D. Threatening stress
C. Challenging stress
D. Ensure the patient that all information will be kept confidential.
C. Excuse the parent.
D. Sexual behavior
C. Gender identity
D. Fracture healing requires more calcium, which increases total calcium metabolism.
C. Lack of weight-bearing activity promotes bone demineralization.
D. Signs of inflammation
C. Pain
D. Preventive Care
C. Palliative Care
D. Full thickness injury
C. Partial thickness injury
D. Tell the client that this is not a typical sensation after receiving morphine sulfate.
C. Place the client in the supine position and take the vital signs.
E. Evaluating
C. Planning
D. Weight gain
C. Pressure ulcer development
D. Palliative Care
C. Stress
D. The patient is bisexual.
C. The patient is transgender.
D. Keep the hand immobile to prevent pain.
C. Try repositioning your arm and applying ice before taking medications.
D. Gently move the wrist through the range of motion.
C. Use pillows to elevate the arm above the heart.
D. White blood cell (WBC) count of 16,500/ìL; temperature of 98.8 F
C. White blood cell (WBC) count of 8500/ìL; temperature of 98.4?5? F
G. Aesthetic function
C. aids in vitamin A absorption
D. simple grief
C. disenfranchised grief
D. health care system is overwhelmed.
C. divorce rates have increased
D. wearing all PPE
C. hand washing
D. reduced muscle tone
C. increased elasticity of ligaments
D. biophysical
C. psychosocial
D. Parasitic infections
C.Health care and community acquired infections
Understanding the woman's wishes
Cognitive ability of appraisal
An individual's perception regarding how stressful an event is or will be.
Cognitive appraisal
"The development of partnerships to achieve best possible outcomes that reflect the particular needs of the patient, family, or community, requiring an understanding of what others have to offer.
Collaboration
D. Communicate with the patient over the call light whenever possible
C: Frequently, patients in contact isolation do experience a decrease in social interaction because of the isolation. The nurse must help provide adequate social stimulation for the patient. Frequently, this is done by educating the family and friends regarding isolation practices. Isolation does not mean that the patient cannot have visitors. Visitors must be educated on how to maintain the contact isolation while with the patient, especially hygiene guidelines. Personal protective equipment must be used when entering the room of a patient in contact isolation. Nurses and visitors do not always know when they will come into contact with a pathogen, especially if it is highly virulent. The patient in contact isolation should have regular face-to-face contact with the nurse. The nurse should not use the call light system to communicate with a patient in isolation any more than any other patient.
A set of activities purposefully organized by a team to facility the appropriate delivery of the necessary services and information to support optimal health and care across setting and over time.
Care Coordination
#NAME?
Care coordination
5. Proactive follow up
Care coordination
The deliberate organization of patient care activities between two or more participants (including the patient) involved in a patient's care to facilitate the appropriate delivery of healthcare services.
Care coordination
The deliberate synchronization of activities and information to improve health outcomes by ensuring that care recipients' and families' needs and preferences for healthcare and community services are met over time.
Care coordination
#NAME?
Caregiver role strain
Grief over losing his friends
Caregiver stress
#NAME?
Caregivers who isolate themselves from others
A multidimensional concept that encompasses the action or process of helping those who are suffering.
Caregiving
D. Advocating
Caregiving
Providing unpaid support and assistance to family members or acquaintances who have physical, psychological, or developmental needs."""
Caregiving
Those who provide unpaid care to a relative or friend to help them take care of themselves.
Caregiving
Causative microorganism
Causative microorganism
Experience is perceived as manageable but requires mobilization of resources. Not harmful; equilibrium maintained.
Challenging stress
Verify all immunizations.
Check the pulses
Isolate yourself from others until you are finished taking your medication.
Continue to take your medications even when you are feeling fine.
D. Bladder training and control
Control of pain
Cognitive and behavioral efforts to manage stress.
Coping
D. Release family members from participating in care
Correct Answer: B
A pattern of shared attitudes, beliefs, self-definitions, norms, roles, and values that can occur among those who speak a particular language or live in a defined geographical region.
Culture
Customs
Culture
What are the 3 previous care coordination models, and the 2 current models?
Current:
D. Secondary health promotion
D.
D. An asthmatic client with difficulty of breathing
D. An asthmatic client with difficulty of breathing
D. Assisting the client in developing new coping mechanisms
D. Assisting the client in developing new coping mechanisms
D. Behavioral
D. Behavioral
D. Caregiver
D. Caregiver
D. Disuse syndrome
D. Disuse syndrome
D. Full thickness injury
D. Full thickness injury
D. General malaise and fatigue
D. General malaise and fatigue
D. Increase hydration and encourage oral fluids
D. Increase hydration and encourage oral fluids
D. Modulation
D. Modulation
D. older adults
D. Older Adult
D. Perform a total skin self-examination monthly with a partner.
D. Perform a total skin self-examination monthly with a partner.
D. This is most likely normal and should fade within a year.
D. This is most likely normal and should fade within a year.
D. This limits loss of calcium from the bones.
D. This limits loss of calcium from the bones.
D. Threatening stress
D. Threatening stress
D. All of the above
D. all of the above
D. deconditioned
D. deconditioned
D. disseminated infection
D. disseminated infection
D. The unwashed math blocks
D: The boy has the flu and sneezes into his hand while at school. When he works with the math blocks, he leaves the flu virus on the toys. The teacher's helper picks up the virus with the blocks. When the parent touches her nose with her hand, the virus enters the susceptible host. The blocks act as the mode of transmission. The boy carries the pathogen, and his sneeze is the portal of exit. The teacher's helper is the susceptible host. The hand-to-nose contact is the portal of entry
What are the 5 Kubler-Ross stages of grief?
Denial, anger, bargaining, depression, acceptance
These are what stage of grief?
Disorganization
Offer diagnosis, care planning, and overusing of care for patients and families including education, trajectory of illness, and prognosis.
Doctor
E. A, B, D
E. A, B, D
Which nursing action reflects correct use of the Wong-Baker FACES Pain Rating Scale?
Encouraging the patient to choose a cartoon face that best represents the pain.
A condition in which all competing elements are in balance
Equilibrium
Various approaches deal with concepts of right and wrong; the study or examination of morality through a variety of different approaches.
Ethics
Cultural insensitivity
Ethnocentrism
A patient who is unconscious can still experience pain
FALSE
All patients are eligible for the hospice Medicare benefit
FALSE
Nurse to nurse collaboration is considered interprofessional
FALSE
Patients with deeply pigmented skin, skin changes may only be present in fingernail beds
FALSE
UTI is an example a systemic infection
FALSE
Evaluation occurs only at the end of the nursing process.
FALSE: The final phase of the nursing process is evaluation. Evaluation occurs NOT only at the end of the nursing process, but throughout the process.
The majority of sexual problems are caused by what?
Failing health, medications, age-related changes (dyspnea, arthritis, pain)
D. Peripheral edema
Fatigue
The union of a sperm and egg.
Fertilization
Ability to follow directions
Gait and balance
The formation of germ cells.
Gametogenesis
What is an unexpected interrelated concept of sexuality?
Gas exchange
Client pregnant, has 7 year old twins and has a 5 yr. old, what is gravida and para
Gavida III, para III
The socially constructed roles that a society considers appropriate for men and women.
Gender
How you demonstrate your gender through the ways you act, dress, behave and interact
Gender expression
The gender you internally express.
Gender identity
Describes the body's short-term and long-term reactions to stress
General adaptation syndrome
Increase your intake of protein and vitamin A.
Good nutritional habits promote healthy skin.
Client pregnant w/twins, has 5 yr. old, what is gravida and para
Gravida II, para I
Internal emotional reaction to loss.
Grief
The degree to which health services for individuals and populations increase the likelihood of desired health outcomes and are consistent with current professional knowledge.
Health Care Quality
Improved self-worth
Helplessness
What is another name for the integrated model of care coordination?
Holistic model
What is a secondary screening for stress?
Holmes life event scale
In stress, exhaustion of resources leads to loss off ______.
Homeostasis
What type of care focuses on quality rather than quantify of life, and palliative rather than curative care?
Hospice
Nurses of this specialty provide pain control, symptom management, spiritual assessment, and management of family needs.
Hospice nurses
What does the nurse infer if a patient scores a 2 on the Wong-Baker FACES pain rating scale?
Hurts a little bit.
I make sure to come inside between noon and 2 pm.
I only tan in the controlled setting of a tanning booth.
Name 2 types of ART (assisted reproductive technology).
IVF and IUI
The process of an egg attaching to the uterine wall.
Implantation
What is defined as, "The invasion and multiplication of microorganisms in body tissues, which may be clinically unapparent or result in local cellular injury due to competitive metabolism, toxins, intracellular replication, or antigen-antibody response."
Infection
What is defined as, "an immunologic defense against tissue injury, infections, or allergy."
Inflammation
ACOs are a type of what care coordination model?
Integrated
PACE (for the elderly) is an example of what type of care coordination model?
Integrated
These types of care coordination models offer health care, social support, and community services.
Integrated models
Childhood play interaction
Intellectual and psychomotor function
An interactive process that provides needed guidance and direction.
Leadership
Neutrophils
Lymphocytes
Apply antiseptic cream to reddened stoma
Make sure the skin around the stoma is wrinkle-free
They produce comparable immune dysfunction.
Many pathophysiologic processes are shared.
An accepted set of social standards that guide behavior.
Morality
Reassess the extremity in 15 minutes
Notify the health care provider
Avoid nonsteroidal antiinflammatory drugs (NSAIDs) for 24 hours after the injury.
Numbness may indicate increased pressure at the injury, and the health care provider should be notified immediately to avoid damage to nerves and other tissues. Inflammation is a common primary or secondary finding among conditions leading to changes in mobility, from an underlying autoimmune condition to a traumatic injury. The patient should be encouraged to move the joints above and below the cast to avoid stiffness. Elevating the shoulder would be uncomfortable for the patient and this position may increase pain.
Patient and family-centered care that optimizes quality of life by anticipating, preventing, and treating suffering. It involves addressing physical, intellectual, emotional, social, and spiritual needs and to facilitate patient autonomy, access to information, and choice.
Palliative care
What is a holistic approach to care that focuses on the physical, emotional, social, cultural, and spiritual needs of both the patient and his or her family members across across the illness trajectory?
Palliative care
Throw bean bags
Play hand-held games
Health outcomes of a defined group of people along with the distribution of health outcomes within the group.
Population Health
Transmission mode
Portal of entry
An initial evaluation for harm to self or to a loved one's well-being, self-esteem, or personal values.
Primary appraisal
Name the Problem, Etiology, and Symptom
Problem: "Deficient knowledge"
Involves the evaluation of resources available to overcome, reduce, or eliminate the stressor.
Secondary appraisal
The ability of individuals and/or their caregivers to engage in the daily tasks required to maintain health and well-being or to respond to the changing physical, psychological, behavioral, and emotional sequelae of a chronic disease based on their knowledge of the condition, its consequences, and the plan of care developed in cooperation with their healthcare team within the context of the daily demands of life."""
Self-Management
Maintaining a normal BMI, health diet, exercise, sleep, stress, etc. all fall under the scope of what?
Self-management
"A state of physical, emotional, mental and social well-being; it is not merely the absence of disease, dysfunction, or infirmity. This type of health requires a positive and respectful approach to relationships, as well as the possibility of having pleasurable and safe experiences, free of coercion, discrimination and violence.
Sexual health
What in this unit was defined as happy and successful, and "not just the absence of disease, dysfunction, or infirmity."
Sexual well-being
A central aspect of being human throughout life encompasses sex, gender identities and roles, sexual orientation, eroticism, pleasure, intimacy and reproduction. It is experienced and expressed in thoughts, fantasies, desires, beliefs, attitudes, values, behaviors, practices, roles and relationships. While it can include all of these dimensions, not all of them are always experienced or expressed. It is influenced by the interaction of biological, psychological, social, economic, political, cultural, legal, historical, religious and spiritual factors.
Sexuality
Numbness, denial, hysteria, disbelief, inability to think straight. These are what stage of grief?
Shock
What are the 4 stages of the grief model?
Shock, protest, disorganization, reorganization
A patient suffering from pain for the past couple of months visits a primary health care provider. Following the initial interview, the primary health care provider concludes that the patient is suffering from neuropathic pain. Which finding in the patient's history supports this conclusion?
Shooting, burning, shock-like sensation with painful numbness.
Meals on Wheels and Section 8 Housing are examples of what model of care coordination?
Social model
Types of care coordination models that do not address medical care, offer community based services only.
Social models
A dynamic and intrinsic aspect of humanity through which people seek ultimate meaning, purpose, and transcendence and experience relationship to self, family, others, community, society, nature, and the significant or sacred.
Spirituality
significant or sacred......expressed through beliefs, values, traditions, and practices.
Spirituality
Acute, episodic, and chronic refers to the 3 types of what?
Stress
A continual process that starts with an event that is experienced by the individual, perceived through intact information processing channels, appraised for scope and meaning, assessed as neutral, manageable, or threatening within current capacity of coping skills, resources, and abilities, ending ideally in a positive outcome of homeostasis and feeling of well-being.
Stress and Coping
#NAME?
Stressor
Mobility is impacted by the degree of joint freedom
TRUE
Stress can have positive effects?
TRUE
The joint commission adopted the concept of pain as the fifth vital sign
TRUE
Find a comfortable position. Relax the shoulders and chest; let the body relax.
The Correct Order Is:
As the nurse, I can decide about the role changes and what would be best for the family.
The family should discuss the changing roles and what is needed for everyone.
Delegate the transfer of the patient to nursing assistive personnel (NAP).
The nurse should be familiar with the weight-bearing orders for the patient before attempting the transfer. Mechanical lifts are not typically needed after this surgery. Pain medications should be given because the movement is likely to be painful for the patient. The nurse should supervise the patient during the initial transfer to evaluate how well the patient is able to accomplish this skill.
The risk of insufficient community resources and emotional support
The risk of septicemia and its potential complications from treatment
Experience is perceived as taxing; exceeds existing resources, causes distraction to equilibrium, can impact health
Threatening stress
Reducing barriers for vulnerable patients is a nurses role in what?
To reduce barriers for vulnerable patients
D. Modulation
Transduction.
D. "What other discomfort do you experience?"
What other discomfort do you experience?
When does hospice care begin?
When physician certifies life expectancy is 6 months or less
d. "Do you notice your pain worsening with any activity?
a. "Can you describe your pain to me?"
e. "I should avoid taking antibiotics without asking the primary health care provider."
a. "I should wash my hands frequently."
d. "Palliative care is an interprofessional approach to the delivery of care."
a. "Palliative care is the same as hospice care.
d. "Patients with impaired bed mobility are prone to constipation."
a. "Patients with impaired bed mobility have an increased risk for pressure ulcers."
d. "That is incorrect. Melanoma is most commonly seen in dark-skinned individuals."
a. "That is not correct. Melanoma is more commonly found on the torso or the lower legs of women."
d. Start a second intravenous line with a large bore catheter.
a. Call the rapid response team to care for the patient immediately.
d. Results from ineffective cleansing of the wound area
a. Contains the materials used by the body in the initial inflammatory response
d. Increased calcium deposition in the bones
a. Demineralization, calcium loss
e. Fearful about administering medications to the client
a. Disturbed sleep patterns
e. Demonstrating the procedure to self-administer insulin injection
a. Encouraging the client to exercise daily
d. Excess bleeding
a. Fatigue
e. Swollen, painful knees
a. Feeling tired upon awakening
d. Using medical and surgical aseptic techniques at all times
a. Hand washing before and after providing client care
d. Extended care facilities
a. Hospice
d. Tylenol 325 mg q 6 hoursN
a. IV Dilaudid q 4 hours prn, hydrocodone 5/500 PO q 6 hours prn, and acetaminophen
d. Adequate nutritional intake and spending extensive time in a wheelchair
a. Incontinence and inability to move independently
e. Diagnostic procedures
a. Lifestyle
e. Caring for a client who refuses to be touched by people of certain skin color, the nurse continues to provide care because other colleagues refuse to attend to the client.
a. Monitoring a client after providing nonpharmacological measures to relieve anxiety due to hospitalization.
d. Nociceptive pain
a. Neuropathic pain
#NAME?
anxiety
d. "Antibiotics will reduce the patient's fever."
b. "An antibiotic helps to kill the infection causing the inflammation."
d. "I don't need to use these medications because they cause diarrhea, and I have had enough trouble with diarrhea and rectal bleeding over the past weeks."
c. "Enteric coated medications are absorbed lower in the digestive tract and can be irritating to my intestines or inadequately absorbed by my inflamed tissue."
d. "I need to be sure to have good hygiene practices when traveling in crowded planes and trains."
c. "If I don't feel sick, then I don't have to worry about transmitted diseases."
d. "Use skin creams to prevent drying."
c. "Monitor spots for color change."
d. "Stand up slowly so you don't feel faint."
c. "Talk with your physician about a calcium supplement."
d. "May I ask the chaplain to visit you to help you cope?"
c. "What is your source of spiritual strength during hard times?"
d. 100%
c. 90%
d. Pneumonia
c. Acute renal failure
d. Apply an antihistamine along with applying a thin coat of steroid to affected areas.
c. Apply a thin coat to affected areas; avoid the face and groin.
d. Protective environment
c. Contact precautions
d. Late stage acute
c. Early stage acute
d. Inform the family members that the disease is no longer curable and the client will die shortly.
c. Encourage the family members to provide palliative care to the client.
e. Emergency care
c. Extended care
d. Viral
c. Parasitic
d. Reservoir
c. Portal of entry
d. Instructing the patient to take their multivitamin prior to treatment
c. Protection from excessive ultraviolet (UV) exposure
d. Teaching the client and caregiver about home tracheostomy care
c. Providing tracheostomy care using sterile techniques
d. E. Coli
c. Staphylococcus aureus
d. "It is used to identify the presence of infectious organisms and proteins associated with specific skin conditions."
d. "It is used to identify the presence of infectious organisms and proteins associated with specific skin conditions."
d. "Patients must be moved correctly in bed to prevent shearing."
d. "Patients must be moved correctly in bed to prevent shearing."
The client's response is appropriate to the situation; she is in the "Why me?" stage of the grieving process as she grieves over the loss of her anticipated birth experience. The client's feelings are unrelated to bonding. The client's statement is not indicative of depression. Self-concept is not specifically affected, although feelings of inadequacy are commonly expressed throughout the grieving process.
d. An emergency cesarean birth is traumatic psychologically because of the loss of the expected birth experience.
d. Apply sunscreen 30 minutes prior to exposure.
d. Apply sunscreen 30 minutes prior to exposure.
d. Each joint is exercised to the point of resistance but not pain.
d. Each joint is exercised to the point of resistance but not pain.
d. Growth and development
d. Growth and development
d. Mental health evaluation
d. Mental health evaluation
d. Multiple lesions in a segmental distribution on the skin
d. Multiple lesions in a segmental distribution on the skin
d. Notify the healthcare provider.
d. Notify the healthcare provider.
d. The client will be free of signs and symptoms of infection by discharge.
d. The client will be free of signs and symptoms of infection by discharge.
d. The specific type of pathogen that is causing an infection.
d. The specific type of pathogen that is causing an infection.
d. There is a focus on better managing clients with multiple chronic conditions.
d. There is a focus on better managing clients with multiple chronic conditions.
d. Turning the patient at least every 2 hours
d. Turning the patient at least every 2 hours
d. Wong-Baker
d. Wong-Baker
d. fight or flight
d. fight or flight
d. reproduction
d. reproduction