460 Exam 4
purpose of naloxone
-antidote for opioids
responsibilities of forensic psychiatric nurse
-screening -assessment and documentation of injuries and collection of evidence -documentation and expert testimony from victims and perpetrators in settings such as hospitals, community clinics or death scenes -involvement in paternity disputes -workplace injuries, malpractice, vehicle accidents, food or drug tampering and medical equipment defects
what is the dose of influenza inactivated vaccine for kids aged 6-35 months?
0.25mL or 0.5mL
what age are multiple doses given to children?
6 months to 8 years
American Red Cross
A disaster relief organization
thermal invasion
A situation in which a relatively warm layer of air at mid-altitude covers a layer of cold, dense air below
symptoms of mumps
Parotid enlargement w/fever
family educational rights and privacy
a strong privacy protection act, protects student education records, including the health record -sharing confidential information with others (even school principles and administrators) without approval is considered unethical and improper except in emergency situations
symptoms of diptheria
a thick grey-white coating at the back of your throat, high temp, sore throat, HA, swollen glands
Identify a critically important step during the detoxification phase of the addiction process a. Management of acute withdrawal symptoms b. Development of a therapeutic relationship with the client c. Assuring no access to illegal substances d. Keeping the client's family and friends updated at all times
a.
Identify the group who is responsible to assure the safety and welfare of a community? a. Local Government b. State Government c. Federal Government d. Federal Emergency Management Agency
a.
Identify the illicit drug used most often in the United States a. Marijuana b. Alcohol c. Heroin d. Caffeine
a.
Identify the service included in Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) that might not be routinely included in a typical private physician preschool physical? a. Lead screening b. Laboratory testing c. Physical exam d. Comprehensive developmental and health history e. Immunizations
a.
Mental health experts describe the difference between "use" and "misuse" as a. Some persons may use a drug, but not become dependent upon it b. It is difficult to accuse someone of being a drug addict, it is must easier to talk about their drug use c. Anyone using a prescription drug is identified as a "user" not a "misuser" d. Expanding drug treatment programs has resulted in some people not ending up as drug addicts
a.
The Centers for Disease Control has created three categories for dissemination of an agent (A, B, & C lists). The items on the A list are agents of greatest threat. A list items include: a. Anthrax, smallpox, and plague c. Brucellosis, glanders, Q fever c. Nipha and hantavirus d. Pstittacosis, E. Coli 0157:H7, and Ricin
a.
Within the PPt on Bioterrorism, there was a slide addressing the lethality of bioterrorist agents, all of the following were noted to have "very high" lethality, except one of the following organisms, identify that organism. a. Small pox b. Anthrax c. Plague d. Ebola
a.
diasters
affects the whole community -natural, man-made (terrorism)
when do children get two doses of influenza?
age 6 months - 8 years, they are given multiple doses if they previously have not received multiple doses
a-list agents
agents of greatest threat
what is the most commonly used drug among children and adolescents?
alcohol
list of a-list agents
anthrax, smallpox, plague, ebola, viral hemorrhagic fever botulism
What circumstances would a client be uncomfortable with a PAP smear
assess for presence of natal organs that would prompt need for screening. ex. transgender man who has cervix should still have pap smear
what 4 things can a nurse NOT delegate?
assessments, diagnosis, goal setting, evaluation
how old must children be be receive the influenza vaccine?
at least 2 years old without a h history of asthma, seizures or living with someone who is immune compromised
A nurse was triaging a victim after a car ran into a crowd of people. The victim was a senior female lying on the ground with severe leg pain and light-headedness. She was able to answer questions. Her RR was 24, pulse bounding at 120. Her left leg was deformed with a open wound and a bone sticking out. There was evidence of bleeding, identify the colored tag you would place on her shirt: a. Place a green tag on her shirt, she can wait to be seen b. Put a yellow tag on her shirt, she needs to be transported to a medical facility for care c. Put a black tag on her shirt, there are many more pressing issues to attend d. Put a green tag on her shirt, tell her to wrap her sleeve around the open wound and walk to the staging area.
b.
Identify the level of prevention an Occupational Health Nurse engages in when he conducts a "walk through". a. Primordial b. Primary c. Secondary d. Tertiary
b.
Identify the preventable health problem causing more deaths, illness, and disabilities than any other in the U.S.? a. Drunk driving b. Substance abuse c. Obesity d. STIs
b.
The National Association of Medical Examiners (NAME) identifies five acceptable options for recording the way someone died, all of the following are correct, except. a. Natural b. Unknown c. Suicide d. Homicide e. Accident d. Undetermined
b.
Which of the following is one of the most frequent health complaints of school aged children. a. Headache b. Dental pain c. Stomach ache d. Coughing
b.
drug most recommended for alcohol withdrawal
benzodiazepines
A forensic nurse examiner was just elected as county coroner. Identify the skill sets an nurse brings to this role when compared to other professionals. a. Legal knowledge b. An ability to testify in court c. Empathy & is a skilled communicator. d. A vast knowledge of medical conditions
c.
An Occupational Health nurse may struggle with an ethical dilemma as a result of (remember - choose the best answer) a. Loyalty to the workers b. Loyalty to management c. The challenge to balance the needs of workers and the needs of management d. A desire to keep everyone happy
c.
Identify the agency responsible to create a community disaster plan, carry out an emergency drill to determine effectiveness of the plan, and determine appropriate response time? a. State's Disaster Office b. FEMA c. Local Office of Emergency Management d. The Red Cross
c.
Identify the governmental agency that an occupational health nurse can contact when he/she has questions r/t personal protective equipment that employees should have access to, but plant management refuses to purchase, due to cost. a. National Institute for Occupational Safety and Health (NIOSH) b. Environmental Protection Agency (EPA Civil Rights Commission c. Occupational Health and Safety Administration (OSHA) d. Vocational Rehabilitation Administration
c.
Identify the number of days one should wait between administering the first and second doses of influenza vaccine to a child who is receiving his first and second flu immunizations. a. 7-10 days b. 14-20 days c. 28 days d. No need to wait - may receive both doses on the same day
c.
The most common/chronic school aged health condition, treated by a school nurse, is: a. Obesity b. ADD c. Asthma d. Heart disease
c.
most effective antibiotics to treat anthrax
cipro, doxycycline, levofloxacin
national institute of occupational safety and health
conducts research and makes recommendations for the prevention of work-related injury and illness
entity most responsible in encouraging change and alternative approaches to health care delivery
corporations
transmission of roseola and mumps
coughed or sneezed into the air/direct contact with saliva or respiratory droplets of a person infected. can only spread before the fever or rash occurs. once symptoms appear, child is no longer contagious
1. Most adults (with a healthy immune system) may be able to infect other people with seasonal influenza from: a. 3 days before symptoms develop up to 3 days after becoming sick b. 5 days before symptoms develop up to 4 days after becoming sick c. 2 days before symptoms develop up to 3 days after becoming sick d. 1 day before symptoms develop up to 5 days after becoming sick
d.
A couple of personality dimensions have been associated with substance abuse, they include all of the following, except a, Impulsivity b. Anxiety c. Depression d. Solid sense of self
d.
An ER nurse was working with a client who had been raped and beaten. Identify the specific duties of a forensic nurse. a. Remain with the client while a physical exam is performed. b. Share, verbatim with the police officer, what the client had shared regarding the incident. c. Tell the victim how sorry you are that this has happened to her. d. Begin by correctly collecting, preserving, and following chain of custody protocol when handling evidence, also follow documentation guidelines.
d.
Identify the health problem that has been significantly reduced by Public Health efforts. a. Tooth decay b. Asthma c. Noro virus d. Vaccine preventable contagious diseases
d.
Identify the questions asked during the "1 minute disaster triage." a. Are you bleeding? Do you need help? b. What do you need me to do for you? c. What do you remember about this disaster? d. Who are you? Are you hurt?
d.
Identify the two most socially accepted drugs in the United States a. Alcohol and Marijuana b. Caffeine and Marijuana c. Tramadol and alcohol d. Alcohol and caffeine
d.
Identify when a disaster plan should be developed. a. During a disaster b. After a disaster c. Plans are a waste of time d. Before a disaster occurs
d.
In what way is methamphetamine different from and more dangerous than mood-altering substances? a. The drug itself is highly combustible, so makers and users have suffered severe burns with injecting it. b. Methamphetamine helps users become more productive and energetic so people find it helpful at work and home and want to continue to use it. c. It provides more pleasurable effects more quickly than other mood-altering drugs, so persons become more addicted more quickly. d. Severe neurological changes occur in the brain very quickly, often with the first dose.
d.
One of the most effective methods to prevent influenza in a two month old infant is to do which of the following? a. Administer flu mist into both nostrils of two month old child. b. Do not give anyone the flu shot and hope for the best during flu season c. Give the two month old child a 0.25 mg dose of influenza vaccine IM, repeat in 4 wks. d. Administer a flu shot to the infant's care givers.
d.
Penelope a 7-year-old came to the school nurse's office with unclear complaints, but it seemed as if the child needed someone to listen to her. The challenge was, the 7 year old took at least 10-15 minutes every day of the nurses time. How should the nurse handle this situation? a. Ask the school secretary to meet with the child daily to discuss concerns b. Tell the teacher that she should only allow the child to visit for obvious illness symptoms (i.e., fever, diarrhea, coughing, vomiting) c. Call the parents and ask them to take the child in for a physical d. Continue to share your time with the child, carefully listening for underlying issues
d.
elizabeth shield is an occupational health nurse in a large equipment manufacturing plant. she is very concerned that lack of PPE for noise pollution in her plant violates federal standards. however, her managers will not listen to her concerns? a. national institute for occupational safety and health b. environmental protection agency c. civil rights commission d. occupational safety and health administration e. vocation rehabilitational administration
d.
what is the number one health related complaint of school children?
dental pain
A forensic nurse has many responsibilities, and include all of the following, except. a. Screening b. Assessing and collecting evidence from both the perpetrator and victim c. Documentation and expert testimony Involvement in paternity disputes d. Death resulting from medical equipment defect e. Providing security
e.
Identify key practice areas in Occupational Health Nursing (remember to select the best response). a. Improving worker productivity by the management of substance abuse and creating anti-smoking policies b. Cost containment c. Elimination of Workers Compensation Claims d. Encourage correct use of health care services e. Health promotion & prevention, assessment for health hazards, provision of primary care & case management
e.
National incident management system (NIMS)
enables responders at all levels to work together effectively in managing domestic incidents, no matter what the use, size or complexity -provides a systematic, proactive approach for all levels of governmental and nongovernmental agencies to work seamlessly to prevent, protect against, respond to, recover form and prevent the effects of disasters
Disasters and emergencies are handled at the highest possible organizational and jurisdictional level. True False
false
true or false In asthmatic children (when immunizing them between 2 and 9 years of age) it is acceptable to use the live virus nasal spray.
false
symptoms of ebola
fever, chills, myalgia, malaise, GI symptoms
symptoms of pneumonic plague
fever, weakness, pneumonia with SOB, chest pain and cough, gangrene of toes, fingers, lips and nose, NV, abdominal pain, swollen tender and painful lymph nodes
Identify the category of medications administered most often in a school setting. a. Anti-diarrheal b. Anti-pyretics c. Antacids d. Antitussives e. Anticonvulsants f. Antifungal g. Attention-deficit hyperactivity disorder (ADHD) medications h. Antibiotics i. Antihistamines
g.
benzodiazepines
good for alcohol withdrawl because they decrease the likelihood of seizures and delerium
characteristics of adults most at risk for getting influenza and therefore a priority for influenza
greater than age 65, chronic medical conditions, immunocompromised, health care workers, caregivers of children
4 key practice areas for the occupational health nurse?
health promotion and prevention, health hazard assessment, primary care, case management
role of an occupational health nurse
health screenings, drug testing, informing employees of hazardous exposures, maintaining confidentiality of worker health information, advocating for workers health and safety
who is eligible to get the nasal-spray flu vaccine?
healthy people 2-49 years old who are NOT pregnant, should NOT be administered to staff caring for immune compromised people, family/friends who live with/care for immune compromised individuals or children with seizure history or asthma
symptoms of roseola
high fever for 3-5 days rash as fever resolves that persists for 1-4 days -macular or maculopapular -starts on trunk and spreads to arms and neck
Address rising COVID cases in a rural area mostly among children with school and flu season approaching. Need to develop plan using nursing process.
i. Assessment: look at vax rates, look at gaps. ii. Planning: identifying people at risk - old, who haven't ben vaxed, who lack resources iii. Implement: masks at schools, option of virtual classes evaluation: hope to see decrease in COVID rates
who is the fluad vaccine for ?
influenza vaccine for people older than age 65
What does an Early and Periodic Screening, Diagnostic and Testing (EPSDT) include in its screening that routine PCP exams may not?
lead tests
vivetrol (naltrexone)
long acting narcotic antagonist. treatment of opiate dependence. can also help decrease alcohol cravings.
why are the numbers of children seen by the school health nurse increasing?
many children do not have a regular source of healthcare
what is the most significant impact of influencing impact of terrorist attacks
method of delivery
what legislation marked the first entry to federal government in school health?
national school lunch program
most common type of elder abuse?
neglect
emergency
occurs at a personal level -the person, family, community can manage event with own resources
disulfram
promotes cessation of alcohol abuse, rarely used today due to serious safety issues
smallpox infectious symptoms
rash and scabs. only contagious with scabs
a correctional nurse was preparing to give an inmate his psychotropic drug when the prisoner put the pill in his mouth, then spat it on the floor and stepped on it - yelling - "I'm not taking that rat poison any more". what do you do?
respect the inmates right to refuse medication, even if the result is an adverse outcome
what is the correctional nurses first and most crucial responsibility?
safety and security!
When should a nurse consider asking client their preferred pronouns/names?
should be included on intake form in community setting where intake forms are not available, what would you like me to call you? what are your pronouns? what is your gender identity? then ask if you can document their preferences in the chart
what is the single leading preventable cause of death in the US?
smoking
infection control for a positive case of fifth's disease
spread through respiratory secretions such as saliva, sputum or nasal mucus, when an infected person coughs or sneezes. droplet precautions. most contagious when it seems like you "just have a fever or cold" and before you get the rash or joint pain and swelling
FEMA
supports citizens and first responders to ensure that, as a nation, everyone works together to build, sustain, and improve the capacity to prepare for, protect against, respond to, recover from and mitigate all hazards -published in-depth guide for citizen preparedness
bioterrorism
the unlawful use or threatened use, or microorganisms or toxins derived from living organisms to produce death or disease in humans, animals or plants. the act is intended to create fear or intimidate governments or societies in pursuit of political, religious or ideological goals
primary role of the federal government as it relates to disasters
to ensure continuity of essential federal function during any disruption
what is the primary goal of a correctional nursing?
to maintain a safe, secure and humane environment for the inmates
methadone
treatment of choice for withdrawl from opioids and heroin
narcan
used to treat emergency overdoses