302 Final exam Flashcards
Overall goals and purpose of Healthy People 2030
to promote, strengthen, and evaluate the Nation’s efforts to improve the health and well-being of all people
What is assurance?
availability of necessary services throughout the community
Who started the Henry Street Settlement?
Lilian Wald and Mary Brewster
Primary prevention
keep diseases and illnesses or injury from occurring.
-education
-immunizations
Secondary Prevention
recognizing symptoms and detecting them early
-screenings
-tests
-Referring a newly diagnosed to a clinic
Tertiary Prevention
minimize the negative impact and progression of the illness
-AA meetings
-chemo
-support groups for people who have lost loved ones
Autonomy
freedom of choice and the exercise of people’s rights.
-applied when the nurse promotes a group’s right and involvement in decision making
Beneficience
doing good or benefiting others
-demonstrated when the nurse make decisions that actively promote the best interest of the pt or community
Nonmaleficence
do no harm
-means avoiding or preventing harm to others as a consequence of a person’s own choices and actions
Respect
refers to treating a pt as unique, and equal and fairly
Justice
client is treated fair and equally
Veracity
telling the truth
fidelity
keeping promises and remaining true
What is the IRB
Institutional review board
What is the purpose of the IRB
whenever research is to be conducted that involves and human subject, approval must be gained by the IRB.
- measures clients outcomes and implements changes based off of EBP
What age do you get medicare
65
Part A medicare
hospital insurance
home health
inpatient
hospice
Part B medicare
outpatient services
Part C medicare
medicare advantage
private plan
replaces A & B
Part D medicare
prescriptions
What does medicaid cover
covers children, pregnant women, parents with dependent children, seniors, and people with severe disabilities
What is the epidemiological triad
Host –> agent –> environment
What is the host
susceptible human who harbours and nourishes a disease causing agent
What is the agent
a factor that causes or contributes to a health problem or condition
What is the environment
all of the external factors surrounding the host that might influence vulnerability or resistance
Incidence
number of NEW cases during a specific time
Formula: # of persons developing a new disease / total number at risk
prevalence
all active cases or condition at a given point of time
Formula: # of persons with disease / # of people in a population
passive immunity
short term resistance, such as transfer of antibodies form a mom to baby - naturally acquired
Active immunity
long term, may be long and may be natural or artificial
Herd immunity
level of immunity to a group of people
Examples of Droplet disease
RSV, flu, meningitis
Examples of airborne disease
TB, Shingles, chicken pox, measles, COVID-19
PPE for contact
gown and gloves
PPE for airborne
N95 and negative pressure room
PPE for enteric
gown and gloves and use SOAP AND WATER
PPE for droplet
basic surgical mask
What does IPREPARE stand for
I- Investigate potential exposures
P-present work
R-Residence
E-Enviornmental concerns
P-past work
A-Activities
R-referrals and resources
E-Educate
What is IPREPARE
environmental health assessment
What is the communication process
-message
-sender
-receiver
-encoding
-channel
-decoding
-feedback loop
What is a windshield survey
provides context in which people live so that nurses can better connect clients of community resources
What is the leading cause of death in developed countries
ischemic heart disease and low respiratory infections
Triage:
Green
walking wounded
Triage:
Yellow
delayed
Triage:
Red
immediate
Triage:
Black
dead
What is bioterrisom
the intentional release of diseases and viruses and bacterias that can sicken people, livestock, or crops
How long is it recommended to breast feed
for the first 6 months and then start gradually adding in solid foods until the age of 1
prevention of SIDS
-side/stomach sleeping
-exposure to cig smoke
-premature birth
-co-sleeping
-sibling who died of SIDS
-bedding in crib
What is the cycle of violence
honeymoon phase–> denial–> tension building–> acute explosion
ISPATHWARM
I-ideation
S-substance abuse
P-purposlessness
A-anxiety
T-trapped
H-hoplessness
W-withdrawal
A-anger
R-recklessness
M-mood changes
Never events
-foriegn object retained after surgery
-air embolism
-incompatible blood transfusion
-stage 3/4 pressure ulcer
-injuries from falls
-poor glycemic control
-CAUTI
-vascular catheter associated infection
-SSI
DVT
Which STD is most common
chlamydia
Chlamydia
-can be silent
-yellow tinged discharge
-UTIs
-back pain
STD with yellow vaginal discharge
chlamydia
Gonorrhea
-vag discharge
-could be asymptomatic
-may have lesions
-men will have purulent drainage
-treated with antibiotics
Syphillis
-caused by spirochete
-Primary- chancres appear at site
-secondary-lesions appear on hands, feet, trunk.
-Tertiary-neuro effects, deafness, death
-treated with penicillin
viral warts
-HPV
-skin to skin
-mother to baby
-incubation period- 2-3 months
-can lead to cancers in penis, vagina, anus
-prevented with vaccine
-cauliflower lesions
Herpes
-fever, malaise, lesions, blisters
-no cure
-may use acyclovir or antivirals
Vaccines at birth
hep B - 1st dose of a 3 series shot
Vaccines at 2 months
DIHHPR
Dtap
IPV
Hep B
Hib
PCV-13
Rotavirus
Vaccines at 4 months
DIHPR
Dtap
IPV
Hib
PCV-13
Rotavirus
Vaccines at 6 months
DIHHPR
Dtap
IPV
Hep B
Hib
PCV-13
Rotavirus
CAN GET FLU
Vaccines at 12-15 months
Hello Harry V Potter MD
Hib
Hep A
Varicella
PCV-13
MMR
Dtap
Vaccines at 4-6 years
I Did My Vaccines
IPV
Dtap
MMR
Varicella
Vaccines at 11-12 years
Tweens have money
Tdap
HPV - 3 doses
Meningicoccal
Vaccines for adults
IT
Influenza yearly
Tdap every 10 years
Vaccines for 60-65 age
HIP
herpes zoster
Influenza
Pnumeoncoocal
