Exam 1 Module 2

Question 1

what is primary prevention?

Answer 1

an intervention implemented before there is evidence of a disease or injury

Question 2

what is the intent of primary prevention?

Answer 2

reduce or eliminate causative risk factors (risk reduction)

Question 3

what is an example of primary prevention?

Answer 3

encourage exercise & healthy eating to prevent individuals from becoming overweight

Question 4

what is secondary prevention?

Answer 4

an intervention implemented after a disease has begun, but before it is symptomatic

Question 5

what is the intent of secondary prevention?

Answer 5

early identification (through screening) & treatment

Question 6

what is an example of secondary prevention?

Answer 6

check body mass index (BMI) at every well checkup to identify individuals who are overweight or obese

Question 7

what is tertiary prevention?

Answer 7

an intervention implemented after a disease or injury is established

Question 8

what is the intent of tertiary prevention?

Answer 8

prevent sequelae (stop bad things from getting worse)

Question 9

what is an example of tertiary prevention?

Answer 9

help obese individuals lose weight to prevent progression to more severe consequences

Question 10

what is a component of ACA & what does this mean?

Answer 10

holistic approach to care meaning hoping for “social and physical environments that promote good health for all”

Question 11

when performing primary assessment in the home, what are 3 things you focus on as a community health nurse?

Answer 11

1. focus on family as a total unit (ask “is this typical of the family as a whole?”)
2. ask goal-oriented question such as “how is your family today?”
3. collect data over time (will take several visits to observe full needs)

Question 12

what is qualitative data & an example?

Answer 12

thoughts / perceptions / feelings
includes presence or absence of essential family characteristics (“is the behavior fairly typical of the family?”)

Question 13

what is quantitative data & an example?

Answer 13

numbers
includes how often the family engages in behaviors (“does this behavior occur infrequently?”)

Question 14

exercise professional judgement

Answer 14

the assessment is driven by the nurse’s experiences & intuition

Question 15

what is the nurse’s role after a family visit?

Answer 15

coming up with a family diagnosis & identifying family health problems

Question 16

what are 5 important considerations with a family diagnosis?

Answer 16

1. the plan should be created with family input and collaboration
2. do they agree on your dx and are they onboard with the suggested interventions?
3. if we do not have buy-in, it’s difficult to proceed
4. overall goal is to establish a common goal and agree on the care plan
5. if the family is ready to engage = determine best teaching approach, if not = continue gathering resources and act as a counselor —> give pt time to recognize their needs and move forward with health promotion

Question 17

the best approach to ensure our goals are measurable is by making what kind of goals? what do these stand for?

Answer 17

S = specific
M = measurable
A = attainable
R = relevant
T = time-based

Question 18

give an example of a SMART goal

Answer 18

by the end of the home health visit, the client will be able to identify 3 ways to maintain safety in their home by discussing with this nurse and their families on strategies they will employ (with help)

Question 19

when does hospice nursing begin?

Answer 19

after treatment has stopped and it’s clear that the person will not ultimately survive

Question 20

what specific type of patients do hospice nurses care for?

Answer 20

terminal clients at the end of their lives

Question 21

what is the goal of hospice nursing?

Answer 21

to improve the end of life for their clients —> reducing pain, increasing comfort, and helping the pt and their family transition through the process of dying (ensure quality of life rather than working towards a cure)

Question 22

when does palliative nursing begin?

Answer 22

at diagnosis and at the same time as treatment (chronic and progressive med conditions)

Question 23

what types of patients receive palliative care?

Answer 23

terminally ill patients as well as patients w chronic med conditions

Question 24

what is the goal of palliative nursing / what does this type of care involve?

Answer 24

promote quality of life and relieve suffering —> provide and monitor pain management, help alleviate physical symptoms (ex: resp, nausea), dispense schedule meds, educate clients and families on symptom management, and the provision of emotional support for pts and their fams

Question 25

what type of clinical settings is palliative nursing commonly seen in?

Answer 25

hospitals, nursing homes, assisted living facilities & private homes