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exam 2 Flashcards

1
Q

STDs, physical/sexual abuse, skin disorders, anemia, drug/alcohol abuse, unintentional injuries

Depression; suicidal ideation; disorders of behavior, personality, or thought

Family disruption; school failures; prostitution or “survival sex”; involvement with the legal system

Unintended pregnancy

are common with

A

Homeless Adolescents

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2
Q

a specially trained registered nurse who applies the nursing process during forensic examinations to victims or perpetrators of sexual assault

A

sexual assault nurse examiner (SANE

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3
Q

The school-aged child with developmental delays or disabilities should work with a team of resource providers following an ________

A

individualized education plan

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4
Q

what are 2 common reasons for home health

A

about to be dicharged from hospital or nursing facility

safety issue

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5
Q

what 6 tests must be done every year for senior patients?

A 
complete physical 
bp screening
blood glucose
fecal occult blood test
visual screening
dental exam
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6
Q

PSA blood test, digitial rectal and prostate examinartion must be done how often in senior patients?

A

yearly

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7
Q

mamogram is reccomended every ______ years if age 40 or older

A

1-2

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8
Q

Asthma, iron deficiency anemia, and obesity
Mental health problems and developmental delays

Problems with educational achievement and acceptance by other students

are common with

A

Homeless Children

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9
Q

Who are eligible for home health

A

clients who are homebound

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10
Q

5 occupational risk hazards

A 
Biological 
Environmental 
Chemical 
Physical 
Psychological
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11
Q

The availability, relative costs, variety, and safety of foods and the health of animal and plant food sources

A

Food Quality

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12
Q 
crossing guards 
no open toe shoes in gym 
Bicycle safety and helmets
Proper use of backpacks
Schoolyard and playground safety
Motor vehicle safety for adolescents

are all examples of ______

A

Safety Measures in a school setting

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13
Q

The availability and volume of the water supply and the mineral content levels, pollution by toxic chemicals, and the presence of pathogenic microorganisms

consists of the balance between water contaminants and existing capabilities to purify water for human use and plant and wildlife sustenance

A

Water Quality

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14
Q

High levels can permanently affect the brain, bones, kidneys and the heart

Often there are no symptoms until too late

determined by a blood test

inhalation or ingestion

A

Lead

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15
Q

4 leading eye diseases affecting older adults

A

age related cataracts
macular degeneration
diabetic retinopathy
glaucoma

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16
Q

breast exam done every______

clinical breast exam done every ____

A

every month

every year

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17
Q

Isolation Precaution for:

MRSA

A

contact

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18
Q

Defined as an anatomical, mental, or psychological loss or abnormality

May be measured

Examples: Spina Bifida, spinal cord injury, amputation, detached retina

A

Impairment

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19
Q

For senior patients: how often for

Herpes zoster (shingles):

A

One-time dose

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20
Q

legal document used to perform a home health assessment

lay out physiological state

med condition and ability to perfom ADLS

assesses the need for home health, what services should be started and if the goals have been met

used in terms of reimbursment

A

OASIS form

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21
Q

gave all children the right to public education in the least restrictive environment possible regardless of mental or physical disabilities

A

Public Law 99-142 (1976)

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22
Q

Type of Homelessness that :

homeless under federal statutes- unaccompanied youths, and families with children

A

Category 3-

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23
Q

7 Components of School Health Programs

A

Health education

Physical education

Health services

Nutrition services

Counseling, psychological, and social services

Healthy school environment

Health promotion for staff

Family and community involvement

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24
Q

patient must be _________ in order to recieve home health paid by medicare

A

homebound

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25
Q

Impoverished and marginalized groups living close to industry contamination

Danger of illness or injury related to violence, poisoning, exposure, fires, malignant disease, work environment

Unable to move due to cost and family ties

A

Environmental Racism

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26
Q

what 4 screenings do schol aged children need

A

Vision is required in most states
Hearing screenings
Scoliosis or postural screening (pre adolescense)
High blood pressure screening (high risk)

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27
Q

Increases available choices-access to vocational services; provides new methods for retaining health insurance after returning to work.

A

Ticket to Work and Work Incentives Improvement Act (TWWIIA)

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28
Q

Respiratory infections, trauma, and skin disorders
Chronic disorders and poor dentition

HIV/AIDS, TB, HCV, and STDs

Alcohol abuse

Drug abuse

Mental health issues and minor emotional problems

are comon with:

A

homeless males

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29
Q

strong privacy protection act of education and health records

A

Family Educational Rights and Privacy Act (FERPA)—

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30
Q

describes a phenomenon in which public structures and homes cause occupants to experience a variety of symptoms, such as headache, fatigue, and exacerbation of allergies. It typically results from poor ventilation and building operations, hazardous building materials, furniture and carpeting substances, and cleaning agents

A

Sick Building Syndrome

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31
Q

Isolation Precaution for:

Pediculosis Capitis

A

contact

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32
Q

disability benefits are payable to workers or widow(er)s who are disabled or adults who have been disabled since childhood and are eligible

Funded through disability trust fund monies

must be “insured” through Federal Insurance Contributions Act (FICA) earnings of self, parents, and/or spouse

A

Social Security Disability Insurance

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33
Q

For senior patients

dentures must be cleaned every __years

A

2

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34
Q

Operate outside the Medicare system are licensed by the state of Illinois

provide services in patients home for a fee

A

Private Duty agencies

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35
Q

all the physical, chemical, and biological factors external to a person and all the related factors impacting behaviors

A

environmental health

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36
Q

Isolation Precaution for:

STI

A

contact

37
Q

pelvic exam and pap smear are to be done _____ with older patients

A

every year

38
Q

For senior patients

Tetanus-diphtheria: Every __ yr.

A

10

39
Q

Type of Homelessness that :

Individuals who are fleeing or attempting to fell due to domestic violence, sexual assault, and other violence-related reasons.

A

Category 4-

40
Q

For senior patients

hearing test every __-__ years

A

2-5

41
Q

nurse that is responsible for maintaining records of workers exposed to physical or chemical risks, monitoring compliance with Occupational Safety and Health Administration (OSHA)

A

Occupational Health nurse

42
Q

Home Health is paid for by what 3 methods

A

Insurance, Medicare and Medicaid

43
Q

A restriction or inability to perform an activity within the normal range

May be objective and measureable

Examples: Cannot walk unassisted, uses crutches or a cane, blind

A

Disability

44
Q

special cases of medicade and are free include what 2 things

A

children on vents

special needs

45
Q

Environmental Health Assessment (I PREPARE )

stands for what?

A

I- Investigate

P- Present work 
R-Residence
E-Environmental concerns
P-past work
A- activities
R- referrals and resources
E- educate
46
Q

Are Home Health services intermittent or continuious?

A

intermittent

47
Q

Isolation Precaution for:

Cholera

A

contact

48
Q

6 Psychosocial Issues and Role Changes Affecting Seniors

A

Retirement

Relocation

Widowhood

Loss of family and friends

Possibly raising their grandchildren

Sexuality

49
Q

Number of years a person has lived

A

Chronological age

50
Q

2 Common medical illnesses affecting school aged children

A

diabetes

asthma

51
Q

4 things to remember with occupational health nursing when addressing the needs of the employees (CARE)

A

charachteristics
age group
risk factors
environment

52
Q

Isolation Precaution for:

Scabies

A

contact

53
Q

Isolation Precaution for:

Pertusis

A

droplet

54
Q

Hospice to be eligible according to Medicare have less than ______ to live.

A

6 months

55
Q

Isolation Precaution for:

TB

A

airbourne

56
Q

following the death ofthe client, the nurse can work with the family for up to __ years

A

1 year

57
Q

3 government agencies that help control environmental problems

A 
The Environmental Protection Agency (EPA)
Sets regulations (water &air qulity)

Occupational Health and Safety Administration (OSHA)
Work place safety

Nuclear Regulation Commission (NRC)
protects public in relation to nuclear energy

58
Q

patients between 65- 70 can discontinue pap smear and pelvic exam if what 2 things occur

A

3 consecutive negative tests

no abnormal results in previous 10 years

59
Q

circle model for spiritual care stands for what

A 
Caring 
Institution
Respect for religious beliefs
Caution
Listening 
Emotional support
60
Q

________ are licensed by the state of Illinois and follow state law

Not covered by Medicare.

Usually paid for privately.

Special home health programs can include chronic care in specific cases depending on patient and insurance.

A

Private duty agencies

61
Q

disability benefits are payable to adults and children who are disabled or blind and are eligible

Funded through general tax revenues

person with disabilities (PWD) must have limited income and resources

A

Supplemental Security Income (SSI)

62
Q

5 things that contribute to Food Quality

A

Malnutrition

Bacterial food poisoning

Food adulteration

Disrupted food chains by ecosystem destruction

Carcinogenic chemical food additives

63
Q

Who are eligible for hospice care

A

clients who have 6 months or less to live

64
Q

More stressful life events, foster care as children, Intimate Partner Violence as adults, hospitalization for psychiatric issues

Pregnancy (often unintended) with higher preterm births and low-birth-weight infants

History of violence from childhood to adulthood

High risk for victimization (history of mental illness, substance use/abuse, and engaging in survival strategies, including selling sex and drugs)

are common with

A

homeless women

65
Q

For senior patients

Pneumonia vaccine: Once after age __; ask physician about booster every __ yr.

A

65

5 years

66
Q

For senior patients

Influenza (flu) vaccine:____ years

A

every year

67
Q

A disadvantage resulting from an impairment or disability that prevents the fulfillment of an expected role

It is not objective or measureable but more about the responses of others

Reflects on specific circumstances and the physical and psychological characteristics of the person

A

Handicap

68
Q

healthy home refers to what 6 things

A 
availability 
safety
structural strength
cleanliness
location
indoor air quality
69
Q

The management of waste materials resulting from industrial and municipal processes, human consumption, and efforts to minimize waste production

A

waste control

70
Q

Type of Homelessness that :

An individual who lacks a fixed, regular, and adequate nighttime residence – live in shelter

A

Category 1

71
Q

employers must inform employees of the different occupational hazards that they can be exposed to on the job

proper documerntation of injuries & treatment in timely manner

must provide training in a perfered language

is federal legislation enforced by ____

A

OSHA

72
Q

Discrimination avoided
Equal oppertunity
Accomidations (reasonable)

are the important factors of

A

Americans with Disabilities Act (ADA)

73
Q

Guarantees equal opportunities for people with disabilities related to employment, transportation, public accommodations, public services, and telecommunications.

A

Americans with Disabilities Act (ADA)

74
Q

Type of Homelessness that :

Imminent risk of being homeless- who will imminently lose their night time residence

A

Category 2-

75
Q

Average indoor radon concentration of __ pCi/L

A

1.3

76
Q

Average Exposure Radon

_____mrem

A

620

77
Q

Most useful in determining health

Refers to the ability to perform ADL’s

A

Functional age

78
Q

For senior patients

colonoscopy every ___-____ years

A

5- 10

79
Q

what is the main focus with faith based (parish) nursing

A

spiritual health

80
Q

For senior patients

cholesterol screening every __years

A

5

81
Q

EPSDT stands for what?

A

Early and Periodic Screening, Diagnosis, and Treatment created by Medicaid

82
Q

The availability, safety, structural strength, cleanliness, and location of shelter, including public facilities and family dwellings

A

Housing

83
Q

Can Home Health services be ordered by any medical professional?

A

must be ordered by an MD

84
Q

Health dangers posed by the various forms of ionizing radiation relative to barriers preventing exposure of humans and other life forms

A

Radiation Risks

85
Q

Increases available choices when obtaining employment services, vocational rehabilitation services, and other support services needed to get or keep a job.

A

Ticket to Work and Work Incentives Improvement Act (TWWIIA)

86
Q

Home Health services are determined by the__________

A

OASIS assessment

87
Q

4 things to remember with Environmental Health History

A

Asessment
Accuracy
Agrivation
Awareness

88
Q

All _________ in State of Illinois are licensed by the State and must comply with state and federal guidelines.

Services paid by Medicare or Medicaid or Private insurance if patient is covered by one of these insurances.

A

home care agencies

89
Q

Ensured a free appropriate public education (FAPE) in the least-restrictive setting to children with disabilities based on their needs.

A

Individuals with Disabilities Education Act (IDEA) (1975)

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