Morbidity and Mortality/ Policies Flashcards

1
Q

The NMC recently launched Caring with confidence: The code in
action. When referring to accountability there were four things that
you can do in your professional routine to help ensure your decisions
and actions are the best they can be. Which of the following was NOT
included?

A

A. Keep your practice knowledge up to date
B. Ensure any action is agreed by a supervisor xxxx
C. Reflect on your actions to consider how to improve
D. Gather feedback to inform your practice

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2
Q

What is the gradient that reflects the difference in morbidity and
mortality between those in different socioeconomic classes?

A

Social Gradient

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3
Q

A number of NEW disease cases develop over a specified time
period within the Midlands area. What is this most likely to be an
example of?

A

incidence

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4
Q

In the Birmingham Health Profile, it was stated that life expectancy
has plateaued and is lower than other parts of England. Which of the
NOT one of the main causes of early death in
Birmingham?

A

COPD

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5
Q

What is Prevalence?

A

The proportion of disease cases in a population in a given period of
time

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6
Q

What chromosomal conditions is due to

possession of an extra chromosome?

A

Down Syndrome

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7
Q

What is not a risk factor for Sudden Infant Death

Syndrome?

A

Choking

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8
Q

A person cries out, you turn and see them fall on the pavement,
their limbs are stiff and shaking and they are not responsive. You
ascertain that they are having a tonic-clonic seizure. What action would you take?

A

Make sure you note the time the seizure started

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9
Q

You are supporting Frank in a residential home, he is a 70 year
old male who has a diagnosis of Alzheimers, he also has asthma and
food allergies. The nurse in charge calls for help, you observe that Frank
is struggling to breathe, wheezing, his face is puffy and there is vomit
on his shirt. What is the most likely cause of his deterioration?

A

Anaphylaxis

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10
Q

Dawn is 50 years old and is living in a nursing home, she has Down
Syndrome and has recently moved following a diagnosis of Alzheimer’s. She
has been found lying on the floor on a couple of occasions, it was also
established that she had been incontinent of urine on these occasions.
What course of action would be a priority?

A

Rule out physical health, Dawn may have had a seizure which led her to
become incontinent

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11
Q

The nurse in charge plans to delegate helping a patient with their meal
to a healthcare assistant (HCA). Which would be an example of assertive
communication?

A

“The patient needs help with their meal. I want you to assist the client
then you can go to lunch when you are finished.”

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12
Q

Jayden is 7 years old and has a diagnosis of Down Syndrome and
accesses a short break community service every month. When reviewing
care which is the best course of action for the nurse
working at the short break service?

A

Consider Jayden’s current developmental level and plan care according to
this

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13
Q

The National Quality Board (NQB, 2017) introduced a new framework
for NHS Trusts to identify, report, investigate and learn from deaths in care. It
requires all healthcare providers to have a policy in place for how deaths are
responded to and learned from. Some categories of patients must be
analysed and subject to further review, what is not
specified as one of these categories?

A

Dementia

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14
Q

As a student nurse you are involved in the evaluation step of the
nursing process and find that one of the goals for the patient has not
been met. What action would be best?

A

Reassess the problem and then review the care plan and revise as
needed.

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15
Q

For people with Down Syndrome how many are currently

expected to experience early onset dementia?

A

1 in 50

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16
Q

: Cultural competence is essential to minimise miscommunication.
Papadapoulos described cultural competence as originating from 3
dimensions. What are the three dimensions?

A

Cultural awareness, Cultural knowledge, Cultural sensitivity

17
Q

You are providing care to a patient who was admitted with heart
failure. They haven’t been following the prescribed diet or taking the
prescribed medications. What type of communication approach is
most important for the nurse to use with this patient?

A

Assertive, responsible, and caring communication

18
Q

How do you assess delerium?

A

Drugs, Electrolytes, Lack of drugs, Infection, Reduced senses, Intercranial events, Urinary issues, Myocardial Infarction

19
Q

What are the priorities of the Ellis report 2019?

A

Devolution and decentralisation in 2012. This includes:

  • Preventing people dying prematurely and reducing mortality rates
  • Improving standards of care throughout system
  • Improving treatment and care of people with dementia
  • Technology revolution to help people manage care
20
Q

NHS 2000 targets- what is the avoidable death rate?

A

NHS plan found that 75% of deaths of those under 75yrs were avoidable

21
Q

What is Mortality?

A

Mortality can be defined as the likelihood of death or actual death figures.

22
Q

What is Morbidity?

A

Prevalence or incidence of disease/condition

23
Q

What is diversity?

A

Diversity means appreciating the differences between people and treating people’s values, beliefs, cultures and lifestyles with respect

24
Q

What does infant mortality reflect?

A

Reflects health and welfare of community
Broad indicator of healthcare and status
Deaths during first year is a crucial gauge of health statues

25
Q

What is the percentage of adults with type 2 diabetes?

A

90%

26
Q

What type of diabetes is more common?

A

Type 2 diabetes

27
Q

What is the main cause of death and disability in the UK?

A

Cardiovascular disease(CVD)

28
Q

What are the main causes of early death?

A

Infant mortality
Alcohol liver disease
Coronary heart disease
Lung cancer

29
Q

What is the Kings fund report on social gradient?

A

In England, there is a systematic relationship between deprivation and life expectancy, known as the social gradient in health.
Males living in the least deprived areas can, at birth, expect to live 9.4 years longer than males in the most deprived areas. For females, this gap is 7.4 years

30
Q

What is the black report, 1980?

A

Identified clear gap in health inequalities between social classes
Reducing poverty in the UK
Spending more on health education and prevention on Illness
The Acheson report 1998

31
Q

What is the LeDer 2019 programme?

A
  • Learning from deaths of people with Learning disabilities
  • looks at why people are dying
  • changing services locally and nationally
  • 4th Annual report

Back ground

  • healthcare for all (2008)
  • Mencap death by indifference 2007,2012
  • CIPOLD(2013)
32
Q

What is comorbidity?

A

Presence of one or more diseases and the effect of those diseases on a person

33
Q

What is multimorbidity?

A

Presence of several diseases in the same person at the same time and the combined effect of those diseases on a person

34
Q

What is the care act (2014) transition assessment?

A

The care Act 2014 places a duty on local authorities to conduct transition assessments for children, children’s carers and young carers where there is a likely need for care and support after the child turns 18 and a transition assessment is a significant benefit.

35
Q

What does the transition assessment within the care act (2014) include?

A
  • life long follow up by an adult cardiologist
  • Gradual move to adult services
  • taking responsibly
  • planning and joint management of care
36
Q

Why is the priorities for the Birmingham public health priorities?

A

1 child health
2 working age adults
3 ageing well
4 healthy environment