NURS 155 Final Exam Questions with Correct Answers| Latest Update Guaranteed Success
extent to which an individual's behavior occurs at the same time with medical or health advice
(taking medications, following diets, making lifestyle changes) Health care adherence
Personal state in which the person's physical, emotional, intellectual, social, developmental, or
spiritual functioning is thought to be diminished Illness
(ABC) Airway, Breathing, Circulation--air, food, water, shelter, rest, sleep, activity, and
temperature maintenance are crucial for survival Physiologic: 1st Maslow level
safety both physical and physiological Safety and Security: Maslow's 2nd level
giving and receiving affection, attaining a place in a group and maintaining the feeling of
belonging. Love and Belonging
both self-esteem and esteem from others (recognition, respect, and appreciation) Self-
esteem need: Maslow's 3rd level
reaching potential, independence, creativity, and self-expression Self-Actualization
the action taken to prevent the incident (seatbelts, safe sex, vaccinations) Primary
Prevention (before anything happens):
the action taken to identify signs of a problem (breast exam/testicular screening, blood
pressure screening, cholesterol testing) Secondary Prevention (early detection of disease):
action taken after illness present to prevent complications or restore function (medication,
therapy) Tertiary Prevention (Begins after an illness):
,educate parents, immunizations, breast feeding, sleep patterns, safety, playful activity to
stimulate development (education for parents and safety-main priority) Infant health
education
nutrition, rest/exercise, immunizations, safety/injury, dental check ups, role models
Children Health education
communicating with the teen, self-concept and body image, hormonal changes, nutrition,
exercise/rest, peer influence, sexuality, safety/accident (car accidents and suicide)
Adolescents health education
substance abuse Younger adult health education
heart disease, cancer, MVA Mid-adult health education
injury prevention/risk for hypothermia due to low metabolic rate, drug management, sleep,
exercise, foot health, immunizations, hearing screening, mental health, physical fitness, weight
control, smoking cessation, preventive health services Older adult health education
-fever, chills/sweats, redness/soreness/swelling in any area, diarrhea, new onset pain, vomiting
S/S of infection
1: wash hands with warm water & soap
2: PPE-Gown, Gloves
3: use bleach to clean objects! C-diff precautions
GLOVES
-applies to blood, body fluids, secretions, excretions (not sweat)
-mucous membranes
, -non-intact skin Standard Precaution (for ALL clients)
-skin lesions
-circulation
Checking pulses, cap refill, skin turgor
-respiratory
-musculoskeletal
-gait Normal & Abnormal assessment findings
120/80 normal values BP:
60-100 normal values HR
12-20 normal values RR
95-100% normal values 02:
96.8-99.5 Normal value temp
-NEVER put the incident report into the patient's chart!!
-goes in risk management file Documentation of an incident
-using silence (accepting pauses or silences that allows the patient able to put thoughts and
feelings into words) "general leads
-be specific and tentative
-open ended questions (no asking why ex: tell me more)
-touch (putting arms on shoulder)
extent to which an individual's behavior occurs at the same time with medical or health advice
(taking medications, following diets, making lifestyle changes) Health care adherence
Personal state in which the person's physical, emotional, intellectual, social, developmental, or
spiritual functioning is thought to be diminished Illness
(ABC) Airway, Breathing, Circulation--air, food, water, shelter, rest, sleep, activity, and
temperature maintenance are crucial for survival Physiologic: 1st Maslow level
safety both physical and physiological Safety and Security: Maslow's 2nd level
giving and receiving affection, attaining a place in a group and maintaining the feeling of
belonging. Love and Belonging
both self-esteem and esteem from others (recognition, respect, and appreciation) Self-
esteem need: Maslow's 3rd level
reaching potential, independence, creativity, and self-expression Self-Actualization
the action taken to prevent the incident (seatbelts, safe sex, vaccinations) Primary
Prevention (before anything happens):
the action taken to identify signs of a problem (breast exam/testicular screening, blood
pressure screening, cholesterol testing) Secondary Prevention (early detection of disease):
action taken after illness present to prevent complications or restore function (medication,
therapy) Tertiary Prevention (Begins after an illness):
,educate parents, immunizations, breast feeding, sleep patterns, safety, playful activity to
stimulate development (education for parents and safety-main priority) Infant health
education
nutrition, rest/exercise, immunizations, safety/injury, dental check ups, role models
Children Health education
communicating with the teen, self-concept and body image, hormonal changes, nutrition,
exercise/rest, peer influence, sexuality, safety/accident (car accidents and suicide)
Adolescents health education
substance abuse Younger adult health education
heart disease, cancer, MVA Mid-adult health education
injury prevention/risk for hypothermia due to low metabolic rate, drug management, sleep,
exercise, foot health, immunizations, hearing screening, mental health, physical fitness, weight
control, smoking cessation, preventive health services Older adult health education
-fever, chills/sweats, redness/soreness/swelling in any area, diarrhea, new onset pain, vomiting
S/S of infection
1: wash hands with warm water & soap
2: PPE-Gown, Gloves
3: use bleach to clean objects! C-diff precautions
GLOVES
-applies to blood, body fluids, secretions, excretions (not sweat)
-mucous membranes
, -non-intact skin Standard Precaution (for ALL clients)
-skin lesions
-circulation
Checking pulses, cap refill, skin turgor
-respiratory
-musculoskeletal
-gait Normal & Abnormal assessment findings
120/80 normal values BP:
60-100 normal values HR
12-20 normal values RR
95-100% normal values 02:
96.8-99.5 Normal value temp
-NEVER put the incident report into the patient's chart!!
-goes in risk management file Documentation of an incident
-using silence (accepting pauses or silences that allows the patient able to put thoughts and
feelings into words) "general leads
-be specific and tentative
-open ended questions (no asking why ex: tell me more)
-touch (putting arms on shoulder)
