NURS 5461 QUIZ 1 QUESTIONS AND
ANSWERS 100% CORRECT!!
Interprofessional Education - ANSWER Interprofessional education (IPE) is a teaching
and learning approach that involves students from two or more professions learning
together to improve health outcomes.
Barriers to IPE - ANSWER Communication, Time, Training, Roles, Resources
3 steps to Prevention Dx and Plan - ANSWER Risk profile
Prevention Needs and Deficits
Prevention plan
Transtheoretical Model of Change - ANSWER 1. Precontemplation
2. Contemplation
3. Preparation
4. Action
5. Maintenance
Precontemplation - ANSWER Precontemplation- stage w/ no intention to change
behavior in foreseeable future.
Denial, feel immune to threat, have given up etc.
Have you tried change in the past? What would have to happen for you to know this is a
problem? What warning signs would let you know it's a problem?
Contemplation - ANSWER Contemplation- Aware problem exists, thinking of
overcoming, no commitment to action.
Feel ambivalent, pros and cons, feel trapped.
What reasons might make you want to change at this time? What are possible reasons
for not changing? What would keep you from changing at this time?
Preparation - ANSWER Preparation- Intended action in next month, may have taken
past action.
Preparing to make specific change.
,Action - ANSWER Action- Modify behavior, experiences, or environment to overcome
problem.
Praise any behavioral change.
Maintenance/Relapse Prevention - ANSWER -Working to prevent relapse and
consolidate gains secured during action
-Uses strategies to prevent the problem from re-occurring.
-Actively engaged in continuing change efforts
-"How do I keep going?"
What services are considered preventive care & required by ACA in 2015? - ANSWER
Items or services recommended with an A or B rating by the U.S. Preventive Services
Task Force
Immunizations recommended by the Advisory Committee on Immunization Practices
(ACIP) of the CDC
Important A and B level Evidence - ANSWER AAA screening ever-smoking men 65-75
ASA Men 45-79, Women 55-79
Behavioral dietary-counseling (increased risk)
HTN & Lipid screening (> 18; M >35/20-45, W >45/20-45)
Disc. Chemoprevention Breast Cancer (High risk)
Pap, Mammo CRC screening
Lung Cancer screening
Depression screening• *Family HX risk & referral
BRCA eval
Obesity -intensive counseling & behavioral
Tobacco
HIV (pregnant, all 15-65)•
ETOH misuse & counsel
Hep C screen (1945-65)
Changes in Selected Major Screening Guidelines - ANSWER Cervical cancer screening
(PAP & HPV) Q 3 yrs 21-29 PAP, 30-65 Q3yrs Pap or Q5 yrs Pap and HPV
Prostate Cancer screening "D rating"
Lung Cancer screening: LDCT 55-80 yrs w 30 pkyr & smoke or quit
,within 15 yrs (55/30/15)
Colon cancer screening: 3 options
Counseling topics - ANSWER Behavioral Dietary counseling at risk B
Intensive Dietary counseling risk for CVD B
Discussion chemoprevention breast cancer B
Prevention skin cancer 10-24 B
Intensive counseling & intervention re Obesity B
Tobacco counseling & intervention A
Reduce alcohol misuse B
Promote breastfeeding B
Preventative Medications and Immunizations - ANSWER Immunizations (see CDC
immunization guidelines!!!)
www.CDC.gov
Influenza starting at 6 months
TD q 10 years (Tdap at least once as adult) to protect pertussis
1X Tdap >65 if around infants (timing does not matter)
Pneumovax (PPSV23)at 65 or >18 if smoker or any chronic pulmonary
condition(repeat if given <65 & at least 5 years ago)
11
Prevnar (PCV3) at 65 then PPSV23 6-12 months later OR if PPSV23 first, Prevnar 6-12
months
Hep B series as indicated (new: diabetes)
HPV4 vaccinate females & males (9 to 26 years) best at 11-12 yo
Zostavax for zoster prevention at 60 yo (FDA approved at 50)
Meningococcal as indicated
Pneumococcal Vaccines - ANSWER Pneumococcal conjugate vaccine (PCV13) is
recommended for all children younger than 5 years old, all adults 65 years or older, and
people 6 years or older with certain RFs (immunocompromised)
Pneumococcal polysaccharide vaccine (PPSV23) is recommended for all adults 65
years or older. People 2 years through 64 years of age who are at high risk of
pneumococcal disease should also receive PPSV23 (>18 smokers, chronic diseases,
etc).
Preventative Meds - ANSWER ASA as indicated 81 mg "A"
Men >45-79 for MI; Women >55-79 (reduced CVA)
Assess risk for GI bleed and decide 2010
, Omega 3 fatty acids (fish oil)?? DHA, EPA 1-2 grams QD or fatty fish twice weekly
(Vitamin C & E NOT indicated and may cause harm)
Calcium with vit D for FX prevention "D"
Many outstanding questions re MI risk
Dietary sources show no risk so encourage
Mediterranean Diet & DASH diet for everyone!
Obesity BMI - ANSWER Higher BMI > risk for DM, CVD, HLD, HTN, OA
Modest Weight loss of 5% can reduce? - ANSWER Type II diabetes
Cardiovascular disease
Hypertension
Dyslipidemia
Osteoarthritis
General Goals of Weight Loss - ANSWER Initial goal: reduce body weight by ~10%
from baseline in 6 months
May attempt further weight loss if successful
Weight loss should be 1-2 lb per week for period of 6 months with subsequent
strategies
Water Intake Guideline - ANSWER Water intake (1/2 your body wt in ounces; e.g., 200
# person needs 100 ozs or 3000cc (3 L)
Beginning Calorie Goal - ANSWER For weight loss, a 1200 calorie meal plan for women
and a 1500 calorie meal plan for men is recommended to start
Physical Activity tips for Obesity - ANSWER Accumulate up to 30 minutes per day (10
Step counters (pedometers) 2000 steps=1 mile
Newer guidelines say 60 minutes daily
Average = 2000 6000 = maintain wt 10,000 = to lose wt (5 miles)
Wt Training increases capacity to burn calories (more muscle mass & inc BMR)
Pharmacotherapy for obesity - ANSWER FDA approved meds may be part of
comprehensive program including diet & activity
Xenical Phentermine
Newer:
ANSWERS 100% CORRECT!!
Interprofessional Education - ANSWER Interprofessional education (IPE) is a teaching
and learning approach that involves students from two or more professions learning
together to improve health outcomes.
Barriers to IPE - ANSWER Communication, Time, Training, Roles, Resources
3 steps to Prevention Dx and Plan - ANSWER Risk profile
Prevention Needs and Deficits
Prevention plan
Transtheoretical Model of Change - ANSWER 1. Precontemplation
2. Contemplation
3. Preparation
4. Action
5. Maintenance
Precontemplation - ANSWER Precontemplation- stage w/ no intention to change
behavior in foreseeable future.
Denial, feel immune to threat, have given up etc.
Have you tried change in the past? What would have to happen for you to know this is a
problem? What warning signs would let you know it's a problem?
Contemplation - ANSWER Contemplation- Aware problem exists, thinking of
overcoming, no commitment to action.
Feel ambivalent, pros and cons, feel trapped.
What reasons might make you want to change at this time? What are possible reasons
for not changing? What would keep you from changing at this time?
Preparation - ANSWER Preparation- Intended action in next month, may have taken
past action.
Preparing to make specific change.
,Action - ANSWER Action- Modify behavior, experiences, or environment to overcome
problem.
Praise any behavioral change.
Maintenance/Relapse Prevention - ANSWER -Working to prevent relapse and
consolidate gains secured during action
-Uses strategies to prevent the problem from re-occurring.
-Actively engaged in continuing change efforts
-"How do I keep going?"
What services are considered preventive care & required by ACA in 2015? - ANSWER
Items or services recommended with an A or B rating by the U.S. Preventive Services
Task Force
Immunizations recommended by the Advisory Committee on Immunization Practices
(ACIP) of the CDC
Important A and B level Evidence - ANSWER AAA screening ever-smoking men 65-75
ASA Men 45-79, Women 55-79
Behavioral dietary-counseling (increased risk)
HTN & Lipid screening (> 18; M >35/20-45, W >45/20-45)
Disc. Chemoprevention Breast Cancer (High risk)
Pap, Mammo CRC screening
Lung Cancer screening
Depression screening• *Family HX risk & referral
BRCA eval
Obesity -intensive counseling & behavioral
Tobacco
HIV (pregnant, all 15-65)•
ETOH misuse & counsel
Hep C screen (1945-65)
Changes in Selected Major Screening Guidelines - ANSWER Cervical cancer screening
(PAP & HPV) Q 3 yrs 21-29 PAP, 30-65 Q3yrs Pap or Q5 yrs Pap and HPV
Prostate Cancer screening "D rating"
Lung Cancer screening: LDCT 55-80 yrs w 30 pkyr & smoke or quit
,within 15 yrs (55/30/15)
Colon cancer screening: 3 options
Counseling topics - ANSWER Behavioral Dietary counseling at risk B
Intensive Dietary counseling risk for CVD B
Discussion chemoprevention breast cancer B
Prevention skin cancer 10-24 B
Intensive counseling & intervention re Obesity B
Tobacco counseling & intervention A
Reduce alcohol misuse B
Promote breastfeeding B
Preventative Medications and Immunizations - ANSWER Immunizations (see CDC
immunization guidelines!!!)
www.CDC.gov
Influenza starting at 6 months
TD q 10 years (Tdap at least once as adult) to protect pertussis
1X Tdap >65 if around infants (timing does not matter)
Pneumovax (PPSV23)at 65 or >18 if smoker or any chronic pulmonary
condition(repeat if given <65 & at least 5 years ago)
11
Prevnar (PCV3) at 65 then PPSV23 6-12 months later OR if PPSV23 first, Prevnar 6-12
months
Hep B series as indicated (new: diabetes)
HPV4 vaccinate females & males (9 to 26 years) best at 11-12 yo
Zostavax for zoster prevention at 60 yo (FDA approved at 50)
Meningococcal as indicated
Pneumococcal Vaccines - ANSWER Pneumococcal conjugate vaccine (PCV13) is
recommended for all children younger than 5 years old, all adults 65 years or older, and
people 6 years or older with certain RFs (immunocompromised)
Pneumococcal polysaccharide vaccine (PPSV23) is recommended for all adults 65
years or older. People 2 years through 64 years of age who are at high risk of
pneumococcal disease should also receive PPSV23 (>18 smokers, chronic diseases,
etc).
Preventative Meds - ANSWER ASA as indicated 81 mg "A"
Men >45-79 for MI; Women >55-79 (reduced CVA)
Assess risk for GI bleed and decide 2010
, Omega 3 fatty acids (fish oil)?? DHA, EPA 1-2 grams QD or fatty fish twice weekly
(Vitamin C & E NOT indicated and may cause harm)
Calcium with vit D for FX prevention "D"
Many outstanding questions re MI risk
Dietary sources show no risk so encourage
Mediterranean Diet & DASH diet for everyone!
Obesity BMI - ANSWER Higher BMI > risk for DM, CVD, HLD, HTN, OA
Modest Weight loss of 5% can reduce? - ANSWER Type II diabetes
Cardiovascular disease
Hypertension
Dyslipidemia
Osteoarthritis
General Goals of Weight Loss - ANSWER Initial goal: reduce body weight by ~10%
from baseline in 6 months
May attempt further weight loss if successful
Weight loss should be 1-2 lb per week for period of 6 months with subsequent
strategies
Water Intake Guideline - ANSWER Water intake (1/2 your body wt in ounces; e.g., 200
# person needs 100 ozs or 3000cc (3 L)
Beginning Calorie Goal - ANSWER For weight loss, a 1200 calorie meal plan for women
and a 1500 calorie meal plan for men is recommended to start
Physical Activity tips for Obesity - ANSWER Accumulate up to 30 minutes per day (10
Step counters (pedometers) 2000 steps=1 mile
Newer guidelines say 60 minutes daily
Average = 2000 6000 = maintain wt 10,000 = to lose wt (5 miles)
Wt Training increases capacity to burn calories (more muscle mass & inc BMR)
Pharmacotherapy for obesity - ANSWER FDA approved meds may be part of
comprehensive program including diet & activity
Xenical Phentermine
Newer:
