NURS 5461 QUIZ 1 QUESTIONS AND ANSWERS

NURS 5461 QUIZ 1 QUESTIONS AND
ANSWERS


Interprofessional Education - ans- fz fz fzfz




Interprofessional education (IPE) is a teaching and learning approach that involves students fz fz fz fz fz fz fz fz fz fz fz




from two or more professions learning together to improve health outcomes.
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Barriers to IPE - ans-Communication, Time, Training, Roles, Resources
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3 steps to Prevention Dx and Plan - ans-Risk profile
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Prevention Needs and Deficits fz fz fz




Prevention plan fz




Transtheoretical Model of Change - ans-1. Precontemplation fz fz fz fz fzfz fz




2. Contemplation
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3. Preparation
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4. Action fz




5. Maintenance
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Precontemplation - ans-Precontemplation- stage w/ fz fzfz fz fz




no intention to change behavior in foreseeable future.
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Denial, feel immune to threat, have given up etc. fz fz fz fz fz fz fz fz




Have you tried change in the past?
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What would have to happen for you to know this is a problem?
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What warning signs would let you know it's a problem?
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Contemplation - ans-Contemplation- fz fzfz




Aware problem exists, thinking of overcoming, no commitment to action.
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Feel ambivalent, pros and cons, feel trapped.
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What reasons might make you want to change at this time?
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What are possible reasons for not changing?
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What would keep you from changing at this time?
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Preparation - ans-Preparation- Intended action in next month, may have taken past action.
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Preparing to make specific change. fz fz fz fz




Action - ans-Action- Modify behavior, experiences, or environment to overcome problem.
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,Praise any behavioral change. fz fz fz




Maintenance/Relapse Prevention - ans-- fz fz fzfz




Working to prevent relapse and consolidate gains secured during action
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-Uses strategies to prevent the problem from re-occurring.
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-Actively engaged in continuing change efforts fz fz fz fz fz




-"How do I keep going?" fz fz fz fz




Three Main Types of Clinical Preventative Care - ans--screening
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-behavioral cousenling fz




-preventative meds fz




Screening - ans-Think risk factors for most likely Diseases fz fzfz fz fz fz fz fz fz




Identify- Age/Gender/Race/Ethnic/ FH/ Personal Risk fz fz fz fz




United States Public Services Task Force (USPSTF) - ans-Great tool for Prevention!!
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Utilize in clinical
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Levels of Evidence (USPSTF) - ans-• Levels of Evidence:
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A: recommends the service. There is high certainty that the net
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benefit is substantial. fz fz




B: recommends the service. There is high certainty that the net benefit is moderate or there is
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moderate certainty that the net benefit is moderate to substantial.
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C: recommends against routinely providing the service -Benefit small if present
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D: recommends against the service -harm > benefit
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I: current evidence is insufficient
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What services are considered preventive care & required by ACA in 2015? - ans-
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Items or services recommended with an A or B rating by the U.S. Preventive Services Task F
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orce

Immunizations recommended by the Advisory Committee on Immunization Practices (ACIP fz fz fz fz fz fz fz fz fz




) of the CDC
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Important A and B level Evidence - ans-AAA screening ever-smoking men 65-75 fz fz fz fz fz fz fzfz fz fz fz fz




ASA Men 45-79, Women 55-79
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Behavioral dietary-counseling (increased risk) fz fz fz




HTN & Lipid screening (> 18; M >35/20-45, W >45/20-45)
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Disc. Chemoprevention Breast Cancer (High risk)
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Pap, Mammo CRC screening fz fz fz




Lung Cancer screening fz fz




Depression screening• *Family HX risk & referral fz fz fz fz fz fz




BRCA eval fz

, Obesity -intensive counseling & behavioral fz fz fz fz




Tobacco
HIV (pregnant, all 15-65)•
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ETOH misuse & counsel fz fz fz fz




Hep C screen (1945-65)
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Changes in Selected Major Screening Guidelines - ans- fz fz fz fz fz fz fzfz




Cervical cancer screening (PAP & HPV) Q 3 yrs 21-29 PAP, 30-
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65 Q3yrs Pap or Q5 yrs Pap and HPV
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Prostate Cancer screening "D rating" fz fz fz fz




Lung Cancer screening: LDCT 55-80 yrs w 30 pkyr & smoke or quit
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within 15 yrs (55/30/15) fz fz fz




Colon cancer screening: 3 options fz fz fz fz




Counseling topics - ans-Behavioral Dietary counseling at risk B fz fz fzfz fz fz fz fz fz




Intensive Dietary counseling risk for CVD B fz fz fz fz fz fz




Discussion chemoprevention breast cancer B fz fz fz fz fz




Prevention skin cancer 10-24 B fz fz fz fz




Intensive counseling & intervention re Obesity B fz fz fz fz fz fz fz




Tobacco counseling & intervention A fz fz fz fz




Reduce alcohol misuse B fz fz fz




Promote breastfeeding B fz fz




Preventative Medications and Immunizations - ans- fz fz fz fz fzfz




Immunizations (see CDC immunization guidelines!!!) fz fz fz fz




www.CDC.gov
Influenza starting at 6 months fz fz fz fz




TD q 10 years (Tdap at least once as adult) to protect pertussis
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1X Tdap >65 if around infants (timing does not matter)
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Pneumovax (PPSV23)at 65 or >18 if smoker or any chronic pulmonary fz fz fz fz fz fz fz fz fz fz




condition(repeat if given <65 & at least 5 years ago) fz fz fz fz fz fz fz fz fz




11
Prevnar (PCV3) at 65 then PPSV23 6-12 months later OR if PPSV23 first, Prevnar 6-
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12 months
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Hep B series as indicated (new: diabetes)
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HPV4 vaccinate females & males (9 to 26 years) best at 11-12 yo
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Zostavax for zoster prevention at 60 yo (FDA approved at 50) fz fz fz fz fz fz fz fz fz fz




Meningococcal as indicated fz fz




Pneumococcal Vaccines - ans- fz fz fzfz




Pneumococcal conjugate vaccine (PCV13) is recommended for all children younger than 5 fz fz fz fz fz fz fz fz fz fz fz fz




years old, all adults 65 years or older, and people 6 years or older with certain RFs (immunoc
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ompromised)