HSCO EXAM 3 FINAL PAPER QUESTIONS
AND SOLUTIONS
◉ intuitive problem solving
Answer: direct understanding of a situation based on a
background of experience, knowledge, and skill that makes expert
decision making possible
◉ thoughtful practice
Answer: the care by a clinician who utilizes clinical reasoning and
reflective practice to guide thoughtful actions and person-
centered processes of care
◉ Levels of evidence pyramid
Answer: (top to bottom)
evidence based practice guideline
meta analysis, systematic review
critical appraisal
randomized control trials (RCT)
cohort studies, qualitative studies, cross sectional studies
case control studies, case reports
reviews
background info, textbooks, expert opinion
,◉ primary care
Answer: first point on contact, preventative, diagnostic (GP,
practice nurse, dentist, pharmacist)
◉ secondary care
Answer: sporadic consultations with a specialist, curative,
advanced interventions (hospital clinic, specialist doctor)
◉ tertiary care
Answer: institution-based, highly specialized, relatively
uncommon (national or regional specialist services)
◉ Community-Based Health Care
Answer: Provided to people who live within a defined geographic
area
●Nurses working in the community:
○Provide continuity of care when patient moves from one level of
care to another or from one setting to another
○Provide interventions to promote health
○Manage acute or chronic illness
○Promote self-care
◉ Healthy People 2030
Answer: Attain healthy, thriving lives and well-being, free of
preventable disease, disability, injury and premature death.
, Eliminate health disparities, achieve health equity, and attain
health literacy to improve the health and well-being of all.
◉ Johns Hopkins Hospital Community Health Needs Assessment
(CHNA)
Answer: Socioeconomic needs and direct health needs survey for
community
◉ AIDET
Answer: acknowledge, introduce, duration, explanation, thank you
◉ Care transition
Answer: a continuous process in which a patient's care shifts from
being provided in one setting of care to another
◉ Components of Discharge Planning
Answer: *Assessing strengths/limitations of the patient,
family/support person, and environment
*Implementing and coordinating the care plan
*Considering individual, community, and family resources
*Evaluating the effectiveness of care
◉ Guidelines for Discharge
Answer: ●Assess and identify health care needs
●Set goals with patient
AND SOLUTIONS
◉ intuitive problem solving
Answer: direct understanding of a situation based on a
background of experience, knowledge, and skill that makes expert
decision making possible
◉ thoughtful practice
Answer: the care by a clinician who utilizes clinical reasoning and
reflective practice to guide thoughtful actions and person-
centered processes of care
◉ Levels of evidence pyramid
Answer: (top to bottom)
evidence based practice guideline
meta analysis, systematic review
critical appraisal
randomized control trials (RCT)
cohort studies, qualitative studies, cross sectional studies
case control studies, case reports
reviews
background info, textbooks, expert opinion
,◉ primary care
Answer: first point on contact, preventative, diagnostic (GP,
practice nurse, dentist, pharmacist)
◉ secondary care
Answer: sporadic consultations with a specialist, curative,
advanced interventions (hospital clinic, specialist doctor)
◉ tertiary care
Answer: institution-based, highly specialized, relatively
uncommon (national or regional specialist services)
◉ Community-Based Health Care
Answer: Provided to people who live within a defined geographic
area
●Nurses working in the community:
○Provide continuity of care when patient moves from one level of
care to another or from one setting to another
○Provide interventions to promote health
○Manage acute or chronic illness
○Promote self-care
◉ Healthy People 2030
Answer: Attain healthy, thriving lives and well-being, free of
preventable disease, disability, injury and premature death.
, Eliminate health disparities, achieve health equity, and attain
health literacy to improve the health and well-being of all.
◉ Johns Hopkins Hospital Community Health Needs Assessment
(CHNA)
Answer: Socioeconomic needs and direct health needs survey for
community
◉ AIDET
Answer: acknowledge, introduce, duration, explanation, thank you
◉ Care transition
Answer: a continuous process in which a patient's care shifts from
being provided in one setting of care to another
◉ Components of Discharge Planning
Answer: *Assessing strengths/limitations of the patient,
family/support person, and environment
*Implementing and coordinating the care plan
*Considering individual, community, and family resources
*Evaluating the effectiveness of care
◉ Guidelines for Discharge
Answer: ●Assess and identify health care needs
●Set goals with patient
