NUR 231 Exam 1 Questions With Verified Answers 2024/2025

NUR 231 Exam 1 Questions With Verified Answers 2024/2025 what is the prioritization of seeing patients (ABC...) - answerAirway Breathing Circulation Safety Infection Nutrition Psychosocial (ABCSIND) what are other ways to determine what pt to see first? (4) - answer-normal vs expected vs complication -acute vs chronic -stable vs unstable -actual vs potential threat what are the 6 levels of health care - answer1. preventive 2. primary 3. secondary 4. tertiary 5. restorative 6. continuing what does primary health care focus on? - answerhealth promotion and disease control -ex: pap smears, CV screenings, physicals, etc. what does secondary health care focus on - answerdiagnosis and treatment of ACUTE illness and injury -ex: oncologists, endocrinologists, cardiologists what does tertiary health care focus on? - answeruses specialized treatment/care to treat pt usually in a hospital setting -ex: coronary bypass surgery, plastic surgery, chemotherapy, etc. what does restorative health care focus on? - answerimmediate follow-up care for restoring health and promoting self-care -ex: home health care, OT/PT, etc. what does continuing care focus on? - answeraddresses long term or CHRONIC health care needs over a period of time -ex: palliative care, end of life care, etc. what are Maslow's hierarchy of needs? - answer-physiological -safety, -love/belonging -self esteem/respect -self-actualization T/F: we CANNOT let a pt leave the hospital if the first 2 levels of Maslow's hierarchy of needs are NOT fulfilled - answerTRUE *advocate for your patients!! what are 4 influences on health care delivery? - answer-trends -population demographics -changing patterns of disease -advances in technology and genetics what are 3 trends currently happening in the healthcare world? - answer1. increased focus on PREVENTATIVE care 2. knowledgeable and engaged consumers 3. increase in mobile tools and heath aps what are 5 population demographics that impact pt care/overall outcomes? - answer1. the aging population 2. poverty 3. cultural diversity 4. chronic diseases 5. inequalities/barriers what are 2 ways to decrease disparities in healthcare? - answer-work wit h an INTERDISCIPLINARY team (and have good communication) 2. make the pt the CENTER of care (plan WITH the pt) what 4 diseases are currently on the RISE? - answer1. TB 2. AIDS 3. STIs 4. Obesity T/F: the US has the lowest life expectancy out of all other "rich" nations - answerTRUE *higher rates of obesity, opioid misuse, suicide, homicide, infant mortality, road accidents, etc. what is JOC? - answerThe Joint Commission *focuses on pt safety!! what are "never" events in the health care? - answer-medical errors that the SEVERE consequences -ex: paralyzing a pt before surgery but NOT sedating them what are "sentinel" events in health care? - answer-unexpected occurrences/errors -ex: something gets worse before changes are made for it to get better what does QSEN stand for and what does it do? - answerQuality and Safety Education for Nurses *helps improve nurse safety education and improve pt outcomes what is the difference between INTRA-disciplinary team and INTER-disciplinary team? - answer-INTRA: everyone on the NURSING team (everyone is a type of nurse) -INTER: everyone else that helps the pt (physician, dietician, PCT, radiology, social worker) what is continuity of care and who is ultimately responsible for it? - answerwhat: continuing quality care even hen the are transferred to another unit, sent home, sent to a nursing home, etc. responsible: the nurse! (may not be doing everything but needs to make sure it is getting done by the right person!) why is report and transitions of care dangerous for the pt (pt changing a unit at shift change)? (3) - answer-busy time -may not get a good report -dr. may not come to see them what should be used when a pt is being transferred? (2) - answer-SBAR/ISBAR -good documentation what does "care transition" mean? - answer-continuous process in which a pt care shifts from being provided in one setting to another -ex: changing units, changing hospitals, going home, going to a nursing home, etc. what does "care coordination" mean? - answer-deliberate organization of pt care -uses nurses and social worker case coordinators why is care transition and care coordination so important? - answerensure pt continues to get quality care/help when the are moved/go home -prevents readmissions cues to communicate: what are the 2 main principles - answer1. IDENTIFY the problem (start with vitals) 2. ADDRESS the problem (may not have an exact answer but know when to call the dr.) what is apart of each part of the ISBAR? - answerI - introduction: who you are/what floor S - situation: pt name and age, physician, admitting diagnosis, any related surgeries B - background: allergies, medications, treatments A - assessment: subjective and objective findings, condition of pt, current vitals/labs, diet, current treatment, IV status/rates R - recommendation: nursing care priorities Q - questions (READ back and orders to clarify) when does discharge planning start for a pt? - answeron admission what is apart of discharge planning? (6) - answer-assessing/identifying pt needs -setting goals WITH the pt -pt/family edu -any referrals needed (home health care, OT/PT, follow up app.)