NR 222-Health and Wellness-Exam 1 Questions & Answers Already Passed!!

Nursing process (ADPIE) - Answer-assessment diagnosis planning implementation evaluation A-assessment - Answer--Collect data about patient's physical, psychological, social, cultural, developmental, and spiritual needs from patient, family, diagnostic tests, medical record, nursing history, and literature D-diagnosis - Answer--Identify appropriate nursing diagnoses based on assessment findings P-planning - Answer--Develop an individualized care plan. Set diagnosis priorities based on patient's immediate needs, expected outcomes, and patient-centered goals. Collaborate with patient on care plan I-implementation - Answer--Perform nursing care therapies. Include patient as active participant in care. Involve family/significant other in care as appropriate E-evaluation - Answer--Identify success in meeting desired outcomes and goals of nursing care. Alter interventions as indicated when goals are not met Evidence based practice - Answer--when nurses or other clinicians use research findings and the best evidence possible to make decisions -is defined as the conscientious ,explicit and judicious use of current best evidence in making decisions about the care of individual -means integrating individual clinical expertise from systemic research Health education components (3) - Answer-1. involves the use of teaching-learning strategies ers maintain voluntary control over the decision to make changes in their es on behavior changes that have been found to improve health status Level of prevention (3) - Answer-Primary secondary tertiary Primary prevention - Answer--precedes disease/dysfunction *interventions --health promotion(ex:health edu about risk factors for heart disease) --health protection( ex:immunizations, reducing exposure to carcinogens,occupational hazards) Purpose-to decrease vulnerability of the individual/pop to disease/dysfunction focus-maintain/improve general/individual/family/community health Passive-not personally involved (public health efforts-clean water/sewer) Active-personally involved-lifestyle changes Secondary prevention - Answer--ranges from providing screening activities and treating early stages of disease to limiting disability by averting or delaying the consequences of advanced disease Goal- identify individuals in early,detectable stages of disease -treating early stages of disease -limiting disability -interventions similar to primary but applied to individuals / populations with disease Tertiary prevention - Answer--occurs when a defect or disability is permanent and irreversible-involves minimizing the effects of disease and disability by surveillance and maintenance activities aimed at preventing complications and deterioration -focuses on rehabilitation to help people attain and retain an optimal level of functioning regardless of their disabling condition Objective- is to return the affected individual to a useful place in society , maximize remaing capacities or both Transtheoretical model of change (TTM) - Answer--is useful for determining where a person is in relation to making a behavior chanage;readiness for change -is useful in determining the persons readiness for learning in relation to changing behavior so that health education or behavior change interventions can be matched to the stage -self efficacy is a key construct in this model 6 stages 6 stages of TTM - Answer-1.Pre contemplation 2.Contemplation 3.Planning/prep 4.Action 5.Maintenance 6.Relapse Pre contemplation - Answer--the person is NOT thinking about or considering quiting or adapting a behavior change within the next 6 months (not intending to make changes) Contemplation - Answer--the person is seriously considering making a specific behavior change within the next 6 months (considering change)