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Exam (elaborations)

BSMCON NUR 2102 - Final Cumulative Exam

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BSMCON NUR 2102 - Final Cumulative Exam BSMCON NUR 2102 - Final Cumulative Exam

Institution
BSMCON NUR 2102
Course
BSMCON NUR 2102

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BSMCON NUR 2102 - Final Cumulative Exam
Primary prevention - correc answerAddresses the needs of healthy clients to promote
health and prevent disease with specific protections; decreases the risk of exposure of
an individual or a community to disease.

Immunization programs
Child car seat education
Nutrition and fitness activities
Health ed. in schools - correc answerExamples of Primary Prevention

Secondary prevention - correc answerFocuses on identifying illness, providing
treatment, and conducting activities that help prevent a worsening health status.

Communicable disease screening and case finding
Early detection and treatment of diabetes mellitus
Exercise programs for older, frail adults - correc answerExamples of Secondary
Prevention

Tertiary prevention - correc answerAims to prevent the long-term consequences of a
chronic illness or disability and to support optimal functioning.

Begins after an injury or illness
Prevention of pressure ulcers after spinal cord injury
Promoting independence after traumatic brain injury
Referrals to support groups
Rehab center - correc answerExamples of Tertiary Prevention

Improve health priorities
Improve awareness and understanding of the progress involving health, disease, and
disability
Apply measurable health goals at the local, state, and national level
Apply best practice to strengthen policies and improve health practice
Identify the need for research, evaluation, and date collection of health disparities -
correc answerHealthy People 2020 Objectives to promote health and prevent disease
among the national population; updated every 10 years

Biographical Data - correc answerName, Gender, Address, phone number, email
address, birth date, birthplace, race/ethnicity, religion, marital status, occupation,
contact person, and source of data

Reason for Seeking Health Care - correc answerChief complaint (CC) or presenting
problem

History of Present illness - correc answerConduct a symptom analysis - include
OLDCARTS

,BSMCON NUR 2102 - Final Cumulative Exam
Present Health Status - correc answerFocus on patient condition's (acute and chronic),
medications the patient is currently taking, and allergies the patient has experienced.

Past Health History - correc answerExplore past and present conditions that may have
some effect on patient's current health needs and problems.

Family History - correc answerReview of patient's blood relatives (biologic), spouse and
children to identify illnesses of genetic, familial or environmental nature that may affect
the patient's current or future health.

Personal and Psychosocial History - correc answerExplores a variety of topics,
including any information that affects the patient's physical and mental health.

Review of Systems - correc answerConducted to inquire about past & present health of
each of the patient's body systems. Use OLDCARTS. If sufficient data has been
collected about the body system in the Present Illness/Present Health status section,
these questions are not repeated.

No delegation to NAP.
The RN is not only responsible for gathering data, but clustering it and using it in
decision making.

The delegating nurse retains responsibility and accountability for nursing care of the
client, including nursing assessment, planning, evaluation, documentation, and
supervision. The delegating nurse shall assess the clinical status and stability of the
client's condition; determine the type, complexity, and frequency of the nursing care
needed; and delegate only those tasks that:
a. Do not require the exercise of independent nursing judgment;
b. Do not require complex observations or critical decisions with respect to the nursing
task or procedure;
c. Frequently recur in the routine care of the client or group of clients;
d. Do not require repeated performance of nursing assessments;
e. Utilize a standard procedure in which the tasks or procedures can be performed
according to exact, unc - correc answerAccording to the ANA Standards of Practice,
what is the registered nurse's role in assessment?

Primary prevention - correc answerPrevent disease from developing through healthy
lifestyle

Secondary prevention - correc answerScreening efforts to promote the detection of
disease to halt the progression the disease process

Tertiary prevention - correc answerMinimizing the disability from acute or chronic
disease or injury
Help the client maximize his or her health

, BSMCON NUR 2102 - Final Cumulative Exam
Health promotion - correc answerBehavior motivated by the desire to increase well-
being and actualize human health potential

Health protection - correc answerBehavior motivated by a desire to actively avoid
illness, detect it early, or maintain functioning within the constraints of illness

Clinical prevention - correc answerIndividually focused interventions such as
immunization, screenings, and counseling, aimed at preventing escalation of diseases
and conditions

How does QSEN relate to health assessment? - correc answerPatient-centered care,
teamwork and collaboration, evidence-based practice, quality improvement, safety,
informatics

The RN is not only responsible for gathering data, but clustering it and using it in
decision making.

culture - correc answerall the socially transmitted behavioral patterns, arts, beliefs,
knowledge, values, morals, customs, life ways, and characteristics that influence a
worldview

ethnicity - correc answercharacteristics that a group may share in some combination
such as common geographic origin
Language and dialect, history, lifestyle, and/or religious beliefs, shared tradition and
symbols, music preferences

race - correc answergenetic in origin and includes physical characteristics.
Individuals from same racial group are not necessarily the same culture.

cultural sensitivity or cultural humility - correc answerCulturally-competent care- new
terminology

be culturally sensitive, don't stereotype, use a template for assessment - correc
answercultural and ethical considerations

Comprehensive
Problem-based/focused assessment
Episodic/follow-up assessment
Screening assessment - correc answer4 types of health assessment

Components of health assessment- health history (subjective), physical exam
(objective)- includes lab and dx tests, and documentation - correc answercomponents of
health assessment

Clinical Judgment - correc answerNoticing, Interpreting, Responding, Reflecting
Requires accurate assessment data

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Institution
BSMCON NUR 2102
Course
BSMCON NUR 2102

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