Jersey College MedSurg 1 RN FINAL EXAM WITH
COMPLETE SOLUTIONS.
List four modifiable risk factors. (general health
promotion) - .....ANSWER ...✔✔ weight, smoking, sex
practices, diet
List three non-modifiable risk factors. (general health
promotion) - .....ANSWER ...✔✔ age, genetics, sex
What type of assessment should the nurse preform prior
to initiating health teaching? - .....ANSWER ...✔✔
cultural assessment
Maslow's Hierarchy of Needs
--priorities?
--what order? - .....ANSWER ...✔✔ physiological
integrity
safety and security
belongingness and affection
esteem and self-respect
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self-actualization
-- physiologic needs and life threatening issues are a
priority
-- confirm that these needs are met in the order listed
above
Organization that identifies health promotion and
disease prevention goals and lists strategies along with
resources in an attempt to improve the nation's health -
.....ANSWER ...✔✔ Healthy People 2020
Organization that recommends ways to strengthen the
practice of nursing in order to improve health care. -
.....ANSWER ...✔✔ The Institute of Medicine's report
on the Future of Nursing
The Joint Commission lists the top patient safety concerns
and includes medication safety, infection prevention,
surgery-related mistakes, patient identification and
improving staff communication. What is this list called? -
.....ANSWER ...✔✔ The National Patient Safety Goals
This governs nursing practice and is a law that is put into
place to protect the public - nurses must follow and
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comply with their state's regulations - .....ANSWER
...✔✔ Nurse Practice Acts
Institute that seeks to strengthen the knowledge, skills,
and attitudes of nurses in providing continuous quality
improvement in health care - .....ANSWER ...✔✔
QSEN - Quality and Safety Education for Nurses
Institute
What is pain? - .....ANSWER ...✔✔ whatever the
patient says it is
Pain is associated with
__________________________________. -
.....ANSWER ...✔✔ actual or potential tissue damage
The single most reliable indicator of pain is _______. -
.....ANSWER ...✔✔ the patient's self report
Pain stimulates the sympathetic nervous system and could
result in an increase in ___________, ___________,
and ____________. - .....ANSWER ...✔✔ blood
pressure, heart rate, and respirations
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physiologic effects of unrelieved pain (4) - .....ANSWER
...✔✔ increases glucagon production
decreases insulin secretion
depresses immune function
can lead to addictive behaviors
initiate inflammation and contribute to tissue swelling
and pain - .....ANSWER ...✔✔ prostaglandins
______ primarily produce pain relief by preventing
prostaglandin formation. - .....ANSWER ...✔✔ NSAIDS
_____________ does not have anti-inflammatory
properties. - .....ANSWER ...✔✔ Acetaminophen
______________ stimulates the inflammatory response
and puts the patient at risk for pain. - .....ANSWER
...✔✔ tissue damage
manage nociceptive pain with? - .....ANSWER ...✔✔
local anesthetics, non-opioids or opioids