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NURS 441 Final Exam Questions With Complete Solutions

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NURS 441 Final Exam Questions With Complete Solutions

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NURS 441 Final Exam Questions With Complete Solutions

Access to primary care in the US is primarily through Correct
Answers Insurance

Aims to achieve patient engagement
Nursing in the protection, promotion, and optimization of health
and abilities, prevention of illness and injury, alleviation of
suffering through the diagnosis of treatment of human response
and caring for individuals, families, communities, and
populations. Correct Answers Advocacy

An interdisciplinary science that provides structure for studying
health, disease, and conditions related to health status. Correct
Answers Epidemiology

Are most of the major health problems faced by those 25-65
preventable or not? Correct Answers Preventable through
lifestyle and environmental changes

Attempts to account for health-promoting behaviors Correct
Answers Health promotion model - Pender

Barriers to learning Correct Answers Educator-related
Learner-related (low literacy, lack of motivation)

Behaviors of abused children Correct Answers Accepts injury
as punishment
Tells several stories of how injury occurred, which might appear
rehearsed
Looks to parent for behavioral cues or is excessively obedient

,Gives story inconsistent with observed injuries
If confronted, often defends parent or refuses to cooperate with
investigation
Has psychosomatic complaints with no obvious organic cause
Emotional abuse should be ruled out in withdrawn children,
overeaters, truants, and runaways

Behaviors of abusive parents Correct Answers Do not
volunteer information or are vague about cause of child's illness
or injury
Tell contradictory stories to explain injury
Delay getting medical attention for child
Respond inappropriately to child during treatment, such as
ignoring, offering no comfort, or showing no concern, or,
conversely, showing overinvolvement with attention
Have record of "hospital shopping" or using different facilities
for treatment of child
Blame siblings or baby-sitters without substantiation or place
blame on child's clumsiness
Show obvious signs of drug or alcohol use

Behaviors of neglected children Correct Answers Has vacant or
frozen affect
Does not cry, even if situation warrants
Might be wary of physical contact or crave physical contact with
virtual strangers
Has delayed development physically, emotionally, cognitively
Shows poor grooming of body, hair, and clothes on a regular
basis
Has behavior related to lack of supervision, including poor
school performance and attendance

,Pregnancy in young females in both abuse and neglect situations

Blue color on the reportable disease list Correct Answers
Needs to be reported within 3 days

C/PHN considerations related to abuse Correct Answers
assessment and screening
Case finding
Providing emotional support
Advocating for abuse victims; referral
Eliminate transmission of violence
Work with community groups
Legislation

Case management roles Correct Answers Broker
Consultant
Coordination
Educator
Facilitator
Liason
Mentor
Monitor/reporter
Negotiator
Client advocate
Researcher
Standardization monitor
Systems allocator

Category A of biological terrorism Correct Answers Highest
priority with a risk to national security
high mortality rates

, Small pox, botulism, anthrax, tularemia, plague, and viral
hemorrhagic fever (Ebola)

Category B of biological terrorism Correct Answers High
morbidity and low mortality
Typhus, ricin, West Nile virus

Category C of biological terrorism Correct Answers Can be
engineered for mass dissemination

Causes of disparities in the US Correct Answers Cost, access,
quality

Challenges of the Twenty-First Century Correct Answers
Emergence of new and old communicable and infectious
disease, larger food borne disease, acts of terrorism
More complex technologies
Emphasis on prevention and wellness

Clients perception of health is affected by demographic,
sociopsychological, and structural variables Correct Answers
Health belief model

Common components of health care systems Correct Answers
Those served
Health care providers
Third-party payers
Facilities
Those who control access

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