HPDP FINAL EXAM QUESTIONS WITH COMPLETE ANSWERS

HPDP FINAL EXAM QUESTIONS WITH COMPLETE ANSWERS "public health/community health nursing requires an understanding of: - CORRECT ANSWER -Needs of a population -Factors that influence health -Trends and patterns influencing disease within populations -Environmental factors contributing to health and illness -Political processes used to affect public policy" "Functional ability is the - CORRECT ANSWER Cognitive, social, physical, and emotional ability to carry out the normal activities of life" "enculturation - CORRECT ANSWER cultural competence and sensitivity, incorporate beliefs, attitudes, values, behaviors, and interpersonal dynamics targeted to culture." "BADL's - CORRECT ANSWER basic activities of daily living (ex. showering, brushing teeth)" "Community based nursing care takes place in - CORRECT ANSWER community settings such as a home or clinic, where nurses focus on the needs of an individual or family." "IADL's - CORRECT ANSWER instrumental activities of daily living (ex. driving, taking meds)" "Definition of health - CORRECT ANSWER A state of complete physical, mental, and social well-being, not merely the absence of disease or infirmity" "community based nursing takes focus in - CORRECT ANSWER helping individuals and communities to create a healthy living environment" "Definition of health promotion: - CORRECT ANSWER the process of enabling people to increase control over and to improve their health." "External variables influencing health beliefs and practices: - CORRECT ANSWER -Family practices -Socioeconomic factors -Cultural background" "Internal variables influencing health beliefs and practices: - CORRECT ANSWER Developmental stages Intellectual background Perception of functioning Emotional factors Spiritual factors" "Goal of a community health nurse - CORRECT ANSWER preserve protect promote or maintain health" "What are some functional assessment components? - CORRECT ANSWER -Vision -Hearing -Mobility -Fall History -Continence -Nutrition -Cognition -Affect (e.g."flat affect" no emotion, demeanor) -Home environment -Social participation (church groups, friends) -BADLs -IADLs" "Describe health promotion, wellness, and illness prevention activities: - CORRECT ANSWER -Immunization programs -Routine, exercise, good nutrition -Physical awareness, stress management, self-responsibility" "Functional assessment tools - CORRECT ANSWER -self report -performance based" "Development - CORRECT ANSWER The sequence of physical, psychosocial, and cognitive developmental changes that take place over the human lifespan" "What are the levels of health promotion & disease prevention? - CORRECT ANSWER -Primary prevention -secondary prevention -tertiary prevention" "What are the attributes of development? - CORRECT ANSWER -Physical/physiological development -Motoric development -Cognitive development -Communication development -Social/emotional development -Adaptive development" "Primary prevention examples - CORRECT ANSWER HEALTH PROMOTION: -health education programs -immunizations -nutritional programs -physical fitness activities. SPECIFIC PROTECTION: -Use of specific immunizations (HPV vaccine protects against viral disease) -protection -avoidance of allergens" "Secondary prevention examples - CORRECT ANSWER EARLY DIAGNOSIS: -screenings DISABILITY LIMITATION: -Adequate tx to arrest disease process and prevent further complication and sequelae" "A caregivers role - CORRECT ANSWER manage and care for the health of patients and families in the community" "What are the 3 aspects of change in development that occur simultaneously? - CORRECT ANSWER Growth, differentiation, maturation" "Growth is the - CORRECT ANSWER quantitative change in which an increase in cell number and size results in an increase in cell number and size results in an increase in overall size or weight of the body or any of its parts" "Differentiation is the - CORRECT ANSWER process by which initially formed cells and structures become refined and specific" "Change Agent Role - CORRECT ANSWER identifying and implementing new and more effective approaches to problems." "Describe four types of risk factors affecting health: - CORRECT ANSWER Genetic and physiological factors Age Environment lifestyle" "Discuss risk factor modification and changing health behaviors: - CORRECT ANSWER -Pre-contemplation -Contemplation -Preparation -Action -Maintenance stage" "Maturation is the - CORRECT ANSWER emergence of personal, behavioral, or adult like physical characteristics or a "ripening"" "Patient advocate role - CORRECT ANSWER helping patients identify where to go for services. Provide resources." "Internal variables influencing illness behavior: - CORRECT ANSWER perception of illness and nature of illness" "External variables influencing illness behavior: - CORRECT ANSWER visibility of symptoms, social group, cultural background, economics, and accessibility to health care." "Counselor Role - CORRECT ANSWER help patients identify and clarify health problems and choose appropriate courses of action to solve those problems." "Educator - CORRECT ANSWER helping patients gain skills and knowledge to care for themselves." "Developmental assessments for adolescents: - CORRECT ANSWER -Continue monitoring for physical development -Monitor sexual development -Social assessment using screening tools such as HEADSS to identify high-risk behaviors" "Developmental assessment adults & older: - CORRECT ANSWER -Continue monitoring for age-appropriate changes in physical function -Focus is on functional assessment -Screening tools assess functional ability, stress and coping, and others" "Epidemiologis - CORRECT ANSWER being involved in case findings, health teaching, and tracking incident rates of an illness" "In the SMART goal process, what does each letter stand for - CORRECT ANSWER -Specific -Measurable -Attainable -Realistic -Timed" "Elements of a community assessment: - CORRECT ANSWER Structure Population Social system" "Acute Illness: - CORRECT ANSWER short duration and severe" "Community assessment: - CORRECT ANSWER is the systematic data collection on the population, monitoring the health status of the population, and making information available about the health of the community." "Family dynamics - CORRECT ANSWER the way in which the family operates as a whole" "Chronic illness: - CORRECT ANSWER persists longer than 6 months" "Health disparities negatively affect: - CORRECT ANSWER groups of people who have systematically experienced social or economic obstacles to health" "Structural family assessment - CORRECT ANSWER determining the members of the family, the relationship among family members in contrast to relationships with those outside the family, and the context of the family" "Most vulnerable populations are persons with: - CORRECT ANSWER low socioeconomic status and persons who are members of ethnic and racial minorities." "Health disparities result from: - CORRECT ANSWER poverty, environmental threats, inadequate access to health care, individual and behavioral factors, and educational inequalities." "The two basic aspects of family functioning are - CORRECT ANSWER instrumental (routine activities of daily living) and expressive (communication, emotions)" "Importance of cultural competence - CORRECT ANSWER culture is vital in how community health professionals deliver services and how community members respond to programs/interventions" "An assessment provides the: - CORRECT ANSWER basis for establishing a health promotion plan" "Unavoidable disparities - CORRECT ANSWER -Age -Genetic predisposition" "Family dynamics - CORRECT ANSWER interrelationships between and among individual family members or "the forces at work within a family that produce particular behaviors or symptoms"" "Individual assessment: - CORRECT ANSWER -Age -health status -presence of risk factors -health preferences and values -social relationships" "Avoidable disparities - CORRECT ANSWER -Patient mistrust -cultural beliefs -language barriers -lack of transportation -high health care costs -unsafe living environment -Health damaging behaviors -Lack of health care -insurance -Inadequate access to health services -Biased clinical care planning" "Family assessment: - CORRECT ANSWER -risk factors -family strengths -relationships among family members -genetics" "Avoidable and unacceptable example - CORRECT ANSWER pain" "Family assessment: Developmental - CORRECT ANSWER considers concurrent development of individuals within the family (life cycle)" "Family assessment; Functional - CORRECT ANSWER Assessment of family member interactions and behaviors towards one another Instrumental: family activities of day-to-day living Expressive: communication, problem solving, power, values, beliefs" "community-based nursing - CORRECT ANSWER a model of care to reach all in a community, helping individuals and communities to create a healthy living environment. ***occurs outside of traditional health care facilities" "First thing to assess in elderly patients? - CORRECT ANSWER Vision and hearing (very important)" "Scope of stress: no stress - CORRECT ANSWER Experience is perceived as easily manageable, and equilibrium is not disrupted." "Preconception period - CORRECT ANSWER time before pregnancy" "What is the Human Genome Project? - CORRECT ANSWER "An international research effort to sequence and map all of the genes - together known as the genome"" "Nutrition is - CORRECT ANSWER the science of optimal cellular metabolism and its impact on health and disease" "The hypothalamus stimulates the - CORRECT ANSWER pituitary gland" "Patient Education is - CORRECT ANSWER a process of helping people learn health-related behaviors so that they can incorporate these behaviors into everyday life" "Infection is - CORRECT ANSWER the invasion of a susceptible host by pathogens or microorganisms; results in disease" "What are some interrelated concepts with infection? - CORRECT ANSWER -Nutrition -Tissue Integrity -Immunity -Stress -Inflammation" "What is the purpose of Patient Education? - CORRECT ANSWER to help individuals, families, or communities achieve optimal levels of health" "The pituitary gland secretes - CORRECT ANSWER FSH and LH" "A genome is - CORRECT ANSWER an organism's complete set of DNA. Except for mature red blood cells, all human cells contain a complete genome" "Embryologic period - CORRECT ANSWER •first nine weeks of pregnancy •Embryo is most susceptible to teratogenic injury •All major organ systems are formed" "Scope of Stress: Challenging - CORRECT ANSWER Experience is perceived as manageable but requires mobilization of resources; is not harmful, and equilibrium is maintained" "Genomics is the study of - CORRECT ANSWER all genes in a person" "Scope of Stress: Threatening - CORRECT ANSWER Experience is perceived as taxing; exceeds existing resources; causes disruption to equilibrium; can impact health." "Fetal period - CORRECT ANSWER 10 weeks- 40 weeks" "Colonization is the - CORRECT ANSWER presence and growth of microorganisms within a host without tissue invasion or damage" "General Adaptation Syndrome (GAS) - CORRECT ANSWER Selye's concept of the body's adaptive response to stress in three phases—alarm, resistance, exhaustion." "Communicable disease is - CORRECT ANSWER the infectious process transmitted from one person to another" "Teaching is - CORRECT ANSWER the concept of imparting knowledge through a series of directed activities" "LH (luteinizing hormone): - CORRECT ANSWER -Final maturation of follicle -Follicle produces progesterone -Estrogen levels decline" "Food security: - CORRECT ANSWER -all household members have access to sufficient, safe, and nutritious food to maintain a healthy lifestyle -household members have sufficient food available on a consistent basis and the resources to obtain appropriate food for a nutritious diet." "Genetics is the study of - CORRECT ANSWER inheritance/heredity" "Substances or agents that may affect the reproductive health or fertility of women or men - CORRECT ANSWER •Chemical (lead) •Biological (viruses) •Physical (radiation)" "Chronic Stress occurs in - CORRECT ANSWER stable conditions from stressful roles" "Routes of Exposure for substances or agents that may affect the reproductive health: - CORRECT ANSWER Inhalation, dermal, & ingestion" "The corpus luteum secretes - CORRECT ANSWER progesterone" "Learning is - CORRECT ANSWER The purposeful acquisition of new knowledge, attitudes, behaviors, and skills through an experience or external stimulus" "Symptomatic - CORRECT ANSWER clinical signs and symptoms are present" "What is the nucleus? - CORRECT ANSWER Control center of the cell" "Complications that can happen with substances or agents that affect the reproductive health: - CORRECT ANSWER -Infertility -pregnancy loss -birth defects -neurological problem -developmental delays" "Acute Stress is - CORRECT ANSWER time-limited events that threaten a person for a relatively brief period provoked acute stress" "Resting energy expenditure (REE) - CORRECT ANSWER Amount of energy needed to consume over 24-hour period for the body to maintain internal working activities while at rest" "The follicular phase happens when? - CORRECT ANSWER Day 1-14 of menstrual cycle" "Patient education provides - CORRECT ANSWER a foundational role and provides competency in the professional nursing practice" "Asymptomatic - CORRECT ANSWER clinical signs and symptoms are not present" "Assess the home environment for: - CORRECT ANSWER •Pests, dust mites, pesticides •Mold •Lead •Radon •Tobacco •Drinking water •Home safety (smoke and carbon monoxide detectors)" "Where is DNA stored? - CORRECT ANSWER nucleus of a cell" "Nutrients - CORRECT ANSWER Energy necessary for the normal function of numerous body processes" "When a follicle ruptures - CORRECT ANSWER -Ovum travels to the fallopian tube -Luteal phase begins" "Patient education is expected as a component of - CORRECT ANSWER health care in all settings and thus is applicable to all areas of the nursing practice involving patient care" "How many chromosomes does a normal human have? - CORRECT ANSWER 46 (23 pairs)" "Examples of Home Safety Programs: - CORRECT ANSWER •Smoke free rules at home •Lead hazard control programs •Home-based asthma interventions •Integrated pest management (IPM) •Smoke & carbon monoxide installations" "How do Sperm & Ova Unite? - CORRECT ANSWER -Estrogen levels peak just before ovulation -Propels ovum down tube -Makes mucus "friendly" to sperm -Prostaglandins from sperm cause uterine contractions which propel sperm" "Role of the Nurse in Teaching and Learning - CORRECT ANSWER -teach info that the patient and the family need to make informed decisions regarding their care -determine what patients need to know -identify when patients are ready to learn" "Location of infection - CORRECT ANSWER localized infection versus disseminated versus systemic infection" "Duration of infection - CORRECT ANSWER Acute infection versus chronic infection" "Fertilization occurs when - CORRECT ANSWER the nuclei of the sperm & ovum unite" "Factors that affect metabolism include : - CORRECT ANSWER -illness -pregnancy -lactation -activity level" "Genetic disorders - CORRECT ANSWER - a disease caused in whole or in part by a "variation" (a different form) or "mutation" (alteration) of" "Mercury Exposure: - CORRECT ANSWER •Enters the body through swallowing, the skin, or breathing the vapors •Crosses placenta and into breast milk •Neurologic damage to the developing fetus or infant (IQ, developmental delays)" "Consequences of Chronic Stress - CORRECT ANSWER -heightened responses. -Exhaustion of resources leads to a loss of homeostasis. -Negative physical, psychologic, and/or social manifestations" "Genetic testing - CORRECT ANSWER - Genetic tests look for alterations in a person's genes or changes in the level of key proteins coded for by specific genes. Abnormal results on these tests could mean that someone has an inherited disorder." "A crisis implies that - CORRECT ANSWER a person is facing a turning point in life." "Macronutrients are - CORRECT ANSWER -nutrients our body needs in large amounts -Carbs, fats, proteins" "Ova are fertile for how long after ovulation? - CORRECT ANSWER 12 to 24 hours" "What are the domains of learning? - CORRECT ANSWER cognitive, affective, psychomotor" "Source of infection - CORRECT ANSWER -Primary infection versus secondary infection -Hospital-acquired/health care-acquired infection versus community-acquired infection" "Carrier testing helps to identify - CORRECT ANSWER people who carry one or two copies of a gene mutation." "Three types of crises - CORRECT ANSWER -maturational or developmental crises -situational crises -disasters or adventitious crises" "Micronutrients are - CORRECT ANSWER -vitamins, minerals, water" "Sperm are fertile for about _____ _____ in the female - CORRECT ANSWER 24 hours" "Cognitive learning - CORRECT ANSWER Includes all intellectual behaviors and requires thinking" "Normal flora - CORRECT ANSWER -microorganisms -do not usually cause disease when residing in their usual area of the body but instead participate in maintaining health" "Affective learning - CORRECT ANSWER Deals with expression of feelings and development of attitudes, opinions, or values" "sperm + ovum = - CORRECT ANSWER zygote" "Phytochemical are - CORRECT ANSWER Healthy substances in foods such as fruits, veggies, and herbs" "Smoking is the most common cause of - CORRECT ANSWER chronic respiratory problems" "Developmental Crisis - CORRECT ANSWER occur as a person moves through the stages of life." "Situational crisis - CORRECT ANSWER External sources such as a job change, motor vehicle crash, death, or severe illness provoke" "Smoking _____ BP and _____ peripheral blood flow - CORRECT ANSWER increases; decreases" "kilocalorie (kcal) is - CORRECT ANSWER 1000 calories" "Psychomotor learning - CORRECT ANSWER Involves acquiring skills that require coordination and integration of mental and physical movements" "Body system defenses are - CORRECT ANSWER organs" "_____ tells the ovarian corpus luteum to secrete progesterone - CORRECT ANSWER hCG (human chorionic gonadotropin)" "Disease or infection results only if the pathogens _____ and alter normal tissue function - CORRECT ANSWER multiply" "Basic learning principles - CORRECT ANSWER -motivation to learn -ability to learn -learning environment" "______ is known as the "hormone of pregnancy" - CORRECT ANSWER progesterone" "malnutrition is - CORRECT ANSWER faulty or inadequate diet" "Children whose parents smoke = higher incidence of - CORRECT ANSWER •Asthma •Pneumonia •Ear infections" "Adventitious crisis - CORRECT ANSWER A major natural or man-made disaster or a crime of violence can create" "Babies - second hand smoke exposure = - CORRECT ANSWER higher risk for sudden infant death syndrome" "Neuman systems model: - CORRECT ANSWER •Uses systems approach •Based on the concepts of stress and reaction to stress" "Motivation to learn - CORRECT ANSWER Addresses the patient's desire or willingness to learn" "Sarcopenia is - CORRECT ANSWER the loss of muscle mass, strength, and function that comes with aging" "_____ is an example of a communicable disease that can be asymptomatic - CORRECT ANSWER Hepatitis C" "Some infectious diseases, such as _____ and _____, have a low or no risk for transmission - CORRECT ANSWER viral meningitis; pneumonia" "Ability to learn - CORRECT ANSWER depends on physical and cognitive abilities, developmental level, physical wellness, thought processes" "How long is human gestation? - CORRECT ANSWER 40 weeks (280 days)" "Sarcopenia obesity - CORRECT ANSWER combined loss of muscle mass with weight gain occurring in old age" "Smoking during pregnancy can cause - CORRECT ANSWER •Low birth weight •Pre-term birth •Baby - reduced lung function" "Pender's health promotion model - CORRECT ANSWER •Focuses on promoting health and managing stress" "Exposure to second hand smoke can cause - CORRECT ANSWER •Low birth weight •Pre-term birth •miscarriage" "Learning environment - CORRECT ANSWER allows a person to attend to instruction" "Anasarca - CORRECT ANSWER severe generalized (all over) edema" "When is the embryonic stage? - CORRECT ANSWER (14 days) 2-8 weeks" "Infection develops if the infection chain stays _____ - CORRECT ANSWER intact" "_____ infections involves breaking the chain of infection - CORRECT ANSWER Preventing" "Attentional Set is - CORRECT ANSWER the mental state that allows the learner to focus on and comprehend a learning activity" "When is the fetal stage? - CORRECT ANSWER 9-40 weeks" "Hypoalbuminemia - CORRECT ANSWER low albumin levels in the blood" "The Neuman Systems Model of nursing views - CORRECT ANSWER a patient, family, or community as constantly changing in response to the environment and stressors." "Questions to assess smoking - CORRECT ANSWER •Is the person a current smoker or former smoker? •How many cigarettes smoked per day? •How long has the person smoked? •What was the person's age when began smoking? •Pack years = number of packs/day x number of years" "Microorganisms include: - CORRECT ANSWER bacteria, viruses, fungi, and protozoa" "Carbohydrates are composed of - CORRECT ANSWER -carbon, hydrogen, and oxygen -are the main source of energy in the diet" "Weeks begin at - CORRECT ANSWER LMP (last menstrual period)" "Motivation is the - CORRECT ANSWER force that acts on or within a person to cause the person to behave in a particular way" "_____ _____ is the most effective way to break the chain of infection. - CORRECT ANSWER Hand hygiene" "A learning environment should have/be - CORRECT ANSWER -Well lit -Appropriate furniture -Quiet -Good ventilation -Comfortable temperature -Private" "Products of Conception according to time - CORRECT ANSWER -Embryo -Fetus -Viability -Neonate -Infant" "Proteins provide a source of - CORRECT ANSWER -energy (4 kcal/g) - are essential for the growth, maintenance and repair of body tissue" "Passive smoking variations: - CORRECT ANSWER •Second hand - same environment •Third hand smoke - clings to hair and clothing" "Other smoking variations: - CORRECT ANSWER •Social smoking •Hookah - water pipe •E-cigarettes" "Time Periods: - CORRECT ANSWER -Perinatal -Antepartum -Intrapartum -Postpartum" "The simplest form of protein is the _____ _____, consisting of hydrogen, oxygen, carbon, and nitrogen. - CORRECT ANSWER amino acid" "Adult learning is - CORRECT ANSWER self directed and patient centered" "A _____ is a place where microorganisms survive, multiply, and await transfer to a susceptible host. - CORRECT ANSWER reservoir" "What are two types of human reservoirs: - CORRECT ANSWER those with acute or symptomatic disease and those who show no signs of disease but are carriers of it" "Physical capability to learn depends on - CORRECT ANSWER level of personal development, physical health, energy" "Perinatal period - CORRECT ANSWER period beginning about the seventh month of pregnancy and continuing until about four weeks after birth" "Fats (lipids) are - CORRECT ANSWER the most calorie-dense nutrient, providing 9 kcal/g" "Coping responses to stress - CORRECT ANSWER -Cognitive assessment -Primary appraisal -Secondary appraisal -Engagement" "Primary appraisal of stress - CORRECT ANSWER •Initial assessment of stressor to determine if stressor is a threat" "Triglycerides circulate in the blood and are composed of - CORRECT ANSWER three fatty acids attached to a glycerol" "Antepartum period - CORRECT ANSWER prenatal period begins with conception and ends with the onset of labor" "Health Literacy is - CORRECT ANSWER the cognitive and social skills that determine the motivation and ability of individuals to gain access to, understand, and use info in ways that promote and maintain good health" "organisms require a proper environment including - CORRECT ANSWER appropriate food, oxygen, water, temperature, pH, and light" "Aerobic bacteria require - CORRECT ANSWER Oxygen" "Health literacy includes: - CORRECT ANSWER patients' reading and mathematics skills, comprehension, and decision-making and functioning skills with regard to health care" "Intrapartum period - CORRECT ANSWER begins with the onset of regular uterine contractions and lasts until the expulsion of the placenta" "Fatty acids are composed of - CORRECT ANSWER chains of carbon and hydrogen atoms with an acid group on one end of the chain and a methyl group at the other" "Secondary appraisal of stress - CORRECT ANSWER •Evaluation of resources to +Overcome the stressor +Eliminate the stressor +Reduce the stressor" "Water is critical because cell function depends on a _____ _____. - CORRECT ANSWER fluid environment" "Nursing Process: Nursing Diagnosis - CORRECT ANSWER •Anxiety •Denial •Fear •Ineffective coping •Powerlessness •Risk for posttrauma syndrome •Situational low self-esteem •Stress overload" "Postpartum period - CORRECT ANSWER the period immediately following childbirth" "Nursing diagnoses for patient education is based on: - CORRECT ANSWER -Deficient knowledge (affective, cognitive, psychomotor) -Ineffective health maintenance -Impaired home maintenance -Ineffective family therapeutic regimen management -Ineffective self-health management -Noncompliance (with medications)" "Anaerobic bacteria thrive... - CORRECT ANSWER where little or no free oxygen is available." "Inflammation is - CORRECT ANSWER a protective vascular reaction that delivers fluid, blood products, and nutrients to an area of injury" "In the planning step you - CORRECT ANSWER Determine goals and expected outcomes that guide the choice of teaching strategies and approaches with a patient" "An embryo is - CORRECT ANSWER an early, pre-birth stage of an organism" "Water makes up _____ of total body weight. - CORRECT ANSWER 60% to 70%" "Nursing Process: Planning - CORRECT ANSWER •Goals and outcomes - Desirable outcomes frequently include +Effective coping +Family coping +Caregiver emotional health +Psychosocial adjustment: life change •Setting priorities •Teamwork and collaboration" "The process of _____ neutralizes and eliminates pathogens or dead (necrotic) tissues and establishes a means of repairing body cells and tissues. - CORRECT ANSWER inflammation" "Steps in planning - CORRECT ANSWER -Set priorities. -Select timing to teach. -Organize the teaching materials. -Use teamwork and collaboration." "A fetus is - CORRECT ANSWER the developing human organism from 9 weeks after conception to birth" "Vitamins are - CORRECT ANSWER organic substances present in small amounts in foods that are essential to normal metabolism" "Nursing Process: Implementation - CORRECT ANSWER •Health promotion +Decrease stress-producing situations +Increase resistance to stress +Learn skill that reduce physiological response to stress •Regular exercise and rest" "An infant is - CORRECT ANSWER a child 1 month - 12 month" "Appropriate instructional methods - CORRECT ANSWER -Group instruction -One-on-one discussion -Preparatory instruction -Demonstration -Analogy -Role playing -Simulation" "Free radicals produce - CORRECT ANSWER oxidative damage to body cells and tissues" "Counseling for stress - CORRECT ANSWER •Consists of individual or group therapy and includes multiple techniques including: +Cognitive behavioral therapy +Meditation +Relaxation techniques and massage +Time management +Health education" "A neonate is - CORRECT ANSWER a newborn baby" "Signs of localized inflammation: - CORRECT ANSWER swelling, redness, heat, pain or tenderness, and loss of function in the affected body part" "General Risk Factors for maladaptive coping - CORRECT ANSWER •Inability to accurately assess stressor •Denial or avoidance •Actual or perceived lack of control •Actual or perceived lack of support •No experience or poor past experiences in managing stressful situations" "With patient education, you have to consider - CORRECT ANSWER -Illiteracy and other disabilities -Cultural diversity -Using different teaching tools -Special needs of children and older adults" "Hypervitaminosis - CORRECT ANSWER Condition caused by excessive intake of a vitamin; less likely to occur with water-soluble vitamins." "What is gravida? - CORRECT ANSWER the total number of times a patient has been pregnant" "Signs of systemic inflammation: - CORRECT ANSWER fever, increased WBCs, malaise, anorexia, nausea, vomiting, lymph node enlargement, or organ failure" "Adherence is the - CORRECT ANSWER measure of acceptance" "What is nulligravida? - CORRECT ANSWER a woman who has never been pregnant" "Fat soluble vitamins are - CORRECT ANSWER Vitamins A, D, E, K" "Individual Risk Factors for maladaptive coping - CORRECT ANSWER •Impaired cognition •Limited resources •Age •Changes in health status •Chronic health conditions" "Leukocytosis is - CORRECT ANSWER an increase in the number of circulating WBCs, is the response of the body to WBCs leaving blood vessels" "Serous exudate is - CORRECT ANSWER clear like plasma" "Compliance is the - CORRECT ANSWER measure of conformance" "Water soluble vitamins are - CORRECT ANSWER B complex and C" "maladaptive coping - CORRECT ANSWER Strategies that cause further problems" "What is primigravida? - CORRECT ANSWER a woman who is pregnant for the first time" "Sanguineous exudate contains - CORRECT ANSWER red blood cells" "Persistence is the - CORRECT ANSWER measure of continuation" "What is multigravida? - CORRECT ANSWER a woman who has had two or more pregnancies" "Minerals are - CORRECT ANSWER inorganic elements essential to the body as catalysts in biochemical reactions" "Clinical Management:Primary Prevention for maladaptive coping - CORRECT ANSWER Discuss the link between general wellness activities and the prevention of maladaptive coping. •Exercise •Nutrition •Positive relationships •Social supports" "Water is the most - CORRECT ANSWER essential nutrient" "Collaborative Care for maladaptive coping - CORRECT ANSWER •Education •Developing an action plan •Accessing resources •Cognitive restructuring" "What is para? - CORRECT ANSWER the number of pregnancies that reached 20 weeks gestation" "Purulent exudate contains - CORRECT ANSWER WBCs and bacteria" "Concordance is the - CORRECT ANSWER measure of mutual agreement" "Digestion is the - CORRECT ANSWER Mechanical breakdown that results from chewing, churning, and mixing with fluid and chemical reactions in which food reduces to its simplest form" "What is primipara? - CORRECT ANSWER a patient who has had one birth at more than 20 weeks gestation" "What are the three distinct elements of adherence? - CORRECT ANSWER -Adherence to medication -Management of adherence -Adherence-related science" "Immunity is - CORRECT ANSWER Resistance to disease" "Innate immunity (natural or native immunity) is - CORRECT ANSWER present at birth (non-specific)" "Consequences of Patient-Related Non-adherence - CORRECT ANSWER -Increased mortality and morbidity rates -Conflict -Attributional uncertainty -Embarrassment -Changes in the quality of life" "What is nullipara? - CORRECT ANSWER a woman who has not given birth at more than 20 weeks gestation" "Enzymes are - CORRECT ANSWER the proteinlike substances that act as catalysts to speed up chemical reactions" "Acquired immunity is - CORRECT ANSWER gained after birth (active or passive)" "Self Management is - CORRECT ANSWER the ability of individuals or caregivers to engage in the daily tasks required to maintain health and well-being or to manage the physical, psychological, behavioral, and emotional sequelae of a chronic disease based on their knowledge of the condition, its consequences, and the plan of care co-developed with their health care team" "What is multipara? - CORRECT ANSWER a woman who has had two or more births at more than 20 weeks gestation" "Peristalsis is - CORRECT ANSWER Involuntary waves of muscle contraction that keep food moving along in one direction through the digestive system" "The _____ _____, lined with fingerlike projections called villi, is the primary absorption site for nutrients. - CORRECT ANSWER small intestine" "Nagele's Rule - CORRECT ANSWER 1st day of last period + 7 days - 3 months" "What are four important areas regarding self-management? - CORRECT ANSWER -Health enhancement and wellness -Predisease/ disease prevention -Disease/ new diagnosis -Acute event management" "passive naturally acquired immunity - CORRECT ANSWER antibodies pass from mother to fetus via placenta; or to infant in her milk" "passive artificially acquired immunity - CORRECT ANSWER injecting antibodies derived from serum of infected people or animals" "What are self-management interrelated concepts? - CORRECT ANSWER -Patient Education -Health Disparities -Collaboration -Care Coordination -Health Promotion -Adherence" "How to find estimated date of birth (EDB) - CORRECT ANSWER Nagele's rule" "Approximately _____ of water is absorbed in the small intestine - CORRECT ANSWER 85% to 90%" "active naturally acquired immunity - CORRECT ANSWER infection; contact with pathogen" "How long is the first trimester? - CORRECT ANSWER 1-13 weeks" "Absorption of _____ occurs in the small intestine. - CORRECT ANSWER carbohydrates, protein, minerals, and water-soluble vitamins" "Active artificially acquired immunity - CORRECT ANSWER vaccine; dead or attenuated pathogens" "How long is the second trimester? - CORRECT ANSWER 14-26 weeks" "The body absorbs nutrients by means of _____ - CORRECT ANSWER passive diffusion, osmosis, active transport, and pinocytosis" "How long is the third trimester? - CORRECT ANSWER 27-40 weeks" "Metabolism - CORRECT ANSWER All biochemical reactions within the cells of the body" "What are the characteristics that influence the susceptibility of individuals to infections? - CORRECT ANSWER -Age -Stress -Nutritional status -Disease processes -Treatments or conditions that compromise the immune response" "Populations at greatest risk for infections are? - CORRECT ANSWER -Poor -Uninsured -Very young -Residents of geographic areas -where an infection is prevalent" "Anabolism - CORRECT ANSWER Building of more complex biochemical substances by synthesis of nutrients" "Teratogens are - CORRECT ANSWER harmful agents or substances that can cause malformations or defects in an embryo or fetus" "Primary prevention for infection: - CORRECT ANSWER -Exercise -Immunizations -Adequate nutrition -Avoid high-risk behaviors -Infection control measures" "What are the factors that can influence development? - CORRECT ANSWER -Teratogens -Timeframes -Maternal environment -Maternal hyperthermia" "Catabolism - CORRECT ANSWER Breakdown of biochemical substances into simpler substances; occurs during physiological states of negative nitrogen balance" "ADPIE - Nursing Process - CORRECT ANSWER Assessment, Diagnosis, Plan, Intervention, Evaluation" "Initial Prenatal Visit Assessments: - CORRECT ANSWER -Complete history & physical assessment -Developmental stage -Functional ability ......" "Starvation is an example of _____ when wasting of body tissues occurs. - CORRECT ANSWER catabolism" "The more _____ the vaccine to the disease-causing antigen, the better the immune response - CORRECT ANSWER similar" "Chorion + Amnion = - CORRECT ANSWER BOW (bag of waters)" "Nutrient metabolism consists of three main processes: - CORRECT ANSWER -Glycogenolysis -Glycogenesis -Gluconeogenesis" "Amniotic cavity is the - CORRECT ANSWER space between embryo & membranes" "Glycogenolysis: - CORRECT ANSWER Catabolism of glycogen into glucose, carbon dioxide, and water" "Live Attenuated (weakened) Vaccines... - CORRECT ANSWER require only one or two doses" "Inactivated Vaccines... - CORRECT ANSWER require multiple doses and/or boosters" "What does amniotic fluid do? - CORRECT ANSWER -Cushions against injury -Temperature control -Extension of fetal extracellular space -Prevents adherence of fetus to amnion -Aids musculoskeletal development -Prevents cord compression -Wedge during labor -Fluid reflects fetal health & maturity" "Glycogenesis: - CORRECT ANSWER Anabolism of glucose into glycogen for storage" "What are the most common infection screening? - CORRECT ANSWER -Sexually transmitted infections in high-risk groups -Tuberculosis screening in high-risk groups" "When do you measure fundal height? - CORRECT ANSWER 20 weeks" "Gluconeogenesis: - CORRECT ANSWER Catabolism of amino acids and glycerol into glucose for energy" "Collaborative Interventions (Secondary &/or Tertiary Prevention) for infection: - CORRECT ANSWER -Fluids -Nutritional support -Antimicrobial therapy -Rest and comfort care measures -Disinfection of physical environment" "At what week is the placenta considered a discrete organ? - CORRECT ANSWER Week 14" "Elimination: - CORRECT ANSWER -Chyme moves by peristaltic action through the ileocecal valve into the large intestine, where it becomes feces -Water absorbs in the mucosa as feces move toward the rectum." "What are some threats to Herd Immunity? - CORRECT ANSWER -Vaccine preventable diseases have been eliminated -Immunizations weaken the immune system -Thimerosal causes mercury poisoning -It is better to let the child get the disease than immunize -Vaccines do not work" "Dietary reference intakes (DRIs) - CORRECT ANSWER Acceptable range of quantities of vitamins and minerals for each gender and age group" "Placental circulation is - CORRECT ANSWER oxygen rich maternal blood via spiral uterine artery to intervillous spaces" "Vaccine Information Statement (VIS) - CORRECT ANSWER federal requirement that provides valuable info for each vaccine" "Placental Functions: - CORRECT ANSWER -Endocrine Functions (hCG, HPL, Estrogen, Progesterone) -Immunologic Functions -Metabolic Functions -Transport Functions" "Daily values: - CORRECT ANSWER the recommended amounts of nutrients that a person should consume each day" "Have I learned the abbreviations for vaccines? Have I learned to read the Immunization Schedule Chart? - CORRECT ANSWER yes I have/ I am working on it" "Mom must perfuse placenta with - CORRECT ANSWER oxygen-rich blood" "Estimated average requirement (EAR) - CORRECT ANSWER —amount of nutrient that appears sufficient to maintain a specific body function for 50% of population based on age and gender" "cephalocaudal development - CORRECT ANSWER Development that occurs from the top of the head down to the extremities." "Recommended dietary allowance (RDA) - CORRECT ANSWER —average needs of 98% of population, not exact needs of an individual" "When a baby transitions from intrauterine to extrauterine life, the newborn is now responsible for - CORRECT ANSWER -Oxygenation -Perfusion -Nutrition -Elimination -Thermoregulation" "Adequate intake (AI) - CORRECT ANSWER —suggested intake for individuals based on observed or experimentally determined estimates of nutrient intakes used when not enough evidence to set RDA" "Tolerable upper intake level (UL) - CORRECT ANSWER —highest level that poses no risk of adverse health events" "Four components of dietary reference intake: - CORRECT ANSWER -Estimated average requirement (EAR) -Recommended dietary allowance (RDA) -Adequate intake (AI) -Tolerable upper intake level (UL)" "American Heart Association (AHA) dietary guidelines for prevention of Cardiovascular disease: - CORRECT ANSWER -Balance caloric intake and exercise. -Maintain a healthy body weight. -Eat a diet rich in fruits, vegetables, and complex carbohydrates. -Eat fish twice per week. -Limit foods and beverages high in sugar and salt. -Limit trans-saturated fat to less than 1%." "Factors influencing nutrition: - CORRECT ANSWER -Environmental factors -Developmental needs" "Infants through school-age children: - CORRECT ANSWER -rapid growth and high protein -Breastfeeding is recommended for first 6 months of life with benefits including reduced food allergies and intolerances, easier digestion, and fewer infant infections. -Formula: Protein in the formula is whey, soy, cow's milk, casein hydrolysate, or elemental amino acids; infants should not have regular cow's milk during the first year because it is too concentrated for the kidneys to handle and is a poor source of iron and vitamins C and E. -Solid food: Introduce solid foods one at a time 4 to 7 days apart to identify allergies; keep in mind that the growth rate slows in toddlers; they exhibit strong food preferences." "Toddlers: - CORRECT ANSWER consume more than 24 ounces of milk daily in place of other foods; sometimes develop milk anemia because milk is a poor source of iron." "School age (6-12 years): - CORRECT ANSWER -assess diets for adequate protein and vitamins A and C. -grow at a slower and steadier rate, with a gradual decline in energy requirements per unit of body weight." "Adolescents: - CORRECT ANSWER -Physiological age is better than chronological age for estimating nutritional needs. -have increased energy needs owing to higher metabolic growth demands; protein increase is needed; calcium and continuous iron are especially important in females; B-complex vitamins assist in metabolic activity. -Pregnancy occurring within 4 years of menarche places a mother and fetus at risk because of anatomical and physiological immaturity. -The onset of eating disorders, such as anorexia nervosa or bulimia nervosa, often occurs during this age. -Many factors other than nutritional needs influence the diet, including concern about body image and appearance, desire for independence, eating at fast-food restaurants, peer pressure, and fad diets." "Young and middle-age adults: - CORRECT ANSWER -energy requirements for maintenance and repair only as growth slows. -Pregnancy and lactation become significant in considering energy needs and are related to mother's body weight and activity. -Lactation requires an additional 500 calories above usual allowance with greater than protein requirements in pregnancy. -Poor nutrition during pregnancy causes low birth weight in infants and decreases chances of survival. -Folic acid intake is particularly important for deoxyribonucleic acid (DNA) synthesis and the growth of red blood cells. -Inadequate intake can lead to fetal neural tube defects, anencephaly, or maternal megaloblastic anemia." "Adults 65 years and older: - CORRECT ANSWER -decreased needs for energy due to slowing of their metabolic rate. -Age-related changes in appetite, taste, smell, and the digestive system affect nutrition. -Fixed incomes influence the ability to purchase food. -often have difficulty chewing, missing teeth, or oral pain, causing difficulty in food consumption. -The diet needs to contain choices from all food groups and often requires a vitamin and mineral supplement. -The USDHHS Administration on Aging requires states to provide nutritional screening services to patients who benefit from home-delivered or congregate meal services. -The program requires meals to provide at least one third of DRI for older adults and to meet the Dietary Guidelines for Americans." "Alternative food patterns are based on - CORRECT ANSWER religion, cultural background, ethics, health beliefs, and preference" "Ovolactovegetarian: - CORRECT ANSWER avoids meat, fish, and poultry, but eats eggs and milk" "Lactovegetarian: - CORRECT ANSWER drinks milk but avoids eggs" "Vegan: - CORRECT ANSWER consumes only plant foods" "Zen macrobiotic: - CORRECT ANSWER primarily brown rice, other grains, and herb teas" "Fruitarian: - CORRECT ANSWER a person who primarily eats fruits, nuts, honey, and vegetable oils" "Questions to ask when assessing nutrition: - CORRECT ANSWER -Genetic Family History -Food Allergies/Intolerances -Food Preferences -Recent Changes in Appetite, Intake, or Weight Symptoms such as NVC or -Living Situation (family structure & function) -Financial Resources -Religious or Cultural Food Practices -Typical Food Intake (24 hour recall or food diary)" "Anthropometry is a - CORRECT ANSWER measurement system of the size and makeup of the body" "Body alignment: - CORRECT ANSWER Relationship of one body part to another" "Body balance: - CORRECT ANSWER Achieved by low center of gravity; enhanced by posture" "Coordinated body movement: - CORRECT ANSWER A result of weight, center of gravity, and balance" "Friction: - CORRECT ANSWER Force that occurs in a direction to oppose movement" "Exercise and activity: - CORRECT ANSWER -Activity tolerance -Isotonic exercises -Isometric exercises -Resistive isometric exercises" "Isotonic exercises cause: - CORRECT ANSWER muscle contraction and change in muscle length" "Examples of isotonic exercises are - CORRECT ANSWER walking, swimming, dance aerobics, jogging, bicycling, and moving arms and legs with light resistance" "Isotonic exercises enhance - CORRECT ANSWER circulatory and respiratory functioning; increase muscle mass, tone, and strength; and promote osteoblastic activity (activity by bone-forming cells), thus combating osteoporosis." "Isometric exercises involve - CORRECT ANSWER tightening or tensing muscles without moving body parts" "The skeletal system provides - CORRECT ANSWER support, protection, movement, mineral storage, and blood cell formation" "Joints are - CORRECT ANSWER connections between bones" "Ligaments bind - CORRECT ANSWER joints and connect bones and cartilage" "Tendons connect - CORRECT ANSWER muscles to bones" "Cartilage is - CORRECT ANSWER nonvascular supportive tissue that acts as a shock absorber between articulating bones" "Skeletal muscles determine - CORRECT ANSWER -body form and contour. -Contraction allows people to walk, talk, run, breathe, or participate in physical activity." "Balance is controlled by the - CORRECT ANSWER cerebellum and inner ear" "Types of joints: - CORRECT ANSWER fibrous, cartilaginous, synovial" "Fibrous joints - CORRECT ANSWER fit closely together and are fixed, permitting little, if any, movement such as the syndesmosis between tibia and fibula." "Cartilaginous joints - CORRECT ANSWER have little movement but are elastic and use cartilage to unite separate body surfaces such as the synchondrosis that attaches the ribs to the costal cartilage" "Synovial joints (true joints) such as the hinge type at the elbow - CORRECT ANSWER are freely movable and are the most mobile, numerous, and anatomically complex body joints" "Factors Influencing Activity and Exercise: - CORRECT ANSWER -Developmental changes -Behavioral aspects -Environmental issues -Cultural and ethnic influences -Family and social support" "Successful critical thinking requires a synthesis of - CORRECT ANSWER Clinical judgments knowledge, experience, information gathered from patients, critical thinking attitudes, and intellectual and professional standards" "Clinical judgments require you to anticipate - CORRECT ANSWER information, analyze the data, and make decisions regarding patient care" "During assessment, thoroughly assess: - CORRECT ANSWER -Body alignment and posture with the patient standing, sitting, or lying down -Normal physiological changes -Deviations related to poor posture, trauma, muscle damage, or nerve dysfunction -Patients' learning needs" "Assessment of a standing patient includes: - CORRECT ANSWER -Head: erect, midline -Body: symmetrical -Spine: straight with normal curvatures -Abdomen: tucked -Knees: slightly flexed -Feet: pointed forward and slightly apart -Arms: at sides" "Healthy People 2020 Nutrition & Weight Status Objectives: - CORRECT ANSWER -Weight status -Iron deficiency -Food insecurity -Healthier food access -Food & nutrient consumption -Health care and worksite settings" "Healthy People 2020 Overarching Goals: - CORRECT ANSWER 1. Attain high-quality, longer lives free of preventable disease, disability, injury, and premature death. 2. Achieve health equity, eliminate disparities, and improve the health of all groups. 3. Create social and physical environments that promote good health for all. 4. Promote quality of life, healthy development, and healthy behaviors across all life stages." "Healthy People 2020 Physical Activity Objectives: - CORRECT ANSWER -Reduce proportion of adults who engage in no leisure physical activity -Increase proportion of adults who meet current Federal physical activity guidelines for aerobic & muscle-strengthening activity -Increase proportion of adolescents... -Increase proportion of the Nation's schools that require daily PE for all students... -Increase recess, walking, biking, etc. -Decrease screen & computer time for young people -Increase legislation r/t physical activity in child care and availability of physical activity in the environment" "What are interrelated concepts to nutrition? - CORRECT ANSWER -Spirituality -Culture -Glucose Regulation -Immunity -Tissue Integrity -Thermoregulation -Clotting -Hormonal Regulation -Development" "Glucose regulation is the process of - CORRECT ANSWER maintaining optimal blood glucose levels (euglycemia)" "Primary Prevention for nutrition - CORRECT ANSWER -Education about Healthy Eating -Education about Food Safety -Education about Lifespan Needs -Education about Exercise" "Populations at Greatest Risk for problems with nutrition: - CORRECT ANSWER -All individuals are potentially at risk -Socioeconomic status and race or ethnicity can influence risk -Populations at greatest risk for problems with nutrition are Very young children Elderly adults Pregnant teens" "Normal blood glucose level - CORRECT ANSWER 70-99 mg/dL (fasting) 100-140 mg/dL (2hr postprandial state)" "Hyperglycemia: - CORRECT ANSWER -Abnormally high blood glucose levels - (>100 mg/dL (fasting)) (>140 mg/dL (2hrs postprandial)) -results from insufficient insulin production or secretion, excessive counter-regulatory hormones secretion, or from deficient hormone signaling." "Hypoglycemia: - CORRECT ANSWER -Abnormally low blood glucose level - <70mg/dL -Occurs as a result of insufficient nutritional intake, adverse reaction to medication, excessive exercise, and/or as a consequence of disease states" "Glucose impairment Lab Tests: - CORRECT ANSWER -Blood glucose testing +Fasting blood glucose +A1c +Glucose tolerance test (ogtt) -Antibody testing -Lipid panel -Renal function tests -Crp" "Primary prevention for glucose impairment: - CORRECT ANSWER -maintaining optimal body weight -exercise -diet" "Secondary prevention for glucose impairment: - CORRECT ANSWER -fasting blood glucose -A1C" "What age do they start testing routinely for diabetes? - CORRECT ANSWER 45 yrs old" "What age do they start testing routinely for high cholesterol? - CORRECT ANSWER 20 yrs old" "Encourage patients to exercise - CORRECT ANSWER 5 days a week for at lest 30 minutes" "How to calculate BMI - CORRECT ANSWER weight (kg) / height (m^2)" “Nurses role in health and illness - CORRECT ANSWER -Member of the Profession: listed as primary role to focus on the profession -Provider of Patient-Centered Care: a change in current literature from "client" to "patient", emphasizing patient-centered care (determine the wishes and desires, motivation is needed) -Patient Safety Advocate: based upon new concerns about patient safety -Member of the Health Care Team: relates to the nurse's participation in the health care team" "Community health nursing is nursing practice... - CORRECT ANSWER in the community, with the primary focus on the health care of individuals, families, and groups within the community (e.g., to improve the quality of health and life within that community)" "List the four general Healthy People 2020 public health goals for Americans: - CORRECT ANSWER 1. Attain high-quality, longer lives free of preventable disease, disability, injury, and premature death. 2. Achieve health equity, eliminate disparities, and improve the health of all groups. 3. Create social and physical environments that promote good health for all. 4. Promote quality of life, healthy development, and healthy behaviors across all life stages." "Community based nursing involves the - CORRECT ANSWER safety needs and acute and chronic care of individuals and families, enhances their capacity for self care, and promotes autonomy in decision making." "What are the 3 major dimensions of concern relative to an individuals functional ability? - CORRECT ANSWER -Risk recognition -Functional assessment -Planning and delivery of individualized care appropriate to level of functional ability" "Functional ability changes across the lifespan influenced by - CORRECT ANSWER -Cognitive ability -Developmental stage -Physical health -Psychosocial health -Social and cultural factors" "role of community health nurse - CORRECT ANSWER -Establish strong, caring relationships with patients and their families. -Understand day to day activities of family life -Design interventions to promote health and prevent disease." "What are risk factors for impaired functional ability? - CORRECT ANSWER -Developmental abnormalities -Trauma (physical or psychological) -Disease (acute or chronic) -Social and cultural factors -Advanced age -Cognitive function -Mental health issues (especially depression) -Comorbidities and socioeconomic factors -Preclinical disability" "Role of the nurse in community-based care - CORRECT ANSWER Provide continuity of care when patient moves from one level of care to another: -Provide interventions -Promote health -Manage acute or chronic illness -Promote self-care" "Vulnerable populations include - CORRECT ANSWER -Older adults -Substance abusers -Immigrant populations -Individuals living in poverty -People who are homeless -Individuals in abusive relationships -People with severe mental illness -Infants and children" "Competencies important for success in community-based nursing practice: - CORRECT ANSWER -Caregiver -Case manager -change agent -patient advocate -collaborator -counselor -educator -epidemiologist" "tertiary prevention examples - CORRECT ANSWER -Treatment of major depression, reducing disruption of family processes, and suicide prevention, rehabilitation" "case manager role - CORRECT ANSWER the ability to establish an appropriate plan of care based on assessment of patients and families and to coordinate needed resources and services for a patients well being across a continuum of care." "Collaborator Role - CORRECT ANSWER working with the patients family and other related health care disciplines." "Development refers to the - CORRECT ANSWER biological, cognitive, and socioemotional changes that begin at conception and continue throughout a lifetime" "What are some developmental assessment tools for infants and toddlers - CORRECT ANSWER -denver II -early language milestone scale -ages and stages questionnaire -Parents' evaluation of developmental status -Learn the signs/act early interactive milestones checklist" "Describe the impact of illness on the patient and family. - CORRECT ANSWER -Behavioral and emotional changes -Impact on body image -Impact on self-concept -Impact on family -Impact family dynamics" "The goal of care delivery is to maintain optimal independent function and - CORRECT ANSWER -reduce risk -early detection and screening -management of function activity impairment involving multidisciplinary interventions" "Illness is a state in which - CORRECT ANSWER a person's physical emotional, intellectual, social, developmental, or spiritual functioning is diminished or impaired." "Developmental family assessment - CORRECT ANSWER family development considers the change of living with both predictable and unpredictable events" "Functional assessment of family relationships - CORRECT ANSWER addresses how individuals actually behave in relation to one another." "Define health disparities: - CORRECT ANSWER differences that occur by gender, race or ethnicity, education or income, disability, living in rural localities, or sexual orientation" "Health promotion attributes and criteria: - CORRECT ANSWER -Optimization of health -Evidence -Patient and community centered -Enculturation" "What are some influences on family dynamics - CORRECT ANSWER -Change in roles -Age within family -History of the people -Culture -Norms -Role of each member" "Community assessment: - CORRECT ANSWER -Structure of community -community census -population demographics -morbidity/mortality statistics -community resources" "What 5 areas does the ASQ-3 assess? - CORRECT ANSWER -communication -gross motor -fine motor -problem solving -personal-social" "what is the purpose of the ASQ-3 assessment? - CORRECT ANSWER to see if their chronological age is in line with their developmental ability." "H.E.A.D.S.S stands for - CORRECT ANSWER -Home and environment -Education and Employment -Activities -Drugs -Sexuality -Suicide/Depression" "Types of malnutrition: - CORRECT ANSWER -Protein deficiency or excess -Carbohydrate deficiency or excess -Essential fatty acid deficiency or excess -Vitamin deficiency or excess -Mineral deficiency or excess" "Nutrition is a basic component of health and is essential for - CORRECT ANSWER normal growth and development, tissue repair and maintenance, cellular metabolism, and organ function" "FSH (follicle stimulating hormone): - CORRECT ANSWER -Matures the ovarian follicle - follicular maturation -Follicle secretes estrogen - regenerates endometrium" "Patient Education Includes: - CORRECT ANSWER -Maintenance and promotion of health and illness prevention -Restoration of health -Coping with impaired functioning" "What is a chromosome?