NURS 450 Final Exam
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1. Healthy People 2030 National program based on a needs assessment
Identifies disease prevention and health promotion as the
areas of most concern in the nation
Objectives are designed to serve as a roadmap for improv-
ing the health of all people in the U.S.
2. Primary reason for increased Improvement in sanitation, communicable disease through
life expectancy immunizations, and food safety
3. Status Biological: morbidity, mortality, life expectancy indices and
risk factor priorities
Emotional: consumer satisfaction and mental health in-
dices
Social: crime rates, functional levels
4. Primary goal of PHN Prevention of disease and disability
5. Incidence Number of new cases in a population at risk
6. Prevalence Number of existing cases in a population at risk
7. Hepatitis B vaccine 1st dose: birth
2nd dose: 1-2 months
3rd dose: 6-18 months
8. Rotavirus vaccine 1st dose: 2 months
2nd dose: 4 months
9. DTaP vaccine 1st dose: 2 months
2nd dose: 4 months
3rd dose: 6 months
4th dose: 15-18 months
5th dose: 4-6 years
, NURS 450 Final Exam
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10. Hib vaccine 1st dose: 2 months
2nd dose: 4 months
3rd dose: 12-15 months
11. Pneumococcal conjugate vac- 1st dose: 2 months
cine 2nd dose: 4 months
3rd dose: 6 months
4th dose: 12-15 months
12. Inactivated poliovirus vaccine 1st dose: 2 months
2nd dose: 4 months
3rd dose: 6-18 months
4th dose: 4-6 years
13. Influenza vaccine Annual vaccination starting at 6 months
14. MMR vaccine 1st dose: 12-15 months
2nd dose: 4-6 years
15. Varicella vaccine 1st dose: 12-15 months
2nd dose: 4-6 years
16. Hepatitis A vaccine 2 dose series at 12-23 months
17. Meningococcal vaccine 1st dose: 11-12 years
2nd dose: 16 years
18. Tdap vaccine 1st dose: 11-12 years
Tdap booster Q10 years thereafter
19. HPV vaccine 1st dose: 11-12 years
20. Strategies to improve patient Explain things clearly in plain language
education Focus on key messages and repeat
, NURS 450 Final Exam
Study online at https://quizlet.com/_g97rlc
Use a "teach back" or "show me" technique to check under-
standing
Effectively solicit questions
Use patient-friendly educational materials to enhance in-
teraction
21. Three modifiable risk factors for Screen time, physical activity, and diet
obesity
22. Injuries and accidents Most important cause of preventable disease, unintentional
injuries, disability, and death among children
23. Primary HIV infection CD4 WBC count drops
Lymphadenopathy, myalgia, sore throat, lethargy, rash, and
fever
Antibody test will be negative
24. Prolonged incubation period Gradual deterioration of the immune system and can trans-
mit virus to others
25. AIDS 3rd stage; CD4 T-lymphocytes <200/mL w/ or w/o docu-
mented HIV infection
26. Signs/sx of HIV Acute mono-like symptoms - lymphadenopathy, fever, rash,
joint and muscle pain, sore throat
27. Gonorrhea treatment Ceftriaxone and azithromycin
28. Chlamydia treatment Single dose of azithromycin or doxycycline for a week
29. Treatment of syphilis Penicillin G
30. Primary stage of syphilis Appearance of chancre that is usually firm, round, small and
painless
, NURS 450 Final Exam
Study online at https://quizlet.com/_g97rlc
31. Secondary stage of syphilis A skin rash on palms of hands and soles of feet; usually
doesn't itch and mucous membrane lesions
Fever, swollen lymph glands, sore throat, patchy hair loss,
HA, weight loss, muscle aches, and fatigue
32. Late/latent stage of syphilis May subsequently damage the internal organs
Difficulty coordinating muscle movements, paralysis,
numbness, gradual blindness, dementia
Can cause death
33. Tichomoniasis More common in women (vulva to vulva sex)
Men usually contract from infected women
34. Signs/sx of trichomoniasis Frothy, yellow, green vaginal discharge with a strong foul
odor
Discomfort w/ intercourse & urination, irritation and itching
In men - temporary irritation in penis, mild discharge, or
slight burning after urination or ejaculation
35. Vulnerability factors and barri- Limited resources
ers to healthcare Poverty
Little education
Health status (age)
36. Rural health vulnerable popula- Decreased access to care
tion Poorer perception of their overall health and functional
status
Less likely to engage in preventative behavior
Lack of services and staff
MVA - delayed care
37. Mental health in rural settings Stress and stress-related conditions are prevalent among
populations that have economic difficulties
Study online at https://quizlet.com/_g97rlc
1. Healthy People 2030 National program based on a needs assessment
Identifies disease prevention and health promotion as the
areas of most concern in the nation
Objectives are designed to serve as a roadmap for improv-
ing the health of all people in the U.S.
2. Primary reason for increased Improvement in sanitation, communicable disease through
life expectancy immunizations, and food safety
3. Status Biological: morbidity, mortality, life expectancy indices and
risk factor priorities
Emotional: consumer satisfaction and mental health in-
dices
Social: crime rates, functional levels
4. Primary goal of PHN Prevention of disease and disability
5. Incidence Number of new cases in a population at risk
6. Prevalence Number of existing cases in a population at risk
7. Hepatitis B vaccine 1st dose: birth
2nd dose: 1-2 months
3rd dose: 6-18 months
8. Rotavirus vaccine 1st dose: 2 months
2nd dose: 4 months
9. DTaP vaccine 1st dose: 2 months
2nd dose: 4 months
3rd dose: 6 months
4th dose: 15-18 months
5th dose: 4-6 years
, NURS 450 Final Exam
Study online at https://quizlet.com/_g97rlc
10. Hib vaccine 1st dose: 2 months
2nd dose: 4 months
3rd dose: 12-15 months
11. Pneumococcal conjugate vac- 1st dose: 2 months
cine 2nd dose: 4 months
3rd dose: 6 months
4th dose: 12-15 months
12. Inactivated poliovirus vaccine 1st dose: 2 months
2nd dose: 4 months
3rd dose: 6-18 months
4th dose: 4-6 years
13. Influenza vaccine Annual vaccination starting at 6 months
14. MMR vaccine 1st dose: 12-15 months
2nd dose: 4-6 years
15. Varicella vaccine 1st dose: 12-15 months
2nd dose: 4-6 years
16. Hepatitis A vaccine 2 dose series at 12-23 months
17. Meningococcal vaccine 1st dose: 11-12 years
2nd dose: 16 years
18. Tdap vaccine 1st dose: 11-12 years
Tdap booster Q10 years thereafter
19. HPV vaccine 1st dose: 11-12 years
20. Strategies to improve patient Explain things clearly in plain language
education Focus on key messages and repeat
, NURS 450 Final Exam
Study online at https://quizlet.com/_g97rlc
Use a "teach back" or "show me" technique to check under-
standing
Effectively solicit questions
Use patient-friendly educational materials to enhance in-
teraction
21. Three modifiable risk factors for Screen time, physical activity, and diet
obesity
22. Injuries and accidents Most important cause of preventable disease, unintentional
injuries, disability, and death among children
23. Primary HIV infection CD4 WBC count drops
Lymphadenopathy, myalgia, sore throat, lethargy, rash, and
fever
Antibody test will be negative
24. Prolonged incubation period Gradual deterioration of the immune system and can trans-
mit virus to others
25. AIDS 3rd stage; CD4 T-lymphocytes <200/mL w/ or w/o docu-
mented HIV infection
26. Signs/sx of HIV Acute mono-like symptoms - lymphadenopathy, fever, rash,
joint and muscle pain, sore throat
27. Gonorrhea treatment Ceftriaxone and azithromycin
28. Chlamydia treatment Single dose of azithromycin or doxycycline for a week
29. Treatment of syphilis Penicillin G
30. Primary stage of syphilis Appearance of chancre that is usually firm, round, small and
painless
, NURS 450 Final Exam
Study online at https://quizlet.com/_g97rlc
31. Secondary stage of syphilis A skin rash on palms of hands and soles of feet; usually
doesn't itch and mucous membrane lesions
Fever, swollen lymph glands, sore throat, patchy hair loss,
HA, weight loss, muscle aches, and fatigue
32. Late/latent stage of syphilis May subsequently damage the internal organs
Difficulty coordinating muscle movements, paralysis,
numbness, gradual blindness, dementia
Can cause death
33. Tichomoniasis More common in women (vulva to vulva sex)
Men usually contract from infected women
34. Signs/sx of trichomoniasis Frothy, yellow, green vaginal discharge with a strong foul
odor
Discomfort w/ intercourse & urination, irritation and itching
In men - temporary irritation in penis, mild discharge, or
slight burning after urination or ejaculation
35. Vulnerability factors and barri- Limited resources
ers to healthcare Poverty
Little education
Health status (age)
36. Rural health vulnerable popula- Decreased access to care
tion Poorer perception of their overall health and functional
status
Less likely to engage in preventative behavior
Lack of services and staff
MVA - delayed care
37. Mental health in rural settings Stress and stress-related conditions are prevalent among
populations that have economic difficulties
