NURS 5461 Quiz 1 The University of Texas at Arlington | Questions with
100% Verified Answers | Latest Update
Question: Interprofessional Education
Answer:
Interprofessional education (IPE) is a teaching and learning approach that involves students from two or
more professions learning together to improve health outcomes.
Question: Barriers to IPE
Answer:
Communication, Time, Training, Roles, Resources
Question: 3 steps to Prevention Dx and Plan
Answer:
Risk profile Prevention Needs and Deficits Prevention plan
Question: Transtheoretical Model of Change
Answer:
1. Precontemplation
2. Contemplation
3. Preparation
4. Action
5. Maintenance
Question: Precontemplation
Answer:
Precontemplation- stage w/ no intention to change behavior in foreseeable future. Denial, feel immune to
threat, have given up etc. Have you tried change in the past? What would have to happen for you to
know this is a problem? What warning signs would let you know it's a problem?
Question: Contemplation
Answer:
Contemplation- Aware problem exists, thinking of overcoming, no commitment to action. Feel
ambivalent, pros and cons, feel trapped. What reasons might make you want to change at this time? What
are possible reasons for not changing? What would keep you from changing at this time?
Question: Preparation
Answer:
,Preparation- Intended action in next month, may have taken past action. Preparing to make specific
change.
Question: Action
Answer:
Action- Modify behavior, experiences, or environment to overcome problem. Praise any behavioral
change.
Question: Maintenance/Relapse Prevention
Answer:
-Working to prevent relapse and consolidate gains secured during action
-Uses strategies to prevent the problem from re-occurring.
-Actively engaged in continuing change efforts
-"How do I keep going?"
Question: Three Main Types of Clinical Preventative Care
Answer:
-screening
-behavioral cousenling
-preventative meds
Question: Screening
Answer:
Think risk factors for most likely Diseases Identify- Age/Gender/Race/Ethnic/ FH/ Personal Risk
Question: United States Public Services Task Force (USPSTF)
Answer:
Great tool for Prevention!! Utilize in clinical
Question: Levels of Evidence (USPSTF)
Answer:
• Levels of Evidence:
A: recommends the service. There is high certainty that the net benefit is substantial.
B: recommends the service. There is high certainty that the net benefit is moderate or there is moderate
certainty that the net benefit is moderate to substantial.
C: recommends against routinely providing the service -Benefit small if present
D: recommends against the service -harm > benefit I: current evidence is insufficient
Question: What services are considered preventive care & required by ACA in 2015?
Answer:
,Items or services recommended with an A or B rating by the U.S. Preventive Services Task Force
Immunizations recommended by the Advisory Committee on Immunization Practices (ACIP) of the
CDC
Question: Important A and B level Evidence
Answer:
AAA screening ever-smoking men 65-75 ASA Men 45-79, Women 55-79 Behavioral dietary-counseling
(increased risk) HTN & Lipid screening (> 18; M >35/20-45, W >45/20-45) Disc. Chemoprevention
Breast Cancer (High risk) Pap, Mammo CRC screening Lung Cancer screening Depression screening•
*Family HX risk & referral BRCA eval Obesity -intensive counseling & behavioral Tobacco HIV
(pregnant, all 15-65)• ETOH misuse & counsel Hep C screen (1945-65)
Question: Changes in Selected Major Screening Guidelines
Answer:
Cervical cancer screening (PAP & HPV) Q 3 yrs 21-29 PAP, 30-65 Q3yrs Pap or Q5 yrs Pap and HPV
Prostate Cancer screening "D rating" Lung Cancer screening: LDCT 55-80 yrs w 30 pkyr & smoke or
quit within 15 yrs (55/30/15) Colon cancer screening: 3 options
Question: Counseling topics
Answer:
Behavioral Dietary counseling at risk B Intensive Dietary counseling risk for CVD B Discussion
chemoprevention breast cancer B Prevention skin cancer 10-24 B Intensive counseling & intervention re
Obesity B Tobacco counseling & intervention A Reduce alcohol misuse B Promote breastfeeding B
Question: Preventative Medications and Immunizations
Answer:
Immunizations (see CDC immunization guidelines!!!) www.CDC.gov Influenza starting at 6 months TD
q 10 years (Tdap at least once as adult) to protect pertussis 1X Tdap >65 if around infants (timing does
not matter) Pneumovax (PPSV23)at 65 or >18 if smoker or any chronic pulmonary condition(repeat if
given <65 & at least 5 years ago) 11 Prevnar (PCV3) at 65 then PPSV23 6-12 months later OR if
PPSV23 first, Prevnar 6-12 months Hep B series as indicated (new: diabetes) HPV4 vaccinate females &
males (9 to 26 years) best at 11-12 yo Zostavax for zoster prevention at 60 yo (FDA approved at 50)
Meningococcal as indicated
Question: Pneumococcal Vaccines
Answer:
Pneumococcal conjugate vaccine (PCV13) is recommended for all children younger than 5 years old, all
adults 65 years or older, and people 6 years or older with certain RFs (immunocompromised)
Pneumococcal polysaccharide vaccine (PPSV23) is recommended for all adults 65 years or older. People
2 years through 64 years of age who are at high risk of pneumococcal disease should also receive
PPSV23 (>18 smokers, chronic diseases, etc).
, Question: Preventative Meds
Answer:
ASA as indicated 81 mg "A" Men >45-79 for MI; Women >55-79 (reduced CVA) Assess risk for GI
bleed and decide 2010 Omega 3 fatty acids (fish oil)?? DHA, EPA 1-2 grams QD or fatty fish twice
weekly (Vitamin C & E NOT indicated and may cause harm) Calcium with vit D for FX prevention "D"
Many outstanding questions re MI risk Dietary sources show no risk so encourage Mediterranean Diet &
DASH diet for everyone!
Question: Obesity BMI
Answer:
Higher BMI > risk for DM, CVD, HLD, HTN, OA
Question: Modest Weight loss of 5% can reduce?
Answer:
Type II diabetes Cardiovascular disease Hypertension Dyslipidemia Osteoarthritis
Question: General Goals of Weight Loss
Answer:
Initial goal: reduce body weight by ~10% from baseline in 6 months May attempt further weight loss if
successful Weight loss should be 1-2 lb per week for period of 6 months with subsequent strategies
Question: Water Intake Guideline
Answer:
Water intake (1/2 your body wt in ounces; e.g., 200 # person needs 100 ozs or 3000cc (3 L)
Question: Beginning Calorie Goal
Answer:
For weight loss, a 1200 calorie meal plan for women and a 1500 calorie meal plan for men is
recommended to start
Question: Physical Activity tips for Obesity
Answer:
Accumulate up to 30 minutes per day (10 Step counters (pedometers) 2000 steps=1 mile Newer
guidelines say 60 minutes daily Average = 2000 6000 = maintain wt 10,000 = to lose wt (5 miles) Wt
Training increases capacity to burn calories (more muscle mass & inc BMR)
Question: Pharmacotherapy for obesity
Answer:
100% Verified Answers | Latest Update
Question: Interprofessional Education
Answer:
Interprofessional education (IPE) is a teaching and learning approach that involves students from two or
more professions learning together to improve health outcomes.
Question: Barriers to IPE
Answer:
Communication, Time, Training, Roles, Resources
Question: 3 steps to Prevention Dx and Plan
Answer:
Risk profile Prevention Needs and Deficits Prevention plan
Question: Transtheoretical Model of Change
Answer:
1. Precontemplation
2. Contemplation
3. Preparation
4. Action
5. Maintenance
Question: Precontemplation
Answer:
Precontemplation- stage w/ no intention to change behavior in foreseeable future. Denial, feel immune to
threat, have given up etc. Have you tried change in the past? What would have to happen for you to
know this is a problem? What warning signs would let you know it's a problem?
Question: Contemplation
Answer:
Contemplation- Aware problem exists, thinking of overcoming, no commitment to action. Feel
ambivalent, pros and cons, feel trapped. What reasons might make you want to change at this time? What
are possible reasons for not changing? What would keep you from changing at this time?
Question: Preparation
Answer:
,Preparation- Intended action in next month, may have taken past action. Preparing to make specific
change.
Question: Action
Answer:
Action- Modify behavior, experiences, or environment to overcome problem. Praise any behavioral
change.
Question: Maintenance/Relapse Prevention
Answer:
-Working to prevent relapse and consolidate gains secured during action
-Uses strategies to prevent the problem from re-occurring.
-Actively engaged in continuing change efforts
-"How do I keep going?"
Question: Three Main Types of Clinical Preventative Care
Answer:
-screening
-behavioral cousenling
-preventative meds
Question: Screening
Answer:
Think risk factors for most likely Diseases Identify- Age/Gender/Race/Ethnic/ FH/ Personal Risk
Question: United States Public Services Task Force (USPSTF)
Answer:
Great tool for Prevention!! Utilize in clinical
Question: Levels of Evidence (USPSTF)
Answer:
• Levels of Evidence:
A: recommends the service. There is high certainty that the net benefit is substantial.
B: recommends the service. There is high certainty that the net benefit is moderate or there is moderate
certainty that the net benefit is moderate to substantial.
C: recommends against routinely providing the service -Benefit small if present
D: recommends against the service -harm > benefit I: current evidence is insufficient
Question: What services are considered preventive care & required by ACA in 2015?
Answer:
,Items or services recommended with an A or B rating by the U.S. Preventive Services Task Force
Immunizations recommended by the Advisory Committee on Immunization Practices (ACIP) of the
CDC
Question: Important A and B level Evidence
Answer:
AAA screening ever-smoking men 65-75 ASA Men 45-79, Women 55-79 Behavioral dietary-counseling
(increased risk) HTN & Lipid screening (> 18; M >35/20-45, W >45/20-45) Disc. Chemoprevention
Breast Cancer (High risk) Pap, Mammo CRC screening Lung Cancer screening Depression screening•
*Family HX risk & referral BRCA eval Obesity -intensive counseling & behavioral Tobacco HIV
(pregnant, all 15-65)• ETOH misuse & counsel Hep C screen (1945-65)
Question: Changes in Selected Major Screening Guidelines
Answer:
Cervical cancer screening (PAP & HPV) Q 3 yrs 21-29 PAP, 30-65 Q3yrs Pap or Q5 yrs Pap and HPV
Prostate Cancer screening "D rating" Lung Cancer screening: LDCT 55-80 yrs w 30 pkyr & smoke or
quit within 15 yrs (55/30/15) Colon cancer screening: 3 options
Question: Counseling topics
Answer:
Behavioral Dietary counseling at risk B Intensive Dietary counseling risk for CVD B Discussion
chemoprevention breast cancer B Prevention skin cancer 10-24 B Intensive counseling & intervention re
Obesity B Tobacco counseling & intervention A Reduce alcohol misuse B Promote breastfeeding B
Question: Preventative Medications and Immunizations
Answer:
Immunizations (see CDC immunization guidelines!!!) www.CDC.gov Influenza starting at 6 months TD
q 10 years (Tdap at least once as adult) to protect pertussis 1X Tdap >65 if around infants (timing does
not matter) Pneumovax (PPSV23)at 65 or >18 if smoker or any chronic pulmonary condition(repeat if
given <65 & at least 5 years ago) 11 Prevnar (PCV3) at 65 then PPSV23 6-12 months later OR if
PPSV23 first, Prevnar 6-12 months Hep B series as indicated (new: diabetes) HPV4 vaccinate females &
males (9 to 26 years) best at 11-12 yo Zostavax for zoster prevention at 60 yo (FDA approved at 50)
Meningococcal as indicated
Question: Pneumococcal Vaccines
Answer:
Pneumococcal conjugate vaccine (PCV13) is recommended for all children younger than 5 years old, all
adults 65 years or older, and people 6 years or older with certain RFs (immunocompromised)
Pneumococcal polysaccharide vaccine (PPSV23) is recommended for all adults 65 years or older. People
2 years through 64 years of age who are at high risk of pneumococcal disease should also receive
PPSV23 (>18 smokers, chronic diseases, etc).
, Question: Preventative Meds
Answer:
ASA as indicated 81 mg "A" Men >45-79 for MI; Women >55-79 (reduced CVA) Assess risk for GI
bleed and decide 2010 Omega 3 fatty acids (fish oil)?? DHA, EPA 1-2 grams QD or fatty fish twice
weekly (Vitamin C & E NOT indicated and may cause harm) Calcium with vit D for FX prevention "D"
Many outstanding questions re MI risk Dietary sources show no risk so encourage Mediterranean Diet &
DASH diet for everyone!
Question: Obesity BMI
Answer:
Higher BMI > risk for DM, CVD, HLD, HTN, OA
Question: Modest Weight loss of 5% can reduce?
Answer:
Type II diabetes Cardiovascular disease Hypertension Dyslipidemia Osteoarthritis
Question: General Goals of Weight Loss
Answer:
Initial goal: reduce body weight by ~10% from baseline in 6 months May attempt further weight loss if
successful Weight loss should be 1-2 lb per week for period of 6 months with subsequent strategies
Question: Water Intake Guideline
Answer:
Water intake (1/2 your body wt in ounces; e.g., 200 # person needs 100 ozs or 3000cc (3 L)
Question: Beginning Calorie Goal
Answer:
For weight loss, a 1200 calorie meal plan for women and a 1500 calorie meal plan for men is
recommended to start
Question: Physical Activity tips for Obesity
Answer:
Accumulate up to 30 minutes per day (10 Step counters (pedometers) 2000 steps=1 mile Newer
guidelines say 60 minutes daily Average = 2000 6000 = maintain wt 10,000 = to lose wt (5 miles) Wt
Training increases capacity to burn calories (more muscle mass & inc BMR)
Question: Pharmacotherapy for obesity
Answer:
