NR 442 COMMUNITY HEALTH EVALUATION EXAMS
ALL QUESTIONS AND ANSWERS SURE A+
✔✔Hospice Home Care - ✔✔- Improves end of life care
- Relieves suffering
- Supports the patient and family/caregiver through the dying process
- Provides grief support to the family after the patient has died
✔✔Caring for the Caregiver - ✔✔- Careful assessment of the caregiver's mental and
physical health is important
- All decisions regarding care are made considering the health of the caregivers
- Caregivers need constant reassurance for the care they provide
- Interventions to prevent decline in caregiver's health; respite care is important!
✔✔Pain Control & Symptoms Management - ✔✔- Remember: The patient's pain is
whatever he
or she says it is, regardless of the nurse's
objective evaluation of the situation
- Meds are given in doses sufficient to
keep patient free of pain; administered
on a regular schedule
, - Help in managing other symptoms
(nausea and vomiting, constipation,
diarrhea, fatigue, decreased appetite)
- Provide emotional support to
patient/family as they adjust to patient's
impending death
- The main issue is pain management
and tolerance not addiction
- Breakthrough pain should not be a big
problem if the RN is using good
assessment, documentation and
knowledge about medications.
✔✔True/False: You can perform chest compressions if the patient is noted as a DNR -
✔✔False, the patient has elected to not receive chest compressions for resuscitation
check patient status before performing this!!!
✔✔Durable Power of Attorney - ✔✔A durable power of attorney is another type of
advanced directive that allows an individual to designate a healthcare proxy or
surrogate to make decisions about medical treatment if the person is unable to make
those decisions for themselves. Without those documents, state law may define who
can legally make those decisions, which may vary by state.
✔✔Correctional Nursing - ✔✔- Nursing that occurs in correctional facilities and is
defined by the location of the work or the legal status of the patient, rather than by the
role functions performed
- Recognize safety and security issues for the nurse; always maintain an escape rote
- Understand that: inmates manipulate nurses, environment is heavily isolated
✔✔Health Issues in Prison Populations - ✔✔- Daily operations of a correctional clinic
includes management of acute and chronic illness
- HIV, hepatitis, and TB
- Health care issues recognized during screenings
- Screen inmate upon entry
- Triage process includes physical and mental health history
✔✔Further Health Issues in Prison Populations: - ✔✔- Women in prison: impact of drug
use and victimization and stress associated with separation from children
- Adolescents: Often incarcerated in adult facilities that are ill-equipped with challenges
of adolescent development
✔✔Mental Health Issues in Correctional Settings: - ✔✔- Adjustment to incarceration is
extremely difficult for many mentally ill individuals.
- Deinstitutionalization led to what amounts to "criminalization of the mentally ill."
- Access to mental health treatment and medication is a right for prison inmates.
ALL QUESTIONS AND ANSWERS SURE A+
✔✔Hospice Home Care - ✔✔- Improves end of life care
- Relieves suffering
- Supports the patient and family/caregiver through the dying process
- Provides grief support to the family after the patient has died
✔✔Caring for the Caregiver - ✔✔- Careful assessment of the caregiver's mental and
physical health is important
- All decisions regarding care are made considering the health of the caregivers
- Caregivers need constant reassurance for the care they provide
- Interventions to prevent decline in caregiver's health; respite care is important!
✔✔Pain Control & Symptoms Management - ✔✔- Remember: The patient's pain is
whatever he
or she says it is, regardless of the nurse's
objective evaluation of the situation
- Meds are given in doses sufficient to
keep patient free of pain; administered
on a regular schedule
, - Help in managing other symptoms
(nausea and vomiting, constipation,
diarrhea, fatigue, decreased appetite)
- Provide emotional support to
patient/family as they adjust to patient's
impending death
- The main issue is pain management
and tolerance not addiction
- Breakthrough pain should not be a big
problem if the RN is using good
assessment, documentation and
knowledge about medications.
✔✔True/False: You can perform chest compressions if the patient is noted as a DNR -
✔✔False, the patient has elected to not receive chest compressions for resuscitation
check patient status before performing this!!!
✔✔Durable Power of Attorney - ✔✔A durable power of attorney is another type of
advanced directive that allows an individual to designate a healthcare proxy or
surrogate to make decisions about medical treatment if the person is unable to make
those decisions for themselves. Without those documents, state law may define who
can legally make those decisions, which may vary by state.
✔✔Correctional Nursing - ✔✔- Nursing that occurs in correctional facilities and is
defined by the location of the work or the legal status of the patient, rather than by the
role functions performed
- Recognize safety and security issues for the nurse; always maintain an escape rote
- Understand that: inmates manipulate nurses, environment is heavily isolated
✔✔Health Issues in Prison Populations - ✔✔- Daily operations of a correctional clinic
includes management of acute and chronic illness
- HIV, hepatitis, and TB
- Health care issues recognized during screenings
- Screen inmate upon entry
- Triage process includes physical and mental health history
✔✔Further Health Issues in Prison Populations: - ✔✔- Women in prison: impact of drug
use and victimization and stress associated with separation from children
- Adolescents: Often incarcerated in adult facilities that are ill-equipped with challenges
of adolescent development
✔✔Mental Health Issues in Correctional Settings: - ✔✔- Adjustment to incarceration is
extremely difficult for many mentally ill individuals.
- Deinstitutionalization led to what amounts to "criminalization of the mentally ill."
- Access to mental health treatment and medication is a right for prison inmates.
