NURS 5461 UPDATED ACTUAL EXAM
QUESTIONS AND CORRECT ANSWERS
COMPLETE STUDY GUIDE
● Barriers to IPE
Answer: Communication, Time, Training, Roles, Resources
●● 3 steps to Prevention Dx and Plan
Answer: Risk profile
Prevention Needs and Deficits
Prevention plan
●● Transtheoretical Model of Change
Answer: 1. Precontemplation
2. Contemplation
3. Preparation
4. Action
5. Maintenance
●● 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?
●● 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?
●● Preparation
Answer: Preparation- Intended action in next month, may have taken
past action.
Preparing to make specific change.
●● Action
Answer: Action- Modify behavior, experiences, or environment to
overcome problem.
,Praise any behavioral change.
●● 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?"
●● Three Main Types of Clinical Preventative Care
Answer: -screening
-behavioral cousenling
-preventative meds
●● Screening
Answer: Think risk factors for most likely Diseases
Identify- Age/Gender/Race/Ethnic/ FH/ Personal Risk
, ●● United States Public Services Task Force (USPSTF)
Answer: Great tool for Prevention!! Utilize in clinical
●● 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
●● 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
●● Important A and B level Evidence
QUESTIONS AND CORRECT ANSWERS
COMPLETE STUDY GUIDE
● Barriers to IPE
Answer: Communication, Time, Training, Roles, Resources
●● 3 steps to Prevention Dx and Plan
Answer: Risk profile
Prevention Needs and Deficits
Prevention plan
●● Transtheoretical Model of Change
Answer: 1. Precontemplation
2. Contemplation
3. Preparation
4. Action
5. Maintenance
●● 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?
●● 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?
●● Preparation
Answer: Preparation- Intended action in next month, may have taken
past action.
Preparing to make specific change.
●● Action
Answer: Action- Modify behavior, experiences, or environment to
overcome problem.
,Praise any behavioral change.
●● 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?"
●● Three Main Types of Clinical Preventative Care
Answer: -screening
-behavioral cousenling
-preventative meds
●● Screening
Answer: Think risk factors for most likely Diseases
Identify- Age/Gender/Race/Ethnic/ FH/ Personal Risk
, ●● United States Public Services Task Force (USPSTF)
Answer: Great tool for Prevention!! Utilize in clinical
●● 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
●● 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
●● Important A and B level Evidence
