Jersey College MedSurg 1 RN FINAL EXAM Questions with Correct Answers

weight, smoking, sex practices, diet CORRECT ANSWER List four modifiable risk factors. (general health promotion) age, genetics, sex CORRECT ANSWER List three non-modifiable risk factors. (general health promotion) cultural assessment CORRECT ANSWER What type of assessment should the nurse preform prior to initiating health teaching? physiological integrity safety and security belongingness and affection esteem and self-respect self-actualization -- physiologic needs and life threatening issues are a priority -- confirm that these needs are met in the order listed above CORRECT ANSWER Maslow's Hierarchy of Needs --priorities? --what order? Healthy People 2020 CORRECT ANSWER Organization that identifies health promotion and disease prevention goals and lists strategies along with resources in an attempt to improve the nation's health The Institute of Medicine's report on the Future of Nursing CORRECT ANSWER Organization that recommends ways to strengthen the practice of nursing in order to improve health care. The National Patient Safety Goals CORRECT ANSWER The Joint Commission lists the top patient safety concerns and includes medication safety, infection prevention, surgery-related mistakes, patient identification and improving staff communication. What is this list called? Nurse Practice Acts CORRECT ANSWER This governs nursing practice and is a law that is put into place to protect the public - nurses must follow and comply with their state's regulations QSEN - Quality and Safety Education for Nurses Institute CORRECT ANSWER Institute that seeks to strengthen the knowledge, skills, and attitudes of nurses in providing continuous quality improvement in health care whatever the patient says it is CORRECT ANSWER What is pain? actual or potential tissue damage CORRECT ANSWER Pain is associated with __________________________________. the patient's self report CORRECT ANSWER The single most reliable indicator of pain is _______. blood pressure, heart rate, and respirations CORRECT ANSWER Pain stimulates the sympathetic nervous system and could result in an increase in ___________, ___________, and ____________. increases glucagon production decreases insulin secretion depresses immune function can lead to addictive behaviors CORRECT ANSWER physiologic effects of unrelieved pain (4) prostaglandins CORRECT ANSWER initiate inflammation and contribute to tissue swelling and pain NSAIDS CORRECT ANSWER ______ primarily produce pain relief by preventing prostaglandin formation. Acetaminophen CORRECT ANSWER _____________ does not have anti-inflammatory properties. tissue damage CORRECT ANSWER ______________ stimulates the inflammatory response and puts the patient at risk for pain. local anesthetics, non-opioids or opioids CORRECT ANSWER manage nociceptive pain with? allodynia CORRECT ANSWER pain that is associated with a noxious stimulus nerve route injury CORRECT ANSWER ________________ could lead to allodynia. timing: onset - when it started duration - where it started frequency - how often/for how long type - includes intensity, associated factors influencing factors - what makes it better/worse intensity - how bad does it hurt quality - what does it feel like location - where does it hurt effects on function/daily activities CORRECT ANSWER What does a comprehensive pain assessment include? visual analog scale CORRECT ANSWER 10cm line that represents no pain to worst pain on each end of the line and the patient places a mark somewhere between the two ends depending on the severity of pain numeric rating scale CORRECT ANSWER ranges from 0 to 10 with 0 representing no pain Wong-Baker FACES Scale (ages 3+) CORRECT ANSWER consists of cartoon faces that the patient selects to report their pain verbal descriptor scale CORRECT ANSWER uses words to help individuals describe the intensity of their pain Wong-Baker FACES Scale CORRECT ANSWER should never be used by the provider to match the patient's facial expression produce a local effect CORRECT ANSWER effect produced by topical analgesics