NUR 256 MENTAL HEALTH FINAL EXAM 389 QUESTIONS AND
ANSWERS 2024/2025
root cause analysis - ANSWER...Process for identifying basic or causal factors that
underlie the occurrence of a sentinel event; focuses primarily on systems and
processes, not on individual performance
sentinel event - ANSWER...Unexpected occurrence involving patient death or
serious physical or psychologic injury requiring immediate investigation and
response
standardization - ANSWER...Creates exceptional service with maximum
efficiency by adhering to best known methods and repeating key tasks in the same
way, time and time again, until a better way is found
parteto chart - ANSWER...QI tool that provides a bar graph reflecting the
frequency with which events occur, to help identify which events are most
important
Joint Commission - ANSWER...National agency that conducts surveys of inpatient
and ambulatory facilities and certifies their compliance with established quality
standards
flow chart - ANSWER...QI tool used in analysis of a work process; provides a
picture of the sequence of steps in a process
run chart - ANSWER...Graph of data in time order that helps identify any changes
that occur over time
customer - ANSWER...Individual or group who relies on an organization to
provide a product or service
IOM - ANSWER...Provides objective, timely, authoritative information and advice
regarding health and science policy to government, the corporate sector, the
professions, and the public
clinical indicators - ANSWER...Measurable items that demonstrate the degree to
which desired clinical outcomes are accomplished
,cause and effect diagram - ANSWER...Tool used for identifying and organizing
possible causes of a problem in a structured format
process - ANSWER...Series of linked steps necessary to accomplish work
Chronic peripheral artery disease what do they needs to do interventions -
additional education - ANSWER...Wear leather shoes with an extra-depth toe box.
Inspect the feet daily for redness, dryness, cuts. Wear clean, loose, soft cotton
socks. Avoid circumferential compression around feet or legs.
What does HTN put you at greater risk for? - ANSWER...stroke
How do we do a mammogram? - ANSWER...Two views are taken of each breast.
The breast is mechanically compressed from top to bottom (craniocaudal view) and
side to side (mediolateral oblique view).
What type of biopsy is done when we are looking at lymph node dissection for
breast cancer? - ANSWER...Sentinel node biopsy
What are some symptoms that will correlate to a benign breast problem? -
ANSWER...Breast pain, cystic lumps, changes in menstrual cycle, Fibroadenomas
(lumps that causes no pain)
What question should we ask a patient wit c/o of bilateral breast enlargement? -
ANSWER...What medications are you taking?
What are some things we can do to create a more inclusive environment for the
LGBTQ clients? - ANSWER...Use inclusive language, respect chosen names and
pronouns, and provide a welcoming atmosphere.
What does the acronym LGBTQ stand for? - ANSWER...sexual identity
How should we treat partners when their loved ones are in the hospital? -
ANSWER...Treat them with respect, involve them in care discussions, and provide
clear communication.
What is the impact of the public towards the people who identify as LGBTQ
people? - ANSWER...These can vary widely, but there can be stigmatization or
,discrimination against LGBTQ+ individuals, impacting their mental and physical
health.
Double effect - ANSWER...is a principle that may morally justify some actions
that produce both good and evil effects.
Beneficence - ANSWER...the duty to perform acts that can be of benefit others
Autonomy - ANSWER...the right of patients to receive adequate and accurate
information so that they have the ability to make a choice free from external
constraints.
Distributive justice - ANSWER...This principle is upheld when benefits and
burdens are distributed equitably and fairly without consideration of age, gender,
socioeconomic status, religion, ethnicity, or sexual orientation
Matching r/t chain of infection - ANSWER...1 Infectious agent (bacteria, fungi)
2 Reservoirs (people, equipment)
3 Portal of Exit (excretions, secretions)
4 Means of transmission (direct contact, ingestion)
5 Portal of entry (mucous membrane, gi tract)
6 Susceptible host (immuno-suppression, diabetes)
Why should people with peripheral vascular disease refrain from smoking? -
ANSWER...Smoking constricts blood vessels and worsens peripheral vascular
disease, leading to decreased blood flow.
What is the purpose of healthy people? - ANSWER...Identifies important periodic
goals that, if reached, could have major impacts on the health and overall
monitoring progress overtime.
What is an example of ADLS? - ANSWER...bathing, feeding, toileting, oral care,
transferring, dressing
How do we ambulate with a cane? - ANSWER...Hold the cane opposite side of the
weak or affected leg.
Keep cane fairly close to body to prevent leaning.
Bear down on cane when unaffected extremity begins swing phase.
, What can a women do when she has stress incontinence? - ANSWER...Kegel
exercises
What is orthostatic hypotension? - ANSWER...A significant drop in blood pressure
when standing up from a sitting or lying position.
4 patients most likely to develop pressure ulcer - ANSWER...Those with limited
mobility, impaired sensation, poor nutrition, or moisture exposure.
Someone has a stroke and is paralyzed with neuro defects, what will put them at
risk for skin breakdown? - ANSWER...Immobility, decreased sensation, and poor
circulation increase the risk of skin breakdown.
What is the most common mood disorder for the elderly? - ANSWER...Depression
Why are the elderly more susceptible to serious infections? - ANSWER...They
have a weakened immune system.
How can we prevent the flu? - ANSWER...Vaccines
What is the leading cause of the death in the elderly? - ANSWER...Heart disease
Elderly are at risk for falls causing to break what? - ANSWER...Hip
What is acute pain, difference from chronic? - ANSWER...Acute pain last for 6
months r/t to tissue damage. Chronic last longer than 6 months and persists beyond
the usual course of healing.
What are elderly at risk for when taking narcotic analgesics? - ANSWER...Falls
What can we do to relieve swelling from an inury? - ANSWER...Ice
What serious side effect can occur when giving hydromorphone? -
ANSWER...Respiratory depression
What is the first question to ask someone taking oxycodone? - ANSWER...When
was your last bowel movement?
Who is the indicator of pain? - ANSWER...Patient
ANSWERS 2024/2025
root cause analysis - ANSWER...Process for identifying basic or causal factors that
underlie the occurrence of a sentinel event; focuses primarily on systems and
processes, not on individual performance
sentinel event - ANSWER...Unexpected occurrence involving patient death or
serious physical or psychologic injury requiring immediate investigation and
response
standardization - ANSWER...Creates exceptional service with maximum
efficiency by adhering to best known methods and repeating key tasks in the same
way, time and time again, until a better way is found
parteto chart - ANSWER...QI tool that provides a bar graph reflecting the
frequency with which events occur, to help identify which events are most
important
Joint Commission - ANSWER...National agency that conducts surveys of inpatient
and ambulatory facilities and certifies their compliance with established quality
standards
flow chart - ANSWER...QI tool used in analysis of a work process; provides a
picture of the sequence of steps in a process
run chart - ANSWER...Graph of data in time order that helps identify any changes
that occur over time
customer - ANSWER...Individual or group who relies on an organization to
provide a product or service
IOM - ANSWER...Provides objective, timely, authoritative information and advice
regarding health and science policy to government, the corporate sector, the
professions, and the public
clinical indicators - ANSWER...Measurable items that demonstrate the degree to
which desired clinical outcomes are accomplished
,cause and effect diagram - ANSWER...Tool used for identifying and organizing
possible causes of a problem in a structured format
process - ANSWER...Series of linked steps necessary to accomplish work
Chronic peripheral artery disease what do they needs to do interventions -
additional education - ANSWER...Wear leather shoes with an extra-depth toe box.
Inspect the feet daily for redness, dryness, cuts. Wear clean, loose, soft cotton
socks. Avoid circumferential compression around feet or legs.
What does HTN put you at greater risk for? - ANSWER...stroke
How do we do a mammogram? - ANSWER...Two views are taken of each breast.
The breast is mechanically compressed from top to bottom (craniocaudal view) and
side to side (mediolateral oblique view).
What type of biopsy is done when we are looking at lymph node dissection for
breast cancer? - ANSWER...Sentinel node biopsy
What are some symptoms that will correlate to a benign breast problem? -
ANSWER...Breast pain, cystic lumps, changes in menstrual cycle, Fibroadenomas
(lumps that causes no pain)
What question should we ask a patient wit c/o of bilateral breast enlargement? -
ANSWER...What medications are you taking?
What are some things we can do to create a more inclusive environment for the
LGBTQ clients? - ANSWER...Use inclusive language, respect chosen names and
pronouns, and provide a welcoming atmosphere.
What does the acronym LGBTQ stand for? - ANSWER...sexual identity
How should we treat partners when their loved ones are in the hospital? -
ANSWER...Treat them with respect, involve them in care discussions, and provide
clear communication.
What is the impact of the public towards the people who identify as LGBTQ
people? - ANSWER...These can vary widely, but there can be stigmatization or
,discrimination against LGBTQ+ individuals, impacting their mental and physical
health.
Double effect - ANSWER...is a principle that may morally justify some actions
that produce both good and evil effects.
Beneficence - ANSWER...the duty to perform acts that can be of benefit others
Autonomy - ANSWER...the right of patients to receive adequate and accurate
information so that they have the ability to make a choice free from external
constraints.
Distributive justice - ANSWER...This principle is upheld when benefits and
burdens are distributed equitably and fairly without consideration of age, gender,
socioeconomic status, religion, ethnicity, or sexual orientation
Matching r/t chain of infection - ANSWER...1 Infectious agent (bacteria, fungi)
2 Reservoirs (people, equipment)
3 Portal of Exit (excretions, secretions)
4 Means of transmission (direct contact, ingestion)
5 Portal of entry (mucous membrane, gi tract)
6 Susceptible host (immuno-suppression, diabetes)
Why should people with peripheral vascular disease refrain from smoking? -
ANSWER...Smoking constricts blood vessels and worsens peripheral vascular
disease, leading to decreased blood flow.
What is the purpose of healthy people? - ANSWER...Identifies important periodic
goals that, if reached, could have major impacts on the health and overall
monitoring progress overtime.
What is an example of ADLS? - ANSWER...bathing, feeding, toileting, oral care,
transferring, dressing
How do we ambulate with a cane? - ANSWER...Hold the cane opposite side of the
weak or affected leg.
Keep cane fairly close to body to prevent leaning.
Bear down on cane when unaffected extremity begins swing phase.
, What can a women do when she has stress incontinence? - ANSWER...Kegel
exercises
What is orthostatic hypotension? - ANSWER...A significant drop in blood pressure
when standing up from a sitting or lying position.
4 patients most likely to develop pressure ulcer - ANSWER...Those with limited
mobility, impaired sensation, poor nutrition, or moisture exposure.
Someone has a stroke and is paralyzed with neuro defects, what will put them at
risk for skin breakdown? - ANSWER...Immobility, decreased sensation, and poor
circulation increase the risk of skin breakdown.
What is the most common mood disorder for the elderly? - ANSWER...Depression
Why are the elderly more susceptible to serious infections? - ANSWER...They
have a weakened immune system.
How can we prevent the flu? - ANSWER...Vaccines
What is the leading cause of the death in the elderly? - ANSWER...Heart disease
Elderly are at risk for falls causing to break what? - ANSWER...Hip
What is acute pain, difference from chronic? - ANSWER...Acute pain last for 6
months r/t to tissue damage. Chronic last longer than 6 months and persists beyond
the usual course of healing.
What are elderly at risk for when taking narcotic analgesics? - ANSWER...Falls
What can we do to relieve swelling from an inury? - ANSWER...Ice
What serious side effect can occur when giving hydromorphone? -
ANSWER...Respiratory depression
What is the first question to ask someone taking oxycodone? - ANSWER...When
was your last bowel movement?
Who is the indicator of pain? - ANSWER...Patient
