MGRADES EXAMS
NURS 5461 Quiz 1 UPDATED Exam
Questions and CORRECT Answers
Interprofessional Education - CORRECT ANSWER - Interprofessional education (IPE) is
a teaching and learning approach that involves students from two or more professions learning
together to improve health outcomes.
Barriers to IPE - CORRECT ANSWER - Communication, Time, Training, Roles,
Resources
3 steps to Prevention Dx and Plan - CORRECT ANSWER - Risk profile
Prevention Needs and Deficits
Prevention plan
Transtheoretical Model of Change - CORRECT ANSWER - 1. Precontemplation
2. Contemplation
3. Preparation
4. Action
5. Maintenance
Precontemplation - CORRECT 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 - CORRECT ANSWER - Contemplation- Aware problem exists, thinking
of overcoming, no commitment to action.
,MGRADES EXAMS
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 - CORRECT ANSWER - Preparation- Intended action in next month, may
have taken past action.
Preparing to make specific change.
Action - CORRECT ANSWER - Action- Modify behavior, experiences, or environment to
overcome problem.
Praise any behavioral change.
Maintenance/Relapse Prevention - CORRECT 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 - CORRECT ANSWER - -screening
-behavioral cousenling
-preventative meds
Screening - CORRECT ANSWER - Think risk factors for most likely Diseases
Identify- Age/Gender/Race/Ethnic/ FH/ Personal Risk
,MGRADES EXAMS
United States Public Services Task Force (USPSTF) - CORRECT ANSWER - Great tool
for Prevention!! Utilize in clinical
Levels of Evidence (USPSTF) - CORRECT 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? - CORRECT
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 - CORRECT 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
, MGRADES EXAMS
Obesity -intensive counseling & behavioral
Tobacco
HIV (pregnant, all 15-65)•
ETOH misuse & counsel
Hep C screen (1945-65)
Changes in Selected Major Screening Guidelines - CORRECT 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
Counseling topics - CORRECT 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
Preventative Medications and Immunizations - CORRECT 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
NURS 5461 Quiz 1 UPDATED Exam
Questions and CORRECT Answers
Interprofessional Education - CORRECT ANSWER - Interprofessional education (IPE) is
a teaching and learning approach that involves students from two or more professions learning
together to improve health outcomes.
Barriers to IPE - CORRECT ANSWER - Communication, Time, Training, Roles,
Resources
3 steps to Prevention Dx and Plan - CORRECT ANSWER - Risk profile
Prevention Needs and Deficits
Prevention plan
Transtheoretical Model of Change - CORRECT ANSWER - 1. Precontemplation
2. Contemplation
3. Preparation
4. Action
5. Maintenance
Precontemplation - CORRECT 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 - CORRECT ANSWER - Contemplation- Aware problem exists, thinking
of overcoming, no commitment to action.
,MGRADES EXAMS
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 - CORRECT ANSWER - Preparation- Intended action in next month, may
have taken past action.
Preparing to make specific change.
Action - CORRECT ANSWER - Action- Modify behavior, experiences, or environment to
overcome problem.
Praise any behavioral change.
Maintenance/Relapse Prevention - CORRECT 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 - CORRECT ANSWER - -screening
-behavioral cousenling
-preventative meds
Screening - CORRECT ANSWER - Think risk factors for most likely Diseases
Identify- Age/Gender/Race/Ethnic/ FH/ Personal Risk
,MGRADES EXAMS
United States Public Services Task Force (USPSTF) - CORRECT ANSWER - Great tool
for Prevention!! Utilize in clinical
Levels of Evidence (USPSTF) - CORRECT 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? - CORRECT
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 - CORRECT 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
, MGRADES EXAMS
Obesity -intensive counseling & behavioral
Tobacco
HIV (pregnant, all 15-65)•
ETOH misuse & counsel
Hep C screen (1945-65)
Changes in Selected Major Screening Guidelines - CORRECT 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
Counseling topics - CORRECT 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
Preventative Medications and Immunizations - CORRECT 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
