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Exam (elaborations)

NURS 431 MIDTERM EXAM QUESTIONS WITH CORRECT ANSWERS

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NURS 431 MIDTERM EXAM QUESTIONS WITH CORRECT ANSWERS

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NURS 431 MIDTERM EXAM QUESTIONS
WITH CORRECT ANSWERS
Medicare provides to whom - Answer-Provides hospital insurance and medical
insurance to persons 65 years of age and older, to permanently disabled persons, and
to persons with end-stage renal disease

Medicaid provides to whom - Answer-Provides financial assistance to states and
counties to pay for medical services for poor older adults, the blind, the disabled, and
families with dependent children

Tricare is for - Answer-retired military and dependents

Other services by government - Answer-IHS, VA

Principles of Public Health Nursing: The unit of care is - Answer-population

What is the goal of PHN - Answer-achieve the greats good for the greatest number of
people

Client = - Answer-community, equal partner in care

Priority of PHN - Answer-primary prevention

Focus of PHN - Answer-creating healthy environment, social, and economic conditions

PHN obligation to - Answer-reach out to all who may benefit and to use most cost
effective interventions

What is mandatory in PHN - Answer-interprofessional collaboration

core functions of PHN - Answer-Community Assessment, Policy Development, Health
Assurance, Research and Practice Major Activities

community assessment - Answer-monitor health and diagnose/investigate

Policy Development - Answer-Inform, education, and empower, mobilize community
partnerships, develop policies

Health Assurance - Answer-Enforce laws, link to/provide care, assure to competent
workforce

Research and Practice Major Activites - Answer-infectious and non infectious disease
prevntion and control, environmental health and sanitation, emergency

,preparedness/disaster management, family case management, health promotion and
risk reduction

Healthy People 2020 Vision - Answer-society where all people live long, healthy lives

Healthy People 2020 Goals - Answer-attain high quality, longer lives, free of
preventable disease/disability/injury/premature death, Achieve health equity, eliminate
disparities, and improve the health of ALL groups, Create social and physical
environments that promote good health for ALL, Promote healthy development and
healthy behaviors across every stage of life

Ethical Judgment - Answer-concerned with values, goal is to choose an action that is
good or right in the circumstances based on how you prioritize your values

What was the first code of ethics for nurses - Answer-Nightingale Pledge

What are some other codes of ethics nurses follow - Answer-ICN, ANA Code of Ethics,
APHA

Non-Maleficence - Answer-Do not harm

Beneficence - Answer-Doing the most good

Advocacy - Answer-Independence and self determination- respect, protection of
privacy, informed consent, confidentiality, participation, cultural sensitivity

Nightingales Theory of Environmental Adaptations - Answer-Patients are to be put in
best condition for nature to act on them

Milio's Framework for Prevention - Answer-behavioral patterns of the populations are a
result of habitual selection from limited choices (not lack of knowledge)

Pender's Health Promotion Model - Answer-Likelihood of taking an action to avoid
disease based on perceived susceptibility, seriousness, and threat of disease

Orem's Theory of Self-Care - Answer-Nurses assist/fulfill client's self care needs until
they are able to perform them independently

Ethics - Answer-Body of knowledge that addresses questions of behavior and actions
according to specific principles

Public Health System Examples - Answer-Government Funded, Population Oriented,
Primary Health Care (Health for All), Social Justice and Health Equality

Private Health System Examples - Answer-Employer or self funded, individual oriented,
disease prevention, equality and ability to pay

, Essential Health Care should provide - Answer-Basic sanitation and safe water,
Adequate food and nutrition, Maternal/Child health including family planning, Prevention
and control of endemic diseases,
Immunization for major diseases, Treatment of common diseases and injuries,
Education,
Provision of essential drugs

Characteristics of Primary Health Care - Answer-culturally acceptable, appropriate and
effective, universally accessible, affordable and sustainable (partnerships and country
development)

Federal Structures - Answer-Administration for children and families, Agency for health
care research and qulalty for toxic substances and disease registry, CDC, CMS, FDA,
Health Resources and Service Administration, Indian health services, NIH, Substance
abuse and mental health services

State structures in health care - Answer-Regulations and policies determined by federal
government such as medicare, medicaid, and state children's health insurance
programs

Local structures in Health Care - Answer-state laws and policies, most direct, immediate
care, work with state

Public programs only reimburse what percent of fees - Answer-80% (generally)

How do providers make up the extra 20% not paid by the government - Answer-charge
more to others

Community Assessment Process and Components - Answer-Health status,
environment/structures, process, community nursing diagnosis, desired outcomes, Best
Practices

How best to assess health status of community - Answer-socio-demographics, mortality
and morbidity rates, life expectancy

How best to assess environment/structure - Answer-windshield survey, hazards,
services, resources

How best to run the process of community assessment - Answer-key informant, focus
groups

Community Nursing Diagnosis - Answer-Risk status for health issue OR opportunity for ,
population at risk (r/t), modifiable contributing factors
R341,66
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