NURS 5461 QUIZ 1 | QUESTIONS AND ANSWERS |
2026 UPDATE WITH 100% CORRECT
Interprofessional Education - -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 - -Communication, Time, Training, Roles, Resources
--3 steps to Prevention Dx and Plan - -Risk profile
Prevention Needs and Deficits
Prevention plan
--Transtheoretical Model of Change - -1. Precontemplation
2. Contemplation
3. Preparation
4. Action
5. Maintenance
--Precontemplation - -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 - -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 - -Preparation- Intended action in next month, may have
taken past action.
Preparing to make specific change.
--Action - -Action- Modify behavior, experiences, or environment to
overcome problem.
Praise any behavioral change.
--Maintenance/Relapse Prevention - --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 - --screening
-behavioral cousenling
-preventative meds
--Screening - -Think risk factors for most likely Diseases
Identify- Age/Gender/Race/Ethnic/ FH/ Personal Risk
--United States Public Services Task Force (USPSTF) - -Great tool for
Prevention!! Utilize in clinical
--Levels of Evidence (USPSTF) - -• 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? - -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 - -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
Obesity -intensive counseling & behavioral
Tobacco
HIV (pregnant, all 15-65)•
ETOH misuse & counsel
, Hep C screen (1945-65)
--Changes in Selected Major Screening Guidelines - -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 - -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 - -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
condition(repeat if given <65 & at least 5 years ago)
11
Prevnar (PCV3) at 65 then PPSV23 6-12 months later OR if PPSV23 first,
Prevnar 6-12 months
Hep B series as indicated (new: diabetes)
HPV4 vaccinate females & males (9 to 26 years) best at 11-12 yo
Zostavax for zoster prevention at 60 yo (FDA approved at 50)
Meningococcal as indicated
--Pneumococcal Vaccines - -Pneumococcal conjugate vaccine (PCV13) is
recommended for all children younger than 5 years old, all adults 65 years
or older, and people 6 years or older with certain RFs
(immunocompromised)
Pneumococcal polysaccharide vaccine (PPSV23) is recommended for all
adults 65 years or older. People 2 years through 64 years of age who are
at high risk of pneumococcal disease should also receive PPSV23 (>18
smokers, chronic diseases, etc).
--Preventative Meds - -ASA as indicated 81 mg "A"
Men >45-79 for MI; Women >55-79 (reduced CVA)
Assess risk for GI bleed and decide 2010
2026 UPDATE WITH 100% CORRECT
Interprofessional Education - -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 - -Communication, Time, Training, Roles, Resources
--3 steps to Prevention Dx and Plan - -Risk profile
Prevention Needs and Deficits
Prevention plan
--Transtheoretical Model of Change - -1. Precontemplation
2. Contemplation
3. Preparation
4. Action
5. Maintenance
--Precontemplation - -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 - -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 - -Preparation- Intended action in next month, may have
taken past action.
Preparing to make specific change.
--Action - -Action- Modify behavior, experiences, or environment to
overcome problem.
Praise any behavioral change.
--Maintenance/Relapse Prevention - --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 - --screening
-behavioral cousenling
-preventative meds
--Screening - -Think risk factors for most likely Diseases
Identify- Age/Gender/Race/Ethnic/ FH/ Personal Risk
--United States Public Services Task Force (USPSTF) - -Great tool for
Prevention!! Utilize in clinical
--Levels of Evidence (USPSTF) - -• 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? - -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 - -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
Obesity -intensive counseling & behavioral
Tobacco
HIV (pregnant, all 15-65)•
ETOH misuse & counsel
, Hep C screen (1945-65)
--Changes in Selected Major Screening Guidelines - -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 - -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 - -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
condition(repeat if given <65 & at least 5 years ago)
11
Prevnar (PCV3) at 65 then PPSV23 6-12 months later OR if PPSV23 first,
Prevnar 6-12 months
Hep B series as indicated (new: diabetes)
HPV4 vaccinate females & males (9 to 26 years) best at 11-12 yo
Zostavax for zoster prevention at 60 yo (FDA approved at 50)
Meningococcal as indicated
--Pneumococcal Vaccines - -Pneumococcal conjugate vaccine (PCV13) is
recommended for all children younger than 5 years old, all adults 65 years
or older, and people 6 years or older with certain RFs
(immunocompromised)
Pneumococcal polysaccharide vaccine (PPSV23) is recommended for all
adults 65 years or older. People 2 years through 64 years of age who are
at high risk of pneumococcal disease should also receive PPSV23 (>18
smokers, chronic diseases, etc).
--Preventative Meds - -ASA as indicated 81 mg "A"
Men >45-79 for MI; Women >55-79 (reduced CVA)
Assess risk for GI bleed and decide 2010
