PCC Exam 2, 2026 – Law & Ethics Study and Practice
Material
Primary Level of prevention - ANS✔✔ Primary- Aimed at health promotion and illness
prevention in generally healthy people and population. Example is immunization and taking
regular exercise.
Secondary Level of Prevention - ANS✔✔ Secondary- This type of care is aimed at early disease
detection and treatment so that the disease does not progress. Example is screening for high
blood pressure and breast self-examination.
Tertiary Level of Prevention - ANS✔✔ Tertiary- Those Preventive measures aimed at
rehabilitation following significant illness. Example is educating PT to take their medication
appropriately and find ways of working towards rehabilitation from significant illness or
disability.
What are the nursing diagnoses related to mobility? What would a key goal or outcome be for
each nursing diagnosis (make it measurable, and hopefully attainable). - ANS✔✔ Nursing
diagnoses
1. Risk for activity intolerance
2. Loss of muscle mass, tone, and strength associated with prolonged immobility
3. Increased risk of pneumonia
4. Pain increased
,5. Nausea increased
Goals
1. Increased ADL activity by doing ROM exercises 3x per day
2. Maintenance of muscle mass and strength associated with prolonged immobility by use of
Active ROM 3x per
day and weight bearing exercises and / or electrical stimulation
3. Decrease risk for pneumonia by increasing mobility and use of incentive spirometer 10x per
day and push
fluids 2-3L/day
4. Decrease pain by following doctors order, assess, intervene, reassess
5. Decrease nausea
What is caregiver role strain? How can we assist to prevent or alleviate it? What is the ideal role
of family in caring for elderly? - ANS✔✔ Difficulty in performing caregiver roles. Assist/alleviate
it through giving breaks to primary care giver; going out to eat, or another fun activity to
recoup, even a simple rest. Ideal role of family in caring for the elderly is emotional support.
Nurses also suffer from caregiver role strain. What might you see in nurses that reflects this? -
ANS✔✔ Frustration in performing patient care, anger with responsibility of patient care, regrets
, care giving does not allow time for personal needs, dilemma in coping with patient's behavior,
shows negative feelings about patient, ignores patient care, violates patient, displays change in
own status (lose their empathy).
What does SBAR stand for? What is the purpose of using it? Give an example of using this to get
an order for a
medication from the doctor (make it up) listing what components go in the proper area of SBAR.
· - ANS✔✔ Situation, Background, Assessment, Recommendation
The purpose of using an SBAR is to prevent patient complications by improving provider to
provider communication.
Example: Pearson pg. 2441
Situation: Patient S. A is a 32, apparently healthy woman who has been married for 2 years. She
denies having previous surgery, health problems, smoking, alcohol, or use of recreational drugs
Background: S.A. is six (6) hours post normal term spontaneous vaginal delivery of a 4Kg baby
boy. She had an episiotomy with a partial thirds degree extension that was repaired. Estimated
blood lost following delivery was 500mL. Lab values WNL prior to delivery. Postpartum recovery
period was without complications. There were no episodes of unusual bleeding or clots. Her
family member is at her bedside and their newborn is in the well-baby nursery.
Assessment: Her last vital signs were two (2) hours ago. They were: BP 118/72; HR 85; RR 18
and temp 100.2 F. She has a saline lock in her left forearm and is presently sleeping. She is on a
regular diet. She has had normal lochia without bleeding or clots noted on peri-pad. Fundus is
firm and patient plans on breast feeding her baby. Patient complained of after birth cramps and
requested pain medication about two (2) hours ago and was given Norco 7.5mg PO.
Material
Primary Level of prevention - ANS✔✔ Primary- Aimed at health promotion and illness
prevention in generally healthy people and population. Example is immunization and taking
regular exercise.
Secondary Level of Prevention - ANS✔✔ Secondary- This type of care is aimed at early disease
detection and treatment so that the disease does not progress. Example is screening for high
blood pressure and breast self-examination.
Tertiary Level of Prevention - ANS✔✔ Tertiary- Those Preventive measures aimed at
rehabilitation following significant illness. Example is educating PT to take their medication
appropriately and find ways of working towards rehabilitation from significant illness or
disability.
What are the nursing diagnoses related to mobility? What would a key goal or outcome be for
each nursing diagnosis (make it measurable, and hopefully attainable). - ANS✔✔ Nursing
diagnoses
1. Risk for activity intolerance
2. Loss of muscle mass, tone, and strength associated with prolonged immobility
3. Increased risk of pneumonia
4. Pain increased
,5. Nausea increased
Goals
1. Increased ADL activity by doing ROM exercises 3x per day
2. Maintenance of muscle mass and strength associated with prolonged immobility by use of
Active ROM 3x per
day and weight bearing exercises and / or electrical stimulation
3. Decrease risk for pneumonia by increasing mobility and use of incentive spirometer 10x per
day and push
fluids 2-3L/day
4. Decrease pain by following doctors order, assess, intervene, reassess
5. Decrease nausea
What is caregiver role strain? How can we assist to prevent or alleviate it? What is the ideal role
of family in caring for elderly? - ANS✔✔ Difficulty in performing caregiver roles. Assist/alleviate
it through giving breaks to primary care giver; going out to eat, or another fun activity to
recoup, even a simple rest. Ideal role of family in caring for the elderly is emotional support.
Nurses also suffer from caregiver role strain. What might you see in nurses that reflects this? -
ANS✔✔ Frustration in performing patient care, anger with responsibility of patient care, regrets
, care giving does not allow time for personal needs, dilemma in coping with patient's behavior,
shows negative feelings about patient, ignores patient care, violates patient, displays change in
own status (lose their empathy).
What does SBAR stand for? What is the purpose of using it? Give an example of using this to get
an order for a
medication from the doctor (make it up) listing what components go in the proper area of SBAR.
· - ANS✔✔ Situation, Background, Assessment, Recommendation
The purpose of using an SBAR is to prevent patient complications by improving provider to
provider communication.
Example: Pearson pg. 2441
Situation: Patient S. A is a 32, apparently healthy woman who has been married for 2 years. She
denies having previous surgery, health problems, smoking, alcohol, or use of recreational drugs
Background: S.A. is six (6) hours post normal term spontaneous vaginal delivery of a 4Kg baby
boy. She had an episiotomy with a partial thirds degree extension that was repaired. Estimated
blood lost following delivery was 500mL. Lab values WNL prior to delivery. Postpartum recovery
period was without complications. There were no episodes of unusual bleeding or clots. Her
family member is at her bedside and their newborn is in the well-baby nursery.
Assessment: Her last vital signs were two (2) hours ago. They were: BP 118/72; HR 85; RR 18
and temp 100.2 F. She has a saline lock in her left forearm and is presently sleeping. She is on a
regular diet. She has had normal lochia without bleeding or clots noted on peri-pad. Fundus is
firm and patient plans on breast feeding her baby. Patient complained of after birth cramps and
requested pain medication about two (2) hours ago and was given Norco 7.5mg PO.
