NURS 3600 Exam #3 Questions With Complete Solutions
According to the CDC, how do you remove ticks properly
(*LINK*)? Correct Answer 1. Use *fine-tipped tweezers*,
grasp the tick as close to the skin's surface as possible.
2. Pull *upward* w/ steady, even pressure; do not twist or jerk
the tick in another direction.
3. Thoroughly *clean* the bite area and your hands w/ rubbing
alcohol or soap and water.
4. *Never crush a tick*, properly dispose by putting it in
alcohol, placing it in a sealed bag/container w/ tight tape, or
flushing it down the toilet.
Describe definitions related to homelessness: Correct Answer -
*Literally homeless*: sleeping outside; no fixed nighttime
residence.
-*Imminent risk of homelessness*: soon to be evicted from
house or residence.
-*Fleeing domestic violence* (a.k.a. intimate partner violence).
-*Youth*: abandoned in hospital; awaiting foster care (*BUT
BEING IN FOSTER CARE IS NOT HOMELESS*); living w/
relatives/shared housing (i.e., "doubled-up," requires tutor).
Describe plans related to school health: Correct Answer 1)
*Individualized Health Care Plans* (IHCP): a child who has
health issues, so nurse needs to collaborate w/ teachers to
establish a plan/schedule to help the child learn while meeting
health needs (e.g., nap, stay indoors).
-*Individualized Educational Plan* (IEP): specialized
instruction for children w/ disabilities (e.g., ADHD), may have
no need for nurse involvement.
,2) *Emergency Action Plans* (EAP): for a child who may need
emergency attention for a particular disease - who to call,
medications (e.g., asthma attack, diabetic problem).
3) *504 plan*: for children w/ disabilities who need
accommodation but not specialized instruction.
-*Free and Appropriate Public Education* (FAPE).
-*PROHIBITS DISCRIMINATION* against students w/
disabilities.
-*Rehabilitation Act* and the *Individuals w/ Disabilities
Education Improvement Act* (IDEIA).
Describe terminology related to home health: Correct Answer -
*Agencies*: the administration/direction site and where staff
gather for meetings, but delivery is in the home.
-*Referrals*: from physician and discharge planners, physician
must order home health (competitive).
-*Disciplines*: services that Medicare will pay an agency to
provide to Medicare beneficiary who qualifies (requires "skilled
level" care). Nursing, PT (physical therapy), OT (occupational
therapy), ST (speech therapy), SW (social work), Aide.
-*Caseload*: a group of patients assigned to a nurse to case
manage, amount dependent on skill and distance.
-*Intermittent visits*: not private duty nor lengthy visits, some
get 2-3 visits/week, some get 1 visit/month, based on
requirements.
-*HOME HEALTHCARE IS NOT INTENDED TO BE A
SUBSTITUTE FOR A NURSING HOME!*
Describe the abuse assessment screen: Correct Answer -
Assesses *frequency* and *victim* for experiencing physical,
,sexual, and emotional abuse; used in ED or admission -
primarily targets *intimate partner violence* (IPV).
-May contain specific questions, such as *pregnancy* and
*timeframe* and associated risk factors (i.e., "Within the last
year...").
Describe the analysis of homeless population data: Correct
Answer -*Point in time counts*: an annual counting night
required by Housing and Urban Development (HUD - federal
agency); done in order to receive *FUNDING* for homeless.
-*Prevalence counts*: occur over a period of time and may be
more accurate than a one-time count, more difficult and
expensive, include administrative records from shelters.
-*Crisis poverty* (in moment) vs. *persistent poverty*
(continuous).
-*Gender*: 63% men and 37% women (increasing faster);
*minorities*: 60%; age range *31-61 years*: 70% (normal
working years of people's lives).
Describe the background related to school health: Correct
Answer -*1894*: Boston established school health program to
combat communicable disease.
-*1902*: *LILLIAN WALD* worked in schools to reduce
absences due to communicable diseases (dropped 90%).
-*Today*: the National Association of School Nurses takes over
(NASN), advances the well-being, academic success, life-long
achievement, and health of students.
Describe the Medicare Home Healthcare delivery process:
Correct Answer -Outcome and Assessment Information Set
(*OASIS*): an assessment required by Medicare used at
, admission, discharge, and before and after readmission to
hospital (+ every 60 days if a patient needs a service for long
periods).
-The basis for *care plan*, *reimbursement* (i.e., lump-sum
payment must cover all care; a.k.a. *HEALTH-RELATED
GROUPS* or HHRGs), and *measuring outcomes* (tracked and
compared).
-*Skilled care*: provide care and/or teach client/family to
continue care; observation and assessment, direct care
(*DELEGATED FUNCTIONS* physician-->nurse), teaching.
-*The Omaha System*: provides community-based providers w/
system of classifying problems, using interventions, and
monitoring outcomes.
Does reporting intimate partner violence help or make the
situation worse (*LINK*)? Correct Answer -*Compendium of
State Laws*: varies by state; reporting intimate partner violence
(IPV) can *ESCALATE* the situation, victim may refuse help.
-*Wisconsin law*: requires health professionals to report
patients suffering from recent gunshot wounds and injuries
(including burns) believed caused as a result of a crime.
How are environmental health hazard assessments conducted?
Correct Answer -*Individual* exposure history.
-*I PREPARE* (*LINK*): guides questioning when doing an
individual exposure history; may guide to thinking about an
overall environmental assessment.
>*I*nvestigate potential exposures; *P*resent work;
*R*esidence; *E*nvironmental concerns; *P*ast work;
*A*ctivities; *R*eferrals and resources; *E*ducate.
-*Community-Wide Assessment*.
According to the CDC, how do you remove ticks properly
(*LINK*)? Correct Answer 1. Use *fine-tipped tweezers*,
grasp the tick as close to the skin's surface as possible.
2. Pull *upward* w/ steady, even pressure; do not twist or jerk
the tick in another direction.
3. Thoroughly *clean* the bite area and your hands w/ rubbing
alcohol or soap and water.
4. *Never crush a tick*, properly dispose by putting it in
alcohol, placing it in a sealed bag/container w/ tight tape, or
flushing it down the toilet.
Describe definitions related to homelessness: Correct Answer -
*Literally homeless*: sleeping outside; no fixed nighttime
residence.
-*Imminent risk of homelessness*: soon to be evicted from
house or residence.
-*Fleeing domestic violence* (a.k.a. intimate partner violence).
-*Youth*: abandoned in hospital; awaiting foster care (*BUT
BEING IN FOSTER CARE IS NOT HOMELESS*); living w/
relatives/shared housing (i.e., "doubled-up," requires tutor).
Describe plans related to school health: Correct Answer 1)
*Individualized Health Care Plans* (IHCP): a child who has
health issues, so nurse needs to collaborate w/ teachers to
establish a plan/schedule to help the child learn while meeting
health needs (e.g., nap, stay indoors).
-*Individualized Educational Plan* (IEP): specialized
instruction for children w/ disabilities (e.g., ADHD), may have
no need for nurse involvement.
,2) *Emergency Action Plans* (EAP): for a child who may need
emergency attention for a particular disease - who to call,
medications (e.g., asthma attack, diabetic problem).
3) *504 plan*: for children w/ disabilities who need
accommodation but not specialized instruction.
-*Free and Appropriate Public Education* (FAPE).
-*PROHIBITS DISCRIMINATION* against students w/
disabilities.
-*Rehabilitation Act* and the *Individuals w/ Disabilities
Education Improvement Act* (IDEIA).
Describe terminology related to home health: Correct Answer -
*Agencies*: the administration/direction site and where staff
gather for meetings, but delivery is in the home.
-*Referrals*: from physician and discharge planners, physician
must order home health (competitive).
-*Disciplines*: services that Medicare will pay an agency to
provide to Medicare beneficiary who qualifies (requires "skilled
level" care). Nursing, PT (physical therapy), OT (occupational
therapy), ST (speech therapy), SW (social work), Aide.
-*Caseload*: a group of patients assigned to a nurse to case
manage, amount dependent on skill and distance.
-*Intermittent visits*: not private duty nor lengthy visits, some
get 2-3 visits/week, some get 1 visit/month, based on
requirements.
-*HOME HEALTHCARE IS NOT INTENDED TO BE A
SUBSTITUTE FOR A NURSING HOME!*
Describe the abuse assessment screen: Correct Answer -
Assesses *frequency* and *victim* for experiencing physical,
,sexual, and emotional abuse; used in ED or admission -
primarily targets *intimate partner violence* (IPV).
-May contain specific questions, such as *pregnancy* and
*timeframe* and associated risk factors (i.e., "Within the last
year...").
Describe the analysis of homeless population data: Correct
Answer -*Point in time counts*: an annual counting night
required by Housing and Urban Development (HUD - federal
agency); done in order to receive *FUNDING* for homeless.
-*Prevalence counts*: occur over a period of time and may be
more accurate than a one-time count, more difficult and
expensive, include administrative records from shelters.
-*Crisis poverty* (in moment) vs. *persistent poverty*
(continuous).
-*Gender*: 63% men and 37% women (increasing faster);
*minorities*: 60%; age range *31-61 years*: 70% (normal
working years of people's lives).
Describe the background related to school health: Correct
Answer -*1894*: Boston established school health program to
combat communicable disease.
-*1902*: *LILLIAN WALD* worked in schools to reduce
absences due to communicable diseases (dropped 90%).
-*Today*: the National Association of School Nurses takes over
(NASN), advances the well-being, academic success, life-long
achievement, and health of students.
Describe the Medicare Home Healthcare delivery process:
Correct Answer -Outcome and Assessment Information Set
(*OASIS*): an assessment required by Medicare used at
, admission, discharge, and before and after readmission to
hospital (+ every 60 days if a patient needs a service for long
periods).
-The basis for *care plan*, *reimbursement* (i.e., lump-sum
payment must cover all care; a.k.a. *HEALTH-RELATED
GROUPS* or HHRGs), and *measuring outcomes* (tracked and
compared).
-*Skilled care*: provide care and/or teach client/family to
continue care; observation and assessment, direct care
(*DELEGATED FUNCTIONS* physician-->nurse), teaching.
-*The Omaha System*: provides community-based providers w/
system of classifying problems, using interventions, and
monitoring outcomes.
Does reporting intimate partner violence help or make the
situation worse (*LINK*)? Correct Answer -*Compendium of
State Laws*: varies by state; reporting intimate partner violence
(IPV) can *ESCALATE* the situation, victim may refuse help.
-*Wisconsin law*: requires health professionals to report
patients suffering from recent gunshot wounds and injuries
(including burns) believed caused as a result of a crime.
How are environmental health hazard assessments conducted?
Correct Answer -*Individual* exposure history.
-*I PREPARE* (*LINK*): guides questioning when doing an
individual exposure history; may guide to thinking about an
overall environmental assessment.
>*I*nvestigate potential exposures; *P*resent work;
*R*esidence; *E*nvironmental concerns; *P*ast work;
*A*ctivities; *R*eferrals and resources; *E*ducate.
-*Community-Wide Assessment*.
