Exam 1

Question 1

What are the levels of health care?

Answer 1

1. Primary
2. Secondary
3. Tertiary

Question 2

Primary level

Answer 2

preventative with health promotion

Question 3

Secondary level

Answer 3

the diagnosis of an illness

Question 4

Tertiary level

Answer 4

rehab or the end of life care

Question 5

What is Palliative care?

Answer 5

Making the patient as comfortable as possible.

ie: if in pain making them feel better, dying; at ease, not worried

Question 6

Models of Nursing Care Delivery

Answer 6

1. Primary
2. Total client care
3. Team Nursing care
4. Modular Nursing care
5. Case Management
6. Client centered care

Question 7

Primary Nursing Care

Answer 7

One nurse who is responsible for a whole load of patients 24 hrs

EX: home health aide

Question 8

Total Client Care

Answer 8

When the nurse is responsible for all care of a patient during a shift

Question 9

Team Nursing Care

Answer 9

When a group of healthcare workers work together to perform tasks needed for a patient

Question 10

Modular Nursing

Answer 10

When 2 nurses are responsible for a load of patients

Question 11

Case manager

Answer 11

Is one who follows up with patient while in a facility and sometimes has to follow up after discharged. Deals with patients well being and insurance information.

Question 12

Client Centered Care

Answer 12

everything is located in one location

Question 13

Leadership Styles of Nursing:

Answer 13

1. Autocratic
2. Democratic
3. Laissez Faire
4. Bureaucratic
5. Situational

Question 14

Autocratic

Answer 14

Dictator/ makes all decision: works best in emergency situations

Question 15

Democratic

Answer 15

Group discussion to make a decision

• Very effective except in emergency situations
• Most members are internally motivated

Question 16

Laissez Faire

Answer 16

Leader lets the people do what they want

• must have strong foundation and trust within the group

Question 17

Bureaucratic

Answer 17

Strict rules and policies

Question 18

Management and Delegation

Answer 18

As an RN you are responsible for any deletion (order you give) you make

Question 19

How often should ROM be completed?

Answer 19

Every 2 hrs

Question 20

How often to restraints need to be assessed?

Answer 20

every 15 minutes

• Restraints are the last resort for a patient

Question 21

Levels of space:

Answer 21

1. Intimate (0-18 in)
2. Personal (18 in. - 3ft.)
3. Social/ Public (3- 6 ft.)

Question 22

Cardiovascular Mobility :

Answer 22

• helps strengthen cardia muscles
• Increases cardiac output
• Decreases resting heart rate
• Increases venous return

Question 23

Musculoskeletal Mobility:

Answer 23

• Increases joint flexibility & ROM
• Maintains and improves muscle tone strength
• Maintains bone density through weight

Question 24

GI Mobility:

Answer 24

• Improves appetite
• Increases GI tract tone
• Improves digestion and elimination

Question 25

Metabolic Mobility:

Answer 25

- Elevates basal metabolic rate - Reduces triglycerides and cholesterol levels - Increases glucose - Increases production of body heat - Burns excess fat

Question 26

Urinary System Mobility:

Answer 26

- Promotes excretion of waste | - Prevents urine stasis in the bladder

Question 27

Activity Tolerance

Answer 27

- Reduces fatigue | - Improves activity tolerance

Question 28

Psychosocial Factors:

Answer 28

- Improves stress tolerance - Produces a sense of well being - Reduces depression - Improves body image - Enhances quality of sleep - Increases energy levels

Question 29

Semi- Fowlers

Answer 29

30- 45 degrees

Question 30

Fowlers

Answer 30

60- 90 degrees

Question 31

Assessment of the abdomen:

Answer 31

Inspect, auscultate, percuss, then palpate - different from every other part because you don't want to disrupt the bowel sounds

Question 32

Assessment

Answer 32

Inspect, palpate, percuss, then auscultate

Question 33

Eyes: PERRLA

Answer 33

``` P: Pupils should be clear E: Pupils should be equal in size and between 2-3mm R: Round in shape RL: Reactive to light A: Accommodation ```

Question 34

Types of hearing loss:

Answer 34

1. Sensory neural 2. Conductive 3. Presbycusis

Question 35

Sensoneural:

Answer 35

due to a problem with the inner ear or auditory nerve

Question 36

Conductive:

Answer 36

due to a problem with the external or middle ear ex: wax buildup, foreign body, infection

Question 37

Presbycusis:

Answer 37

hearing loss due to aging

Question 38

Does ones sense of taste decrease with age?

Answer 38

No it does not

Question 39

Tonsils: +1

Answer 39

Barely visible

Question 40

Tonsils: +2

Answer 40

Between entonsillar pillars and uvula

Question 41

Tonsils: +3

Answer 41

Touching the uvula

Question 42

Tonsils: +4

Answer 42

Tonsils are touching each other: called kissing tonsils

Question 43

Objective Data:

Answer 43

- Factual data observed by the nurse | - No conclusions or interpretations made

Question 44

Subjective Data:

Answer 44

- Information given verbally by the client | - Captures the clients point of view

Question 45

Objective Data:

Answer 45

- Factual data observed by the nurse | - No conclusions or interpretations made

Question 46

Subjective Data:

Answer 46

- Information given verbally by the client | - Captures the clients point of view

Question 47

Myopia

Answer 47

nearsightedness

Question 48

Hyperopia

Answer 48

farsightedness

Question 49

Astigmatism

Answer 49

irregularity of the cornea which causes blurred vision

Question 50

Presbyopia

Answer 50

decreased elasticity of the lens with a decrease in accommodation

Question 51

If eyeballs appear to be sunken what could you assume is wrong with the patient?

Answer 51

they are dehydrated or emaciated

Question 52

what is hardness of the eye caused by?

Answer 52

glaucoma

Question 53

what is softness of the eye caused by?

Answer 53

dehydration

Question 54

5 rights of delegation

Answer 54

- the right task - the right circumstance - the right person - the right communication - the right evaluation

Question 55

Maslow's Hiearchy of Needs: most important to least important

Answer 55

1. Physiological needs: - need for air, nutrition, water, elimination, rest, and sleep 2. Safety Needs: - Need for shelter and freedom from harm and danger 3. Love Needs: - Need for affection, feeling of belongingness, and meaningful relationships with people 4. Esteem Needs: - Need to be well thought of by oneself as well by others 5. Self- Actualization Needs: - Need to be self- fulfilled, learn, create, understand, and experience ones potential