Midterm Flashcards

Question

Information-literate

Answer 1

reading comprehension, med directions, finds credible info independently

Answer 2

Is able to read graphs, charts, pictures

Answer 3

is able to provide their health hx, describe S&S , listen to instructions

Answer 4

healthcare providers make all health info easier to understand, confirm everyone’s comprehension, and reduce the difficulty of health related tasks. Use teach back Avoid using medical terms!

Answer 5

a joint federal and state program to cover costs for people with limited income and resources. Each state runs its own program, **eligibility requirements and benefits vary state to state!** Undocumented: < 65 only emergency care, >65 full Medicaid , < 19 child plus full Medicaid , pregnant covered during preg + 1 year post

Answer 6

Federal health insurance program for people 65yo or older or disabled and received 24mo of social security disability payments. ESRD and ALS pts also qualify. **coverage is the same no matter what state** Part A = hospital coverage Part B = Medical insurance Part D = Rx Drug Coverage

Answer 7

Defining problems that are worthy of action. Nurses define the prevalence of disease, gather stats, provide the data, see the impact of public health problems

Answer 8

- Capture the attention of policymakers & motivate them to work toward a policy solution - convince them its worth their time - Gain media attn, public support, stakeholder interest - **Goal is to establish consensus & willingness to work together**

Answer 9

- development of a policy proposal by stakeholders, decisions are made to the shape the policy - Who will it benefit? Is anyone disadvantaged by the policy? - **nurses can test interventions & use the results**

Answer 10

Policy is enacted by a gov body. Federal policy is enacted by congress, executive action, or court action

Answer 11

- The policy is put into action - people are hired to make this happen, money is spent, and laws are enforced

Answer 12

- Assessing the extent to which a policy successfully improves the problem - Can be conducted by the gov, researchers, the media, & others - May also describe unintended consequences from the policy

Answer 13

- Assists nurses in performing a fam assessment in an organized, systematic manner - structural assessment done with genogram and ecomaps - functional assessment with instrumental and expressive - Developmental assessment with unique path of family

Answer 14

diagram used to identify the direction and intensity of family relationships btwn members and/or community institutions of importance to the family

Answer 15

diagram of family relationships btwn blood relatives that can span 2 or more generations. Life events like marriages, divorces, births, deaths included. Used to id relationships as well as patterns of disease

Answer 16

- Focuses on enhancing and sustaining fam fx by focusing on **fam strengths & resiliency.** -Home visits provide the advantage in delivery family focused & specific care - observation of interpersonal dynamics during fam assessment can provide insight into patterns of coping and communication within the fam

Answer 17

- Nurses have 15mins to complete a focused fam interview - Ask therapeutic questions - Avoid writing during the interview - Acknowledge fam strengths - avoid offering advice prematurely

Answer 18

- help prevent developmental & health problems during prenatal & infancy periods - Fewer instances of child abuse & neglect, fewer ER visits - Less infectious disease spread - more opportunity for individualized care - most people prefer this type of Tx for its comfort - pt may be less anxious in their home & **More receptive to learning!** - nurse can observe housing conditions that may impact health - family focused care that includes the fam is facilitated - keeps overall costs lower than being in the hospital

Answer 19

- travel time for nurses can be costly - less efficient, 1 pt at a time - distractions may be hard to control - pt may not want someone in their home - safety of the nurse !

Answer 20

1set of practices that helps prevent the spread of infections when providing care in a patient’s home. Steps: 1. Place barrier on a clean, flat, dry surface & place bag on top 2. Perform hand hygiene 3. Open the bag and lay out supplies 4. Provide care 5. Clean used items 6. Return used items to the bag 7. Perform hand hygiene agin - keep bag closed when possible - keep sanitizer in outside pocket

Answer 21

care of persons and families who have 6 months or less to live in what they consider their home or hospice center. - pain assessment is HUGE - Diarrhea/constipation assessment is very important d/t opioid use in this population - need to assess social resources - cultural/ spiritual considerations at end of life - perform thorough and on-going head to toes - provide pt w/ dignity & respect

Answer 22

from a cigarette or identifiable object (iron, heating grate, stove coils)

Answer 23

circumferential & sharply demarcated burns *unintentional burns usually have irregular borders & splash burn patterns*

Answer 24

- burns to the lip or tongue, especially with bruising (indicates forcing hot liquids) - burns to the perineal or rectal area - b/l burns of uniform depth or shape

Answer 25

- set water heater at 120F or just below medium setting - Run hand through bath water to check for hot spots - use back burners and turn pot handles toward the BACK of the stove - avoid using tablecloths & placemats - use travel mug w/ tight lid for all hot drinks - never carry or hold a child when you have a hot drink in hand

Answer 26

- risk of death from house fire increased d/t physical and cognitive limitations! - decreased peripheral sensation, may not be able to tell how hot something is - forgetful that something is hot - older homes more likely to catch fire form electrical problems

Answer 27

- what is the skin color of the burn? - is the skin intact over the burn? - Are there any blisters? - dose the skin blanch w/ pressure

Answer 28

burn of the epidermis. - blood supply to the dermis is intact - skin color is pink to red - skin is intact - no blisters - blanches w/ pressure Ex. Sunburn

Answer 29

aka 2nd degree. Burn extends into the dermis. - blisters are present - skin may be open - mottled pink to red color - **wet, shiny skin**

Answer 30

aka 2nd degree. Burn extends deeper into the dermis. - wound is red and **dry with white areas** - mod edema - may or may not blanch w/ pressure

Answer 31

aka 3rd degree. Full burn of the epidermis and dermis. - skin is waxy, white, dry, hard - sensation is reduced because of nerve destruction - may require skin graft - healing may take weeks to months

Answer 32

aka 4th degree. Burns extends into underlying fascia & muscle. - burn appears **black** - sensation is completely absent! - no pain - healing takes MONTHS - grafts are REQUIRED

Answer 33

used to estimate TBSA. Pt’s palm is used, for each palm size that can cover the burn = 1% of TBSA

Answer 34

chart divides TBSA into % that are multiples of 9. You look at where the pt’s burns are and use the chart to estimate how much of that area is burned and the correlating %. **Not used for superficial burns!!**

Answer 35

body’s response is localized to the area of the burn ONLY. **remove jewelry to prevent compartment syndrome!**

Answer 36

BSA > 25% for adults BSA > 10% in peds - body’s response is systemic - can have extensive abdominal swelling, extremity swelling - abdominal swelling can make vent difficult!

Answer 37

- planning - training - education - practice drills

Answer 38

- implementing action in response to disaster

Answer 39

- evaluation of response to disaster - trying to get back to normal, might look totally different than before disaster

Answer 40

efforts to reduce the impact of a situation. Results in reduced loss of life and more survivors

Answer 41

Walking = automatic green

Answer 42

pt can’t walk, but DOES NOT meet any of the RPM requirements

Answer 43

if pt meets any one of the RPM’s , they are red

Answer 44

Pt not breathing, expected death

Answer 45

decides if pt is yellow or red. Respirations > 30 Perfusion > 2sec OR **active bleed** Mental status, can they follow a simple command

Answer 46

- often only healthcare provider in the building - need broad knowledge of both healthcare & edu policy - huge role in surveillance of immunization compliance & admin vaccines (primary prev) - Do vision & hearing screenings - providing care of chronic illnesses/disease (admin insulin)

Answer 47

developed by an interdisciplinary team to provide edu & services to any student that has an identified disability. Corresponds to individual’s needs **in the least restrictive environment**. School nurse helps develop & implement

Answer 48

-Links the community & the school - students & fam encouraged to be active in their own learning & health - community agencies collab w/ school leaders to provide resources for students’ health & learning - school supports fams in promoting healthy behaviors at home - school facilities are opened to the community for activities promoting health & wellness

Answer 49

Passed in 1990, affirmed the rights of people w/ disabilities by adding that the student’s classroom environment must be in the least restrictive setting possible. As close to normal as possible. Moved away from disabled children being separated together

Midterm Flashcards

(74 cards)