Medical-Surgical Nursing Review and Resource Manual

Created by Diane Malabad

p.8

What are the Five A's guidelines for smoking cessation?

Click to see answer

p.8

Ask about smoking at every visit, Advise all smokers to stop, Assess willingness to stop, Assist patient with quitting, Arrange for follow-up.

Click to see question

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p.8
Health Promotion and Wellness Principles

What are the Five A's guidelines for smoking cessation?

Ask about smoking at every visit, Advise all smokers to stop, Assess willingness to stop, Assist patient with quitting, Arrange for follow-up.

p.2
Health Promotion and Wellness Principles

What are the overarching goals of Healthy People 2020?

Attain high-quality, longer lives free of preventable disease and achieve health equity.

p.3
Health Promotion and Wellness Principles

What is a key goal in promoting health for all?

Create social and physical environments that promote good health.

p.4
Immunization and Infectious Disease Control

How many vaccine-preventable diseases are targeted by immunization recommendations in the U.S.?

17 diseases.

p.18
Quality Improvement in Healthcare

What is the expectation of quality patient care?

It is a mandate and expectation of patients, regulatory agencies, and insurers.

p.2
Health Promotion and Wellness Principles

What does health promotion and wellness focus on?

Goes beyond treatment of illness and injury to include prevention and wellness promotion.

p.16
Health Promotion and Wellness Principles

What is motivational interviewing?

A counseling approach that helps individuals find the motivation to make positive decisions.

p.2
Health Promotion and Wellness Principles

What does Healthy People 2020 aim to eliminate?

Health disparities and improve the health of all groups.

p.3
Health Promotion and Wellness Principles

What foundational health measures indicate progress toward health goals?

General health status, life expectancy, and chronic disease prevalence.

p.25
Professional Development and Mentorship

What are the four stages of mentorship?

Initiation, Cultivation, Growth, Separation and redefinition.

p.6
Health Promotion and Wellness Principles

What is the recommended frequency for colonoscopies starting at age 50?

Every 10 years.

p.1
Nursing Diagnosis and Care Planning

Which university is associated with the Nursing intervention classification and nursing outcome classifications?

The University of Iowa, College of Nursing.

p.1
Nursing Diagnosis and Care Planning

What does the book by Pagana and Pagana provide?

Mosby’s diagnostic and laboratory test reference.

p.16
Health Promotion and Wellness Principles

What is the purpose of the Substance Abuse and Mental Health Services Administration (SAMHSA)?

To promote mental health and substance abuse services.

p.6
Health Promotion and Wellness Principles

How often should blood pressure be checked?

Every exam, or 1–2 years.

p.4
Immunization and Infectious Disease Control

What remains a major cause of illness, disability, and death?

Infectious disease.

p.9
Health Promotion and Wellness Principles

What is the goal for weight loss in relation to ideal body weight (IBW)?

10 calories per pound of ideal body weight.

p.22
Quality Improvement in Healthcare

What is Root-Cause Analysis?

A method designed to uncover the problem that resulted in a patient adverse event.

p.21
Patient Safety and Medical Errors

What report highlighted the issue of medical errors in healthcare?

To Err Is Human by the Institute of Medicine (IOM) in 1999.

p.12
Patient Education and Learning Styles

Why should different learning styles be encouraged?

They can be learned and developed with practice and direction by both teacher and learner.

p.14
Patient Education and Learning Styles

What is an effective teaching strategy that involves acting out scenarios?

Role-playing.

p.32
Legal Aspects of Nursing Practice

What is the role of administrative agencies?

To create rules and regulations that enforce statutory laws.

p.3
Health Promotion and Wellness Principles

What is meant by 'healthy life expectancy'?

The number of years a person can expect to live in good health.

p.32
Legal Aspects of Nursing Practice

What are court decisions?

Judicial decisions made by the courts to interpret legal issues in dispute.

p.23
Professional Development and Mentorship

What is the role of the RN in supervision during delegation?

Provide adequate and appropriate supervision.

p.26
Professional Development and Mentorship

What is the focus of the book 'Leadership roles and management functions in nursing'?

It discusses theory and application in nursing management and leadership.

p.8
Health Promotion and Wellness Principles

What percentage of adults in the United States are considered obese?

More than one-third (34.9%).

p.8
Health Promotion and Wellness Principles

What are some diseases that can contribute to obesity?

Hypothyroidism, Cushing’s syndrome, polycystic ovary syndrome, and menopause.

p.2
Health Promotion and Wellness Principles

What is a key component of health promotion according to the text?

Engaging multiple sectors to strengthen policies and improve practices based on evidence.

p.3
Health Promotion and Wellness Principles

What does health-related quality of life encompass?

Physical, mental, and social health-related quality of life.

p.4
Immunization and Infectious Disease Control

What are essential components for reducing infectious disease transmission?

Disease awareness and completion of immunization and antibiotic courses.

p.4
Immunization and Infectious Disease Control

What are some leading vaccine-preventable diseases in the U.S.?

Viral hepatitis, influenza, and tuberculosis.

p.29
Scope of Practice and Regulatory Guidelines

What are regulators in healthcare?

Organizations and agencies that set rules, regulations, or standards for healthcare providers.

p.30
Legal Aspects of Nursing Practice

What are the consequences of OSHA violations?

Violations can incur a citation, a fine, or both, and serious violations can lead to workplace closure.

p.30
Legal Aspects of Nursing Practice

What does the Health Insurance Portability and Accountability Act (HIPAA) ensure?

It greatly expands patients' rights to confidentiality in all healthcare settings.

p.12
Patient Education and Learning Styles

What do adults typically want from education?

Knowledge that serves a specific need or solves a problem.

p.18
Quality Improvement in Healthcare

Why is quality assurance (QA) no longer an appropriate term?

It focuses on assumed existing quality care rather than actively improving it.

p.14
Patient Education and Learning Styles

What is the purpose of demonstration with return demonstration?

To ensure understanding and retention of skills.

p.9
Health Promotion and Wellness Principles

What are the actual benefits of exercise?

Reduces mortality and morbidity, increases functional level, improves mood, and improves body composition.

p.11
Health Promotion and Wellness Principles

What is the purpose of the Transtheoretical Model?

To identify stages of change and match interventions to those stages.

p.7
Immunization and Infectious Disease Control

How often should the Influenza vaccine be administered?

1 dose annually for individuals over 50 and younger persons if high-risk.

p.24
Professional Development and Mentorship

What is a standard for Nurse Administrators?

Advocacy.

p.28
Legal Aspects of Nursing Practice

What does the Nurse Practice Act govern?

Nursing practice within the state.

p.2
Health Promotion and Wellness Principles

What is included in a comprehensive plan of care?

Guidance for patients and families toward a healthy lifestyle and away from risk factors.

p.8
Health Promotion and Wellness Principles

What are some contributing factors to obesity?

Age, sedentary lifestyle, non-Hispanic black ethnicity, higher income, genetics, lack of sleep, smoking, large food portions, inability to afford access to exercise facilities, and presence of certain diseases.

p.29
Scope of Practice and Regulatory Guidelines

What identifies the grounds for disciplinary action within the state?

The regulatory guidelines for nursing practice.

p.1
Nursing Diagnosis and Care Planning

What is the title of the book by Weber and Kelley?

Health assessment in nursing.

p.21
Quality Improvement in Healthcare

What organization is known for setting standards in nursing?

American Nurses Association (ANA).

p.22
Conflict Resolution in Nursing

What is the overall goal of conflict resolution?

To create a win-win situation.

p.33
Legal Aspects of Nursing Practice

What is defamation in a medical context?

Communication of false information orally (slander) or in writing (libel) that damages reputation.

p.22
Conflict Resolution in Nursing

What are the three categories of conflict?

Intergroup, intrapersonal, and interpersonal.

p.29
Scope of Practice and Regulatory Guidelines

What is Medicare?

A federal health insurance program for persons ages 65 and older and some younger individuals with long-term disabilities.

p.20
Quality Improvement in Healthcare

What has prompted changes in healthcare facilities regarding Medicaid and Medicare?

The large proportion of business represented by the Medicaid and Medicare population.

p.31
Legal Aspects of Nursing Practice

What are some examples of private health insurance carriers?

Blue Cross Blue Shield, Anthem, Prudential, Metropolitan.

p.22
Professional Development and Mentorship

What is the critical leadership skill that requires clinical judgment?

Delegation.

p.28
Legal Aspects of Nursing Practice

What is the primary purpose of registered nurse licensure?

To provide public safety.

p.25
Professional Development and Mentorship

What methods are used to determine nursing competency?

State board license, certification, performance review, checklist and audits, peer evaluation, and assessment.

p.33
Legal Aspects of Nursing Practice

What defines malpractice in nursing?

A tort committed by a professional action in a professional capacity, failing to act as a reasonable, prudent nurse would.

p.25
Professional Development and Mentorship

What is the key concept of collaboration in nursing?

A win-win strategy involving partnership, interdependence, and collective ownership and responsibility.

p.14
Patient Education and Learning Styles

Why is it important to eliminate distractions during patient education?

To enhance focus and retention of information.

p.13
Patient Education and Learning Styles

What needs to be considered regarding motivation in older adults?

Motivation and desire to learn new information.

p.30
Legal Aspects of Nursing Practice

What do professional organizations examine?

Professional scope of practice and professional standards in general or specialty practice.

p.26
Patient Safety and Medical Errors

What significant legislation is associated with patient safety and quality improvement?

The Patient Safety and Quality Improvement Act.

p.1
Nursing Diagnosis and Care Planning

What is the focus of the book by Ignatavicius and Workman?

Medical-surgical nursing: Patient-centered collaborative care.

p.1
Nursing Diagnosis and Care Planning

What is the main subject of the book by Lewis et al.?

Medical-surgical nursing: Assessment and management of clinical problems.

p.16
Health Promotion and Wellness Principles

What topics does Healthy People 2020 address regarding immunizations?

It focuses on improving immunization rates and reducing infectious diseases.

p.9
Health Promotion and Wellness Principles

What is the reasonable rate of weight loss per week?

1 to 2 pounds.

p.18
Quality Improvement in Healthcare

What support is required for quality patient care?

Support from hospital administration, commitment of financial and human resources, and commitment to excellence.

p.25
Professional Development and Mentorship

What activities are involved in the Cultivation stage of mentorship?

Coaching, protection, and listening.

p.6
Health Promotion and Wellness Principles

How often should visual acuity be checked for individuals over 50?

Annually.

p.33
Legal Aspects of Nursing Practice

What constitutes invasion of privacy in healthcare?

Giving unauthorized access to patient or patient’s information, such as taking a patient’s photo without permission.

p.18
Quality Improvement in Healthcare

What challenges can arise from using outcomes only to measure quality?

Outcome measurements are multifaceted and involve various stakeholders, making it difficult to assess quality.

p.33
Legal Aspects of Nursing Practice

What is false imprisonment?

Unjustifiable restriction of movement.

p.4
Immunization and Infectious Disease Control

What types of diseases are included in respiratory diseases?

Influenza and pneumonia.

p.5
Immunization and Infectious Disease Control

What are some emerging issues in immunization and infectious diseases?

Detection of new infectious agents, international travel, migration, and threats of bioterrorism.

p.18
Quality Improvement in Healthcare

What does quality improvement (QI) recognize about care standards?

That care standards are not static and must evolve with new procedures and treatment regimes.

p.12
Patient Education and Learning Styles

How does educational level affect the teaching-learning process?

It can determine the complexity of the material, such as a sixth-grade reading level.

p.9
Health Promotion and Wellness Principles

Who are the key members of the interdisciplinary collaboration for weight loss?

Primary care provider, nurse, dietician, nutritionist, bariatric surgeon, case manager, social worker, psychiatrist, and psychologist.

p.20
Quality Improvement in Healthcare

What is the role of the Joint Commission?

A private nonprofit organization that audits healthcare organizations and programs for quality and safety.

p.21
Quality Improvement in Healthcare

What is one of the strategies endorsed by the Leapfrog Group?

Use of bar codes in medication administration.

p.32
Legal Aspects of Nursing Practice

What is an unintentional civil wrongdoing?

A civil wrongdoing resulting from the defendant’s negligence.

p.7
Immunization and Infectious Disease Control

What is the frequency for Tetanus and Diphtheria vaccinations after the primary series?

1 dose every 10 years.

p.20
Patient Safety and Medical Errors

What are National Patient Safety Goals (NPSGs)?

Annual goals issued to improve patient safety, including identifying patients correctly and preventing mistakes in surgery.

p.33
Legal Aspects of Nursing Practice

What are the components of negligence?

Duty to person, breach of duty, causation, and actual injury or harm.

p.20
Professional Development and Mentorship

What is the goal of Quality and Safety Education for Nurses (QSEN)?

To improve nursing care.

p.26
Professional Development and Mentorship

What is the purpose of developing delegating skills in nursing?

To enhance management and leadership effectiveness.

p.16
Health Promotion and Wellness Principles

What does the U.S. Department of Health and Human Services' Healthy People 2020 initiative focus on?

Improving the health of Americans through various health objectives.

p.16
Health Promotion and Wellness Principles

What are foundation health measures in Healthy People 2020?

Key indicators used to track health progress and outcomes.

p.8
Health Promotion and Wellness Principles

What are some complications of obesity?

Coronary heart disease, high blood pressure, type 2 diabetes, gallstones, and sleep apnea.

p.6
Health Promotion and Wellness Principles

How often should cholesterol levels be checked for individuals 20 years and older?

Every 5 years.

p.32
Legal Aspects of Nursing Practice

What are statutes?

Documented rules for living, both state and federal.

p.7
Immunization and Infectious Disease Control

What is the primary purpose of immunizations?

To prevent infectious disease and disability caused by certain communicable diseases.

p.25
Professional Development and Mentorship

What is emphasized during the Growth stage of mentorship?

Encouraging reflection, change, and independence.

p.4
Immunization and Infectious Disease Control

What are the benefits of routine immunizations?

Save 33,000 lives, prevent 14 million cases of disease, and reduce healthcare costs significantly.

p.14
Patient Education and Learning Styles

What teaching strategy involves discussing topics in a guided manner?

Guided discussion.

p.30
Legal Aspects of Nursing Practice

What is one of the main reasons for HIPAA?

To ensure that patients retain the right to their own medical information.

p.10
Health Promotion and Wellness Principles

What is isotonic exercise?

Aerobic exercise that uses oxygen, is efficient in energy production, and involves large muscle groups in rhythmic motion.

p.7
Immunization and Infectious Disease Control

What is the vaccination recommendation for Pneumococcal for individuals over 65?

1 dose, with revaccination 5 years later for high-risk individuals.

p.24
Professional Development and Mentorship

What are nurses expected to advocate for?

The profession, patient, and staff.

p.30
Quality Improvement in Healthcare

What is the role of the Joint Commission?

To provide voluntary accreditation surveys and mandate quality assessment programs in hospitals.

p.32
Legal Aspects of Nursing Practice

What distinguishes civil legal actions?

They involve private interests and rights between persons, known as torts.

p.31
Legal Aspects of Nursing Practice

What is managed care in health insurance?

A system that provides healthcare services at reduced costs through a network of providers.

p.22
Scope of Practice and Regulatory Guidelines

What does 'Right circumstances' refer to in delegation?

Consideration of setting, patient condition, and stability.

p.31
Legal Aspects of Nursing Practice

What does 'capitated' fee mean in healthcare reimbursement?

A fee paid monthly based on the number of enrollees who select a provider as their primary care provider.

p.22
Scope of Practice and Regulatory Guidelines

What does 'Right task' mean in the context of delegation?

Determining if the task can be safely delegated to a non-RN care provider.

p.31
Nursing Diagnosis and Care Planning

What is the purpose of Nursing Minimum Data Sets (NMDS)?

To standardize the collection of nursing data.

p.13
Patient Education and Learning Styles

What abilities should be considered when teaching older adults?

Literacy, reading comprehension, problem-solving, and the ability to apply information.

p.20
Health Promotion and Wellness Principles

What are the six focus areas of QSEN?

Patient-centered care, teamwork and collaboration, evidence-based practice, quality, safety, and informatics.

p.2
Health Promotion and Wellness Principles

What is the mission of Healthy People 2020?

Identify nationwide health improvement priorities and increase public awareness of health determinants.

p.26
Professional Development and Mentorship

What edition is 'Guide to nursing management and leadership' by Tomey?

8th edition.

p.6
Health Promotion and Wellness Principles

What is the recommended frequency for mammograms for women aged 50-69?

1–2 years.

p.29
Scope of Practice and Regulatory Guidelines

What does the scope of practice define?

The actions and duties allowed by the nursing profession.

p.3
Health Promotion and Wellness Principles

What are some determinants of health?

Biology, genetics, individual behavior, and access to health services.

p.3
Health Promotion and Wellness Principles

What factors contribute to health disparities?

Race and ethnicity, gender, physical and mental ability, and geography.

p.18
Quality Improvement in Healthcare

How did the Institute of Medicine define health care quality in 1994?

As the provision of health services that increase desired health outcomes based on current professional knowledge.

p.5
Health Promotion and Wellness Principles

What is a significant challenge in prevention efforts for diseases?

Resources to support prevention efforts are not always available.

p.25
Professional Development and Mentorship

Why is the Separation and redefinition stage important in mentorship?

It develops an independent relationship and is necessary if the mentor has done a good job.

p.5
Health Promotion and Wellness Principles

What demographic changes require attention in public health?

The growing needs of an increasingly diverse and aging population.

p.15
Patient Education and Learning Styles

What should be assessed to determine how a person's beliefs affect health?

Assessment of spiritual beliefs.

p.11
Health Promotion and Wellness Principles

What are the key components assessed in Pender’s Health Promotion Model?

Barriers, benefits, modifying factors, and cues to action.

p.31
Legal Aspects of Nursing Practice

What is a traditional fee-for-service plan?

A health insurance model where providers are paid for each service rendered.

p.20
Patient Safety and Medical Errors

What are some issues associated with the Prospective Payment System?

Decreased length of stay, questionable quality of care, increased acuity of patients, and increased job dissatisfaction among nurses.

p.28
Legal Aspects of Nursing Practice

What examination must all individuals seeking RN licensure pass?

The NCLEX examination.

p.23
Professional Development and Mentorship

What can lead to improper delegating?

Delegating tasks at the wrong time, to the wrong person, or for the wrong reason.

p.33
Legal Aspects of Nursing Practice

What is the general term for carelessness in nursing?

Negligence, which can be by omission or commission.

p.11
Health Promotion and Wellness Principles

What is the focus during the Contemplation stage of change?

Acknowledging the need for change but feeling ambivalent or anxious.

p.28
Legal Aspects of Nursing Practice

Why is the Nurse Practice Act considered the most important legislation for nurses?

It defines the authority of the state’s board of nursing and the scope of practice.

p.28
Legal Aspects of Nursing Practice

What does the Nurse Practice Act describe regarding board membership?

The process for selecting individual members and categories of membership.

p.23
Professional Development and Mentorship

How should goals be communicated in delegation?

Clearly communicate the goal.

p.19
Quality Improvement in Healthcare

What is one of the main principles of TQM?

Quality can and must be managed.

p.13
Patient Education and Learning Styles

Why is congruence of language important in adult learning?

It helps overcome language barriers and ensures understanding of information.

p.28
Legal Aspects of Nursing Practice

What does the Nurse Practice Act outline regarding license renewal?

How and when to renew your license.

p.1
Nursing Diagnosis and Care Planning

What is the title of the handbook by Ackley and Ladwig?

Nursing diagnosis handbook: An evidence-based guide to planning care.

p.26
Quality Improvement in Healthcare

Which organization provided a timeline of key developments in Medicare?

Kaiser Family Foundation.

p.6
Health Promotion and Wellness Principles

At what age should women begin annual breast exams?

Age > 40.

p.29
Scope of Practice and Regulatory Guidelines

What steps can a nurse take if they believe disciplinary actions are unfair?

Follow the outlined appeal steps provided by the board.

p.4
Immunization and Infectious Disease Control

What are the goals for immunization and infectious disease control?

Focus on technological advancements and collaboration among public health entities.

p.25
Professional Development and Mentorship

What occurs during the Initiation stage of mentorship?

A relationship is established.

p.30
Legal Aspects of Nursing Practice

What is the purpose of the Occupational Safety and Health Administration (OSHA)?

To ensure safe, healthy workplaces and provide national leadership in occupational safety and health.

p.32
Legal Aspects of Nursing Practice

What does the Nurse Practice Act exemplify?

The ethics of society in writing.

p.7
Immunization and Infectious Disease Control

What is the recommended age for receiving the HPV vaccine?

Age 13–26, ideally before sexual activity.

p.23
Professional Development and Mentorship

What are the key components of effective communication in delegation?

Instructions should be clear, concise, complete, and understood.

p.21
Quality Improvement in Healthcare

What is a proposed strategy to reduce medication errors?

Computer Physician Order Entry (CPOE).

p.25
Professional Development and Mentorship

What is competency in nursing?

Having the abilities to meet the requirements of the role.

p.12
Patient Education and Learning Styles

What are some barriers to learning for adults?

Cognitive or mood impairment, decreased vision, decreased hearing, fatigue, physical debilitation, and lack of learner readiness.

p.15
Patient Education and Learning Styles

What technique can be used to enhance patient adherence?

Motivational interviewing.

p.3
Health Promotion and Wellness Principles

What is the significance of self-assessed health status?

It reflects individuals' perceptions of their own health.

p.21
Quality Improvement in Healthcare

What is Critical Event Analysis (CEA)?

A method used to review causes of adverse events.

p.11
Health Promotion and Wellness Principles

What stage of change involves no intention to change?

Precontemplation.

p.7
Immunization and Infectious Disease Control

Who should receive the Hepatitis A vaccine?

Persons at high risk and those traveling or working outside the U.S.

p.19
Quality Improvement in Healthcare

What is the focus of monitoring and measuring care in a healthcare system?

Care system, environment of care, interaction of care providers, and the identified needs of the patient and community.

p.33
Legal Aspects of Nursing Practice

What are the categories of negligence in nursing?

Failure to follow standards of care, use equipment reasonably, communicate, document, assess and monitor, and act as a patient advocate.

p.28
Legal Aspects of Nursing Practice

What information does the Nurse Practice Act provide about nursing practice?

Definitions and scope of practice for each level of nursing.

p.15
Patient Education and Learning Styles

What may be easier for patients to adopt?

Adding new behaviors rather than eliminating established ones.

p.19
Quality Improvement in Healthcare

What does the Pay for Performance (P4P) initiative aim to achieve?

Align payments and incentives for services to reduce costs and improve quality of care.

p.11
Patient Education and Learning Styles

Why is it important to identify learning styles of both teacher and learner?

Most effective teaching occurs when using the learner’s preferred style.

p.28
Legal Aspects of Nursing Practice

What types of licensure and titles are denoted in the Nurse Practice Act?

RN, APN, LPN.

p.8
Health Promotion and Wellness Principles

What medications are associated with weight gain?

Corticosteroids, antidepressants, and antiseizure medications.

p.6
Health Promotion and Wellness Principles

When should pelvic exams and Pap smears begin?

At age 18 or if sexually active.

p.29
Scope of Practice and Regulatory Guidelines

What are nurses held accountable to?

The standard of care in existence at the time of care.

p.29
Scope of Practice and Regulatory Guidelines

What happens when the court or legislation increases the nursing role?

The legal responsibility of the nurse increases as well.

p.21
Patient Safety and Medical Errors

How many people die each year due to medical errors, according to reports?

44,000 to 98,000 people.

p.3
Health Promotion and Wellness Principles

What are some new topic areas for health in 2020?

Adolescent health, blood disorders, and global health.

p.9
Health Promotion and Wellness Principles

Which populations have low rates of physical activity?

Women, low income individuals, low education individuals, Hispanic and Black populations, and persons with disabilities.

p.6
Health Promotion and Wellness Principles

What is the recommended frequency for glucose testing?

Every 3 years.

p.29
Scope of Practice and Regulatory Guidelines

What is Medicaid?

A jointly funded state-federal health insurance program for eligible low-income persons, with coverage varying by state.

p.20
Quality Improvement in Healthcare

What is the Prospective Payment System (PPS)?

A system where payments are based on Diagnosis-Related Groups (DRGs) and are fixed regardless of actual costs.

p.21
Patient Safety and Medical Errors

What does the Patient Safety and Quality Improvement Act do?

Treats voluntarily submitted medical errors as confidential.

p.23
Professional Development and Mentorship

What is a common error related to underdelegating?

The false assumption that delegating indicates a lack of ability.

p.6
Health Promotion and Wellness Principles

How often should dental exams and cleanings be performed?

Exam annually, cleaning every 6 months.

p.22
Scope of Practice and Regulatory Guidelines

What are the Five Rights of Delegation?

Right circumstances, right task, right person.

p.5
Health Promotion and Wellness Principles

What are the nonmodifiable risk factors for health?

Age, gender, race and ethnicity, and family history.

p.23
Professional Development and Mentorship

What is a consequence of overdelegating?

Delegating too much without considering the delegatee's abilities and available time.

p.14
Patient Education and Learning Styles

What should be ensured for older adults to facilitate learning?

That glasses and hearing aids are on and working.

p.23
Professional Development and Mentorship

What is the first step in effective delegation?

Plan ahead.

p.10
Health Promotion and Wellness Principles

What does the Health Belief Model explain?

It explains why healthy people use health-protecting and disease-preventing services.

p.12
Patient Education and Learning Styles

Why is repetition important in adult education?

It reinforces learning and aids retention.

p.31
Nursing Diagnosis and Care Planning

What is the significance of NANDA International?

It provides a standardized language for nursing diagnoses.

p.14
Patient Education and Learning Styles

What should be included when providing new information to patients?

Provide it in writing, at an appropriate reading level.

p.13
Patient Education and Learning Styles

What is the recommended teacher/learner ratio when dealing with older adults?

The ratio should be low.

p.19
Legal Aspects of Nursing Practice

What legislation mandated the certification of need and review of care?

Professional Standards Review Board legislation (PL 92–603, 1972).

p.9
Health Promotion and Wellness Principles

What is the recommended calorie maintenance for weight loss?

12 calories per pound of current weight.

p.30
Legal Aspects of Nursing Practice

Who enforces OSHA regulations?

The Department of Labor.

p.4
Immunization and Infectious Disease Control

What tools are used in the fight against emerging infectious diseases?

Disease surveillance, proper use of vaccines, antibiotics, and screening guidelines.

p.21
Patient Safety and Medical Errors

What is the rank of medical errors as a cause of death in the U.S.?

8th leading cause of death.

p.11
Health Promotion and Wellness Principles

What does Pender’s Health Promotion Model focus on?

Health-seeking behaviors and prevention, not disease.

p.7
Immunization and Infectious Disease Control

How many doses are required for the Varicella vaccine?

2 doses (0, 4–8 weeks).

p.24
Professional Development and Mentorship

What is the most vital and basic role of the nurse?

Standing up for what one believes in (advocacy).

p.6
Health Promotion and Wellness Principles

At what age should women start having thyroid function tests?

Every 5 years for women 35 and older.

p.32
Legal Aspects of Nursing Practice

What is classified as a criminal legal action?

Actions considered harmful to society as a whole, such as murder or drug violations.

p.5
Immunization and Infectious Disease Control

What factors increase the potential for worldwide epidemics?

Inappropriate antibiotic use and environmental changes.

p.18
Quality Improvement in Healthcare

What is the focus of quality improvement (QI)?

Ongoing monitoring of patient care and identifying areas in need of change to improve outcomes.

p.12
Patient Education and Learning Styles

What factors should be considered when teaching adults?

Age, gender, culture, and language.

p.18
Quality Improvement in Healthcare

What assumption does quality improvement (QI) make about care?

That there is always room for improvement.

p.10
Health Promotion and Wellness Principles

What is the recommended exercise guideline for most days of the week?

30 to 60 minutes, which can be divided into short sessions (e.g., 10 minutes × 3).

p.15
Patient Education and Learning Styles

What is a recommended approach for implementing behavior changes?

Suggest small rather than large changes.

p.24
Professional Development and Mentorship

What does workplace advocacy ensure?

An environment that is both safe and conducive to professional and personal growth.

p.15
Patient Education and Learning Styles

What is important to establish with patients to enhance adherence?

Be specific; establish contracts.

p.11
Health Promotion and Wellness Principles

What is the Maintenance stage in the Transtheoretical Model?

Continuing the change and monitoring for relapse.

p.10
Health Promotion and Wellness Principles

What does the Health Belief Model identify?

It identifies benefits of changing behavior, barriers to changing behavior, and explores ways to overcome those barriers.

p.10
Health Promotion and Wellness Principles

How can the Health Belief Model guide program development?

By increasing the likelihood of success through exploring beliefs, identifying benefits, and enhancing media cues.

p.31
Legal Aspects of Nursing Practice

What does the Nurse Practice Act govern?

The parameters of nursing practice and state regulations.

p.31
Legal Aspects of Nursing Practice

What is not an acceptable defense for nurses regarding practice regulations?

Ignorance of the laws and regulations.

p.13
Patient Education and Learning Styles

What common physical changes can affect learning in older adults?

Decreased vision, decreased hearing, impaired cognition, depression, stress, and chronic illness.

p.5
Immunization and Infectious Disease Control

What is the 8th leading cause of death in the United States?

Hepatitis and tuberculosis, accounting for 56,000 deaths per year.

p.9
Health Promotion and Wellness Principles

What percentage of body weight should be reduced in 6 months?

About 10%.

p.12
Patient Education and Learning Styles

What does adult education include?

Education of the adult and family or caregiver.

p.22
Conflict Resolution in Nursing

What is a common resolution strategy that involves each party giving up something?

Compromise.

p.10
Health Promotion and Wellness Principles

What are some health benefits of exercise?

Improves blood sugar, blood pressure, HDL cholesterol, increases metabolic rate, burns calories, aids weight loss, improves bone density, and enhances cognitive function.

p.9
Health Promotion and Wellness Principles

What are some perceived barriers to exercise?

Lack of time, access to facilities, safe environment, physical limitations, knowledge, and motivation.

p.3
Health Promotion and Wellness Principles

What does 'years of potential life lost' measure?

The impact of premature death on life expectancy.

p.30
Legal Aspects of Nursing Practice

What does HIPAA mandate regarding health information?

It limits how information will be used or shared and mandates safeguards for its protection.

p.22
Scope of Practice and Regulatory Guidelines

What is the professional nurse's responsibility regarding delegation?

Possesses ultimate responsibility and final accountability for care provided.

p.14
Patient Education and Learning Styles

What should be done to accommodate older adults in patient education?

Allow additional time and promote physical comfort.

p.13
Patient Education and Learning Styles

What environmental factors can affect the learning process for older adults?

Lighting, background noise, and overstimulation.

p.30
Quality Improvement in Healthcare

What does the Agency for Healthcare Research and Quality (AHRQ) focus on?

Testing and reporting safety improvement strategies and funding research for safe and effective practice guidelines.

p.24
Professional Development and Mentorship

What qualities are important for effective advocacy?

Risk-taking, vision, self-confidence, ability to articulate needs, and assertiveness.

p.21
Quality Improvement in Healthcare

What is the focus of the strategies proposed to reduce medical errors?

To design health systems that make it harder to make mistakes.

p.32
Legal Aspects of Nursing Practice

What constitutes an intentional civil wrongdoing?

A deliberate breach of a person’s rights, such as assault or battery.

p.5
Health Promotion and Wellness Principles

What is secondary prevention?

Screening and early detection of asymptomatic disease.

p.31
Nursing Diagnosis and Care Planning

What do Nursing Interventions and Outcome Classifications (NIC and NOC) link?

Nursing interventions and patient outcomes.

p.5
Health Promotion and Wellness Principles

What is tertiary prevention?

Managing disease to prevent late complications.

p.7
Health Promotion and Wellness Principles

What is a consequence of secondhand smoke exposure?

Increased risk for bronchitis.

p.28
Legal Aspects of Nursing Practice

What educational requirements does the Nurse Practice Act define?

Requirements for entry into practice.

p.19
Quality Improvement in Healthcare

What is the purpose of the Hospital Quality Initiative (HQI)?

To make information available to consumers about healthcare quality in various facilities.

p.15
Patient Education and Learning Styles

What approach should be taken to support patients?

Persist, encourage, and support.

p.33
Legal Aspects of Nursing Practice

What is quasi-intentional tort?

Lacking intent but a willful action and direct causation, such as defamation of character and invasion of privacy.

p.13
Patient Education and Learning Styles

How should new learning relate to older adults?

New learning should relate to what the patient already knows.

p.10
Health Promotion and Wellness Principles

What is isometric exercise?

Anaerobic exercise that is less efficient, done without oxygen, and involves muscle contraction without movement.

p.15
Patient Education and Learning Styles

How should teaching be framed to improve patient understanding?

To match the patient’s perceptions.

p.10
Health Promotion and Wellness Principles

Give an example of an activity that combines aerobic and anaerobic exercise.

Walking while carrying groceries or riding a bicycle while gripping handlebars tightly.

p.15
Patient Education and Learning Styles

What should patients be informed about regarding treatment?

Expected effects and the time frame of effects.

p.12
Patient Education and Learning Styles

What is a key principle of adult education theories?

Learning is best when the learner is involved and the material is relevant to them.

p.11
Health Promotion and Wellness Principles

What is the goal during the Preparation stage of change?

To explore options and provide details.

p.14
Patient Education and Learning Styles

What is a key aspect of effective communication in patient education?

Always treat the learner with respect and dignity.

p.14
Patient Education and Learning Styles

How can cultural beliefs affect patient education?

Cultural identity can determine how a patient views self and seeks healthcare services.

p.13
Patient Education and Learning Styles

How can physical wellness or illness affect learning?

Learning can be affected by the individual's physical wellness or illness.

p.23
Professional Development and Mentorship

Why is it important to be sensitive to a person's culture in communication?

To respect diversity and ensure effective interaction.

p.24
Professional Development and Mentorship

What is the purpose of a mentor?

To provide professional guidance and support in a conscious and purposeful relationship.

p.20
Legal Aspects of Nursing Practice

Is accreditation by the Joint Commission mandatory?

No, accreditation is voluntary for organizations.

p.5
Health Promotion and Wellness Principles

What is primary prevention?

Action to prevent disease or make the environment less harmful.

p.30
Quality Improvement in Healthcare

What do Health Care Quality Report Cards provide?

They disseminate quality performance data as mandated by state laws.

p.12
Patient Education and Learning Styles

What approach is recommended for effective adult learning?

A multisensory approach that includes auditory, visual, and kinesthetic methods.

p.30
Legal Aspects of Nursing Practice

What is the Federal Employee Health Benefit Program?

A voluntary, contributory program that covers about 10 million federal employees and their dependents.

p.24
Professional Development and Mentorship

How are whistle-blowers often perceived?

Looked at with distrust and considered disloyal.

p.23
Professional Development and Mentorship

How should one differentiate between assertiveness and aggressiveness?

Assertiveness is about expressing oneself without infringing on others' rights, while aggressiveness is not.

p.24
Professional Development and Mentorship

What defines a role model in a professional context?

Someone worthy of imitation, typically experienced and competent.

p.28
Legal Aspects of Nursing Practice

What does the Nurse Practice Act list regarding prohibited acts?

Acts and tasks that are prohibited and their consequences.

p.13
Patient Education and Learning Styles

What types of objectives should be identified in goal-setting?

Affective, cognitive, and psychomotor objectives.

p.13
Patient Education and Learning Styles

What should learners control during the learning sessions?

What and how much is learned.

p.19
Quality Improvement in Healthcare

What does Total Quality Management (TQM) aim to improve?

Patient care and outcomes.

p.7
Immunization and Infectious Disease Control

At what age is the Herpes Zoster vaccine recommended?

Age > 60 years, regardless of prior episodes of zoster.

p.33
Legal Aspects of Nursing Practice

Who is accountable for actions in a healthcare setting?

Each person is accountable for his or her own actions, including physicians and other independent practitioners.

p.23
Professional Development and Mentorship

What is the importance of using 'I' statements in assertiveness?

They allow individuals to express themselves directly and honestly.

p.5
Quality Improvement in Healthcare

What does sensitivity in screening tests refer to?

The ability of a test to correctly identify persons with a disorder.

p.5
Quality Improvement in Healthcare

What does specificity in screening tests refer to?

The ability of a test to identify persons without the disease.

p.15
Patient Education and Learning Styles

How should patient concerns be handled?

Elicit and respond to patient concerns.

p.13
Patient Education and Learning Styles

What nursing diagnoses might be identified in the patient education process?

Knowledge deficit and ineffective coping.

p.7
Health Promotion and Wellness Principles

What health risks are associated with smoking?

Cardiovascular disease, respiratory disease, and cancer.

p.11
Patient Education and Learning Styles

What is a key principle of Adult Learning Theory?

Adults are self-directed and interested in information that benefits them.

p.15
Patient Education and Learning Styles

What should be promoted to encourage patient involvement?

Self-management and active participation.

p.15
Patient Education and Learning Styles

What should be done to reduce barriers to adherence?

Mobilize support.

p.15
Patient Education and Learning Styles

What should be modified to increase the possibility of adherence?

The treatment plan.

p.24
Professional Development and Mentorship

What is an important advocacy role related to legislation?

Involvement in healthcare reform and scope of practice for nurses.

p.14
Patient Education and Learning Styles

What is the importance of involving family members in patient education?

It can enhance support and understanding of the patient’s needs.

p.24
Professional Development and Mentorship

What is the difference between a passive role and a preceptor role?

A preceptor role is active and purposeful.

p.19
Quality Improvement in Healthcare

What does TQM suggest about processes in healthcare?

Processes are the problem and should be addressed rather than just treating symptoms.

p.19
Quality Improvement in Healthcare

What was a significant change in the reimbursement process for hospitals in 2001 and 2009?

The need to justify care or quality due to increased hospital and patient costs.

p.13
Patient Education and Learning Styles

What characteristics should the learning environment have for older adults?

It should be comfortable.

p.13
Patient Education and Learning Styles

What are the steps in the patient education process?

Assess knowledge, motivation, readiness to learn, and physical or sensory impairments.

p.19
Quality Improvement in Healthcare

What is a key aspect of TQM regarding employee responsibility?

Every employee is responsible for quality and should be empowered.

Study Smarter, Not Harder
Study Smarter, Not Harder