NSG 554 Exam 1
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1. Primary Prevention: · Intervening before health effects occur through measures such as vaccinations,
altering risk behaviors(poor eating habits, tobacco use), and banning substances known to be associated with a disease
or health condition.
2. Primary Prevention Examples: Education about not smoking
Immunizations
Education and a balanced diet
Seatbelt legislation
Needle exchange programs
3. Secondary Prevention: Screening to identify diseases in the earliest stages, before the onset of signs and
symtpoms
4. Secondary Prevention Examples: Mammogram Screening
BP Screening
Regular health Exams
5. Tertiary Prevention: Managing disease post diagnosis to slow or stop disease progression through
6. Tertiary prevention examples: Cardiac rehabilitation
Diabetic foot care
Chemotherapy
7. Social determinants of health: the non-medical factors that influence health outcomes. They are the
conditions in which people are born, grow, work, live, and age, and the wider set of forces and systems shaping the
conditions of daily life. These forces and systems include economic policies and systems, development agendas, social
norms, social policies and political systems
8. Wellness Definition: an active process, where individuals choose actions and behaviors that enhance
physical, mental, and social well-being
9. Domains of wellness: o Intellectual wellness
o Emotional wellness
o Social wellness
o Spiritual wellness
o Environmental wellness
o Financial wellness
o Occupational wellness
o Physical wellness
, NSG 554 Exam 1
Study online at https://quizlet.com/_fk9v6h
10. Wellness exam: o Each annual visit should include a measurement of height, weight and blood pressure,
heart, lung and abdominal examinations, an ear exam, and a vision screening.
o Chronic conditions can be updated as well as family and social history.
o The status of routine health screenings and immunizations must be reviewed and updated.
o Screening for and assisting patients with nutritional status, weight management, stress management, wellness
promotion across the life span, safety issues, and substance use
11. Interventions of wellness exam: o Physical domain
§ Nutrition
§ Physical activity
§ Stress
o Emotional domain
§ Domestic violence/abuse
§ Substance use
§ Safety
12. Active Immunity: Results when exposure to a disease organism triggers the immune system to produce
antibodies to that disease. Active immunity can be acquired through natural immunity or vaccine-induced immunity.
13. Natural Immunity: o is acquired from exposure to the disease organism through infection with the actual
disease.
14. Vaccine-induce immunity: is acquired through the introduction of a killed or weakened form of the
disease organism through vaccination.
15. Passive immunity: is provided when a person is given antibodies to a disease rather than producing them
through his or her own immune system.
16. example of passive immunity: o Babies acquire passive immunity through their mothers during
pregnancy
o people can get passive immunity through antibody-containing blood products such as immune globulin
17. Advantage of active immunity: o Either way, if an immune person comes into contact with that
disease in the future, their immune system will recognize it and immediately produce the antibodies needed to fight
it. Active immunity is long-lasting, and sometimes life-long.
18. Advantage of passive immunity: o The major advantage to passive immunity is that protection is
immediate, whereas active immunity takes time (usually several weeks) to develop. However, passive immunity lasts
only for a few weeks or months. Only active immunity is long-lasting.
, NSG 554 Exam 1
Study online at https://quizlet.com/_fk9v6h
19. Covid 19 vaccine: 19-65+
At least one dose of the update vaccine
ALL ADULTS
20. Flu vaccine: 19-65+
every year
ALL ADULTS
21. RSV: 19-49 (if pregnant during RSV season)
60+ talk to their healthcare provider
22. Tdap vaccine: 19-65+
Every 10 years for Adults
every pregnancy
23. Shingles vaccine: 50-65+ (ALL ADULTS)
19-49(Some Adults)
24. HPV vaccine: recommends routine vaccination at ages 11-12 but can start at 9 years of age.
they recommend a 2-dose IM series at the initial vaccination, with the first being given and then the second vaccination
being given between 6 to 12 months after the initial IM injection
25. TB testing: Patient is only considered positive if both the IGRA and TST are positive
Cant distinguish between active and latent
26. IGRA assay: · May be falsely negative in severely immunosuppressed patients
· Recommended in individuals >5 yrs
· this is a blood test and is preferred when schools or employers are requiring TB test.
· If initial test is positive in low risk patients then a 2nd test is recommended which can be a an IGRA or TST
27. TST (Montoux): · Individuals who have received the BCG vaccination after infancy should not receive TST
· Recommended for individuals <5 years
· Measure induration at 48 to 72 hours
o PPD positive induration if
§ >5mm plus HIV infection, recent TB contact, immunosuppressed, or positive xray
§ >10mm plus age <5 years, moved to the US from a high prevelance country in the last 5 years, IV drug users, or other
risk factors
§ >15mm plus >4 yrs with no risk factors
· Two step test: 1 to 3 weeks apart: no recent PPD, >55 years, nursing home resident, inmate, or healthcare workers
Study online at https://quizlet.com/_fk9v6h
1. Primary Prevention: · Intervening before health effects occur through measures such as vaccinations,
altering risk behaviors(poor eating habits, tobacco use), and banning substances known to be associated with a disease
or health condition.
2. Primary Prevention Examples: Education about not smoking
Immunizations
Education and a balanced diet
Seatbelt legislation
Needle exchange programs
3. Secondary Prevention: Screening to identify diseases in the earliest stages, before the onset of signs and
symtpoms
4. Secondary Prevention Examples: Mammogram Screening
BP Screening
Regular health Exams
5. Tertiary Prevention: Managing disease post diagnosis to slow or stop disease progression through
6. Tertiary prevention examples: Cardiac rehabilitation
Diabetic foot care
Chemotherapy
7. Social determinants of health: the non-medical factors that influence health outcomes. They are the
conditions in which people are born, grow, work, live, and age, and the wider set of forces and systems shaping the
conditions of daily life. These forces and systems include economic policies and systems, development agendas, social
norms, social policies and political systems
8. Wellness Definition: an active process, where individuals choose actions and behaviors that enhance
physical, mental, and social well-being
9. Domains of wellness: o Intellectual wellness
o Emotional wellness
o Social wellness
o Spiritual wellness
o Environmental wellness
o Financial wellness
o Occupational wellness
o Physical wellness
, NSG 554 Exam 1
Study online at https://quizlet.com/_fk9v6h
10. Wellness exam: o Each annual visit should include a measurement of height, weight and blood pressure,
heart, lung and abdominal examinations, an ear exam, and a vision screening.
o Chronic conditions can be updated as well as family and social history.
o The status of routine health screenings and immunizations must be reviewed and updated.
o Screening for and assisting patients with nutritional status, weight management, stress management, wellness
promotion across the life span, safety issues, and substance use
11. Interventions of wellness exam: o Physical domain
§ Nutrition
§ Physical activity
§ Stress
o Emotional domain
§ Domestic violence/abuse
§ Substance use
§ Safety
12. Active Immunity: Results when exposure to a disease organism triggers the immune system to produce
antibodies to that disease. Active immunity can be acquired through natural immunity or vaccine-induced immunity.
13. Natural Immunity: o is acquired from exposure to the disease organism through infection with the actual
disease.
14. Vaccine-induce immunity: is acquired through the introduction of a killed or weakened form of the
disease organism through vaccination.
15. Passive immunity: is provided when a person is given antibodies to a disease rather than producing them
through his or her own immune system.
16. example of passive immunity: o Babies acquire passive immunity through their mothers during
pregnancy
o people can get passive immunity through antibody-containing blood products such as immune globulin
17. Advantage of active immunity: o Either way, if an immune person comes into contact with that
disease in the future, their immune system will recognize it and immediately produce the antibodies needed to fight
it. Active immunity is long-lasting, and sometimes life-long.
18. Advantage of passive immunity: o The major advantage to passive immunity is that protection is
immediate, whereas active immunity takes time (usually several weeks) to develop. However, passive immunity lasts
only for a few weeks or months. Only active immunity is long-lasting.
, NSG 554 Exam 1
Study online at https://quizlet.com/_fk9v6h
19. Covid 19 vaccine: 19-65+
At least one dose of the update vaccine
ALL ADULTS
20. Flu vaccine: 19-65+
every year
ALL ADULTS
21. RSV: 19-49 (if pregnant during RSV season)
60+ talk to their healthcare provider
22. Tdap vaccine: 19-65+
Every 10 years for Adults
every pregnancy
23. Shingles vaccine: 50-65+ (ALL ADULTS)
19-49(Some Adults)
24. HPV vaccine: recommends routine vaccination at ages 11-12 but can start at 9 years of age.
they recommend a 2-dose IM series at the initial vaccination, with the first being given and then the second vaccination
being given between 6 to 12 months after the initial IM injection
25. TB testing: Patient is only considered positive if both the IGRA and TST are positive
Cant distinguish between active and latent
26. IGRA assay: · May be falsely negative in severely immunosuppressed patients
· Recommended in individuals >5 yrs
· this is a blood test and is preferred when schools or employers are requiring TB test.
· If initial test is positive in low risk patients then a 2nd test is recommended which can be a an IGRA or TST
27. TST (Montoux): · Individuals who have received the BCG vaccination after infancy should not receive TST
· Recommended for individuals <5 years
· Measure induration at 48 to 72 hours
o PPD positive induration if
§ >5mm plus HIV infection, recent TB contact, immunosuppressed, or positive xray
§ >10mm plus age <5 years, moved to the US from a high prevelance country in the last 5 years, IV drug users, or other
risk factors
§ >15mm plus >4 yrs with no risk factors
· Two step test: 1 to 3 weeks apart: no recent PPD, >55 years, nursing home resident, inmate, or healthcare workers
