NRS 416 Exam 1 Questions With
Verified Answers
Pre-Trajectory definition/ phase - ANSWER - no s/sx (possible onset)
- look at past life history
- before the illness begins
- nurses should be educating on harm/ risk reduction to reduce progression
"the preventative phase"
Trajectory Onset definition/ phase - ANSWER - s/sx are present
- communicating the diagnosis
- seeking support
- pt could have symptoms for a long period of time (months/ years)
- diagnostic period
Crisis definition - ANSWER - life threatening situation
- acute threat to self- identity
Acute definition - ANSWER - active illness or complications requiring
hospitalization
Stable definition - ANSWER - controlled illness course/ symptoms
unstable definiton - ANSWER - illness course/ symptoms not controlled by
regimen but not requiring / desiring hospitalization
Downward definition/ phase - ANSWER - progressive decline in physical/ mental
status with increasing disability / symptoms
- oscillations of progressive disease
- acute episodes and moments of crisis
Dying definition/ phase - ANSWER - immediate weeks/ days/ hours preceding
death
- dissonance between active treatment and the end of life
- being prepared for death/ not being prepared
Living with progressive disease phase - ANSWER - enduring sequential
treatments
- symptom burden
- relentless vigilance
,Chronic Illness Trajectory attributes - ANSWER 1. self- management
2. Health-Related quality of life
3. Uncertainty
4. Care Transitions
Self Management definition - ANSWER - dynamic process in which individuals
actively manage chronic illness
If we prevented adverse childhood experiences we could reduce: (3) - ANSWER
1. health conditions (depression, COPD, asthma, etc)
2. Health Risk Behaviors (smoking/ drinking)
3. Socioeconomic challenges (unemployment, uneducated, no health insurance)
examples of nursing collaborative work for helping client reach goals - ANSWER
- assist in overcoming a plateau
- assist client who is in a downward trajectory
- assist w advanced care planning
- assist client who is in an unstable phase
Health-related quality of life definition - ANSWER - pertaining to life satisfaction
and life concerns, may change overtime, impacted by health and illness
- affects individual/ family
Care Transitions definition - ANSWER - proactive plan of care with goals-
patient-family-centered, dynamic, shared with the care team.
illness, time, and nursing's role - ANSWER - chronic illness can be percieved as
something that will last years or decades and differs by underlying
physiological, behavioral, and pathological impacts.
- what is common is time
- meaning of illness can change over time
four types of time were identified from the literature: - ANSWER - calendar/ clock
a. process time
- biographical (stories)
a. outer time
b. social time
- past-present-future
a. time in memory
b. ecstatic temporality
- inner rhythms
a. relational time
b. ecstatic temporality
External Factors of Patient-Centered Medical Home Framework - ANSWER -
patient characteristics
, - Health IT
- Payment
- Workforce
- Community Resources
- Practice's Host Organization
- Other Providers
Patient Centered medical home framework main points - ANSWER 1. Improve
quality of care
2. Reducing per capita costs of care
3. Improving the experience of care
4. Improving the experience of health care professionals
Patient- centered medical home main bubbles - ANSWER - patient- centered
- coordinated
- systems-based approach to quality and safety
- accessible
- comprehensive
Patient Centered Medical Home 2 key points - ANSWER 1. Chronic disease
medical home
2. Primary Care medical home
Priority nursing assessments CP - ANSWER - Physical: height/ length, weight full
assessment
- Nutrition: increased caloric intake and protein needs r/t spasticity
- Neuro: tone, developmental milestones met
- Cultural/ spiritual needs affecting care
- immunizations
- Recent death of parents: griefing process
Care Transitions CP - ANSWER - new diagnosis= beginning treatment
- need to ID specialty providers, establish care w PCP
.. rest on moodle
Clinical Decision Making and Self- Management diagram - ANSWER - best
available research evidence
- resources, including practitioner expertise
- population characteristics, needs, values, and preferences
Self- Management definition - ANSWER A dynamic process in which individuals
actively manage their chronic illness
Self Management must include at least 2 of the following: - ANSWER - self
efficacy
- problem solving
Verified Answers
Pre-Trajectory definition/ phase - ANSWER - no s/sx (possible onset)
- look at past life history
- before the illness begins
- nurses should be educating on harm/ risk reduction to reduce progression
"the preventative phase"
Trajectory Onset definition/ phase - ANSWER - s/sx are present
- communicating the diagnosis
- seeking support
- pt could have symptoms for a long period of time (months/ years)
- diagnostic period
Crisis definition - ANSWER - life threatening situation
- acute threat to self- identity
Acute definition - ANSWER - active illness or complications requiring
hospitalization
Stable definition - ANSWER - controlled illness course/ symptoms
unstable definiton - ANSWER - illness course/ symptoms not controlled by
regimen but not requiring / desiring hospitalization
Downward definition/ phase - ANSWER - progressive decline in physical/ mental
status with increasing disability / symptoms
- oscillations of progressive disease
- acute episodes and moments of crisis
Dying definition/ phase - ANSWER - immediate weeks/ days/ hours preceding
death
- dissonance between active treatment and the end of life
- being prepared for death/ not being prepared
Living with progressive disease phase - ANSWER - enduring sequential
treatments
- symptom burden
- relentless vigilance
,Chronic Illness Trajectory attributes - ANSWER 1. self- management
2. Health-Related quality of life
3. Uncertainty
4. Care Transitions
Self Management definition - ANSWER - dynamic process in which individuals
actively manage chronic illness
If we prevented adverse childhood experiences we could reduce: (3) - ANSWER
1. health conditions (depression, COPD, asthma, etc)
2. Health Risk Behaviors (smoking/ drinking)
3. Socioeconomic challenges (unemployment, uneducated, no health insurance)
examples of nursing collaborative work for helping client reach goals - ANSWER
- assist in overcoming a plateau
- assist client who is in a downward trajectory
- assist w advanced care planning
- assist client who is in an unstable phase
Health-related quality of life definition - ANSWER - pertaining to life satisfaction
and life concerns, may change overtime, impacted by health and illness
- affects individual/ family
Care Transitions definition - ANSWER - proactive plan of care with goals-
patient-family-centered, dynamic, shared with the care team.
illness, time, and nursing's role - ANSWER - chronic illness can be percieved as
something that will last years or decades and differs by underlying
physiological, behavioral, and pathological impacts.
- what is common is time
- meaning of illness can change over time
four types of time were identified from the literature: - ANSWER - calendar/ clock
a. process time
- biographical (stories)
a. outer time
b. social time
- past-present-future
a. time in memory
b. ecstatic temporality
- inner rhythms
a. relational time
b. ecstatic temporality
External Factors of Patient-Centered Medical Home Framework - ANSWER -
patient characteristics
, - Health IT
- Payment
- Workforce
- Community Resources
- Practice's Host Organization
- Other Providers
Patient Centered medical home framework main points - ANSWER 1. Improve
quality of care
2. Reducing per capita costs of care
3. Improving the experience of care
4. Improving the experience of health care professionals
Patient- centered medical home main bubbles - ANSWER - patient- centered
- coordinated
- systems-based approach to quality and safety
- accessible
- comprehensive
Patient Centered Medical Home 2 key points - ANSWER 1. Chronic disease
medical home
2. Primary Care medical home
Priority nursing assessments CP - ANSWER - Physical: height/ length, weight full
assessment
- Nutrition: increased caloric intake and protein needs r/t spasticity
- Neuro: tone, developmental milestones met
- Cultural/ spiritual needs affecting care
- immunizations
- Recent death of parents: griefing process
Care Transitions CP - ANSWER - new diagnosis= beginning treatment
- need to ID specialty providers, establish care w PCP
.. rest on moodle
Clinical Decision Making and Self- Management diagram - ANSWER - best
available research evidence
- resources, including practitioner expertise
- population characteristics, needs, values, and preferences
Self- Management definition - ANSWER A dynamic process in which individuals
actively manage their chronic illness
Self Management must include at least 2 of the following: - ANSWER - self
efficacy
- problem solving
