complete solution 2025/2026
*Determinants of Health* - correct answer ✔
Current trends & issues in healthcare related to chronic illness. - correct answer ✔-Expanding
knowledge & technology
-Increase in diverse populations
-Growing proportion of older adults in US
-Use of complementary & alternative medicine
-Nursing shortage
-Expanded career roles for nurses
-Use of nursing assistive personnel
How will the increase in diverse populations impact patient care? - correct answer ✔-People are living
longer
-# of people living with comorbidities is increasing
-Care for these people are shifting beyond the hospital
How does consumerism impact patient care? - correct answer ✔-Pt's are more involved in their
healthcare
-Want more control over their care & expect high-quality care
-Health information is readily available
-Most pt's are very knowledgeable about their health & seek information about their problems from
different media sources
,How does the national economy impact healthcare? - correct answer ✔-When unemployment rise, so
does # of people w/o health insurance
-Many uninsured people delay getting treatment which leads to sicker patients entering the healthcare
system. This uses up the system's resources & raises the level of nursing care required
-Healthcare is expensive to operate
-Downturns in economy limit the medications & services available
Why is healthcare legislation important? - correct answer ✔-Legislation focuses on the patient, such as
confidentiality of the patient, treating patients who need emergency care, the patient's right to know
(informed consent), & the patient's right to a dignified death.
-Controls safe working conditions, etc.
What is collective bargaining? - correct answer ✔-Form of negotiation that allows nurses to seek better
wages & working conditions as a group instead of individually.
-A union or organization that represents nurses usually does the bargaining
How can nurses influence healthcare policy? - correct answer ✔Vote, lobby their elected
representatives, & run for political office.
What factors increase host susceptibility? - correct answer ✔-Developmental stages
-Breaks in the first line of defense
-Illness/injury
-Tobacco/substance abuse
-Multiple sexual partners
-Environmental factors
"Chronic disease
"Medications
"Invasive medical procedures
,Why are those with chronic diseases at higher risk for infection? - correct answer ✔Many chronic
diseases diminish the body's ability to fight infection, depleted resources.
What is medical asepsis "clean technique"? - correct answer ✔Procedures that decrease potential
spread of infections.
E.g.) handwashing
What are standard precautions? - correct answer ✔-1st tier or protection
-Concepts in which all body fluids are assumed to be infected with blood-borne pathogens
-Gloves, mask, eye protection
When should the nurse wear masks & eye protection? - correct answer ✔When performing activities
likely to generate splashes
When should the nurse wear gloves? - correct answer ✔If you have an area of irritation or a break in
the skin; when coming in contact with blood or other potentially infectious material, mucous
membranes, & non-intact skin.
What are transmission based precautions? - correct answer ✔Used in ADDITION to Standard
Precautions
-2nd tier of protection
-Based on the mode of transmission of the infection
-Contact, droplet, or airborne
What is required for contact precautions? When should we use these precautions? - correct answer ✔-
For organisms spread by direct contact with the patient or his environment.
-Common forms of transmission include: draining wounds, dressings, patient supplies, & secretions.
, -Indirect contact with fomites also transmits pathogens by contact
-MRSA, VRE, RSV, open wounds, diarrhea
What type of room should a patient be placed in when on contact precautions? - correct answer
✔Private room
What is the PPE that should be used during contact precautions? - correct answer ✔-Follow standard
precautions
-Clean, nonsterile gloves when coming in contact w/ non-intact skin
-Don gloves before entering room
-Wear gown if clothing may get contaminated
What are droplet precautions? When should we use these precautions? - correct answer ✔-When the
pathogen can be spread by moist, large droplets
-E.g.) sneezing, laughing, talking
-Droplets can be spread by direct contact with mucous membranes, indirect contact, or suctioning.
-Influenza, pneumonia, pertusis, meningitis
What type of room should a patient be placed in when on droplet precautions? - correct answer
✔Private room
-Place surgical mask on pt. if being transported to another department
What is airborne precautions and when should we use these precautions? - correct answer ✔To
control the spread of infections that are transmitted person to person on air currents. E.g.) tuberculosis,
measles, chicken pox
What type of room should a pt. on airborne precautions be placed in? - correct answer ✔Airborne
infection isolation room (AIIR). Means air is filtered.