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NURS 222 Exam 2 Study Guide latest update

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NURS 222 Exam 2 Study Guide latest
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1. Chamberlain care model
• We are not just another College of Nursing-we are distinctly Chamberlain College of
Nursing. Our distinction is rooted in our culture of care-Chamberlain Care-that
permeates every aspect of the College and is embedded in the mindful actions of
each and every one of us. Chamberlain Care is our way of being: caring for ourselves
informs and sustains caring relationships with our colleagues, students, patients, and
the community we touch.
2. Healthy people 2020 goals (4 goals)
• Attain high quality, longer lives free of preventable diseases, disability, injury,
and premature death.
• Achieve health equity, eliminate disparities and improve the health of all groups.
• Create social and physical environments that promote good heath for all.
• Promote quality of life, healthy development, and healthy behaviors across all life stages.
3. HP 2020 LHI
• LHI’s alters us to evidence of problem areas
• Provide us with goal outcomes based on scientific evidence to help improve
those outcomes
• Drive many public health projects today and influence organization in both preventative
and restorative efforts
• Services include:
▪ Leading Health indicator
▪ Access to health service
▪ Affordable care act
▪ Improved access to health care insurance
▪ Centers for Medicare and Medicaid
• Examples of LHI
▪ Tobacco
▪ Adults who smoke currently
▪ Adolescents who have smoked within 30 days


NURS 222 Exam 2 Study Guide latest
update

, NURS 222 Exam 2 Study Guide latest
update

▪ Mental health and substance abuse
▪ Alcohol and/or drug use by adolescents

▪ Binge drinking by adults
▪ Major depression in adolescents
▪ Suicide
▪ Environmental quality
▪ Air quality index > 100
▪ Children exposed to second hand smoke
4. Steps of the nursing process ADOPIE
• Assessment- gather info about patient condition
▪ Collect and analyze data
▪ Types of assessment:
o the patient-centered interview during a nursing health history.
o a physical examination.

o the periodic assessments you make during rounding or
administering care.
• Diagnose- identify the patient’s problem
• Outcome- set goals
• Plan- identify appropriate nursing actions to reach goal
• Implementation- perform the nursing actions or plan into action; includes teaching
in this step.
• Evaluate- determine if goals and outcomes have been achieved.
5. How to plan teaching for low literacy levels
• Determine goals and expected outcomes that guide the choice of teaching
strategies and approaches with a patient:
o Set priorities.
o Select timing to teach.
o Organize the teaching materials.


NURS 222 Exam 2 Study Guide latest
update

, NURS 222 Exam 2 Study Guide latest
update

o Use teamwork and collaboration.
6. What is important to asses regarding patient’s health needs (communication)
• See through the patient’s eyes.
o Teaching is patient-centered.
• Assess the patient’s learning needs.
o Information or skills needed to perform self-care and to understand
the implications of a health problem.
o Patient experiences that influence the need to learn.
o Information that family caregivers need to support patient needs.
• Motivation to learn
• Ability to learn
• Teaching environment
• Resources for learning
• Health literacy: the cognitive and social skills that determine the motivation and
ability of individuals to gain access to, understand, and use information in ways that
promote and maintain good health.
• Health literacy includes patients’ reading and mathematics skills, comprehension, and
decision-making and functioning skills regarding health care.
7. Type of space/zone for nurse teaching patient
• Social (9-12 ft)- Knocking to enter

• Personal (18 inches- 4ft)- moving closer to the patient
• Intimate (up to 18 inches)- when taking vitals/assessment
• Public (12 feet and over)- speaking from far distance. Interaction with an
audience. Nurses can speak about health-related topics. Effective communication
can increase audiences knowledge about important health issues.
• Intrapersonal- Occurs WITHIN an INDIVIDUAL EX: communication with yourself, making
a to-do list counts, journaling, writing in a calendar, or even psyching yourself up to do
something. We use it to develop self-awareness and a positive self-concept that will
enhance self-expression. Can improve self-esteem and healthy by replacing negative

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