NURS 5461 QUIZ 1 EXAM QUESTIONS AND ANSWERS
WITH COMPLETE SOLUTIONS VERIFIED LATEST UPDATE
Interprofessional Education
Interprofessional education (IPE) is a teaching and learning approach that involves
students from two or more professions learning together to improve health outcomes.
Barriers to IPE
Communication, Time, Training, Roles, Resources
3 steps to Prevention Dx and Plan
Risk profile
Prevention Needs and Deficits
Prevention plan
Transtheoretical Model of Change
1. Precontemplation
2. Contemplation
3. Preparation
4. Action
5. Maintenance
Precontemplation
Precontemplation- stage w/ no intention to change behavior in foreseeable future.
Denial, feel immune to threat, have given up etc.
,Have you tried change in the past? What would have to happen for you to know this is a
problem? What warning signs would let you know it's a problem?
Contemplation
Contemplation- Aware problem exists, thinking of overcoming, no commitment to action.
Feel ambivalent, pros and cons, feel trapped.
What reasons might make you want to change at this time? What are possible reasons
for not changing? What would keep you from changing at this time?
Preparation
Preparation- Intended action in next month, may have taken past action.
Preparing to make specific change.
Action
Action- Modify behavior, experiences, or environment to overcome problem.
Praise any behavioral change.
Maintenance/Relapse Prevention
-Working to prevent relapse and consolidate gains secured during action
-Uses strategies to prevent the problem from re-occurring.
-Actively engaged in continuing change efforts
,-"How do I keep going?"
Three Main Types of Clinical Preventative Care
-screening
-behavioral cousenling
-preventative meds
Screening
Think risk factors for most likely Diseases
Identify- Age/Gender/Race/Ethnic/ FH/ Personal Risk
United States Public Services Task Force (USPSTF)
Great tool for Prevention!! Utilize in clinical
Levels of Evidence (USPSTF)
• Levels of Evidence:
A: recommends the service. There is high certainty that the net
benefit is substantial.
B: recommends the service. There is high certainty that the net benefit is moderate or
there is moderate certainty that the net benefit is moderate to substantial.
C: recommends against routinely providing the service -Benefit small if present
D: recommends against the service -harm > benefit
I: current evidence is insufficient
What services are considered preventive care & required by ACA in 2015?
Items or services recommended with an A or B rating by the U.S. Preventive Services
Task Force
, Immunizations recommended by the Advisory Committee on Immunization Practices
(ACIP) of the CDC
Important A and B level Evidence
AAA screening ever-smoking men 65-75
ASA Men 45-79, Women 55-79
Behavioral dietary-counseling (increased risk)
HTN & Lipid screening (> 18; M >35/20-45, W >45/20-45)
Disc. Chemoprevention Breast Cancer (High risk)
Pap, Mammo CRC screening
Lung Cancer screening
Depression screening• *Family HX risk & referral
BRCA eval
Obesity -intensive counseling & behavioral
Tobacco
HIV (pregnant, all 15-65)•
ETOH misuse & counsel
Hep C screen (1945-65)
Changes in Selected Major Screening Guidelines
Cervical cancer screening (PAP & HPV) Q 3 yrs 21-29 PAP, 30-65 Q3yrs Pap or Q5 yrs
Pap and HPV
Prostate Cancer screening "D rating"
Lung Cancer screening: LDCT 55-80 yrs w 30 pkyr & smoke or quit
WITH COMPLETE SOLUTIONS VERIFIED LATEST UPDATE
Interprofessional Education
Interprofessional education (IPE) is a teaching and learning approach that involves
students from two or more professions learning together to improve health outcomes.
Barriers to IPE
Communication, Time, Training, Roles, Resources
3 steps to Prevention Dx and Plan
Risk profile
Prevention Needs and Deficits
Prevention plan
Transtheoretical Model of Change
1. Precontemplation
2. Contemplation
3. Preparation
4. Action
5. Maintenance
Precontemplation
Precontemplation- stage w/ no intention to change behavior in foreseeable future.
Denial, feel immune to threat, have given up etc.
,Have you tried change in the past? What would have to happen for you to know this is a
problem? What warning signs would let you know it's a problem?
Contemplation
Contemplation- Aware problem exists, thinking of overcoming, no commitment to action.
Feel ambivalent, pros and cons, feel trapped.
What reasons might make you want to change at this time? What are possible reasons
for not changing? What would keep you from changing at this time?
Preparation
Preparation- Intended action in next month, may have taken past action.
Preparing to make specific change.
Action
Action- Modify behavior, experiences, or environment to overcome problem.
Praise any behavioral change.
Maintenance/Relapse Prevention
-Working to prevent relapse and consolidate gains secured during action
-Uses strategies to prevent the problem from re-occurring.
-Actively engaged in continuing change efforts
,-"How do I keep going?"
Three Main Types of Clinical Preventative Care
-screening
-behavioral cousenling
-preventative meds
Screening
Think risk factors for most likely Diseases
Identify- Age/Gender/Race/Ethnic/ FH/ Personal Risk
United States Public Services Task Force (USPSTF)
Great tool for Prevention!! Utilize in clinical
Levels of Evidence (USPSTF)
• Levels of Evidence:
A: recommends the service. There is high certainty that the net
benefit is substantial.
B: recommends the service. There is high certainty that the net benefit is moderate or
there is moderate certainty that the net benefit is moderate to substantial.
C: recommends against routinely providing the service -Benefit small if present
D: recommends against the service -harm > benefit
I: current evidence is insufficient
What services are considered preventive care & required by ACA in 2015?
Items or services recommended with an A or B rating by the U.S. Preventive Services
Task Force
, Immunizations recommended by the Advisory Committee on Immunization Practices
(ACIP) of the CDC
Important A and B level Evidence
AAA screening ever-smoking men 65-75
ASA Men 45-79, Women 55-79
Behavioral dietary-counseling (increased risk)
HTN & Lipid screening (> 18; M >35/20-45, W >45/20-45)
Disc. Chemoprevention Breast Cancer (High risk)
Pap, Mammo CRC screening
Lung Cancer screening
Depression screening• *Family HX risk & referral
BRCA eval
Obesity -intensive counseling & behavioral
Tobacco
HIV (pregnant, all 15-65)•
ETOH misuse & counsel
Hep C screen (1945-65)
Changes in Selected Major Screening Guidelines
Cervical cancer screening (PAP & HPV) Q 3 yrs 21-29 PAP, 30-65 Q3yrs Pap or Q5 yrs
Pap and HPV
Prostate Cancer screening "D rating"
Lung Cancer screening: LDCT 55-80 yrs w 30 pkyr & smoke or quit
