NR 222: Exam 1
Study Guide
What is the primary role of the nurse?
Patient’s advocate. Health education is one the primary prevention techniques available
to avoid the major causes of disabilities and death today. ADPIE
Asses, diagnose, plan, implement, Evaluate
Identify the many roles that the nurse plays in the life of the patients?
Advocate, Care manager, consultant, deliverer of services, educator, healer, and
researcher.
What are the goals of Healthy People 2020?
Increase the quality and years of healthy life and eliminate health disparities.
What are primary, secondary and tertiary interventions? Give examples of each
Primary prevention – health promotion and specific protection. Exp. Immunization and
why they’re needed.
Secondary prevention – early diagnosis, prompt treatment and disability limitation.
Exp. Patient is obese and is prone to be Diabetic type 2. We have to teach him/her a
better diet and how to properly exercise.
Tertiary prevention – restoration and rehabilitation
Exp. Patient who had a stroke, Minimizing effect to prevent complications/deterioration
HEALTH PROMOTION, SPECEFIC HEALTH PROTECTION, AND PREVENTION
OF SPECIFIC DISEASES.
Define and give examples of: Acute, Sub acute and Hospice care
Acute care - Emergency treatment and critical care also known as secondary care.
, Sub acute care - comprehensive inpatient care designed for someone who has an acute
illness, injury or exacerbation of a disease process.
Hospice care - Hospice care provides medical services, emotional support, and spiritual
resources for people who are in the last stages of a serious illness, such as cancer and
heart failure.
Review factors that institute Lifestyle changes and health promotion
A key milestone in promoting health was the advent of Healthy People (U.S. Department
of Health, Education, and Welfare. Exercise, diet, limit alcohol and drinking,
What are the levels of prevention and how are they applied to patient care? Give
examples
Primary prevention – health promotion and specific protection. Exp. Immunization and
why they’re needed.
Secondary prevention – early diagnosis, prompt treatment and disability limitation.
Exp. Patient is obese and is prone to be Diabetic type 2. We have to teach him/her a
better diet and how to properly exercise.
Tertiary prevention – restoration and rehabilitation
Exp. Patient who had a stroke, Minimizing effect to prevent complications/deterioration
Identify the 6 stages of change and how they are applied to individuals
Not considering change
Precontemplative
Contemplative Aware of but not considering change soon
Preparation Planning to act soon
Action Has begun to make behavioral change
(recent)
Maintenance Continued commitment to behavior (long-
term)
Relapse Reverted to old behavior
, What is evidenced based practice and how is it applied in patient care?
Evidence-based practice looks at research findings, quality improvement data and other
forms of evaluation data, and expert opinion to identify methods of improvement.
EBP is the integration of clinical expertise, patient values, and the best research evidence
into the decision making process for patient care. Clinical expertise refers to the
clinician’s cumulated experience, education and clinical skills. The patient brings to the
encounter his or her own personal preferences and unique concerns, expectations, and
values. The best research evidence is usually found in clinically relevant research that has
been conducted using sound methodology. (Sackett D, 2002)
Define Assisted living, Extended living, Rehabilitative care and Respite care
ALFs are defined as homelike settings that promote resident autonomy, privacy,
independence, dignity, and respect while providing necessary support.
Extended living – prolong life
Rehab - return to former state, optimal stage.
Respite - hospice
The overall nutritional health maintenance of the patients
Exercise, diet, positive thinking, soul and mind. Water, vitamins.
Understand cultural sensitivity and religious beliefs
What are the goals of the Gordon’s functional pattern?
***Functional health pattern categories provide structures to analyze factors within a
category (blood pressure: activity pattern) and to search for causal explanations, usually
outside the category (excessive sodium intake: nutritional pattern) Advocate for other like
you would for yourself. Similar to the Golden rule.
The definition of family and who makes up the family unit
The entire family is viewed as the care recipient that guides assessment from a holistic
framework (Ward & Hisley, 2009).
What is the nursing process and how is it employed in patient care?
ADPIE
The nursing process with families is a two-level process that includes the family as a
group and the interactions among family members (Ward & Hisley, 2009).
Subjective versus Objective data
Study Guide
What is the primary role of the nurse?
Patient’s advocate. Health education is one the primary prevention techniques available
to avoid the major causes of disabilities and death today. ADPIE
Asses, diagnose, plan, implement, Evaluate
Identify the many roles that the nurse plays in the life of the patients?
Advocate, Care manager, consultant, deliverer of services, educator, healer, and
researcher.
What are the goals of Healthy People 2020?
Increase the quality and years of healthy life and eliminate health disparities.
What are primary, secondary and tertiary interventions? Give examples of each
Primary prevention – health promotion and specific protection. Exp. Immunization and
why they’re needed.
Secondary prevention – early diagnosis, prompt treatment and disability limitation.
Exp. Patient is obese and is prone to be Diabetic type 2. We have to teach him/her a
better diet and how to properly exercise.
Tertiary prevention – restoration and rehabilitation
Exp. Patient who had a stroke, Minimizing effect to prevent complications/deterioration
HEALTH PROMOTION, SPECEFIC HEALTH PROTECTION, AND PREVENTION
OF SPECIFIC DISEASES.
Define and give examples of: Acute, Sub acute and Hospice care
Acute care - Emergency treatment and critical care also known as secondary care.
, Sub acute care - comprehensive inpatient care designed for someone who has an acute
illness, injury or exacerbation of a disease process.
Hospice care - Hospice care provides medical services, emotional support, and spiritual
resources for people who are in the last stages of a serious illness, such as cancer and
heart failure.
Review factors that institute Lifestyle changes and health promotion
A key milestone in promoting health was the advent of Healthy People (U.S. Department
of Health, Education, and Welfare. Exercise, diet, limit alcohol and drinking,
What are the levels of prevention and how are they applied to patient care? Give
examples
Primary prevention – health promotion and specific protection. Exp. Immunization and
why they’re needed.
Secondary prevention – early diagnosis, prompt treatment and disability limitation.
Exp. Patient is obese and is prone to be Diabetic type 2. We have to teach him/her a
better diet and how to properly exercise.
Tertiary prevention – restoration and rehabilitation
Exp. Patient who had a stroke, Minimizing effect to prevent complications/deterioration
Identify the 6 stages of change and how they are applied to individuals
Not considering change
Precontemplative
Contemplative Aware of but not considering change soon
Preparation Planning to act soon
Action Has begun to make behavioral change
(recent)
Maintenance Continued commitment to behavior (long-
term)
Relapse Reverted to old behavior
, What is evidenced based practice and how is it applied in patient care?
Evidence-based practice looks at research findings, quality improvement data and other
forms of evaluation data, and expert opinion to identify methods of improvement.
EBP is the integration of clinical expertise, patient values, and the best research evidence
into the decision making process for patient care. Clinical expertise refers to the
clinician’s cumulated experience, education and clinical skills. The patient brings to the
encounter his or her own personal preferences and unique concerns, expectations, and
values. The best research evidence is usually found in clinically relevant research that has
been conducted using sound methodology. (Sackett D, 2002)
Define Assisted living, Extended living, Rehabilitative care and Respite care
ALFs are defined as homelike settings that promote resident autonomy, privacy,
independence, dignity, and respect while providing necessary support.
Extended living – prolong life
Rehab - return to former state, optimal stage.
Respite - hospice
The overall nutritional health maintenance of the patients
Exercise, diet, positive thinking, soul and mind. Water, vitamins.
Understand cultural sensitivity and religious beliefs
What are the goals of the Gordon’s functional pattern?
***Functional health pattern categories provide structures to analyze factors within a
category (blood pressure: activity pattern) and to search for causal explanations, usually
outside the category (excessive sodium intake: nutritional pattern) Advocate for other like
you would for yourself. Similar to the Golden rule.
The definition of family and who makes up the family unit
The entire family is viewed as the care recipient that guides assessment from a holistic
framework (Ward & Hisley, 2009).
What is the nursing process and how is it employed in patient care?
ADPIE
The nursing process with families is a two-level process that includes the family as a
group and the interactions among family members (Ward & Hisley, 2009).
Subjective versus Objective data
