health behaviors - Answers The actions people take to improve their health state, maintain their health
or prevent injury or illness
living will - Answers patient's wishes for treatment at end of life
durable power of attorney - Answers has the power to make decisions for patient
informed consent - Answers full disclosure of procedure, witnessed signature
health promotion, disease prevention, primary, secondary, tertiary - Answers 5 levels of care in health
care systems
primary, preventative, secondary, tertiary (second and tertiary are acute care like emergency),
restorative (rehab), continuing - Answers Health care settings and levels of care that take place
the patient - Answers the most important person in the health care team
magnet recognition - Answers excellent standard for nursing
health - Answers a state of complete mental and physical well-being, not just disease-free; patient's
definition is the most important
primary, secondary, tertiary - Answers the 3 levels of preventive care
primary prevention - Answers exercise, eating right, immunizations - to look good and feel good
secondary prevention - Answers specifically doing things to help a specific type of health like losing
weight to not get cardiac disease
tertiary prevention - Answers eliminating further deterioration of a disease
Healthy People 2020 - Answers Vision: a society in which all people live long, healthy lives
Mission: improve health, increase public awareness, provide measurable objectives/goals, involve
everyone, research
Goals: live longer, eliminate disparities, create social/physical environments, promote quality of life
passive strategies - air bag, patient doesn't do anything
active strategies - must wear seltbelt, patient must physically put it on - Answers 2 types of behavior
modifications
intellectual, physical, emotional, spiritual - Answers holistic health care means looking beyond a
patient's physical needs and evaluating it all:
,medicaid - Answers a federally funded, state-operated program of medical assistance to people with low
income
medicare - Answers a federally funded national health insurance program in the US for people age 65
and older
diagnosis-related groups (DRGs) - Answers categories used as the basis for fixed reimbursement
amounts with adjustments for the severity of cases, which give hospitals an incentive to reduce the
length of stay of all clients
professional standards review organization (PSRO) - Answers a regulatory approach to reviewing the
quality, quantity, and cost of hospital care provided through Medicare
Intensive CaRe Unit (ICU) - Answers a critical care unit in a hospital in which there is close monitoring of
the client's status and use of intensive medical technology
skilled nursing facility (SNF) - Answers a skilled care facility that provides intravenous therapy, wound
care, long term ventilator management, and physical rehabilitation
integrated delivery network (IDN) - Answers a set of providers and services organized to deliver a
continuum of care in cost-effective settings
b - Answers A nurse works in a special care unit for children with severe immunology problems and is
caring for a 3-year-old boy from Greece. The boy's father is with him while his mother and sister are
back in Greece. The nurse is having difficulty communicating with the father. What action does the nurse
take?
a. Care for the boy as she would any other patient.
b. Search for help with interpretation and understanding of the cultural differences by contacting
someone from the local Greek community.
c. Ask the manager to talk with the father and keep him out of the unit.
d. Have another nurse care for the boy because maybe that nurse will do better with the father.
d - Answers Which of the following nursing activities is found in a tertiary health care environment?
a. Working the triage desk in the emergency department.
b. Administering influenza immunizations at the senior independent living facility.
c. Providing well-baby care in the clinic run by the local community health department.
,d. Admitting a patient following open heart surgery to the cardiovascular intensive care unit.
a - Answers When a nurse uses information and technology to communicate, locate and use knowledge,
reduce and eliminate errors, and help make decisions, the nurse is working in which area?
a.Nursing informatics
b. Integrated delivery system
c. Health care patient system
d. Computerized nursing network
d - Answers The nurse is developing a health promotion program on healthy eating and exercise for high
school students using the health belief model as a framework. Which statement made by a nursing
student is related to the individual's perception of susceptibility to an illness?
a. "I've decided to start a walking club at school for interested students."
b. "I don't have time to exercise because I have to work after school every night."
c. "The statistics of how many teenagers are overweight is scary."
d. "I'm worried about becoming overweight and getting diabetes because my father has diabetes."
a - Answers The nurse is providing restorative care to a patient following an extended hospitalization for
an acute illness. Which of the following is an appropriate goal for restorative care?
a. Patient will be able to walk 200 feet without shortness of breath.
b. Patient will express concerns related to return to home.
c. Wound will heal without signs of infection.
d. Patient will identify strategies to improve sleep habits.
b - Answers When illness occurs, different attitudes about it cause people to react in different ways.
What do medical sociologists call this reaction to illness?
a. Health promotion
b. Illness behavior
c. Health belief
, d. Illness prevention
c - Answers The patient tells the nurse that she is enrolled in a preferred provider organization (PPO) but
does not understand what this is. What is the nurse's best explanation of a PPO?
a. This health plan is operated by the government to provide health care to older adults.
b. This health plan is for people who cannot afford their own health insurance.
c. This health plan provides you with a preferred list of physicians, hospitals, and providers from which
you can choose.
d. This is a fee-for-service plan in which you can choose any physician or hospital.
d - Answers The nurse is participating at a health fair at the local mall giving influenza vaccines to senior
citizens. What level of prevention is the nurse practicing?
a. Quaternary prevention
b. Secondary prevention
c. Tertiary prevention
d. Primary prevention
c - Answers Which activity represents secondary prevention?
a. The school health nurse provides a program to the first-year students on healthy eating.
b. The patient attends cardiac rehabilitation sessions weekly.
c.A home health care nurse visits a patient's home to change a wound dressing.
d. A 50-year-old woman with no history of disease attends the local health fair and has her blood
pressure checked.
a,b,e - Answers Which of the following are examples of the principle of patient-centered care that is
focused on respect, values, preferences, and expressed needs? (Select all that apply).
a. Allowing the patient to ask questions and express his or her concern about surgery.
b. Working with the family to bring in ethnic foods that the patient prefers.
c.Explaining a colonoscopy procedure to the patient.
d. Administer antihypertensive medications to patient daily.