NUR 163 HONDROS COLLEGE ACTUAL EXAM 1 TEST QUESTIONS WITH ACCURATE
SOLUTIONS- GRADED A+
Primary Prevention
prevention (flu vaccine)
Secondary Prevention
Catch the disease/diagnose (yearly physical exam)
Tertiary Prevention
Treating/stopping progression (Cardiac rehab)
Benefits of diet
Better health, disease prevention, healing (in Diabetics-biggest factor affecting compliance
is motivation)
Benefits of exercise
keeps joints flexible, maintain muscle, decrease BS level, heart health, decrease weight,
increase sense of well-being
Types of exercise
weight bearing is beneficial (prevents osteoporosis), swimming easy on joints,
,Exercise length
must be 30 minutes to be beneficial
Tobacco cessation
decreases risk for cancer, decreases cardiovascular issues
Alcohol
ok in moderation-unless medically unsafe, AA can help stopping
Benefits of physical exams and preventive care
yearly exams, identify problems early,
physical exam
should include BMI, BP and bone mineral density
Home health
Aides assist in home care/Adls and IADLS (aides do not assess or give meds)
KATZ index
,for independence in ADLs dressing, showering, transfer, feed, toilet
Home Health Hx
setting altered for assessing and interviewing: make sure there is plenty of time, use good
communication techniques, know how to move conversation along, take cultural and age
related values pertaining to modesty, etc., use formal name until they tell you otherwise,
speak directly to pt (not their children), make sure lighting is good, no background noise,
provide privacy, make sure bathroom is near
Best Practice guidelines for VS
1. establish baseline to identify changes
2. T-oral, unless poor muscle control or bone loss in mouth, may use sensor across
forehead (reading can be inaccurate)
3. P-radial (do not fully occlude), apical (auscultate for one whole minute)
4. R-changes can be sign of infection
5. BP-upper extremity, level with heart. Orthostatic BP, especially if dizzy or lightheaded,
(positive is a shift of 20+)
Full health assessment
Family Hx, Physical exam (BMI, cognitive, functional), VS, health promotion activities,
Advanced directives
Onset
When did this start?
, Precipitating
What caused the start? What led up to you first noticing the pain?
Provocation
What makes it worse?
Palliative
What makes it better? This suggests a Tx
Quality
What does it feel like?
Quantity?
On a scale of 1-10, with 10 being the worst pain you can imagine...
Region
Where is it?
SOLUTIONS- GRADED A+
Primary Prevention
prevention (flu vaccine)
Secondary Prevention
Catch the disease/diagnose (yearly physical exam)
Tertiary Prevention
Treating/stopping progression (Cardiac rehab)
Benefits of diet
Better health, disease prevention, healing (in Diabetics-biggest factor affecting compliance
is motivation)
Benefits of exercise
keeps joints flexible, maintain muscle, decrease BS level, heart health, decrease weight,
increase sense of well-being
Types of exercise
weight bearing is beneficial (prevents osteoporosis), swimming easy on joints,
,Exercise length
must be 30 minutes to be beneficial
Tobacco cessation
decreases risk for cancer, decreases cardiovascular issues
Alcohol
ok in moderation-unless medically unsafe, AA can help stopping
Benefits of physical exams and preventive care
yearly exams, identify problems early,
physical exam
should include BMI, BP and bone mineral density
Home health
Aides assist in home care/Adls and IADLS (aides do not assess or give meds)
KATZ index
,for independence in ADLs dressing, showering, transfer, feed, toilet
Home Health Hx
setting altered for assessing and interviewing: make sure there is plenty of time, use good
communication techniques, know how to move conversation along, take cultural and age
related values pertaining to modesty, etc., use formal name until they tell you otherwise,
speak directly to pt (not their children), make sure lighting is good, no background noise,
provide privacy, make sure bathroom is near
Best Practice guidelines for VS
1. establish baseline to identify changes
2. T-oral, unless poor muscle control or bone loss in mouth, may use sensor across
forehead (reading can be inaccurate)
3. P-radial (do not fully occlude), apical (auscultate for one whole minute)
4. R-changes can be sign of infection
5. BP-upper extremity, level with heart. Orthostatic BP, especially if dizzy or lightheaded,
(positive is a shift of 20+)
Full health assessment
Family Hx, Physical exam (BMI, cognitive, functional), VS, health promotion activities,
Advanced directives
Onset
When did this start?
, Precipitating
What caused the start? What led up to you first noticing the pain?
Provocation
What makes it worse?
Palliative
What makes it better? This suggests a Tx
Quality
What does it feel like?
Quantity?
On a scale of 1-10, with 10 being the worst pain you can imagine...
Region
Where is it?
