Tertiary Prevention and Health Concepts - Quiz 1 Study Set

What is a definition of health?

"state of complete physical, mental, and social well-being, not merely the absence of disease or infirmity"

What is the definition of wellness and what are internal variables that affect a person's perception of health?

A positive state of health that is continually changing;

-a client's perception of the illness influences a person's state of health

What is the nurse's main role in assisting patients toward health promotion?

The nursing role in health promotion is to assist clients in living at their highest level of well-being

A. Describe the concept of health promotion?

B. Also, name some active health promotion strategies.

A. health promotion includes activities that help individuals maintain or enhance their present level of health.

B. client participation in a health program or activity, such as weight management, immunizations, and physical exams. Illness prevention protects people from actual or potential threats to health

1. What are the 5 components of Chamberlain Care?

Care for faculty; Care for community; Care for students; Care for partners; Care for patients.

What happens to homeostasis when there is an accumulation of stress?

It can result in disease. Acute anxiety and depression are frequently associated with stress

What problems/conditions can result in prolonged stress? (One answer is digestion problems; what are other conditions?)

headache, stress ulcers, infections, insomnia, and high blood glucose, high blood pressure

What is the purpose of the ANA Code of Ethics?

It guides nurses to practice ethical obligations when carrying out duties and rendering care

What is important to know about ANA Code of Ethics Provision 5 and our own personal values?

that "The person who has become a nurse, as opposed to the person who "does nursing," is one who has incorporated and integrated the values of the profession with personal values."

What do the nurses consider when discussing Provision 6 of the ANA Code of Ethics?

through individual and collective effort, establishes, maintains, and improves the ethical environment of the work setting and conditions of employment that are conducive to safe, quality health care

Differentiate between situational stress and maturational stress?

1. Situational stressors in the workplace that affect nurses are high-acuity client loads, job environment, constant distractions, responsibilities, conflicting priorities, and intensity of care.

2. Maturational stress includes major changes in life circumstances, such as divorce, the birth of a child, or the death of a parent

How many minutes a week is recommended for moderate intensity exercise?

Exercising 150 min at a moderate intensity each week is recommended to achieve substantial healthful fitness benefits

Proper body mechanics includes how close should you keep objects in proximity to your body?

As close as possible. Proper body mechanics requires keeping the object as close to the body as possible to keep it close to the lifter's center of gravity. The nurse should stand with feet about shoulder width apart for stability. The nurse should keep the spine straight and bend at the knees

Name an example of primary level of prevention related to health-related focus of activities in a care setting?

Primary prevention reduces the incidence of disease. immunization program; making available access to healthy fruits and vegetables in the community; setting up preventative care strategies at a health exposition; teaching proper oral care, teaching prevention of sexually transmitted infections (STIs) to teenagers and young adults; community education about diabetes prevention.

What is the focus of secondary level of prevention?

preventing the progression of disease, illness, or infection once it occurs

Name an example of secondary level of prevention?

Screening to detect cancer, STIs, and other conditions; early identification and treatment; immediate treatment to stop progression of disease and illness conditions; prophylactic aspirin therapy post cardiac event to prevent heart attack or stroke.

Name and example of tertiary level of prevention?

Goal is to minimize the effects of disease. Rehabilitation therapy belongs to the tertiary level of prevention (physical rehab or cardiac rehab). Weekly physical therapy post stroke; bypass surgery, angioplasty, stents- emergent procedures to increase life expectancy- treating the diagnosed disease.

Name some strategies to promote better sleep?

The client should minimize environmental stimuli just before bedtime because it can interfere with falling asleep. Taking naps during the day can impair the client's ability to fall asleep at night. Establish periods for uninterrupted sleep and rest and control noise levels. Maintaining a consistent sleep routine helps promote sleep. Going to bed around the same time each night, and getting up around the same time each day helps build a routine for consistent sleep. The control and regulation of sleep depend on a balance among regulators within the CNS

How does the nurse observe and measure functional mobility?

The nurse will measure the patient's mobility of: Sitting, Standing, Range of motion, Gait, Exercise pattern, Activity tolerance, Environmental factors, all factors influencing movement

1. Discuss the nursing process and ADOPIE, and what the nurse's role is in each step.

Nursing process assessment includes collecting subjective and objective data.

Assessment- Collection of subjective (what the patient states) and objective (what the nurse observes and measures) data. The nurse then analyzes the data, cues, and prioritizes a problem list (Diagnosis- nursing diagnosis).

Nursing Diagnosis- After collecting subjective and objective data about the patient, for example, the patient's sleep patterns and barriers to quality sleep, the nurse identifies a problem list.

Outcome Identification -The patient's end- result outcome(s)- increase sleep, free from infection, no falls, increase comfort, labs within baseline for patient, successful bowel/bladder output, etc...

Planning- patient goals. Patient will demonstrate incentive spirometry 3x per shift, at 2.5 balls sustained for 10-15 seconds. Patient will verbalize a pain level of 5 or below 45 min after comfort measure/pain medication ordered is administered. (It is goal-directed, with a timeline. What the patient will do to meet goals).

Implementation-What the nurse/nursing staff will do to take action and generate solutions. The nurse is actively carrying out the plan of care and helping the patient meet their goals. The nurse is also working with the interdisciplinary clinical team to collaborate on goal achievement with evidence-based interventions that can improve patient outcomes. Implementation phase includes: interventions, teaching, and coordination of care. Examples of nursing actions at this stage includes: Health promotion; Environmental controls; Promoting bedtime routines; Promoting safety; Promoting comfort; Promoting activity; Stress reduction; Bedtime snacks; Pharmacological approaches -sleep aids, pain meds; fall prevention program initiation and patient safety such as bed/chair alarms, 1:1, timed bowel/bladder training, etc...

The Evaluation stage is after the implementation stage where the nurse evaluates if the patient met the goal(s). Examples: re-assesses pain 30-45 min after administration. The evaluation stage allows the nurse to evaluate the results from the interventions and teachings rendered and re-assess if new provider orders need to be requested, if the patient needs to be reassessed, if consults need to be