NR 442 Exam 2 Study Guide: Latest Updated A+ Guide Solution, Exams of Nursing

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NR 442 Exam 2 Study Guide: Latest Updated

knowledgeable nurse (Ans - The client with a newly diagnosed condition can benefit from the nurse's information about the disability and the available community and governmental resources. It is important to note that if the nurse is unable to help a newly diagnosed client learn how to manage the disability and accept himself or herself as disabled, the nurse may compromise the client's adaptation and future client/nurse interactions. Income issues with disabled patients (Ans - Negatively affect the health and well-being of any person. Cannot afford home modifications to help with rehab. parents will likely experience a degree of role strain, which will affect relationships. usually experience a lower quality of life. Americans with Disabilities Act (Ans - prohibits discrimination against people with disabilities by guaranteeing equal opportunities for people with disabilities in relation

to employment, transportation, public accommodations, public services, and telecommunications provides protection to people with disabilities similar to those provided to any person on the basis of race, color, sex, national origin, age, and religion. Demographics of Homeless (Ans - The sheltered homeless population is younger than the general population. Adults with disabilities were over three times more likely to be experiencing sheltered homelessness than adults without disabilities People with no families Men are more likely Veterans are more likely Housing Challenges with homeless (Ans - lack of income

market force that prohibits the private housing sectors to promote affordable housing Lack of employment cost factors with homeless (Ans - lack of income and employment High rent that prevents them from affording food, clothing and healthcare. Nursing care with homeless (Ans - work on the primary contributions to homelessness like lack of affordable housing, income and services. work on an individual and family level to help with disease prevention, intervention, education and collaboration. Health problems in rural/migrant (Ans - Cigarette smoking, high blood pressure and obesity.

Lower seat belt use as well. Problems faced with rural/migrant (Ans – Lack of income lack of access to healthcare services lack of health insurances Higher environmental risk Approach to respiratory disease in migrant health (Ans - know the s/s of exposure risk Refer them to the appropriate health service Provide support and educational sessions to inform the patients and families. importance of follow-up and referrals are to ensure safety.

environmental hazards of rural/migrant (Ans - pesticide exposure temperature extremes wide variety of work tasks unpredictable circumstances migrant health centers vs clinic (Ans - harder to access tend to be more expensive Staff shortage with migrant health lack of participation from rural community

most frequent type of mental disorder in USA (Ans - Depression nursing care for suicide (Ans - know warning signs of suicide access appropriate resources refer them to a mental health clinic or provider take emergency action when necessary Stay with patient until services arrive. Priority of school nurse (Ans - obesity/Nutrition: weight loss counselling programs Emergencies: preparedness and epipens Health education: drugs, sexual activity, exercise

injuries: playground safety/sports injuries Common Screenings in schools (Ans - Vision Hearing Scoliosis High blood pressure Possibly BMI, and dental screenings Principals of confidentially in schools (Ans - Public Schools should follow HIPAA Private schools that are engaging in HIPAA activity also follow this act Nurses need to be well-versed in relevant laws and policies related to certain situations EX: minor being pregnant

Common injuries in children (Ans - Dental Caries Asthma Sport injuries: (strains, sprains, fractures, dislocations) Concussion Cuts/Bruises Drugs with Adolescents (Ans - Alcohol Marijuana Cocaine Opiods, Valium, Xanax, Adderall are the most commonly abused Sexual Education in Schools

(Ans - 24 states are teaching sex ed in schools Controversial topic due to responsibility of parents to teach this. nurses are looked at for education and start discussions about human sexuality in a nonjudgmental manner. Workers Compensation (Ans - state mandated and state funded. Workers' compensation programs provide income replacement and pay for health care services for workers who sustain a work-related injury, temporary or permanent disability, or death. Protects employers if employee seeks legal issues Each state regulates their own worker's comp. Nurses’ role in worker's compensation (Ans - Accurate assessment of the injury or illness and appropriate treatment are essential educates the employee regarding benefits under the Workers' Compensation Act and is often the one who files the claim.

nurse provides case management support and remains in contact with the employee until they return to work What has to be done before the employee can come back to work?(Ans

• Health examination Reasonable accommodations related to injury. disability syndrome (Ans - a state in which an individual chooses not to work when medical clearance to do so has been granted Specialties of Community Nurses(Ans - School Occupational Forensic Correctional Faith Based Home Health and Hospice Levels of prevention with School nursing(Ans - Primary: nutritional education, immunizations, Health education

Secondary: Screenings, identify at risk students, administer medications, Develop health plan, Home visits Tertiary: Referral of students for substance abuse, Prevention of complications and adverse effects and staff monitoring. Levels of prevention with occupational nursing(Ans - Primary: Set up programs to watch health conditions of workers, Do "walk throughs" to look at environmental hazards, Safety and educational resources Secondary: Health screenings, job transfer evaluations, periodic assessments. Tertiary: workplace accommodations, disability management, physical demands analysis, Support and counseling. Levels of prevention for forensic and correctional nursing(Ans - Primary: start drug teaching in high schools and drug resistance programs, Support programs, life-skills training.

Secondary: identify or screen for evidence of drug use, provide info on area groups that provide support for students who avoid drugs. Tertiary: Reduce risk that additional students will abuse drugs, refer to support groups (Narcotic Anoymous) Levels of prevention for Faith-based nursing(Ans - Primary: teaching about parenting, health and wellness, social support programs to prevent social isolation Secondary: Screenings to identify families at risk, educational programs to meet individual needs Tertiary: resources for rehab, coping with chronic health or disabilities Levels of Prevention for Home Health Nursing(Ans - Primary: intervening early on preventing problems such as skin breakdown and pain control. Education on hospice/dying Secondary: Responding quickly when needs arise, Continued education about dying

Tertiary: Assist through active phrase of dying, follow up bereavement support Senior eligible for Medicare reimbursement(Ans - Any individual older than 65 years who is homebound, under the care of a physician, and requires medically necessary skilled nursing care or therapy services Any individual older than 65 years who is certified by a physician or a nurse practitioner (NP) to be terminally ill with a life expectancy of 6 months or less is eligible to receive the Medicare Hospice Advanced Directive (AD)(Ans - is a written document in which a competent person gives instructions about future health care in the event that the individual is unable to make decisions. Power of Attorney (POA)(Ans - for health care is one type of advance directive. Also called a health care proxy, the durable power of attorney for health care gives another person the power to make medical decisions related to care of the patient Living Will(Ans - is a written document in which a patient voluntarily informs doctors and family members about the type of medical care desired should the patient become terminally ill or permanently unconscious and unable to communicate. In the living will, the patient

can describe the type of care desired, depending on the clinical situation Can family be a caregiver(Ans - Yes, The RN assess the skills of the caregiver, instructs them on procedures and recognizing S/S of problems. Pain Control in dying process(Ans - Meds are given in doses sufficient to keep patient free of pain; administered on a regular schedule. Help in managing other symptoms (nausea and vomiting, constipation, diarrhea, fatigue, decreased appetite). Caring for the caregiver in dying process(Ans - Careful assessment of the caregiver's mental and physical health is important .All decisions regarding care are made considering the health of the caregivers. Caregivers need reassurance for the care they provide. Need to understand the patient will not die from something they did or did not do.

Nursing care in dying process(Ans - Relieves the suffering throughout the illness Support the patient and family through dying process Provide grief support after the patient has died. other departments in Home health to promote safety(Ans - physical therapists, occupational therapists, social workers, nurse assistants, chaplains, physician. Roles of the Faith Based Nurse:(Ans - - Integrator of faith and health

• Personal health counselor
• Health educator
• Health advocate
• Referral agent
• Coordinator of volunteers
• Accessing and developing support groups

Ethical issues with faith-based nursing(Ans - Providing care to vulnerable populations: Should not try and treat entire population alone End of life issues: FCN need a theoretical base that includes an understanding of grief and loss from a developmental and social perspective, knowledge of the manifestations of normal and complicated grief, and nursing interventions to facilitate healthy grieving. Confidentiality: They should only share the clients information when given permission and they should be aware of this before going to the church community and talking with people. Accountability: They should know how to store and keep secure the medical records of the people in the church community and ensure the health information is current and appropriately practiced. Subspecialties of forensic nursing.(Ans - • Sexual assault nurse examiner: who applies the nursing process during forensic examinations to victims or perpetrators of sexual assault.

• Nurse coroner: responsible for ensuring that appropriate measures are taken to perform death investigations and to certify death certificates.

Death investigator: evaluates the death scene from a holistic nursing perspective and might interpret the scene differently

• Legal nurse consultant: nurse attorneys are nurses who provide assistance within the legal system using specialized nursing knowledge and expertise when the interaction between law and health care quality and safety issues arise nurse attorneys: are academically educated in both law and nursing. They may practice in health care, public health, or criminal or civil law, which would include malpractice cases. Malpractice cases may require the participation of a nurse attorney on either the plaintiff's or the defendant's side and may involve licensure disciplinary action or agency oversight
• Forensic nursing educator and consultant
• Forensic psychiatric nurse: bridges the gap between the criminal justice, legal, and mental health systems. Forensic psychiatric nurses apply the nursing process to clients who await a criminal hearing or trial while maintaining a neutral, objective, and detached position (Mason, 2011). Forensic psychiatric nurses collect evidence by determining intent or diminished capacity in the client's thinking at the time of the incident. To do so, they often spend several hours interviewing and

observing the client, carefully documenting conversations and observations.

• Forensic nurse examiner: In this role, they deliver care to living patients who are involved with the legal system, and their services may include several subspecialties. vulnerable populations (Ans - Elderly Disabled Homeless Mental health migrant health Primary prevention in Community violence (Ans - Community education concerning violence Reduction of media violence Development of community support services such as crisis lines, respite care for families with dependent members, shelters for battered women and their children, and development and vigorous enforcement of ant stalking measures, including cyberstalking

Handgun safety education Disaster preparedness as nurses (Ans - Preparedness includes surveillance and reporting of suspicious illnesses (e.g., signs and symptoms of biological agents, foodborne diseases, and communicable diseases) in the community by physicians and nurses in local health care facilities or private offices and clinics. Nursing Consideration with disabilities (Ans - be familiar with effective strategies for communicating and caring for individuals with a variety of disabilities procuring the knowledge related to health conditions that may result from or lead to the disability, as well as being aware of the resources available and legal implications that affect the PWD. Look at own perspective of disability will affect how to care for patients. discern the needs and resources of the client and his or her family. nursing interventions with disabilities(Ans - Rather than assuming a need for intervention, the nurse should ask whether the client wants assistance, ask the client/family to describe the goal(s), and ask how and in what way(s) the nurse can help.

Nurses should listen to understand, collaborating with the person/family to make plans and goals that meet the identified needs and that draw on strengths and improve weaknesses. knowledgeable patient(Ans - a client has been living with disability for an extended time and has become sensitive to the needs of his or her body. if the nurse attempts to tell the Knowledgeable Client what to do without seeking input, the client may become angry and seek help elsewhere.