Health Screening
What is the primary and secondary objective of screening?
Primary: Detection of disease in it’s early stage
Secondary: Reduce cost of disease management.
You’re talking with a patient in a clinic who mentions, “Yesterday my mom told me to be careful with my drinking, I was going out with some friends. She barley drinks, so she always thinks I drink too much.” You decide to follow-up by asking, “Does that annoy you when she says that?” What tool is the nurse using?
CAGE Questionnaire
What are the three dimensions of disabililty?
Impairment (In a person’s body structure or mental functioning), Activity restrictions, and Participation Restrictions
A school nurse is talking to a student. Suspicious of excess drug use, the nurse does a rapid assessment then determines to refer this student to local rehab center for a handful of motivation sessions. What tool is this school nurse using?
SBIRT
You’re at the bar with a female friend who is on their 6th drink of the night. As a nurse you want to educate her about the Immediate Risks of excessive alcohol use. What are two immediate risks you can teach her about?
A new mother takes her 9 months old into the pediatrician for a well-baby checkup. What type of screening would this be?
Periodic Screening
You’re talking with the mother of a pediatric patient who has had a recent increase in asthma attacks. After asking what they think may have caused the increase the mother replies, “We’re not sure. I thought that it might be because my husband took up smoking in the house again, but he assured me that he wasn’t smoking enough to effect anyone else.” How might you reply AND what may be causing the increase of asthma attacks?
That’s dumb. There is no “safe” level of exposure. The asthma could be caused by Secondhand Smoke.
A patient comes in with French as their native language. As you talk with them you realize their English is proficient, but sometimes they looked spaced out and can’t fully answer all your questions. What is the next step for nurses?
Offer them a translator in French just to ensure they fully understand their care.
Hearing screening in newborn babies would be what type of screening?
Mass Screening
Working in the pediatric unit another nurse comes up to you and says, “See that man over there? He’s actually 16! Can you believe that? I thought he was 20 or so- he seems like it when you talk to him.” While pointing at a black high-school looking patient. What is this an example of?
Adultification Bias
What are three advantages of screening?
What are the 5 R’s to a patient unwilling to quit smoking?
Relevance, Risks, Rewards, Roadblocks, and Repetition
What are three examples of way to utilize CLAS into nursing practice?
A person takes an antigen test, not knowing it’s a false negative. What 2 implications might they deal with?
A screening tool is developed to detect the likelihood of breast cancer in patients. Out of all the patients tested, 92% tested negative for breast cancer. Of that 92%, 80% later found out they do in fact have breast cancer. How would you describe the initial screening test?
It has Poor Sensitivity
A screening tool is developed to detect the likelihood of breast cancer in patients. Out of all the patients tested, 92% tested negative for breast cancer. Of that 92%, 80% later found out they do, in fact, have breast cancer. How would you describe the initial screening test and what would you call this phenomenon (like, what happened?)
It has Poor Sensitivity, Increased False Negatives
Name two lung problems that smoking cigarettes increases the risk for.
Lung Cancer
COPD
What are three particular health concerns for individuals from the LGBTQ+ community (that we talked about in class)?
Homelessness, Trafficking, Substance Use, Depression, Suicide, and STIs such as HIV/AIDS.
A patient born in Spain is admitted to the hospital and a co-worker remarks, “Spainards are always so angry, if you need any help just let me know.” What is this an example of?
Essentialism
A nurse is talking to a patient and asks, “What do you call the problem you’ve been having with your ankle?”. What part of the nursing process does this represent?
Assessing
A teenage girl tests falsely positive for pregnancy. Before she finds out the screening is wrong, what are 4 implications she has to deal with?
A patient comes into the hospital with high blood pressure, hepatitis, and colon cancer. What might be the cause of such problems?
Excessive Alcohol Use
What are four factors of how racism impact long term healthcare (specifically for African American Patients)? Give an Example for each. Be somewhat specific.
Valerie is walking down the street in a new city and gets called a slur. For the rest of the day she feels insecure and more nervous. According to the Minority Stress Framework, what is the next factor that Valerie might deal with, and what might be an example of that?
Behavioral Health Problems, and I don't know cuz I still don't get this model 100%.
A hospice care nurse visits the home of a terminally ill Latino man named Roberto. The man’s adult children, who are there taking care of him, talk to the nurse and tell them that it would be inappropriate to talk about death with their father. The nurse feels this to be morally inappropriate and that the lack of disclosure will harm the patient. What is this an example of?
Ethnocentrism