infection
What is healthcare associated infection (HAI) definition?
Disease and infection inquired from a hospital setting that otherwise wouldn’t have been acquired.
What is the difference between anxiety and fear?
Anxiety is a feeling of worry over a perceived threat where the source is unknown or unrecognized whereas fear is a reaction to a specific danger
What are daily hygiene implements nurses do? (list 4)
Oral, bath, shaving, hair care, nail care, skin care,
What is the difference between Acute and Chronic Illness
Acute, Short duration and severe, chronic, last long than 6 months affects functioning
Non compliance vs adherence
Non compliance- not complying with instructions
Adherence-ability to understand and follow instructions
What are the 6 parts of the chain of infection, starting with the infectious gent? Must be in correct order
Infectious agent, reservoir, portal of exit, transportation, portal of entry, host.
what behavior would you expect someone with compassion fatigue to display?
Isolation, depression, self medication
What is the most important hygiene techniques nurses can educate on?
Hand hygiene
Who is Florence Nightingale?
She is who founded modern nursing, she thought nurse was a 24 hrs job, she was know as the lady with the lamp
What factors put caregivers at risk for poor health?
Providing care for over 1 year, being 65 or older, caring for a family member with significant needs, care for someone with dementia or alzheimer, living with the care recipients
What are natural defenses against infection
Normal flora, immflamuation, mucus/mecus membrane, cilia, skin
What is the difference between eustress and distress?
Eustress is good stress that motivates and encourages health balance, distress is damaging both physically and emotionally
Why do nurses promote hygiene independence? (list 3)
Boost self image, decrease infection, decrease the spread of disease, time management
Describe the three levels of prevention and explain them
primary-true prevention
secondary-focus on preventing the spread
tertiary- occurs when damage is irreversible
What is a chronic illness vs a chronic disease
Illness-how the patient views the situation and symptoms
disease- is the medical condition that last a year or more and require medication
What are modes of transportation?
Direct, indirect, airborne, droplet, vectors, vehicle
What would you expect a patient to report when discussing mild, moderate or severe anxiety
Talks about your answers
mild-life changes (job, moving, starting new thing)
moderate-anything that affects your day to day life
severe- ptsd, Debilitating anxiety, affects your physical and emotional health
Factors that influence hygiene? (List 3)
Social, personal preference, body image, status, culture and or religion variable, motivation.
List 3 interventions a nurse can do to for health promotion
socials service, vaccination, education
List 3 genetic and 3 physical (environmental) factors of multi factorial natures of Chronic disease
Genetic-
genetics, family, screening, environmental, tobacco
physical- psychological effects, depression, social isolation
Who is most at risk for infection? (List 3)
Children, immunocompromised, geriatric, low income, uninsured, location
What type of assessment would you preform for a moderately anxious patient and what intervention would you recommend?
You would use health history and questioning through the patients eyes
you would recommend, therapy, guided imagery, breathing exercises, social services
Name a class who is most at risk for skin breakdown due to poor hygiene? Why?
Elderly with limited mobility
What are the stages of change?
Pre-contemplation, contemplation, preparation, action, maintenance, relapse
A nurse is teaching a client about improving a client about improving medication adherence. Which intervention is most effective?
a. Give written instructions
b. Use medical terms to increase understanding
c. Collaborate to create a daily routine schedule
d. Emphasize consequences of nonadherence
C
What are standard precautions a nurse should take?
Hand hygiene, gloves, don't touch yourself, discard gloves, wash hands,
Who is most at risk for compassion fatigue? Rank from lowest to highest.
1. A son who is the primary care giver for his mother who has stage 4 breast cancer
2. A ER nurse in a major city
3. Orthopedic surgeon
4. A nurse working the floor at St. Jude
4123-Discuss Answers
Say you work in long term care, what do you use to clean equipment?
What ever policy states
List Maslow hierarchy of needs
Physiological, safety and security, love and belonging, self esteem, self actualization
List the three dimensions of adherence and their definitions
Compliance-the patient passively follows providers instructions
persistence- the duration of time the patient follows the instruction
concordance- a mutual agreement between patient and provider about treatment plan
What are the types of PPE? (Must have all 5 for credit)
What type of PPE would be needed for droplet?
What precautions would the patient be on?
Mask, gown, gloves, face shield, hazmat
N95, gloves, face shield
Droplet
What does GAS stand for and what are the three stages and define them
General Adaptation syndrome
alarm
resistance
exhaustion
Who would the nurse see first?
1. Male Droplet patient requesting a shower
2. Female CPOD patient with an SpO2 92%
3. Female patient with dementia and acting confused and needing changed
4. Male hypertonic patient acting confused and requesting to go home
4
Variable factors influencing Health and Wellness, and one example of each, must have 6 out of 8
Physical, social, family, physiological, individual, soc—economic, cultural, spiritual
Discuss approaches you may utilize in the role of teacher and advisor to promote self management and adherence in a child with type 1 dietabetes.
Discuss answers and rationale