Levels of Prevention/Healthy Lifestyle
Give 2 examples of primary prevention
What is seatbelts, banned substances, education, immunizations, mandating safe and healthy practices?
By law nurses are mandated to report which type of abuse?
What is suspected or actual cases of child and elder abuse?
What is the priority nursing intervention for a patient who is at risk for suicide?
What is safety- Do Not Leave the Patient Alone?
While providing education to a new mom, the nurse makes sure to include teaching on foods which should be avoiding in the first year of life. These foods include?
What is Cow's Milk, Honey and Eggs?
The nurse understands which level of Maslow's Hierarchy of Needs is the Highest priority when caring for a patient?
What is Physiological needs?
What does CAM stand for? Give 2 categories of CAM therapies.
What is Energy Therapy, Electromagnetic Therapy, Exercise Therapy, Manipulative and Body Based, Mind & Body, Spiritual, and Diet and Natural Products?
The nurse is assessing for signs of abuse, which signs could indicate abuse? List 4 signs
What is bruises in various stages, bite marks, burns in usual areas, S&S of skeletal injury, spiral fractures, bald areas on the scalp, injuries during pregnancy, inconsistent story, not wanting to go home, running away?
Describe the difference between Abuse, Dependence and Tolerance
What is
•Abuse: characterized by a pattern of repeated use of substances that is maladaptive in that significant adverse consequences occur.
•Dependence: maladaptive pattern of substance use leading to clinically significant impairment or distress.
•Tolerance: needing higher doses
Clear plus smooth textured dairy, strained soups, pureed vegetables, all juices, pudding, and frozen yogurt are all examples of which type of diet?
What is a Full Liquid Diet?
The nurse is caring for a patient who overdosed on drugs a few days prior. The patient continuously yells at the nurse, "I don't have any issues with drugs, I want to be discharged now!" Which type of defense mechanisms is this patient displaying?
What is Denial?
A Diabetes Management Program is an example of what level of prevention and why?
What is Tertiary Prevention?
The patient is trying to improve their quality of life and reduce the symptoms of the disease.
Burn out is a sign of stress in which stage of General adaption syndrome?
What is Stage 3 exhaustion stage?
This stage includes prolonged stress. In this stage the individual's physical, emotional, mental body are drained. Signs can include fatigue, burnout, depression, anxiety, decreased stress tolerance. Weakened immune system.
What are the 4 levels of Anxiety and when should a patient NEVER be left alone?
What is Mild, Moderate, Severe, and Panic?
Panic= speech may not be understandable, increased motor activity, agitation, unpredictable responses, trembling, poor motor coordination, perception distorted or exaggerated, unable to learn or function, dyspnea, palpitations, choking, chest pain, feeling impending doom, paresthesia, sweating. DON'T LEAVE PATIENT ALONE.
This tool is used to assist with dietary guidelines? Describe this tool.
What is MY PLATE? Half of the plate should be fruits and vegetables
A husband is angry with his coworker. He gets home from work and begins to yell at his wife for no reason. Which type of defense mechanism is he using?
What is Displacement?
The nurse is teaching the patient the importance of performing a Self Breast Exam. List the 3 different ways to complete a BSE and how often?
What is same time each month- 1 week after start of menstruating. The 3 different ways are in front of a mirror, lying down, and in the shower?
The nurse is caring for a patient who is a victim of domestic violence. The patient's wife is calling apologizing to him. He explains to the nurse, once he gets home his wife will be kind and loving. The nurse understands the patient is describing which stage of the Cycle of Violence?
What is the Honeymoon Stage?
Stage characterized by kindness and loving behavior
Honeymoon stage=batterer will do anything to make up with abused person, is contrite and remorseful and promises to never do again.
What are the pharmacological treatments used for Substance Abuse and which stages are they used in?
What is
Benzodiazepams- Used for detox phase
Disulfiram (Antabuse)- Used for Rehab phase
•Naloxone (Narcan)
When providing education on taking an Iron supplement to a patient, the nurse includes, "Iron is best absorbed if taken with...?"
What is Vitamin C - Orange Juice?
List the Components of a Suicide Assessment and what question should be asked in each.
What is Suicide Ideation, Suicide Plans, and Intent to Follow Through?
Suicide ideation= does the patient have thoughts of suicide?
Suicide plans= does the patient have plans or means to carry it out
Intent to follow through= Is there an intent to follow though with the plan?
The nurse understands using the Health Belief Model will help to determine?
What is the role of values and beliefs in predicting treatment outcome and adherence?
Overeating, excessive use of alcohol/drugs, smoking, and social isolation are examples of?
What is a stress response- Socio-behavioral effects of maladaptive behaviors?
List the 3 different anti-anxiety agents?
What is Benzodiazepines, Nonbenzodiazepine- Buspirone (BuSpar), and Barbiturates?
Benzodiazepines= CNS depressant, S/E=sedation, drowsiness, dizzy, decreased coordination (paradoxical response=opposite of expected response=agitation) If Paradoxical response DC benzodiazepam
Benzodiazepines act as a sedative – slowing down the body's functions – and are used for both sleeping problems and anxiety. They work by increasing the effect of a brain chemical called GABA (gamma amino butyric acid). GABA reduces brain activity in the areas of the brain responsible for: rational thought.
Benzodiazepine- Alprazolam (Xanax), Diazepam (valium), Lorazepam (Ativan), Clonazepam (Klonipin)
Reduces anxiety, induce sedation, relax muscles, treat alcohol withdrawal
Flumazenil (Romazicon) benzodiazepine antagonist
Nonbenzodiazepine- Buspirone (BuSpar)-
Antianxiety, does not cause dependence, no CNS depression, no sedative
Take 2-4 weeks to reach full effect
Barbiturates- phenobarbital, Seconal
Barbiturates are synthetic substances manufactured as pharmaceutical products. They act as depressants of the central nervous system
CNS depressant
Rarely used for anxiety today
Used in anesthesia
What is a normal BMI?
What is >18.5 to <25?
A coworker decided to make a lifestyle change and join the gym 6 months ago. They have continuously been exercises 3-4 days a week. Which level of the Transtheoretical Model of Health Promotion (TTM)?
What is the Maintenance Stage?
6 months after action started, continuing indefinitely