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Final Nursing Quiz
Final Nursing Quiz
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1
‘Everyone has the right to a standard of living adequate for the health and well being of himself and his family..etc'
World Health Organization [WHO] Constitution
United Nation’s Universal Declaration of Human Rights
2
Team: A group of people organized to accomplish the necessary work of an organization.
True
False
3
(1921) funded prenatal and child health centers staffed by public health nurses.
Nurse Practice Acts
Sheppard-Towner Act
Nurse Training Act
Hill-Burton Act
4
Politics: Process by which the decisions of others are influenced and control over situations and events is exerted
False
True
5
Responses to increases in family plan premiums:
High-Deductible Health Plans (HDHPs)
Health Savings Accounts (HSAs)
Health Reimbursement Accounts (HRAs)
6
Types of illicit drugs
Inhalants
Hallucinogens
Opioids (mostly illegal fentanyl) ex: heroin
Cannabis (marijuana and hashish) Synthetic marijuana
Amphetamine-type stimulants such as amphetamines, methamphetamine, ecstasy
Cocaine
7
IOM
Report: The Future of Nursing: Leading Change, Advancing Health R
Expand opportunities for nurses to lead/diffuse collabo improvement efforts
Essential IX: Baccalaureate Generalist Nursing Practice
8
What is true about Influenza?
Attacks the respiratory system
It can't kill you
Contagious- via droplets
An epidemic can take an economic toll
Acute viral illness
Typically, a seasonal illness
9
(1964), Public Law 88-581, provided enhanced funding for collegiate nursing programs.
Nurse Training Act
Hill-Burton Act (1946)
Nurse Practice Acts
Sheppard-Towner Act
10
Health is a state of complete physical, mental/social well-being¬ only the absence of disease/infirmity
WHO definition of health
CDC's definition of health
11
UNAIDS: the main advocate for accelerated, comprehensive and coordinated global action on the HIV/AIDS pandemic
True
False
12
Preventing an illness is not better than curing one
False
True
13
Who is at high risk for MDROs?
Ill and elderly
Those in hospitals, long-term care facilities
Perfectly healthy people
Those with previous exposure to a MDRO
Persons with AIDS or immunodeficiency disorders
Persons with multiple chronic disorders (diabetes & chronic kidney disease)
14
Chaplain or Pastoral Representative
Sacramental ministry and liturgical celebrations
Attends to the spiritual and emotional needs of the client and family
Pastoral counseling and support
Financial counseling and identifying financial resources
15
The intentional use of physical force or power, threatened or actual against something that results in any form of harm
Caregiving
Violence
16
Evaluates laws (Supreme Court and other courts)
Executive
Legislative
Judicial
17
Which is
NOT
an MCO
Health Maintenance Organizations (HMOs)
Preferred Provider Organizations (PPOs)
Point-Of-Service plan (POS)
Health Insurance Portability and Accountability Act (HIPPA)
18
Inter-professional Health Care Team Members include:
Physical Therapists, Speech-LanguagePathologists, & Occupational Therapists
LPNs
Nurses, Physicians, Nurse Practitioners, Physician Assistants
Chaplains or Pastoral Representatives
Dentists
Pharmacists, Dieticians,Respiratory Therapists, &Social Workers
19
Aspects of RN Team Builder:
Pride
Commitment
Respect
Carelessness
Cooperation
Willingness
20
The first wave of the opioid epidemic started in the 1990s
True
False
21
payment system; Incentive to reduce length of stay & minimize tests/procedures
Retrospective
Prospective
22
Pandemic influenza: Planning aimed at saving the largest number of people with control methods (social distancing, etc)
False
True
23
Excessive accumulation of adipose tissue and body mass index (BMI) > 30 kg/m
2
= Obesity
True
False
24
Out-of pocket expenses for Healthcare
Insurance premiums
Deductibles
Copayments
25
Global to Local = GloCal Health (No healthcare boundaries)
False
True
26
Occupational therapists plan activities that assist& teach clients with physical disabilities to become independent
True
False
27
NPA & registration of nurses were established (1910); scope of practice and minimal educational requirements for nurses.
True
False
28
Intentional or not, mixing drugs is never safe bc the effects from it may be stronger/more unpredictable than 1 alone
True
False
29
Health issues related to lifestyles
Ilicit Drugs
Smoking
Alcohol
Breast Cancer
Obesity
30
Which of the following is true?
Team work is not important
nurse plays a vital role in the process of teamwork,(with patient the most)
“It takes a village”
Communication among members is key
Teamwork and synergy are essential
Everyone would work better individually
31
Individual actively engaged in killing/attempting to kill ppl in a confined and populated area, typically with firearms
Active shooter
Terrorist
32
Team Members include:
Nursing Assistants
Housekeeping
Nursing Assistants
Unit Secretaries
RNs
Security
33
Physician Assistants (PA)
If approved by Physician: Performs protocols
If approved by Physician: Performs procedures
Doesn't have to get approval by physician
If approved by Physician: Performs assessments
Does not work under MD or DO
Works under the supervision of the MD or DO
34
Illicit=illegal
True
False
35
Drug than can reverse effects of opioid overdose;can be life-saving if administered in time
Fentanyl
OxyContin
Naloxone
methadone
36
Which health policy was the first federal policy to provide funding for public prenatal &child health nursing services ?
Nurse Training Act
Sheppard-Towner Act
Hill-Burton Act
Nurse Practice Acts
37
Ways to prevent violence
Don't say anything when you encounter violence
Monitor public places& take steps to address problems that might lead to it
Promote healthy relationships
Support local, national, international efforts to prevent violence
Raise awareness about the problem of violence
38
Governs nursing through nurse practice act & Pays for health care services through various programs
Local health policy
State health policy
39
Main risk factor for chronic diseases Cancer, lung diseases, cardiovascular diseases
Obesity
Illicit Drugs
Alcohol
Smoking [Tobacco]
40
Cities or counties offer a variety of health care services to meet the needs of their residents
State health policy
Local helath policy
41
Due to Opioid Crisis, Louisiana 2017 Legislature
First-time opioid prescription for acute pain limited to seven-day supply
Patient’s prescription history is checked for possible abuse.
substance abuse prevention education, identification and referral taught
This crisis is not real
They let people get opioids over the counter
Mandates prescribers to register in Prescription Monitoring Program (PMP).
42
interact with opioid receptors on nerve cells in the body& brain to reduce the intensity of pain signal/feelings of pain
Smoking
Obesity
Opioids
Alcholol
43
HIV/AIDS Transmission
Through unprotected sexual intercourse (anal or vaginal)
Sharing of contaminated needles
Transfusion of contaminated blood
Between a mother & her infant during pregnancy, childbirth & breastfeeding
44
AACN
Essential VI: Inter prof Commun/Collab for Improving Patient Health Outcome
Essential IX: Baccalaureate Generalist Nursing Practice
Expand opportunities for nurses to lead/diffuse collabo improvement efforts
45
(1946), also known as the Hospital Survey and Construction Act, provided federal funding for hospital construction.
Hill-Burton Act
Nurse Practice Acts
46
Diseases that CAN'T be transferred
heart disease, cancer, chronic respiratory disease, and diabetes
Communicable
maternal, perinatal and nutritional conditions
Non-communicable
47
People at high risk for influenza:
American Indians & Alaskan Natives
Pregnant women
Children younger than 5, especially those < 2 y/o
Teenagers
People who have medical conditions
Adults > 65 y/o
48
Grassroots lobbying, or political strategies->actions taken at the local level to influence policymakers
Visit with policymakers or their staff members
Communicate with policymakers by e-mail, fax, and telephone
Work in political candidates’ campaigns
Register to vote and voting in all elections
Attend “meet the candidates” town hall meetings
Join professional nursing organization
49
Nurses are a major force in health care delivery
;
Ensure positive patient outcomes and maximize reimbursement
True
False
50
Central nervous system depressant that affects every organ in the body
Smoking
Obesity
Alcohol
Illicit Drugs
51
Speech-Language Pathologist (SLP)
:
Assists clients who are communicatively impaired
Intervene in speech, language, and/or swallowing disorder
Speech intelligibility/Voice disorders
Receptive/Expressive language
52
Covers primarily disabled ppl, low-income households w children,& ppl in nursing homes(qualified based on low income)
Medicaid
Medicare
53
Collective violence is a lot more than interpersonal violence
True
False
54
Political Action Committee (PAC): a private group that raises and distributes funds for use in election campaigns.
True
False
55
Which of the following applies to a Physician? (MD or DO)
Leader of the Team
MD(Medical Doctor) or DO (Doctor of Osteopathy)
Diagnoses and prescribes treatment interventions for patients/clients
Postgraduate training: Internship, Residency, training in a specialty area
Regulated by each State Board of Nursing – (varies by state)
56
Carries out laws (president, vice president, Cabinet, most federal agencies)(can make an executive action)
Legislative
Executive
Judicial
57
Managed Care Organizations [MCOs]; Goal is to minimize payment for inappropriate or excessive health services
False
True
58
ANA’s Firm & Visible Positions On Health Policy Issues
Patients’ rights
Access to health care
Adequate reimbursement for health care services
Medicaid & Medicare reforms
Comprehensive health care reform
safe workplaces and health devices
59
Cost shifting – unpaid costs covered by those who do pay - increases insurance premiums
False
True
60
Ways to control Smoking-Tobacco
Warn people about the dangers of tobacco
Promoting tobacco on tiktok
Ban tobacco advertising,promotion & sponsorship
Giving free Cigarettes
Protect children and youths from tobacco/Prevent them from starting
Protect nonsmokers from exposure to second-hand tobacco smoke
61
A disaster situation that results in a large number of victims who need the response of multiple organizations.
Mass Casualty Incident (MCI)
Mass casualty Event (MCE)
62
Terrorism: A man made, premeditated, unlawful life-threatening violence
False
True
63
Acts of terrorism:
Explosives: Most common method for terrorists
Radiologic: Immediate effects: burns & poisonings; Long-term effects
Nuclear: Requires decontamination; Radioactive fallout
Biologic:Disease-causing organisms (bacteria, viruses, toxins)
Chemical: Spread easily through air; Causes immediate effects
64
Federal health policy
Plays a monumental role in shaping nursing practice
Funds health-related research
Funds education for health professionals, including nurses and physicians
Passage of the Patient Protection and Affordable Care Act (PPACA) (2010)
Pays for health care through Medicare, Medicaid &Veterans Administration
65
Financial cost, mortality, & morbidity = Global burden of disease (GBD)
True
False
66
Private health policy
made by healthcare organizations (hospitals &managed care organizations)
refers to local, state, and federal legislation; regulations (health)
67
Public health policy
made by healthcare organizations (hospitals &managed care organizations)
refers to local, state, and federal legislation; regulations (health)
68
Disease that can be transferred
maternal, perinatal and nutritional conditions
Non-communicable
heart disease, cancer, chronic respiratory disease, and diabetes
Communicable
69
Practice of Pharmacists (RPh or PharmD) includes:
Provides drug therapy/Drug information services
Consultative service (pain management & Nutritional support)
Dispensing medications & clients monitoring/Adverse drug reaction reporting
Client and health care staff education
Research & Concurrent drug use evaluation
Assists clients who are communicatively impaired
70
Synergy is the ability of a group of people to come together & accomplish more than one could accomplish on their own
False
True
71
Largest health insurance program in the US; Entitlement program based on age or disability criteria rather than on need
Medicare
Medicaid
72
OT's help patients learn:
Returning to work
All of these
Dressing/Grooming
Daily responsibilities for home (housework)
Eating
Bathing
73
Challenges Currently Faced by the U.S. Health Care System
Covid-19 pandemic that threatened to overwhelm health care systems
Ongoing and serious patient safety issues
Social differences of health
An aging population
Complex, high-tech work environments
Nurse shortage
74
Uses skills to help clients, families, and communities address psychosocial needs
Social Worker
Chaplin
75
Patient Protection and Affordable Care Act (PPACA or ACA) of 2010 (Obamacare)
unpaid costs covered by those who do pay - increases insurance premiums
gives affordable health insurance options through an insurance marketplace
Addresses many issues including employer requirements & health insurance
U.S. citizens need a qualifying health insurance coverage or pay a fee
76
COVID-19
often causes respiratory symptoms feel like a cold, a flu, or pneumonia.
may attack more than your lungs and respiratory system
Not a real disease
spreads quickly through droplets that you project out of your mouth or nose
77
Cardiovascular diseases(mainly heart disease& stroke),Diabetes,Musculoskeletal disorders, & Cancers are consequences of:
Smoking
Alcohol
Obesity
Illcit Drugs
78
‘the enjoyment of the highest attainable standard of health is one of the fundamental rights of every human being...’
United Nation’s Universal Declaration of Human Rights
World Health Organization [WHO] Constitution
79
A
cquired
I
mmuno
D
eficiency
S
yndrome (
AIDS
)
Retrovirus infects immune system cells destroying/impairing their function
Pandemic outbreak began in 20th century
Most advanced stage of HIV infection
80
infectious and contagious diseases are not the same thing as a communicable disease
False
True
81
Fentanyl is a synthetic opioid used in medical applications but is also manufactured illegally
True
False
82
Which of the following is included in Synergy?
Defined goals & objectives
Willingness to cooperate
Commitment to work together
Good communication
83
Legislative—Makes laws (Congress, comprised of the House of Representatives and Senate)
False
True
84
Respiratory Therapist
:Responsible for assessment and maintenance of the client’s airway and respiratory equipment
False
True
85
Health care decisions will not be made without nurses’ input, so nurses don't need to be involved
True
False
86
fee for service; caused Incentives for more tests/procedures
Retrospective
Prospective
87
What are the types of Obesity in Adults?:
BMI > 95th percentile
Class Ⅲ BMI - 40 + kg/m2
Class Ⅰ BMI - 30 to 34.9 kg/m2
Class Ⅱ BMI- 35 to 39.9 kg/m2
88
What is true about MDROs?
MDROs are not real
could come from poor infection control, sanitation
Increase length of stay, costs and mortality
Found in healthcare settings
MDROs can't be spread by healthcare workers
Spread by hands [often healthcare workers]
89
New Payment Methods to Control Cost & Quality
Value-Based Purchasing
Reducing readmissions
Medicare
Pay-for-performance
Deductables
Never events
90
Nurse Practitioners: (NP)
Assess, diagnose, and treat medical conditions
Regulated by each State Board of Nursing – (varies by state)
Referrals to physical therapy, specialist, & determine disability status
philosophy of care is holistic& emphasizes disease prevention/health promo
Works in collaboration with MD or DO
Prescribe medication
91
What are the types of violence:
Interpersonal violence
Collective violence
Self-directed violence
Collaborative violence
92
H
uman
I
mmunodeficiency
V
irus (
HIV
)
Retrovirus infects immune system cells destroying/impairing their function
Most advanced stage of HIV infection
Pandemic outbreak began in 20th century
93
Multidrug-Resistant Organisms (MDROs):Bacteria &other microorganisms that have developed resistance to antibiotic drugs
True
False
94
As educators/patient advocates, nurses are in a unique position to help with
non-opioid pain management including other medication modalities
None of these
psychological therapies
regional anesthetic interventions, surgery
complementary and alternative medicine (CAM)
rehabilitative/physical therapy
