Which of the following are considered as social determinants of health?

Unemployment, Family situation a person is living in, Unhealthy learned behaviours as a child

The health belief model:

sees if an illness can be avoided by taking action, says the individual must believe they are capeable of making changes, looks at if the person is suscpetible to disease

A nurse is teaching an older-adult patient about strokes.

Provide specific information about strokes in short, small amounts

is goal directed in pre-planned. Something to teach is already in mind.

Which of the following are considered cultural determinants of health?

Kinship and family connection, Connection to country, Self determination and leadership

All are true of National Patient Safety Goals except

They do not affect the quality of care

What are some examples of health literacy

navigate complex insurance programs, being able to fill out your own forms, be able to identify credible health information

Zofran is a medication that can be given sublingual. The definition of sublingual is:

The administration of medication under the tongue

includes both private and government agencies and groups., encompass more than public health by including community health initiatives

Which of the following are signs/symptoms of adverse medication reaction? SATA

dyspnea (difficulty breathing), itching (pruritis), urticaria (hives), rash

What are some questions to ask your patient to make sure they are health literate?

What was the last grade level that you completed?, Do you have access to the internet?, Do you like to read?

Drawing medication from an ampule, what do I need?

Medication, Injection needle, Filter needle

You are instructing your patient about administration of eye drop. To minimize systemic absorption, you instruct to

Occlude nasolacrimal duct with finger.

Private health insurance is ....

Is an optional, extra form of health insurance

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Galen exam4 nur 155

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Exam 4 nur 155

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Answers

1
Which of the following are considered as social determinants of health?
Unemployment
Family situation a person is living in
Unhealthy learned behaviours as a child
An individuals BP and BGL
2
Which is not a right of medication administration
Documentation
Dose
Date
Room
3
According to Gordon's model, which health pattern describes the patient's spiritual attitude?
Self perception/ self concept pattern
Cognitive-perceptual pattern
Value/belief pattern
Role-relationship pattern
4
Printed Patient Education Material are an instructional
method
plan
objective
material
5
What position should the pt's head be in for nasal spray administration?
Up and back
Right and down
Down and forward
Left and up
6
The health belief model:
sees if an illness can be avoided by taking action
says the individual must believe they are capeable of making changes
looks at if the person is suscpetible to disease
is focused on keeping the patient well
7
The six rights of medication administration include all of the following EXCEPT...
patient
documentation
time
date
8
A nurse is teaching an older-adult patient about strokes.
Provide specific information about strokes in short, small amounts
Begin the teaching session facing the teaching white board with stroke info
Speak in a high tone of voice to describe strokes.
Use a pamphlet about strokes with large font in blues and greens.
9
formal education:
is goal directed in pre-planned. Something to teach is already in mind.
is the nurses responsibility
is done in classrooms/group settings
is directed to one patient
10
A patient needs motivation in order to learn.
True
False
11
Which of the following are considered cultural determinants of health?
Occupation
Kinship and family connection
Connection to country
Self determination and leadership
12
Health literacy is directly related to the patient's amount of formal education.
True
False
13
All are true of National Patient Safety Goals except
Are published annually by the Joint Commission
Promote the safety of patients and staff
Include patient identification and Reducing the risk of HAI’s
They do not affect the quality of care
14
To prevent medication errors, I must:
All of the above
Triple check the order, medication, and patient ID
Ask questions if unsure
Carefully read the label
15
IV is an abbreviation for what route of administration?
Type four (4)
Intravenous
Interventricular
Inferior Vena Cava
16
Which one of the following describes the administration of medication taken by mouth?
rectally
nasally
orally
subcutaneously
17
What are some examples of health literacy
Relying on a family caretaker to make appointments and get your medications
navigate complex insurance programs
being able to fill out your own forms
be able to identify credible health information
18
A parental route of medication administration is one that bypasses which of the following?
Liver
Heart
Kidneys
Skin
19
Education for rifampin includes telling the patient that their saliva, urine, stool and sweat will turn a greenish color
True
False
20
Client education goals- any activity that promotes a patients health. Education on restoration of health- adaption
False
True
21
Diphenhydramine is considered an adjunct medication.
False
True
22
Zofran is a medication that can be given sublingual. The definition of sublingual is:
None of the above
The administration of medication under the tongue
An injection of medication into the muscle
An injection of medication into the fat
23
Which position should the pt be in for otic medication administration?
Prone
Supine
Position of comfort
Side-lying
24
When educating a patient on diabetes type 2, what is an important factor to consider related to their health literacy?
Last visit date
Socioeconomic status
Career
Health insurance carrier
25
Which of the following is not a sign or symptom of a complication from blood or blood product administration?
Fever, chills and urticaria
Severe right shoulder tip pain
Hypotension progressing rapidly to shock
Chest and/or flank pain
26
Which of the following supplies is essential to withdrawing medication from an ampule?
alcohol swab
gloves
syringe
filter needle
27
What means to be truthful to your patient and avoid lying?
Autonomy
Veracity
Beneficence
Justice
28
community health:
focuses solely on populations
includes both private and government agencies and groups.
encompass more than public health by including community health initiatives
Disease prevention, health protection, and health promotion in populations
29
Which of the following are signs/symptoms of adverse medication reaction? SATA
dyspnea (difficulty breathing)
itching (pruritis)
urticaria (hives)
rash
30
What means to cause no harm to a patient?
Nonmaleficence
Negligence
Ethical dilemma
Justice
31
Is it safe to use generic named medication?
False
True
32
What are some questions to ask your patient to make sure they are health literate?
What was the last grade level that you completed?
Do you have access to the internet?
Do you understand the directions I just gave you?
Do you like to read?
33
Administration sites for subcutaneous injections.
upper chest
buttock
abdomen
back of arm
34
medication for phobias
piller
xanax
anipryl
intradermal
35
Drawing medication from an ampule, what do I need?
Medication
Injection needle
Filter needle
Blunt fill needle
36
Name two patient identifiers
Name and room number
Name and address
Date of birth and social security number
Name and date of birth
37
Which of the follow drug administration routes is the safest and most convenient?
Topical
Vaginal
Nasal
Oral
38
Patient's with osteomyelitis require
Antibiotic therapy
Blood pressure meds
Orthopedic surgery
Healthy diet
39
You are instructing your patient about administration of eye drop. To minimize systemic absorption, you instruct to
Administer eye drop directly to conjunctiva.
Blink rapidly after administration to spread over conjunctiva.
Use a clean tissue to wipe tearing.
Occlude nasolacrimal duct with finger.
40
A feeding tube should be flushed before and after medication administration.
True
False
41
Which of the following drug administration routes is rapid and across a large surface area?
Rectal
Topical
Inhalation
Oral
42
Patient education is a dynamic process used to empower the patient toward autonomy and high-level wellness
False
True
43
The patient has a diagnosis of severe systemic fungal infection. What is the best ROUTE for medication administration?
Inhalantion
Oral
Topical
Intravenous
44
Which abdominal quadrant would a patient with pancreatitis experience pain?
Lower left
Upper right
Lower right
Upper left
45
Medication that is applied to the skin
Tropical
Topical
Dermacal
Dermistic
46
Private health insurance is ....
Is an optional, extra form of health insurance
Means all Australians can be treated in a private hospital
Is run by Medicare
Not very expensive so everyone can afford it
47
Health literacy is the ability to obtain, process, and understand basic information needed to make health decisions
True
False
48
Low Health literacy is connected to
quick access to medical care
poorer overall health
What is health literacy? Never heard of it :)
49
Generally, how long should the pt stay still post nasal drop administration?
84 years
10-15 mins
1-5 mins
5-10 mins
50
T or F: A close ended question is appropriate to assess patient health literacy.
True
False
51
Injection of a drug into the upper layers of the skin is known as which route of medication administration?
Subcutaneous
Intramuscular
Intra-articular
Intradermal
52
paternal administration is administered by?
piller
injection
food/ treats
liquid
53
Suggested treatment for an infant who is oliguric and hyperkalemic is the administration of:
Calcium gluconate
Hydrochlorothiazine
Spironaolactone
Insulin
54
What is health?
Positive state of health that is continually changing
Functional or structural disturbance
complete physical, mental, and social well-being; not an absence of disease
Physical manifestations and subjective experiences
55
Which of the following would NOT be found on a medication order?
Medication alternatives
Patients name
Dose to be given
medication route
56
Parenteral medication is administered by ...
Blood
Skin
Ear
Urethra
57
Which site of subcutaneous administration has the most rapid absorption of insulin?
Vastus lateralis
Back of upper arm
Deltoid
Abdomen
58
What pt. food allergy would you question the administration of Propofol?
Soybean and Egg
Banana and Strawberries
Dairy and Egg
Honey and Dairy
59
T or F: A close ended question is appropriate to assess patient health literacy.
False
True
60
According to Gordon's model, which health pattern describes the patient's spiritual attitude?
Role-relationship pattern
Self perception/ self concept pattern
Cognitive-perceptual pattern
Value/belief pattern
61
A miotic medication is given to a patient with glaucoma. The nurse tells the client that this medication is to?
It will relax the eye muscles and decrease blurring of vision.
It blocks the responses that are sent to the eye muscles.
It will constrict the eye to reduce intraocular pressure.
It will dilate the eye to reduce intraocular pressure.
62
Which of the following qualify as medication errors? SATA
medication dose was skipped without physician order
medication was administered via wrong rout
dose was administered outside the time window
wrong med dose was administered
63
Which of the following routes of medication administration has the fastest effect?
Oral
Subcutaneous
Intramuscular
Intravenous (IV)
64
Which medication would you question for a procedural sedation?
Etomidate
Succinylcholine
Ketamine
Versed
65
What are the purposes of patient education? (Select All That Apply)
Coping with impaired functioning
Maintenance and promotion of health and illness prevention
Restoration of health
To scare the patient into doing the right thing
66
The health promotion model:
is focused on keeping the patient well
says the patient has to believe that they can succeed
believes in patient motivation and support
has a three stage process
67
Which of the following would be INCORRECT regarding medication administration? SATA
administer meds to nauseated patient
obtaining patient's first name only
document medication administration ASAP
crush EC or XR medication
68
What are some of the routes of administration?
oral, sublingual, inhalation, topical, intradermal, vaginal
apical, brachial, ulnar, temporal, cartoid
administered, prescribed, dispensed
intravenous, intramuscular, temporal, sublingual, clavical
69
Primary health care aims to :
Provide services close to where people need them
Provide culturally safe care at all times
Be affordable to most employed people
Promote health by improving health literacy and empowering people
70
What is the MOST common adverse effect of non-steroidal anti-inflammatory drug (NSAID) administration?
neurologic deficits
GI Upset
lethargy
elevated blood pressure
71
Which activity is the nurse’s responsibility during the evaluation phase of drug administration?
Preparing and administering medications as ordered
Planning measurable outcomes related to drug therapy
Monitoring the patient for therapeutic and adverse effects
Gathering a comprehensive drug history including allergies
72
What should RN do if pt otic medication spills out?
Estimate dosage lost and replace
Administer full dose
Do not administer anymore
Call MD for more instructions
73
Name the 7 Rights of Medication Administration
Right drug, dose, route, time, patient, documentation, technique
Right drug, dose, route, time of the day, patient, documentation, technique
Right drug, brand, route, time, patient, documentation, technique
Right drug, age, gender, time, patient, documentation, technique
74
Which of the following is not part of the medication administration safety checks (rights)?
Right Room
Right time
Right dose
Room Medication
75
Angle for administration of IM injections:
90 degrees
45 - 90 degrees
5 - 15 degrees
76
After administering medication in the enteral tube, how much water do you use to clear the tube?
20 to 30 mL
30 to 60 mL
25 to 35 mL
5 to 15 mL
77
Which position should the pt be in for otic medication administration?
Prone
Side-lying
Position of comfort
Supine
78
Which of the following are essential to safe medication administration? SATA.
assess patient's swallow
scan bar code of patient's ID band & medication
check medication expiration date
2 patient identifiers obtained
79
A patient has low health literacy. The nure should educate this patient by
highlighting four important points at each session
having short teaching sessions
having long teaching sessions
handing them a brochure/handout
80
What should the RN do if pt can taste the medication from nasal drops?
Contact MD for further instructions
Estimate amount pt ingest and reapply
Do not reapply
Readjust pt's head and reapply
81
Which is not a part of the nursing process?
Implants
Assess
Plan
Evaluate
82
Having knowledge about health and health services is referred to as .....
Health Education
Education
Health Knowledge
Health literacy
83
Which of the following should be considered prior to patient teaching?
Can they read and write English?
Does their education level affect their health literacy?
Are health-related materials available in the patient's language?
What is their highest education level?
84
Common health issues that older adults experience are
Asthma, Croup, Rheumatoid arthritis
Type 2 diabetes, osteoarthritis, dementia, cardiovascular disease
Cardio-vascular disease, cancer, middle ear infections
Developmental delay, type 1 diabetes, hearing difficulties
85
The most common route of drug administration is through the mouth.
True
False
86
It is not important to provide information about a medication to a patient as long as it is ordered correctly?
False
True
87
public health nursing:
Disease prevention, health protection, and health promotion in populations
encompass more than public health by including community health initiatives
includes both private and government agencies and groups.
focuses solely on populations
88
Which is NOT part of a patient's past health history?
The number of people in their family.
The immunizations they had.
The illnesses they had as a child.
Their number and types of surgeries.
89
Administration of IV fluids and or medication, commonly expressed in ml per hour
drug injection
IV push
Infusion rate
IV infusion
90
informal education:
is patient directed
occurs at bedside
is the nurses responsibility
is pre-planned
91
How much medication can you inject in an IM injection:
Depends on the site
2 ml
5 ml
10 ml
92
How long should the pt remain still post-otic medication administration?
5-10 mins
84 years
1-5 mins
10-15 mins
93
Which one of the following describes the administration of medication placed in the ear?
by inhalation
sublingually
by the otic route
by the ocular route
94
The enteral or oral route of drug administration is affected by the first pass effect?
True
False
95
The parenteral route of administration includes via intravenous or intramuscular injection and via gastrostomy tube?
False
True
96
The purpose of documenting patient education is: SELECT ALL THAT APPLY
to communicate how the patient responded to teaching
to promote continuity of care
to communicate the teaching that was completed
to document before patient teaching occurs
97
The federal law that protects personal health information is
Confidentiality
Liability
HIPPO
HIPAA
98
Which would be included when obtaining a health history?
Start with closed ended questions.
Use language the patient can understand.
Focus on documenting the information.
Ask multiple questions at once.
99
The definition of medication is a drug used in the prevention or treatment of disease?
True
False
100
The enteral route of medication administration includes?
The mouth, a nasogastric tube and a gastrostomy tube
The mouth, a nasogastric tube or an intravenous cannula
A nasogastric or gastrostomy tube but not via the mouth
The mouth and nasogastric but not via the gastrostomy tube

Galen exam4 nur 155 Flashcards | StudBud