Latest Update 2024-2025 Questions and Verified Correct

WGU D118 Adult assessment for advanced practice nurse Latest Update 2024-2025 Questions and Verified Correct Answers Guaranteed A+

• translational re- what needs to be changed, EBP to determine

intervensearch tions for best practices.

• PDSA cycle Plan, Do, Study, Act-what are we trying to accomplish, how,

what changes will make improvement

• chronic disease lasts at least 1 year, diagnosed illness, requires

regular attention

• care coordina- deliberate organization of patient care activities

between tion two or more participants (including the patient) involved in a patient's care to facilitate the appropriate delivery of healthcare services

• Models of care patient centered medical homes, self management, home

for chronic ill- based primary care, distance chronic disease program ness

• transitional care coordination, continuity, as patient moves from one level

for chronic ill- to another, points are hospital to home, hospital to rehab, ness hospital to PCP

• Health literacy a. REALM-SF assessment i. Word recognition
• Ask Me 3
• What is my main problem ii. What

do I need to do iii. Why is it important for me to do this

• Newest Vital Sign

• REALM-SF literacy tool 1 / 4

(Rapid Estimate of Adult Literacy in Medicine - Short Form)

9. Newest Vital Sign Health literacy test: being able to read food labels.

• Ask Me 3

What is my main problem?What do I need to do?Why is it important for me to do this?

• Genomics genes, psychosocial, culture, physical environments, health

illness continuum. Family history/inheritance patterns

• Genomic As- genetic disorder and patient individual health. genetic

facsessment tors, individual behaviors, environmental factors. ex age, smokes, dietary preferences, etc

• care of gay men disproportionate mental health problems and substance

abuse compared to heterosexual male. Need hpv, hep a and b vaccines, annual anal dysplasia screening, hiv and sti prevention education

• care of gay higher rate of mental health compared to straight woman,

woman hpv disease, don't share toys education, sti education prevention

• care of transgen- higher suicide rates, depression, victimization, health

der care and housing instability

• prenatal care initial at 8-10 weeks then every 4 weeks, every 2-3 weeks

after 28 weeks, weekly after 36 weeks

• Prenatal compli- anemia, uti, group b strep, n/v, Gerd, constipation,

hemcations orrhoids, vaginitis, bleeding, preterm labor

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• conditions that asthma, htn, diabetes, thyroid complicate pregnancy

• lacation promote it, feed on demand, evaluate in 1-3 days after home

from hospital,

• breastfeed is- jaundice, poor latch, engorgement, low infant weight, sues

cracked nipples, mastitis.

• Common geri- polypharmacy, cognitive impairment, dehydration, falls.

atric syndromes FTT, elder abuse

• palliative care consult, co-management, primary management

models

• pain organic or idipathic, acute less 3 months, chronic

• PQRST Provokes

Quality Radiates Severity Time

• WHO 3 step anal- * 1- nonopioid gesic ladder * 2 - opioid for mild to

moderate pain

• 3 - opioid for moderate to severe pain

• BMI (body mass a person's weight in kilograms divided by the square of

index) height in meters

• blepharitis inflammation of the eyelid, worse in morning, due to ocular

film instability and dry eye, photophobia, itching, red, feels like something in the eye. warm compresses, diluted baby shampoo, antibiotic ointment, erythromycin or bacitracin

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• hordeolum stye, acute infection of one eyelid gland, painful, caused by s

aureus, blurred vision. warm compresses, light massage, wash.

• mechanical pto- Impaired mobility of the upper eyelid due to excessive sis

weight of the upper eyelid or scarring of the superior palpebral conjunctiva

• chalazion lipogranulomatosis lesion of the meibomian gland, no pain.

• meibomian oil glands found in the upper and lower edges of the glands

eyelids that help lubricate the eye

• ocular adnexa orbit, extraocular muscles, and eyelid

• corneal epithelial contact lenses use can cause this break

• RSVP(eye) redness, sensitivity, vision problems, pain

• vestibular neuri- inflammation of the vestibular nerve, severe vertigo, n/v,

tis imbalance, worse with rapid head movement, weeks to months.

• Meniere's dis- 4 symptoms-spinning vertigo, low frequency hearing loss,

ease tinnitus, feeling of fullness.

• tinnitus ringing in the ears

• Romberg test assesses ability of vestibular apparatus in inner ear to help

maintain standing balance

39. Tinnitus Hand- Measures:

icap Question- physical, emotional, and social consequences of tinnitus, naire (THQ) the hearing ability of the patient, and the patients' view of tinnitus Activities questionnaire assesses emotional reaction & impacts

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