NURS 3500 Exam 1 Questions with Correct Answers

NURS 3500 Exam 1 Questions with Correct Answers 100% Verified Types of end of life care - Correct Answer Hospice & palliative care Hospice care - Correct Answer - 6 months or less to live

• Used when curative treatment has stopped
• Usually for 60-90 day periods, but can be extended
• Involves RNs, social workers, chaplains, and volunteers

Palliative care - Correct Answer - Any stage of life-threatening illness

• No specific time period limitations
• Assists with informed decision making
• Provided by physician, NP, or team of providers

End of life care - legal & ethical considerations - Correct Answer - Power of attorney

• Advanced directive

- DNR/DNAR

• AND
• Assisted suicide
• Euthanasia
• Autopsy
• Organ donation

End of life care - holistic care - Correct Answer - Cultural aspects

• Spiritual aspects
• Client wishes
• Family-centered care

End of life - cardiac changes - Correct Answer Heart failure secondary to cardiac dysrhythmias, MI, or cardiogenic shock 1 / 4

End of life - respiratory changes - Correct Answer Respiratory failure secondary to pulmonary embolism, heart failure, pneumonia, lung disease, or respiratory arrest caused by increased ICP End of life - GI changes - Correct Answer Decreased output, decreased appetite, nausea/vomiting End of life - neurologic changes - Correct Answer Decreased function, leading to impaired swallowing End of life - pain - Correct Answer May increase, decrease, or remain unchanged End of life - nursing assessment - Correct Answer - Physical changes

• Psychosocial assessment
• Spiritual assessment

End of life - nursing diagnoses - Correct Answer - Pain/symptom management

• Grieving
• Chronic sorrow

End of life - planning - Correct Answer Must involve patients End of life - nursing interventions - Correct Answer Focus on comfort & relieving symptoms of dying (positioning, hygiene, suctioning, oxygen) Perinatal loss - Correct Answer - Miscarriage

• IUFD (stillbirth)
• Neonatal loss

SIDS - Correct Answer - Sudden Infant Death Syndrome

• Unexplained death of an infant up to 1 year
• Often related to unsafe sleep
• Prevention is key
• Provide education for parents/caregivers 2 / 4

Stages of grief - Correct Answer - Denial

• Anger
• Bargaining
• Depression
• Acceptance

Nurse's role - facilitating grief - Correct Answer - Expressing feelings

• Recalling memories
• Finding meaning

Social determinants of health - Correct Answer - Economic stability

• Education access & quality
• Healthcare access & quality
• Neighborhood & built environment
• Social & community context

Primary prevention - Correct Answer - Aims to prevent injury or disease before it occurs

• Done by preventing exposure to hazards, altering behaviors, and increasing resistance to

disease/injury

• Focuses on keeping patient well

Secondary prevention - Correct Answer - Aims to reduce the impact of a disease or injury that has already occurred

• Done by detecting and treating disease as early as possible
• Health restoration

Tertiary prevention - Correct Answer - Aims to soften the impact of an illness or injury that has lasting effects

• Done by improving the patient's ability to function, their quality of life, & their life expectancy
• E.g. diabetes, emphysema, etc.

WIC (women, infants, & children) - Correct Answer Supplemental funds up to 5 yrs of age 3 / 4

CHIP (children's health insurance program) - Correct Answer Essentially Medicaid for small children Medicare - Correct Answer Coverage for those over 65 Parts of Medicare - Correct Answer - Part A - hospital coverage

• Part B - medical coverage
• Part C - Medicare advantage, expands coverage; supplemental, through private insurance
• Part D - prescription coverage

Medicaid - Correct Answer - Coverage for those under 65

• Often short term
• Only allowed up to 90 days post pregnancy

Community health nursing - key elements - Correct Answer - Identifying public health concerns

• Intervening to address resource gaps
• Educating residents
• Providing essential services
• Helping residents gain access to resources
• Reducing the need for tertiary care
• Advocating for at-risk populations
• Working with community agencies

Community health nursing - ethics - Correct Answer - Respect for autonomy

• Non-maleficence
• Beneficence
• Distributive justice

Community health assessment - what to assess - Correct Answer - People in the community

• The environment
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