Hopsice:
• Nurse’s code of ethics would prohibit us from:
- Assisting a patient with a suicide
- Providing a lethal dose of medication to a hospice
... [Show More] patient.
• Hospice nurses:
- Work stressful jobs in somewhat isolated conditions. These things, combined with access to drugs and a belief that we can accomplish better living through chemistry accounts for the issue of substance abuse in hospice nurses.
• Patients are not eligible for hospice care if they continue to seek curative care options.
• Hospice job focuses on:
- Support of patient and family during terminal illness.
Triage Statuses:
• Green: patient is alert and has minor injuries only.
• Yellow: a patient needs care but is ok to wait for a little while.
• Red: the injuries or condition is life-threatening and must be dealt with immediately.
• Black: a patient is likely mortally wounded or ill and will not realistically survive. Care efforts should be directed elsewhere.
Natural Disaster:
• A nurse responding to a natural disaster might help with:
- Evacuation when possible
- Shelter in place when evacuation is not possible
- Triaging patients
- Caring for patients brought from search and rescues.
Elder Care:
• Elder abuse is under reported, usually because the victim is hesitant to report the abuse.
- If abuse is suspected: the patient should be isolated and directly asked if they are being abused.
• Elderly:
- Usually poly-pharmaceutical patients and have more likelihood of mixing up medications or having interactions.
- Many elderlies also use multiple over the counter medications or herbal meds.
- More likely to die in house fires than young people. The nurse should ensure that smoke alarms and fire detectors are installed in homes and that the batteries are functioning properly.
Home Care:
• Home visits include:
- The patient’s degree of safety in the home, especially if the patient is a child and being cared for by a parent.
- Always think of patient safety as the priority.
Prison:
- The number of diseases that run rampant in prisons is crazy because of the communal living situation
- Safety is the top priority, as in so many things, including a nurse’s work in a prison.
Support Groups:
- Are an important part of care, especially for diseases like eating disorders that have an emotional foundation.
- It is not expected that a support group will cure the issue
• Allow members to:
- Verbalize a decrease in symptoms
- To understand how they got disordered eating
- Allow them to feel support from other group members.
School Nurses:
- Nurses can delegate med administration to health aide. But they are still responsible for the care planning needs and following through for students.
• Largest issue for school aged children:
- Obesity and related illnesses
• The school nurse acts as:
- A student advocates
- Participates is research
- Acts as a case manager for students.
• How to teach school aged children about violence?
- Begin with teaching about bullying
- Improving social skills Community Nursing:
• Nurses are increasingly likely to find jobs in:
- Ambulatory care, urgent cares, etc.
• Nurses are mandatory reporters for abuse of any kind. REVIEW: primary, secondary, and tertiary preventions
- Primary: counseling/education (preventing disease before it develops)
- Secondary: test/screenings (attempts to detect disease early and intervene early
- Tertiary: pt. is already diagnosed, aims at avoiding further complications. Examples include rehab programs, insulin for diabetes, substance abuse treatment programs.
Industrial Nursing:
• Nurses must have a good understanding of the work being done to best assess safety issues and risks.
Occupational Health Nursing:
- Will ease reentry to work environment for workers who have been out of work due to illness or injury.
• In the case of a workman’s comp claim, the OH nurse will:
- Keep the patient up to date on claim information
- Limit the disability as much as possible
- Try to provide opportunities for quick return to work Forensic Nursing:
• Forensic nurse is responsible for:
- Collecting evidence
- Doing a complete history and physical.
• A nurse who specializes in sexual assault is referred to as a SANE
- SANE: Sexual Assault Nurse Practitioner.
• A woman with a history of sexual assault may likely also have issues with:
- Eating disorders
- PTSD
- Depression
- Drug or alcohol abuse
- IBS.
• An example of a primary prevention for community violence might include:
- Classes on parenting and follow up for new parents as well as courses on anger management and conflict resolution.
Cultural Competency:
- Focus should be on cultural background, not ethnic background.
- Patients should be asked about their cultural background, beliefs and needs.
Telehealth:
• Provides for almost all aspects of care, except for hands on and surgical procedures. Cause you can’t do surgery over the phone.
Rural Nursing:
• Why do rural areas have fewer hospitals?
- The population is much less dense than in urban areas.
• Health promotion should be:
- Available
- Affordable
- Accessible
- Appropriate
• Rural areas have populations that are:
- Less educated
- Have higher occupational risks
- Fewer doctors are available
- Experience a higher rate of poverty.
Medicaid, Medicare, and Social Security Disability:
• SS disability should be available for:
- Any person requiring dialysis due to end stage renal disease.
Disabilities:
• How to care for client with disability?
- We must support the client’s decisions
- Know the resources in the community
- Develop client centered goals.
• Having a disability frequently results in:
- A person experiencing barriers that keep them from taking an equal part in community life.
Homelessness:
• Important topics:
- Hygiene
- Availability of shelters
- Meal acquisitions
- Risks of environmental exposure
• Top priorities for a nurse caring for the homeless:
- Shelter and healthcare
• Homelessness can be caused by:
- Serious illness or disability which results in high medical bills. This financial strain can cause persons to lose their home.
• Other root causes for homelessness include:
- Substance abuse
- Mental health issues
- Lack of low-income housing
- Lack of support services
- poor income generation potential.
• Primary prevention of homelessness might include?
- Advocating for low-cost housing.
Family and Intimate Partner Violence:
• What to do when a patient is seen in the ER for an injury received as a result of IPV?
- The patient should be given information about shelters and a safe place to go when they leave.
• IPV
- Is repetitive
- Almost always escalates.
• Hate crimes:
- Considered worse than other crimes because the crime is personal, attacking the victim’s identity.
Severe Mental Illness:
• Defined as:
- Having a diagnosable mental disorder with moderate functional behaviors in a specific area of lifestyle at any given time during the past year.
• Causes of mental illness include:
- Genetics combined with neurochemical and metabolic changes
- Having lived through a severe disaster (either manmade or natural)
- Physiological abnormalities of the brain
- PTSD
- Social isolation
- Rejection
- Stress.
• Bipolar disorder:
- Patient having changes in mood from depression to mania.
• While nurses are committed to confidentiality and HIPAA laws, they may not fail to report or to act on information given to them by a patient that includes plans to hurt themselves or others.
Math Questions: There are 3 and they are easy.
Previous Reviewed Material: There are some questions on this exam that you have seen before in quizzes. Please go over your quiz reviews also. [Show Less]