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NUR 452 Final Exam Rangel ASU Fall 2024 Questions With Complete Solutions
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NUR 452 Final Exam Rangel ASU Fall 2024 Questions With Complete Solutions
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NUR 452 Final Exam Rangel ASU Fall 2024 Questions WithComplete Solutions
Analyze barriers to the educational process - educator-related
and learner-related. Think about emotional readiness to learner,
health literacy Correct Answers -Educator-related barriers→
fear of public speaking, lack of credibility with topic, over-
dependence on notes
-Learner-related barriers→ low literacy and lack of motivation,
cultural, language (accents, appropriate words, nonverbals)
**speak with tone and passion, physical (room setup, mobility
issues, vision or hearing problems), generational differences-
wrong learning style, andragogy vs pedagogy (adult vs peds)
-Adult learners→ they decide what works, life experience,
immediate usefulness of info, application of facts, collaboration,
shared content planning, active participation, focus on real-
world problems, respect, what they want to learn first
-Child learners→ others decide, accept information as taught,
limited life experience, inform for future use, focus on facts,
teacher is authority, teacher plans, passive recipient
Apply concept of literacy to community health. How can you
tell someone's health literacy level? Correct Answers -Health
literacy→ the degree to which individuals have the capacity to
obtain, process, and understand basic health information and
services needed to make appropriate health decisions
-Most adults read at an 8th grade level and 20% of the
population read below a 5th grade level
-Most health care materials are written at a 10th grade level
-Recommendation: should be written at 6th grade level
,-Older people→ difficulty navigating the complexity of health
care systems (forms, instructions) regardless of their education
-Ex. college educated elder that is having difficulty interpreting
health instructions→ this is a health literacy deficit
-Literacy→ an individual's ability to read, write, speak,
compute, and solve problems at levels of proficiency necessary
to function on the job, in the family of the individual and in
society
-Behaviors/responses that may indicate limited literacy:
-Incomplete patient forms, frequently missed appointments,
noncompliance with meds, lack of follow through
-Responses to written information: "I forgot my glasses, I'll read
this later." "Let me discuss this with my children"
-Unable to name medications, unable to identify when to take
the medication
-1 in 7 are functionally illiterate in the US
-Health problems among those who do not read well→ lack of
seatbelt use, lack of exercise, smoke more, lack of healthy foods
(choice=cost), tend to live in places that are less healthy, tend to
work in jobs that are more dangerous
Apply concepts of rates to community/ population health.
Review table of causes of death. Correct Answers -Rate→ a
statistic used for describing an event, characteristic, or
happening
-TIME important or a proportion
-Used to make comparisons among populations or to compare a
subgroup of the population with the total population
-Crude rate→ total population
-Specific rate→ subgroup of the population
,-Rate formula: (# of events divided by population at risk) times
100,000 (or another standard base number)
-Main cause of death→ unintentional injuries (AMV accidents
and suicide/homicide)
Apply cultural competence to nursing care of
communities/populations Correct Answers -Nurses role→
awareness of how to address global issues (infectious diseases,
human trafficking, maternal newborn health), assist in
elimination of health inequities, awareness of self and others,
build trust, humility (realize what is known and not known),
know impact of social determinants of health (genetics, social
and physical environment, access to care, availability of food
and transportation, biological and behavioral responses)
-Cultural Competence:
-Cultural awareness→ self examination of and in-depth
exploration of one's own biases, stereotypes, and prejudices as
they influence behavior toward other cultural groups
-Cultural Knowledge→ the process of searching for and
abstaining a sound education understanding about culturally
diverse groups
-Cultural Skill→ ability of nurses toe effectively integrate
cultural skill and knowledge when conducting a cultural
assessment and to use the data to meet the spsecific client's
needs
-Cultural Encounter→ the process that permits nurses to seek
opportunities to directly engage in cross-cultural interactions
with clients of diverse cultures to modify existing beliefs about a
specific cultural group and possibly avoid stereotyping
, -Cultural Desire→ a nurses' intrinsic motivation to want to
engage in the previous 4 elements necessary to provide
culturally competent care
-Cultural repatterning→ exchange culture patterns that are
harmful to ones that are not
-Cultural accommodation→ supporting use of practices that are
not harmful
-Cultural broker→ "middle man," ex nurse advocates to MD
about pt cultural values and beliefs
-Cultural preservation→ preserve values and beliefs
Apply levels of prevention to community/ population health,
including primary, secondary and tertiary. Secondary =
Screening and early intervention. Correct Answers -Primary→
interventions that promote health and prevent the occurrence of
disease, injury, or disability. Prepathogenesis.
-ex. (existing risk factors) bike helmets, tobacco cessation;
(preventing development of risk factors) bike trails located away
from vehicles, policies limiting youth from purchasing tobacco
-Secondary→ interventions designed to increase the probability
that a person will have the condition diagnosed early so
treatment is likely to result in a cure. Screenings-core.
-ex. newborn screening, mammography, regular check ups for
people who smoke, BMI screening, BP measurement
-Tertiary→ interventions aimed at limited disability and
interventions that enhance rehab from disease, injury, or
disability
-ex. post-stroke rehabilitation, blood sugar-lowering medication
for DM, PT for back injury
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