At what grade level does the average American adult read?
At what grade level should medical info be written - ANSWER 8th grade
No higher than grade level of 6th-8th? But really goal should be 4th to 6th
What are institutional bylaws - ANSWER rules laid out by the institution that may provide
further qualifications and restrictions on the role of healthcare staff and the privilages of
AGACNPs different at every hopsital
What does resource utilization encompass - ANSWER how consumers utilize healthcare
resources and services
How patients interface with healthcare providers
special issues in acute care:
- LOS
- Most common causes of admissions
- avoidable admissions
- long term care
- emergency department and primary care clinic utilization
what are MRTs - ANSWER Multidisciplinary response teams
- healthcare professionals from different disciplines brought together to address
emergent situations
like the rapid response team that deal with rapid deterioration in health
or mass casualty events
How do NPs get involved in future mass casualty events>? - ANSWER pre-enroll in an
organization
,WONG baker faces pain scale - ANSWER good for language barriers
self assessment tool
rates pain based on choosing among 6 faces ranging from smiling to crying
Critiacal care Pain observation tool
what four behaviors does it assess - ANSWER - facial expression
body movements
muscle tension
compliance with ventilator (intubated patients) or vocalization (extubated patients)
each category is scored 0, 1, or 2
total range of scores is 0-8
Confusion Assessment Method (CAM)
four features - ANSWER Tests for delirium in the critical care unity
assesses AMS and disorganized thinking
1. acute onset of mental status changes or fluctuating course
2. inattention
3. disorganized thinking
4. altered level of consciousness
should be contacted every day/shift with the ICU patient
What does the MMSE mini mental status examination assess ANSWER cognitive
impairement
draw numbers in the circle to make the circle look like the face of a clock then draw the
hands of the clock to read 10 after 11
the clock is scored 1 to 6 with score >/= 3 representing cognitive defecit
, What are activities in daily living assess - ANSWER can be used to assess the progress
of an illness, need for care, and effectiveness of treatment/rehabilitation
what are the six self care functions - ANSWER bathing, drressing, toileting, transferring,
continence, and feeding
Get up and go test assesses? - ANSWER fall risk
patient is asked to rise from the chair and stand still momentarily, walk a short distance,
turn around, walk back to the chair, turn around, and then sit down in the chair
rated from 1 to 5
1 = normal, 5 = severely abnormal
>3 risk of falling
what is the pain assessement in advanced dementia scale - ANSWER tool used to
measure pain in older patients with dementia
five behaviors of the patient are observed:
breathing
negative vocalization
facial expression
body language
consolability
each behavior is scaled on a scale of 0 to 2, zero is no pain, 10 is severe pain
what is durable medical equiment - ANSWER equipment and supplies ordered by the
healthcare provider for everyday or extended use
it would not be useful to someone who is not sick or injured
used in home
has expected lifetime of at least 3 years
Medicare covered DME (only pay once so make sure you teach a patient not to lose it)
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