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Final

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Question
Answer
Physical   1 of the 7 components of wellness  
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Social   1 of the 7 components of wellness  
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Emotional   1 of the 7 components of wellness  
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Environmental   1 of the 7 components of wellness  
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Occupational   1 of the 7 components of wellness  
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Spiritual   1 of the 7 components of wellness  
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Intellectual   1 of the 7 components of wellness  
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Ability to carry out daily tasks, achieve fitness, maintain nutrition, avoid drug use, ETOH, or tobacco, and practice positive lifestyle habits.   Physical  
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Ability to interact successfully with people and within the environment of which each person is a part, to develop intimacy, and develop respect and tolerance for those with other beliefs.   Social  
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Ability to manage stress and to express emotions appropriately   Emotional  
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Ability to learn and to use information effectively for personal, family, and career development   Intellectual  
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Belief in some force that serves to unite humans and provide meaning and purpose   Spiritual  
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Ability to achieve balance between work and leisure time.   Occupational  
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Ability to promote health measures that improve the standard of living and quality of life in the community (food, water, and air).   Environmental  
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Acute illness   usually short duration and severe; symptoms appear abruptly, are intense, and often subside after a short period of time.  
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Chronic illness   persists, usually longer than 6 months. Affects functioning in any dimension. There may be relapses and periods of maximal functioning. Remission occurs when the symptoms disappear. Exacerbation is when the symptoms reappear.  
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Illness Behavior   –how people monitor their bodies, define and interpret their symptoms, take remedial action, and use the health care system when ill.  
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Impact on body image   body image is the subjective concept of physical appearance. Body image can change with illness. The adjustment to change is body image comes in phases – shock, withdrawal, acknowledgement, acceptance, and rehabilitation.  
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Behavioral and emotional changes   severe illness can lead to extensive emotional and behavioral changes (anxiety, shock, denial, anger, withdrawal).  
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Impact on Self-concept   a person’s mental image of strengths and weaknesses in all aspects of personality. can change because of illness. may no longer be able to meet family expectations and this can lead to tension and conflict.  
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Impact on Family roles   roles may change due to illness. Role reversal may occur. Family roles may change.  
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Impact on family dynamics   family activities and decision making may cease as family members are reluctant to assume the ill person’s roles and responsibilities. Family dynamics may need to change as a result of an illness.  
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Biologic   genetics, sex, age, developmental level  
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Psychologic   mind-body interactions (how emotions affect your actions), self-concept (how do you feel about yourself)  
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Cognitive   lifestyle choices, risk factors, spiritual and religious beliefs  
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Environment   2nd hand smoke, sun, x-rays, acid rain, greenhouse effect, global warming  
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Standards of living   health, morbidity, mortality, occupational exposures  
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Family and cultural beliefs   interactions within family and community  
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Social support networks   family, friends, confidants  
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Illness Prevention   protect the client from actual or potential threats to health, such as through immunizations. The client is motivated to take part in these activities to avoid declines in health/functioning.  
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Wellness   an ongoing, dynamic process of striving to achieve optimal health  
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Wellness Education   teaches the client how to care for himself in a healthy way (topics such as self-awareness, stress management, self-responsibility). Health education helps the client achieve a new understanding and control of his/her life.  
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Client is motivated to act positively to reach a more stable level of health.   Health promotion activities  
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help the client maintain/enhance present level of health (such as through routine exercise and good nutrition).   Health promotion activities  
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Passive strategies are those gained from the actions of others such as fluoridation of drinking water.   Health promotion activities  
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Active strategies are those that the client participates in of their own volition such as exercise and smoking cessation.   Health promotion activities  
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Perceived susceptibility   do you feel that you are at higher risk from family history?  
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Perceived seriousness   How serious do you feel the risk is in the general public?  
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Perceived threat:   How serious do you feel the risk is to you?  
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Demographic variables   age, sex, race, and ethnicity  
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Sociopsychologic variables   social pressure or influence from peers or other reference groups  
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Structural variables   knowledge about the target disease and prior contact with it  
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Cues to action   internal or external (did someone remind you or do you just care enough to remember?)  
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Perceived benefits of action    
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Sensory-perceptual alteration   Impaired touch, hearing, taste, smell, vision  
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Cognitive awareness   Ability to perceive environmental stimuli Impaired awareness  
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Emotional state   Extreme emotions can alter perceptions  
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Ability to communicate   Diminished ability to receive and convey info Aphasia, language barriers, unable to read  
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Culture   Language barriers Social and physical behaviors  
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Complementary and alternative medicine   Assess for safety “Natural” does not guarantee safety  
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Safety awareness   Information crucial to safety Information about, water, car, and fire safety  
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S. B. A. R   Situation Background Assessment Recommendation  
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Situation   Identify yourself (employee of Interim Healthcare) and the Site you are calling from Identify the patient by name, DOB, Age, Sex, reason for report Describe reason for phone call  
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Background   Give the patient’s Presenting Complaint Give the patient’s relevant Past Medical History Brief summary of background  
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Assessment   Vital Signs—HR, RR, O₂ Sats, BP, Temp, AVPU (Alert, Voice, Pain, Unresponsive) List if any VS are outside of parameters, Clinical Impression Severity of Patient, Additional Concerns  
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Recommendation   Explanation of what you require, how urgent, and when action needs to be taken Make suggestions of what action is to be taken Clarify what action you expect to be taken  
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SBAR means   A communication framework used to structure conversation about patient care and information between caregivers when the patient care is “handed off” to another health care provider.  
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Droplet   Clients known to have, suspected of having serious illness transmitted by particle droplets larger than 5 microns  
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Airborne   clients know to have, or suspected of having serious illness transmitted by airborne droplet smaller than 5 microns  
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Contact   Used for clients who are known or suspected to have serious illnesses that are easily transmitted by direct client contact, contact with items in client’s environment  
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Physical restraints   manual, physical, or mechanical device, material, or equipment; attached to client body; not removed easily; restricts client movement  
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Chemical restraints   medications used to control socially disruptive behavior  
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Specific Values   Code of Ethics, NSNA Code of Academic and Clinical conduct Be familiar with this! Especially #16—”optimal level of personal health”  
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Goal   instill norms, values, attitudes, behaviors deemed necessary for survival of profession  
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DRGs   diagnosis-related groups  
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diagnosis-related groups   pre-treatment diagnosis billing categories. Have to send pts home sooner or loose money. Only the acutely ill are hospitalized now.  
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