NI PHN Case Study Quiz. 4) Name: Multiple Choice Quiz. Omaha System Problem = Assessment Component
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1 NI PHN Case Study Quiz Assignment Instructions: 1) Review case study (Parts 1 & 2). 2) Complete the multiple-choice quiz (7 pts). 3) Submit completed quiz in Personal Q & A. 4) Name: Multiple Choice Quiz Omaha System Problem = Assessment Component 1) The Omaha System Problem: Communicable/Infectious Conditions LTBI signs/symptoms describe which of Hermina symptoms? Check all that apply. 1. Infection 2. Infestation 3. Fever 4. Biological hazards 5. Positive screening/culture/laboratory results 6. Inadequate supplies/equipment/policies to prevent transmission 7. Does not follow infection control regimen 8. Inadequate immunity 9. Other 2) The Omaha System Problem: Medication Regimen - signs/symptoms describe which of Hermina s symptoms? Check all that apply. 1. Does not follow recommended dosage/schedule 1
2 2. Evidence of side effect/adverse reactions 3. Inadequate system for taking medications 4. Improper system for taking medications 5. Fails to obtain refills appropriately 6. Fails to obtain immunizations 7. Inadequate medication regimen 8. Unable to take medications without help 9. Other Omaha System Problem Ratings Scale for Outcomes Pre/Post Intervention Evaluation 3) The Omaha System Problem Rating Scale for Outcomes: Knowledge describes which level of knowledge Hermina demonstrates regarding LTBI and Treatment? Check the correct answer. 1 - No knowledge of: disease and treatment (Rx) 2 - Minimal knowledge of: disease and Rx; is willing to learn/constant coaching needed (at weekly visits) 3 -Basic knowledge of: disease and Rx; intermittent guidance/coaching every other visit 4 - Adequate knowledge of: disease and RX; guidance/coaching still needed (1 x month) for disease Rx 5 - Superior knowledge of: disease and Rx; demonstrates understanding of the significance of disease Rx adherence 2
3 4) The Omaha System Problem Rating Scale For Outcomes: Behavior describes which level of behavior that indicates Hermina s understanding of LTBI treatment and DOT? Check the correct answer. 1 - Not appropriate behavior Refuses treatment plan (Rx) 2 - Rarely appropriate behavior Reluctantly agrees to Rx/misses 7 or > days of Rx/must restart Rx 3 - Inconsistently appropriate behavior Agrees to Rx/misses 7 days of Rx/must restart Rx 4 - Usually appropriate behavior Engaged in Rx/misses < 7 days of Rx 5 - Consistently appropriate behavior Completes Rx plan 5) The Omaha System Problem Rating Scale For Outcomes: Status describes Hermina s current state in terms of DOT adherence. Check the correct answer. 1 - Extreme signs/symptoms Abnormal lab results/unable to tolerate Rx due to constant, severe side effects (s/e) 2 - Severe signs/symptoms Abnormal lab results/rx s/e are severe, but intermittent and tolerating 3 - Moderate signs/symptoms Rx s/e are moderate, tolerating with improving lab results 4 - Minimal signs/symptoms 3
4 Rx s/e seldom occur/improving lab results 5 - No signs/symptoms Tolerated Rx without side - effects/lab results normal/no communicable/infectious disease Omaha System Interventions 6) As the PHN, your first visit with Hermina was to review the new diagnosis of LTBI, the medication regimen, and to weigh her. The Omaha System Intervention that reflects evidence-based practice (EBP) in this case scenario includes which of the following? Check all that apply. 1. Teaching Guidance and Counseling (TGC) - LTBI 2. Treatment and Procedures direct observed therapy (DOT) 3. Surveillance signs/symptoms physical: evidence of disease/infection and monitor weight 4. Case Management reviewing provider medical summary with client 7) The PHN enrolled Hermina in DOT and educated her about monitoring potential side effects of the drug therapy. The Omaha System Intervention(s) that reflect EBP in support of these actions include which of the following? Check all that apply. 1. Surveillance medication administration Direct observed therapy 12 week regimen (weekly visits) 2. Teaching, guidance and counseling medication action/side effects Important to take as prescribed/purposes/benefits Changes to note and report in a timely manner Need for timely lab tests/results 4
5 3. Case management coordinate medical appointments 4. Surveillance - medication side effects 5
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