Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

203: Health Assessment > 203 Exam #1 > Flashcards

203 Exam #1 Flashcards

1
Q

What is the primary level of health prevention? Give an example

A

First round of defense against illness/disease w/ intention of promoting overall health & wellness

Ex. Immunizations, health and safety education

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is the secondary level of health prevention? Give an example

A

Early screening for disease while patient does not yet display symptoms

Ex. Cancer screening, pap smear, colonoscopy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is the tertiary level of health prevention? Give an example

A

Restoration of health after disease/illness symptoms have presented

Ex. Physical therapy after surgery, rehab centers

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is the purpose of the nursing process?

A

Systemic problem solving to develop a plan of care

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What are the five steps of the nursing process?

A

Assessment, diagnosis, planning/outcome, implementation, evaluation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is the first step of the nursing process? What does this step entail?

A

Assessment: collect & analyze data
- involves physiological, psychological, psychosocial, economical, spiritual, and cultural practices & beliefs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is the second step of the nursing process? What does this step entail?

A

Diagnosis: analyzing potential/confirmed health problems/needs of the patient using objective & subjective data

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is the third step of the nursing process? What does this step entail?

A

Planning /outcomes: working w the patient & health care team to determine now to meet both the short & long term goals/needs of the patient (care plan is made during this step)

This stage is time limited

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is the fourth step of the nursing process? What does this step entail?

A

Implementation (of intervention): medical team collectively acts upon care plan to meet patient goals/needs

This step is not time limited

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is the fifth step of the nursing process? What does this step entail?

A

Evaluation: ongoing assessment of whether patient’s short & long term goals are being met

Involves clinical judgement to determine if care plan is effective or should be re-evaluated

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Which step of the nursing process is specifically time limited? Why?

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What are the three primary cognitive skills required for nursing assessment?

A

Critical thinking
Clinical reasoning & judgement Intuitive thinking

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Define the following cognitive skill: critical thinking

A

Active, purposeful, and organized cognitive process involving creativity, reflection, and problem solving skills

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Define the following cognitive skill: clinical reasoning & judgement

A

Clinical reasoning: Uses patient history, physical signs, & symptoms to formulate a treatment plan

Clinical judgement: interpretation or conclusion about patient needs/concerns or the decision to take action or not

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Define the following cognitive skill: intuitive thinking

A

“Gut feeling” that something is wrong (needs to be done by the nurse despite there potentially not being evidence supporting the concern

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What are the four psychomotor skills required for physical assessment?

A

Inspection, percussion, auscultation, palpitation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Define the following psychomotor skill required for physical assessment: inspection

A

To look & assess physical aspects of the body

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Define the following psychomotor skill required for physical assessment: percussion

A

Tapping on different areas of the body to assess underlying structures

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Define the following psychomotor skill required for physical assessment: auscultation

A

Listening for sounds, usually done using stethoscope

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Define the following psychomotor skill required for physical assessment: palpation

A

Using hands to assess the body- feel for texture, shape, consistency, pulses, and crepitus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

What is the formulla used when converting from Fahrenheit to Celsius?

A

[(x-32)5] / 9

Subtract 32, multiply by 5, divide by 9

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

What is the formula used when converting from Celsius to Fahrenheit?

A

[(x*9)/5] +32

Multiply by 9, divide by 5, add 32

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

What is the range for “normal” oral and temperature?

A

97.5°F to 99.5°F

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

What is the range for “normal” temporal and rectal temperature?

A

98.7°F to 100.5°F

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

What is pyrexia?

A

A fever- at least 100°F

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

Define blood pressure

A

Force of circulating blood being exerted on the walls of the large arteries of systemic circulation being pumped out of the heart

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

Define systolic pressure

A

Pressure in the arteries as the heart contracts

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

Define diastolic pressure

A

Pressure in the arteries as the heart relaxes between beats

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

Define pulse pressure

A

Difference between systolic pressure & diastolic pressure

SP - DP = PP

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

Define mean arterial pressure and explain how it is found

A

Average blood pressure
MAP = DP + 1/3 (PP)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

What are the four possible durations of pain?

A

Acute pain, chronic pain, intractable pain, intermittent pain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

What is acute pain?

A

Short-term pain that comes on suddenly, does not last long

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

What is chronic pain?

A

Long-term pain that lasts a minimum of 6 months

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

What is intractable pain?

A

Constant pain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q

What is intermittent pain?

A

Pain that comes and goes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
36
Q

What are the eight of types pain?

A

Cutaneous pair, colicky pain, nociceptive pain, neuropathic pain, Phantom limb syndrome, Psychogenic pain
Radiating pain
Referred pain

37
Q

What is cutaneous pain?

A

Originates from the skin & subcutaneous tissues

Sharp pair for a short duration (ex-skin laceration)

38
Q

What is colicky pain?

A

Pain that in intensity from mild to severe- usually spasms in the intestines

39
Q

What is nociceptive pain?

A

Damage or inflammation to the sensory nerves in soft tissue, may be described as dull, sharp, or achy pain

40
Q

What are the two types of nociceptive pain?

A

Somatic pain & visceral pain

41
Q

What is somatic pain?

A

Dull, achy, comes from muscles, joints, tissue (ex.arthritis)

42
Q

What is visceral pain?

A

Muscle pain thoracic, pelvic, abdominal ex. Menstrual cramps

43
Q

What is neuropathic pain?

A

Injury/damage to the nerves in the peripheral or central nervous system (sharps, stings, burns, could experience numbness & tingling)

44
Q

What is phantom limb syndrome?

A

Poorly understood type of neuropathic pain that is felt in a body part that has been removed

45
Q

What is psychogenic pain?

A

Has no organic or structural cause- described as mental and emotional pain (ex. Social isolation, divorce)

46
Q

What is radiating pain?

A

Pain in one part of body moving to another part

47
Q

What is radiating pain?

A

Pain felt in part of the body away from the injury site (patient is the best person to ask about their pain)

48
Q

Which temperature taking technique is most effective for finding core temperature?

A
49
Q

What does the OPQRST pain assessment tool stand for?

A

Onset
Provocation & palliates
Quality
Radiation & region
Severity
Timing & temporal

50
Q

What does the OLDCARTS pain assessment tool stand for?

A

Onset
Location/radiation
Duration
Character
Aggravating or alleviating factors
Related symptoms
Treatment
Severity

51
Q

What age group is the wong-baker face pain rating scale used for?

A

Three years old and over

52
Q

What age group is the FLACC assessment scale used for?

A

Patients younger than 3 years old & patients w/ confusion/dementia

53
Q

What are the normative characteristics of the following component of the general survey: physical

A

Overall appearance of health, age, personal hygiene, body structure

54
Q

What are the normative characteristics of the following component of the general survey: mobility

A

Gait, posture, range of motion, signs of distress

55
Q

What are the normative characteristics of the following component of the general survey: behavior

A

Appropriate, facial expression, mood, speech

56
Q

What are the 9 main barriers to communication?

A

Leading the patient
Using medical jargon
Using cliches
Offering false assurance
Asking “why” questions
Changing the subject
Giving opinions
Stereotyping
Using patronizing language

57
Q

What are the 7 main cultural considerations that may impact the interview?

A

Comfort level of patient
Physical closeness
Involving significant others
Being addressed by first name
Ask prior to touching
Allow open space for patient to share beliefs
Eye contact (or intentionally avoiding this)

58
Q

What are the 3 phases of the interview?

A

Introduction
Working
Termination

59
Q

Which of the 3 phases of patient interview consists the following:

Identify yourself
Explain your role
Identify patient
Establish trust & rapport
Explain purpose of what you’re doing
Tell patient you will be taking notes
Ask patient if they are comfortable w/ the situation

A

Introduction phase

60
Q

Which of the 3 phases of patient interview consists the following:
Collect information
Ask both open-ended & close-ended questions
Observe non-verbal ques
Patient self- medical history
Identify patient problems, needs, & goals
Ask patient if they have questions for you

A

Working phase

61
Q

Which of the 3 phases of patient interview consists the following:
Clarify patient’s report & observed findings
Validate patient’s feelings, needs, & concerns

A

Termination phase

62
Q

What are the components of health history?

A

Medical history (past med. treatments, surgical history, immunization records)
Medication
Allergies
Family history
Domestic abuse
Functional assessment (dressing, bathing, eating)
Presenting symptoms
Military

63
Q

What is a genogram?

A

Study of hereditary in the individual’s family
Usually focuses on the individual & their immediate family

64
Q

Genograms are used to ID ______ and ______ ______ problems

A

genetic and familial health

65
Q
A
66
Q

What is neuropathic pain?

A

Injury/damage to the nerves in the peripheral or central nervous system ( stabbing, stinging, burning, may experience numbness or tingling)

67
Q

What is psychogenic pain?

A

No organic or structural cause-described as mental & emotional pain (ex, social isolation, divorce)

68
Q

What is phantom limb syndrome?

A

Poorly understood type of neuropathic pain felt in a body part that has been removed

69
Q

What is radiating pain?

A

Pay that moves from one crew of the body to another

70
Q

What is referred pain?

A

Pain felt in an area of the body away from the injury site (patient is best person to ask about pain being experienced)

71
Q

What does the pain assessment pneumonic OLDCARTS stand for?

A

Onset
Location/radiation
Duration
Character
Aggravating or alleviating factor
Related symptoms
Treatment
Severity

72
Q

What does the pain assessment pneumonic OPQRST stand for?

A

Onset
Provocation and palliates
Quality
Radiation and region
Severity
Timing or temporal

73
Q

McGill pain questionnaire

A
74
Q

What does the FLACC pain assessment scale stand for?

A

Face, legs, activity, cry, consolability

75
Q

Which patient group should the FLACC pain assessment scale be used with?

A

Patients younger than 3 years old
Confused patients/patients w/ dementia

76
Q

Which patient group should the Wong-Baker Faces pain assessment scale be used with?

A

Patients three years old or above

77
Q

What are the 3 components of general survey?

A

Physical appearance, mobility, behavior

78
Q

What are the characteristics of the physical appearance component of the general survey?

A

Overall health, age, personal hygiene, body structure

79
Q

What are the characteristics of the mobility component of the general survey?

A

Gait, posture, range of motion, signs of distress

80
Q

What are the characteristics of the behavior component of the general survey?

A

Appropriate, facial expression, mood, speech

81
Q

What are the three main techniques used to encourage communication during interview?

A

Asking close-ended questions
Asking open-ended questions
Active listening/observing

82
Q

What are the main barriers to communication?

A

Leading the patient
Using medical jargon
Offering false assurance
Asking “why” questions
Changing the subject
Giving opinions
Stereotyping
Using patronizing language

83
Q

What are the 7 main cultural considerations that may impact the interview?

A

Comfort level w/ private issues
Physical closeness
Involving significant others
Being addressed by first name
Asking prior to touching patient
Allowing open space for patient to share beliefs
Maintaining vs. Avoiding eye contact depending on patient’s culture)

84
Q

What are the 3 phases of the interview process?

A
  1. Introduction
  2. Working
  3. Termination
85
Q

Which phase of the interview process consists of the following:
Introducing self & explaining role
Identity patient
Establish trust & rapport
Inform patient that you will be taking notes
Ask patient if they’re comfortable w/ the situation

A

Introduction phase

86
Q

Which phase of the interview process consists of the following:
Information collection
Ask both open-ended & close-ended questions
Patient self-reports health history
Identify patient’s problems, needs, & goals
Ask patient if they have questions for you

A

Working phase

87
Q

Which phase of the interview process consists of the following:
Clarify patient’s report & findings to validate feelings, needs, & concerns

A

Termination phase

88
Q
A

203: Health Assessment (7 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions