Assessment of the Whole Person

Question 1

Order of operation for nursing decision making

Answer 1

airway, breathing, circulation

Question 2

What are the 5 parts of the nursing process

Answer 2

assessment, diagnosing, planning, implementation, evaluation

Question 3

Nonmaleficence

Answer 3

do no harm

Question 4

beneficence

Answer 4

do good

Question 5

autonomy

Answer 5

respecting a patient and families decision making

Question 6

justice

Answer 6

fair treatment

Question 7

confidentiality

Answer 7

respecting patient rights and privacy (HIPAA)

Question 8

HIPAA

Answer 8

Health insurance portability and accountability act of 1996

Question 9

CIWA

Answer 9

Clinical institute withdrawal assessment scale

Question 10

subjective data

Answer 10

patients discretion
ex: pain level

Question 11

Objective info

Answer 11

fact
ex: pregnant or not

Question 12

Open ended question

Answer 12

tell me about yourself, or how is it going today

Question 13

closed (direct question)

Answer 13

where are we? do you smoke?

Question 14

Sign

Answer 14

objective abnormality assessed on physical exam or via diagnostic testing or in lab reports

Question 15

symptom

Answer 15

subjective report of sensation by a patient

Question 16

Pain PQRSTU

Answer 16

p: provocative/palliative - what brings about your pain?
Q: quality/quantity - how intense if your pain?
R: region/radiation - where is it located? does it spread anywhere? localized?
S: severity - how bad is the pain?
T: timing - onset, duration, frequency
U: understand patients perception - what do you think your pain indicates?

Question 17

Purpose of ROS health history

Answer 17

evaluate past and current health of each body system, verify all data captured and no omissions, and evaluate health promotion activities of the patient

Question 18

Mini mental state exam (MMSE)

Answer 18

concentrates only on cognitive functioning
11 questions 5-10 mins to complete

Question 19

Montreal cognitive assessment MoCA

Answer 19

examines more cognitive domains, more sensitive to mild cognitive impairment
10 mins to complete