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FUNDS EXAM 2 > CH 27/26 Health Assessment > Flashcards

CH 27/26 Health Assessment Flashcards

1
Q

Data Collection includes obtaining

A

subjective and objective data

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2
Q

Subjective Data

A

Things only the client can tell

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3
Q

Objective Data

A

Things the nurse can observe

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4
Q

The health history

A

provides subjective data

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5
Q

The physical exam and diagnostic test

A

provide objective data

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6
Q

Interviewing techniques

A

standardized formats and therapeutic techniques

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7
Q

Standardized formats

A

framework for obtaining information about clients, physical, developmental, emotional, intellectual, social, and spiritual demensions

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8
Q

Therapeutic technique

A

foster communication and create an environment that promotes an optimal health assessment/data collection experience

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9
Q

Health history components

A

demographic, history, chief concern, history of present illness, past history, family history, psychosocial history, health promotion behaviors

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10
Q

Demographic Info

A

name, age, race, family, relationship status, insurance, etc

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11
Q

Source of history

A

client, family member, friend, record

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12
Q

chief concern

A

reason for client seeking care

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13
Q

history of present illness

A

location, timing, onset, duration, predicating factos, things that make better or worse

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14
Q

past and current health history

A

childhood illnesses, medical, surgical, ob, immunizations status, medications, habits, substance use

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15
Q

Family history includes

A

grandparents, parents, siblings, children and grandchildren , chronic disorders, ages, ages at death,

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16
Q

Psycho social history

A

relationships, support systems, living and work situations, financial status, all spitural wellness

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17
Q

Health promotion beahviors of client

A

excerisce activity, diet, stress prevention, risk of heart diseases or other chronic disease, prevention of substances, sunlight

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18
Q

Review of systems

A

An extensive review of systems ascertains info about the functions of all body systems and health problems

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19
Q

integumentary system

A

skin disease? itching? hair loss? nail changes? allergies? sunscreen? etc

20
Q

head and neck?

A

headaches? how often? relieve of pain? can you move? facial movements? thyroid disease? etc

21
Q

eyes?

A

vision? eyeglasses? diabetes? etc

22
Q

Ear nose throat and mouth

A

hearing? changes? hearing aids? buzzing? ear infections? dizziness? nose bleeds? difficulty breathing though nose? changes in smell or taste? dentures? dentist?? etc

23
Q

breast

A

self exams? Family hx of breast cancer? over 40? mammogram?

24
Q

respiratory system

A

breathing problems? flu vaccine? void vaccine? allergies? hx o flung cancer? etc?

25
Q

cardiovascular system

A

heart problems? heart med? chest or jaw pain? cough? etc?

26
Q

gastrointestinal system?

A

stomach? heartburn? last bowel movement? laxatives? weight changes? difficulty swallowing? drink alcohol?? food intolerances? etc

27
Q

genitourinary system?

A

diff urinating? color of urine? pain during sex? scrotum pain? etc

28
Q

Musculoskeletal system

A

pain in joint or muscles? vitamin d or calcium supplements? exercise? sports? falls? etc

29
Q

Neurologic system

A

vision changes or speech? dizziness or headaches? weakness? seizures? tremors? etc

30
Q

Mental health

A

recent losses? stress? depression? concentration? etc?

31
Q

Endocrine system

A

urination patters? every level? weight or appetite change? visual disturbances? palpitations?

32
Q

Allergic/immunologic system?

A

allergies to meds or foods? blood transfusion? reactions?

33
Q

physical exam

A

look and observe before touching

34
Q

Do not feel or listen

A

through clothing

35
Q

use standard precautions

A

when in contact with body fluids wound drainage or open lesions

36
Q

For most body systems follow the sequence of (except abdomen)

A

1.inspect
2.palpate
3.percussion
4.ausculate
except abdomen

37
Q

For abdomen follow the sequence

A

1.inspect
2.ausculate
3.percuss
4.palpate

38
Q

Use light palpation for most body surfaces

A

0.4 in less than

39
Q

Use deeper palpation to evaluate abdominal organs or masses

A

1.6 in

40
Q

dorsal surface of hands

A

detect temperature

41
Q

palmar surface of hand or finger base

A

sensitive to vibration

42
Q

fingertips

A

sensitive to pulsation, position,texture, turgor, sizefi

43
Q

fingers and thumb

A

useful for grasping an organ or mass

44
Q

Use the diagram of the stethoscope to listen to

A

high pitched sounds such as hear sounds bowel sounds or lung sounds

45
Q

use the bell of the stethoscope to listen to

A

low pitched sounds such as unexpected heart sound so bruits

FUNDS EXAM 2 (5 decks)

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