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nursing 101 test 1 > chapter 1 > Flashcards

chapter 1 Flashcards

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1
Q

types of assessment

A 
comprehensive 
focus/problem based
follow-up
shift
screening
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2
Q

steps of assessment

A

preperation
data collection
validation
documentation

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3
Q

sources of data collection

A

Subjective and objective sources

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4
Q

subjective data

A

how the patient feels

symptoms

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5
Q

objective data

A

measurable

signs

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6
Q

steps of data analysis

A

Use critical thinking and reasoning to form nursing diAgnosis

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7
Q

What is nursing diagnosis?

A

Is what the nurse is treating the patient for

includes label, definition, risk factors, and related factors

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8
Q

collaborative problems

A

physiological complications that nurses monitor to detect onset or change in status
collaborate with physician to use interventions to prevent harm

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9
Q

OLD CARTS

A 
onset
location
duration
characteristics
aggrevates
relieves
timing
severity
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10
Q

comprehensive exam

A

detailed history

physical exam

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11
Q

focus/problem based

A

history

physical limited to problem

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12
Q

follow-up

A

follow-up visit on problem

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13
Q

shift

A

nursing assessment conducted each shift

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14
Q

screening

A

short exam

disease detection

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15
Q

preperation

A

review records
talk to staff
review tests
obtain items needed

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16
Q

data collection

A

subjective and objective data

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17
Q

validation

A

ids areas where data is missing

prevents inaccurate data documentation

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18
Q

documentation

A

provides data for health care team

chart accurately

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19
Q

relationship of nursing assessment and nursing process

A

This is the step where data is collected for analysis so that the rest of the process can begin.

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20
Q

evolution of health assessment

A

Florence nightingale mother of nursing
lydia hall introduced apie
nurse practioners emerged
expansion of specialties

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21
Q

confidentiality

A

patient’s info is not public or available to others
patient has a right to privacy
will be more open with you if they know info is safe
do not want others to see patients private info

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22
Q

informed consent

A

patient is informed about what is happening to them including the risks
must be signed and have wittness(written consent)

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23
Q

critical thinking

A

the way a nurse processes info

good problem solving skills

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24
Q

importance of critical thinking

A

What is; to recognize patterns of behavior, to anticipate clients needs, develop nursing care plans and promote health/healing as well making reasoned judgments of various different actions

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25
Q

five components of nursing process

A

adpie

26
Q

HIPAA

A 
Health
Insurance
Portability
Accountability
Act
27
Q

normal temp

A
  1. 0 C 98.6f
  2. 8-37.3
  3. 4-99.1
28
Q

normal adult pulse

A

60-100 bpm

29
Q

normal child pulse

A

80-100 bpm

30
Q

infant pulse

A

100 bpm

31
Q

normal respirations

A

12-20 breaths/min

32
Q

2 types of client goals

A

client goals and nursing goals

must be specific, attainable, timed

33
Q

types of interventions

A

nurse-initiated-independent
physician-initiated-delegated
collaborative-interdependent

34
Q

purpose of evaluation

A

the nurse must evaulate to see if treatments are being affective and to see if goals are being met

35
Q

parts of the care plan

A

goals
expected outcome
interventions
evaluation

36
Q

goals

A

the direction one must go to improve a problem
positive statement of problem
What patient will do as a big picture

37
Q

expected outcomes

A

what the patient will do

must be measurable, realistic, and have definite time frame

38
Q

interventions

A

What the nurse will do
diagnostic(monitoring) and therapeutic(comfort)
/

39
Q

Dyspraxia

A

Difficulty breathing or shortness of breath

40
Q

Apnea

A

No respiration

41
Q

Orthopnea

A

Breathe in upright position

42
Q

Systolic

A

First sound heard

Top number

43
Q

Diastolic

A

Last sound heard

Lower number

44
Q

Gordon’s functional health problems

A 
Health management 
Nutrition
Elimination
Exercise
Sleep
Cognitive
Self-esteem
Relationship
Sex
Coping
Beliefs
45
Q

Vital sign order

A

Temp
Pulse
Resp
BP

46
Q

Exam techniques

A

Inspection
Palpitations
Percussion
Auscultation

47
Q

Abdominal assessment

A

I
A
P
P

48
Q

Clinical diagnosis

A

Same as medical diagnosis

Doctor

49
Q

Palpitations

A

Take temp
Strength of pulse
Using hands to feel

50
Q

Percussion

A

Striking a surface

51
Q

Auscultation

A

Listening for sounds i the body

52
Q

Hand washing

A

Before and after direct contact
After contact with waste
After handling food
After gloves removed

53
Q

Hypertension

A

Above 140/90

54
Q

Guidelines for charting

A 
Blue black ink 
Legible 
Timely order
Chart in timely manner 
Use punctuation
55
Q

Essential data for charting

A

Objective and subjective data

56
Q

Purpose of analyzing

A

Allows you to create your nursing diagnosis

57
Q

Purpose of evaluation

A

You can see if your treatment is affected

58
Q

Purpose of health assessment interview

A

Ghh

59
Q

Diagnostic reasoning process

A

How the nurse thinks through and creates diagnosis

60
Q

Assessment

A

A continuous process
Sub and objective data
Functions determined
First step of nursing process

61
Q

Importance of interview

A

Learn health history

Collect data

nursing 101 test 1 (1 decks)

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