Dimensions Flashcards

1
Q

Name the 5 dimensions

A

developmental, psychosocial, spiritual, cultural, psysiological

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2
Q

Describe dimensions

A
  • > they all interrelate to one another and create a holistic assessment of patients
  • > define patients state of well being (overall view of general health)
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3
Q

What happens each time a nurse starts a shift, admits a new patient, take over care for a different patient, etc.?

A

-> assessment from head to toe, constantly assessing patients (eg. social, physical, etc.)

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4
Q

How do nurses solve problems?

A

through the nursing process

  • > assessment
  • > planning
  • > implementation
  • > evaulation
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5
Q

Define assessment and what two steps is it comprised of?

A

systematic process by which the nurse collects and analyzes data about patients

  • > data collection
  • > analysis of data
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6
Q

Name some skills related to assessment

A
  • > critical thinking
  • > knowledge
  • > practical experience
  • > communication skills
  • > observation and perception
  • > client centred approach
  • > collaboration
  • > organization & documentation
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7
Q

Name two types of data collection and describe

A
  • > subjective: obtained from client, family, significant others, health care team, health records
  • > objective: observed and measurable data; inspection, palpation, auscultation, percussion, lab results, diagnostic tests
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8
Q

Name the 3 phases of the interview process and describe

A
  1. introduction phase: introduce self / purpose of conversation / ask patient how they would like to be addressed
  2. working phase: data gathering phase / involves open and closed questions as well as responses to what the patient said
  3. closing & termination phase: ask client if there is anything else they would like to mention? / give a summary of the interview
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9
Q

Name some interview techniques

A
  • > closed vs open ended questions
  • > facilitation
  • > silence
  • > reflection
  • > empathy
  • > confrontation
  • > explanation
  • > summary
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10
Q

What are some traps to interviewing?

A
  • > false reassurance
  • > unwanted advice
  • > using authority
  • > using avoidance language
  • > engaging in distancing
  • > using jargon
  • > taking too much time
  • > using “why” questions
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11
Q

What does data analysis consist of?

A
  • > interpretation of data
  • > identification of significant/meaningful data clustering
  • > determine need for further investigation
  • > formulate judgements and conclusions
  • > discuss with doctors and other nurses
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12
Q

What are the 3 developmental dimensions for assessment?

A
  • > biological
  • > cognitive
  • > socio-emotional
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13
Q

What would biological processes look like in the developmental dimension assessment?

A

-> physical changes (eg. puberty, menopause, physical deterioration in older adults)

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14
Q

What would cognitive processes look like in the developmental dimension assessment?

A
  • > knowing: knowledge development, retention/memory
  • > learning: skill development
  • > thinking: interpretation & organization of information
  • > judgement: problem solving
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15
Q

What would cognitive processes look like in the development dimension assessment?

A
  • > personality: moral / identity development
  • > emotions: feelings associated with life span changes
  • > roles & relationships: specific to stage of development
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16
Q

Define psychosocial dimension

A

interaction of social factors of individuals thought and behaviour

17
Q

What are the 6 components of assessment for the psychosocial dimension?

A
  1. self concept
  2. roles and relationships
  3. cognition
  4. stress and coping
  5. personal habits and activities
  6. observation
18
Q

What is self concept?

A

feelings and beliefs one has about oneself

19
Q

What does assessment include when looking at self concept?

A

description of oneself

  • > physical
  • > emotional
  • > intellectual
  • > sexual

strengths and weaknesses (can be related to anxiety, depression, and substance abuse)

20
Q

Describe the meaning of each “role” and “relationship”

A

Role: set of expected behaviours for certain social positions

Relationships: who a person feels close or connected with

21
Q

What is being assessed in the “role” category?

A

family, community, education, employment roles

22
Q

What is being assessed in the “relationship” category?

A
  • > most significant relationships
  • > patterns of communication, conflict
  • > demands, supports
23
Q

Define cognition

A
  • > perception & interpretation of information
  • > sequencing of thoughts and feelings
  • > ways a person makes sense of his environment
24
Q

What does cognition assessment include?

A
  • > memory
  • > abstract thinking
  • > concentration
  • > throught processes
  • > perceptions
  • > social judgment
  • > insight
25
Q

What are the 3 questions to ask to determine a base line cognition?

A

name, date & time, location

26
Q

Define stress and coping

A
  • > level, source, and impact of stress on one’s functioning

- > how one manages stressful or harmful situations

27
Q

What does a stress and coping assessment include?

A
  • > Stress: recent changes/stressors - physical, emotional, behavioural, interpersonal, financial
  • > Coping: current / planned
28
Q

What can happen to someone who is not coping well?

A

can develop physiological symptoms such as heart attack or stroke

29
Q

What does a personal habits and activities assessment include?

A
  • > eating patterns
  • > activity / rest patterns
  • > substance use
  • > habits / daily activities
30
Q

What does an observational assessment include?

A
  • > appearance
  • > behaviour
  • > communication
31
Q

What are some tips to think about when assessing psychosocial health?

A
  • > review interviewing skills
  • > concepts of therapeutic communication
  • > avoid common traps
  • > consider non-verbal behaviours
  • > reflect on observations