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Health Assesment > Exam 1 > Flashcards

Exam 1 Flashcards

1
Q

What is palliative support?

A

Dealing w/ cause of condition (root source)

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2
Q

What can also interfere with correct message transmission?

A

Message barriers

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3
Q

What is interpersonal communication?

A

A continual social process in which at least two people exchange ideas with the intent to influence the behavior or actions of the others

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4
Q

What is the linear model of communication?

A

Focuses only on the sending and receiving of the message, usually used in emergency situations, and very clear cut

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5
Q

What is transactions communication model?

A

Interpersonal communication as a reciprocal interaction in which both senders and receiver influence each others messages

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6
Q

What is the nursing metaparadigm?

A

A model that represents the most abstract form of nursing knowledge

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7
Q

What is the nursing metapadiagram composed of?

H, P, E, N

A

Health, person, envoirmental, nursing

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8
Q

What is the concept of person in HPEN?

A

The recipient of nursing care

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9
Q

What are the attributes of person in HPEN?

G, L, CS, H, CV

A

Gender, lifestyles, coping styles, habits, and cultural values

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10
Q

What is the concept of envoirmental in HPEN?

A

Envoirment can’t be separated from care

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11
Q

What is the concept of health in HPEN?

A

Culture religious beliefs and previous life experiences influence how a person perceives and interprets health and illness

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12
Q

What is Maslow’s hierarchy?

P, S, L/B, E, SA

A

Physiological, safety, love/ belonging, esteem, self-actualization

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13
Q

What is the four level healthcare system?

A

The pt is at the center, primary mission is to promote, maintain, or restore health, and communication focuses on interrelationships across agencies

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14
Q

What is the development of self concept and self esteem?

A

Life experiences, challenges, responses, social environment, role of the nurse

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15
Q

What are the self- concept in interpersonal relationships negative attributes?

A

Microagressions, microassults, microinsults, microinvalidations

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16
Q

What invalidates the legality of consent?

A

The patient doesn’t fully understand the meaning

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17
Q

What is the responsibility of the nurse when it comes to consent?

A

Verifying the competency of a patient to give consent

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18
Q

What is the CRM model?

Correct mistakes

A

Equivalent o SBAR and standardize communication between health professionals

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19
Q

what does CRM stand for?

A
  • crew
    -resources
    -management
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20
Q

what are the risk factors for safety?

A
  • inadequate break
  • work more than 12 hours consecutively
  • burnout
    -improper pt care
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21
Q

What are the three c’s?

A

Cooperation
Collaboration
Common clarity

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22
Q

What are the diffrent barrier to safe communication?

A
  • lack of patient identifier number
  • fragmentation
  • underreporting of errors
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23
Q

What is the purpose of the SHARE tool?

A

To standardize report tools, allow opportunity for questions, reinforce current goals, and educate the team

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24
Q

What are the four fundamentals for the code of ethics for nurses?

A
  • promote health
    -prevent illness
    -restore health
  • alleviate suffering
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25
Q

What are civil laws?

A

Court decisions which are created through precedents, rather than written statues

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26
Q

What is a tort?

Malpractice

A

Private civil action that causes personal injury to a private party

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27
Q

What is criminal law?

Renewal of license

A

Intentional misconduct or a serious violation of professional standards of care

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28
Q

What is the nursing process?

A

A systemic tool directing the sequence planning, implementation and evaluation of nursing care to achieve specific health goals

29
Q

What are the five components of the nursing process?
PID/D, OID/P, I/E

A
  • problem ID/ diagnosis
  • outcome of ID/ planning
  • implementation/ eval
30
Q

When does the nursing process begin and end?

A

The first encounter with a patient and family and ends when discharged

31
Q

what is a requirement for HIPAA?

A
  • provide patients with written notice of their privacy practices and procedures
32
Q

What are the pt rights when it comes to HIPPA?

A
  • access to their medical records
  • request copies of health record
  • request amendments
33
Q

What information can’t be shared with family?

A

Family or other interested parties without pt written consent

34
Q

When or who can someone else sign for the patient?

A
  • legal guardian/ personal healthcare agent
  • adults who lack the capacity to consent on their own behalf
35
Q

What is self concept?

A

Total of each person’s beliefs about their inner self

36
Q

What are factors that influence self concept?

A
  • physical appearance
  • body image
  • self esteem
    -self clarity
37
Q

What is situation in SBAR?

A

ID yourself, the patient and the problems the pt came in for, include pt’s name, DOB, and verification of consent forms

38
Q

What is background in SBAR?

RC

A

Relevant context and brief history ( diagnosis list, allergies, relevant vital signs, medications that have been administered, and lab results)

39
Q

What is assessment in SBAR?

PL, MC, LOC, Pw/IO, EBL

A

State conclusion of health assessment, list your opinion about patients current status ( pain level, medical complications, LOC, problems with I and O’s, estimate blood lose)

40
Q

What is recommendation in SBAR?

A

State informed suggestions for continued care of patient

41
Q

What does role performance require?

A

Self efficacy

42
Q

How is personal identity constructed?

A

Through cognitive process of perception and cognition

43
Q

What is the correct technique for hand washing?

A

Rubbing from the palms to the back of the hands with fingers interlocked

44
Q

When is hand hygiene preformed?

A

Before and after direct contact with a patient

45
Q

When should hand hygiene be preformed during care for the same patient?

A

Contained body site to a clean body site

46
Q

What percent of alcohol should be in hand sanitizer at minimum?

A

60%

47
Q

What percent of alcohol should be in hand sanitizer at maximum?

A

95%

48
Q

What is the normal range for temperature?

A

96.4- 99.1 degrees

49
Q

What is the stable core temperature?

A

98.6

50
Q

When is temperature the lowest?

A

Early morning

51
Q

When is temp the highest?

A

Late afternoon and early evening

52
Q

When does can temperature be slightly high in women?

A

During their menstrual cycle

53
Q

Where does the sublingual pocket get blood supply from?

A

Carotid artery

54
Q

If you are taking a temporal artery temperature where should you place the probe?

A

Center of the pt forehead

55
Q

What is the temp more commonly used in children but inaccurate in adults?

A

Axillary

56
Q

What is the difference between men and women when they breathe?

A

Men usually breathe from the abdomen while women are chest breathers

57
Q

What is cardiac output?

A

Volume of blood ejected from the heart EACH minute

58
Q

What is normal HR in children?

Infant, toddler, and school aged

A

Higher (75-160)

59
Q

Should respiratory rate be higher in children?

A

Yes

60
Q

Should blood pressure be higher or lower in children?

A

Lower

61
Q

What can cause a false low blood pressure?

A
  • positioning the pt’s arm above the heart level
  • cuff is too wide
  • not inflating cuff enough
    -deflating too fast
  • pressing diaphragm firmly on brachial artery
62
Q

What can cause a high blood pressure?

A
  • crossed legs
  • below the level of the heart
  • using a cuff to narrow
  • cuff is loose or uneven
  • deflating cuff too slowly
  • reinflation before deflation
63
Q

What does a health history consist of?

A

Subjective data collected during an interview

64
Q

Wha does a health history include?

CH, CM, PI, PS, FH, PH, PSH, ROS

A

Current health
Current medications
Past illnesses
Past surgeries
Family history
Personal health
Psychosocial health
Review of systems

65
Q

What are symptoms?

A

Subjective data (what the pt reports)

66
Q

What is primary source data?

A

Subjective (symptoms) data acquired directly from the patient

67
Q

What is secondary source data?

A

Subjective data acquired from another individual/ pt family

68
Q

What’s are signs?

A

Objective data ( data observed or measured)

Health Assesment (4 decks)

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