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health assessment 1 > exam 1 material > Flashcards

exam 1 material Flashcards

1
Q

communication

A

behavior, tool/skill

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2
Q

nonverbal

A

body language, facial expression, hygiene

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3
Q

cues:
vocal
action
object
personal
touch

A

pitch and tone
posture, facial gestures
appearance
care of belongings
personal space and action

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4
Q

successful communication

A

reaches mutual understanding
goal is for therapeutic communication

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5
Q

internal factors that influence communication

A

linking others, empathy, ability to listen, self-awareness

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6
Q

external factors that influence communication

A

appearance, privacy, attentiveness, physical environment (i.e, distance, equal status seating, telehealth, temperature, lightning, quiteness)

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7
Q

open ended questions

A

ask for narrative response
use: in the beginning of interview, introduction of new section of questions, when pt introduces a new topic

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8
Q

close ended questions

A

ask for specific information
use: after opening narrative for more details, need specific facts about health problems/during review of systems, to move interview along

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9
Q

Therapeutic Communication

A

skilled approach of interacting with others
S: squarely face speaker (consider culture)
O: open posture
L: lean toward speaker
E: eye contact maintained (consider culture)
R: relax while listening

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10
Q

Active listening

A

silent attentiveness to what pt is expressing; allow time w/o interruption (comfortable with silence)

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11
Q

Facilitation

A

provide general leads for pt to say more

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12
Q

Reflection

A

focus further attention on a specific phrase and help person to continue to talk in their way

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13
Q

Sharing Observations

A

observe by making comments to eliminate the need for extensive questioning, focusing or clarification

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14
Q

Empathy

A

recognize feeling and put it into words; allowing expression

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15
Q

Sharing hope

A

essential for healing, provide positive feedback and encouragement

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16
Q

Sharing humor

A

used appropriately to help with positive interactions

17
Q

Clarification

A

simplify words to make it clear and ask for agreement

18
Q

Focusing

A

key element and concept of message (guide convo on important aspects)

19
Q

Explanation

A

education-offer reasons for factual and objective information

20
Q

Summary

A

condense fact and present view of health problem
type of validation done at the end of the interview

21
Q

McGurk effect

A

tricks you brain into hearing different sounds based on how someone’s lips are moving
-sesnses are conflicting

22
Q

special needs communication

A

hearing impaired, acutely ill patient (short close ended questions), under the influence (CNS has depressive effect), sexually aggressive pts, crying pt, angry or anxious, potentially violent pt)

23
Q

SBAR

A

technique for communicating pertinent information related to a patient’s condition during handoff communication of nurse to healthcare professional
S: situation
B: background
A: assessment
R: recommendation

24
Q

Vital signs

A

help lower/rule out the predictability of many nursing diagnostics pointing us to priority systems needed to be evaluated
-temp,pr,bp,rr,pain

25
Q

Temperature (normal) vital sings

A

difference between heat produced by body and heat lost to environment
core (internal- rectal or tympanic)
surface (oral and axillary)

normal: 37C (98.6F)

35.8-37.3 C or 96.4-99.1 F
Rectal tends to be 0.4-0.4C or 0.7-1F higher

26
Q

Temperature (fever) vital sings

A

febrile: fever or pyrexia
37.8 C or 100 F
hypothermia: <95F or 35C

factors: older adults tend to have lower temperature; increases simulation through exercise; diurnal cycle where the temp is lower in AM but peaks in late PM-early PM

27
Q

Temperature (types and routes) vital signs

A

types: electronic (digital); chemical strip
routes:
wait 15m if oral taken hot/cold
wait 2m if smoked
others: axillary, tympanic, temporal, rectal (1-1.5 adult/1 child/1.5 infant inches)

28
Q

pulse vital sings

A

pressure caused by each heartbeat, palpable at body sites where the artery lies close to skin and over a bone
55-60 to 100 bpm adults (avg 70-80)
140-160 newborns

29
Q

pulse (routes) vital signs

A

radial, brachial, ulnar, femoral, politeal, posterior tibial, dorsalis pedis

use pads of last 3 fingers at flexor aspect of wrist
-start count with zero

30
Q

pulse (normal rates and force) vital signs

A

bradycardia: <50 bpm
tachycardia: >95 bpm

Force: rating scale 0-4+ or 0-3+ (2+ is normal)
0: no pulse
1+ : faint, elderly, weak, ill (decreased stroke volume), weak thready pulse
2+ : normal
3+ : full and brisk, full bonding (increased stroke volume)
4+ : bounding pulse (can see pulse- from increased stroke volume)

use doppler if can’t palpate pulse

health assessment 1 (3 decks)

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