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health assessments and diagnostics > EXAM 1 STUDY GUIDE > Flashcards

EXAM 1 STUDY GUIDE Flashcards

1
Q

True or False? Pain scale levels are objective data.

A

True, because this is technically measurable.

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2
Q

What are the 3 phases of the interview?

A

introduction, discussion, summary

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3
Q

What happens during the discussion phase of the interview?

A

data is collected and concerns are addressed

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4
Q

what happens during the summary phase of the interview?

A

data is clarified, understanding is provided, closure

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5
Q

what happens during the introduction phase of the interview?

A

patients are prepared for what to expect

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6
Q

primary level of health promotion

A

disease prevention

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7
Q

secondary level of health promotion

A

disease screening/diagnosis

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8
Q

long term disease/injury managment

A

tertiary

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9
Q

5 ethical principles

A

non maleficence, beneficence, autonomy, justice, confidentiality

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10
Q

ISBARR

A

identify, situation, background, assessment, recommendations, read back

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11
Q

What is palpation used to assess?

A

temperatures of skin, tenderness, size and countour

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12
Q

True or False? Light palpation should always go before deep because deep palpation can hurt and/or disrupt fluids.

A

True

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13
Q

What is percussion used to detect?

A

fluid, tenderness, organ sizes, reflexes

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14
Q

How to use percussion?

A

tapping motion on second knuckle

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15
Q

what is the most common type of stethoscope used for auscultation?

A

acoustic

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16
Q

How many times can you rely on hand sanitizer before you must wash your hands?

A

twice

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17
Q

3 primary components of health assessment

A

history, physical examination, documentation of data

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18
Q

nursing process

A

assessment, analysis, planning, implementation, evaluation

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19
Q

4 goals of healthy people 2020

A

attain longer lives w/o preventable diseases, achieve health equity, create social and physical environments that promote health for all, promote quality of life across all developmental stages

20
Q

uses verbal and nonverbal phrases to
encourage patients to continue talking further

A

facilitation

21
Q

True or false? every health history is grouped by body systems.

A

false

22
Q

True or false? 20% of people in the united states speak a language other than english at home

A

true

23
Q

True or fale? TJC requires that a spiritual history be taken from every patient admitted to the hospital

A

true

24
Q

what area of the hand is most sensitive to vibration?

A

ulnar surface of hand to fifth finger

25
Q

How deep is deep palpation?

A

4 cm

26
Q

When percussing, why should you rebound quickly?

A

to avoid muffling of vibration

27
Q

Why is stronger percussion needed for obese or very muscular patients?

A

thickness of tissue can impede vibrations

28
Q

loud, high-pithced sound heard over abdomen

A

tympany

29
Q

sound heard over normal lung tissue

A

resonance

30
Q

When do we get hyperresonance ?

A

when we listen to overinflated lungs

31
Q

dullness is heard over the ___

A

liver

32
Q

sound heard when we percuss over bones and muscle

A

flatness

33
Q

true or false : friction of body hair rubbing against diaphragm of stethoscope can be mistaken for abnormal lung sounds (crackles)

A

true

34
Q

true or false? sitting and supine are most common patient positions for examinations

A

true

35
Q

tubing longer than ____ inches may distort sounds

A

18

36
Q

Consists of LED probe emitting light waves that
reflect off oxygenated and deoxygenated
hemoglobin molecules circulating in blood

A

pulse oximetry

37
Q

How far is the snellen chart from the patient?

A

20

38
Q

11 lines of letters decreasing in size

A

snellen chart

39
Q

rosenbaum and jaeger charts are commonly used to evaluate

A

near vision

40
Q

how far are Rosenbaum/Jaeger charts held from patients

A

14 inches

41
Q

what color hemorrhages under ophthalmoscope?

A

black

42
Q

why is a pneumatic attachment sometimes added to an otoscope?

A

to produce small puffs of air against the tympanic membrane to evaluate fluctuation of the membrane in children

43
Q

true or false : patient should be warned about clicking and snapping sounds of speculum

A

true

44
Q

frequency of tones created by audioscope

A

1000 to 5000 hz

45
Q

what is monofilament used for?

A

to test lower extremity sensation

46
Q

Used to differentiate characteristics of tissue,
fluid, and air in specific body cavity.

A

Transilluminator

47
Q
A

health assessments and diagnostics (12 decks)

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