Final exam Flashcards
What are 4 types of data?
Comple, Focused, Problem centered, Follow up, Emergency.
What is the purpose of an Interview?
Gather and complete data, establish trust, teach the person about their health status and begin teaching health promotion and disease prevention.
What are traps for interviewing?
Proving false assurance or reassurance, Giving unwanted advice, using authority, distancing, using professional jargon, talking too much, interrupting, using “why” questions
What Should you do for someone who does not speak English?
Get an interpreter?
What is HEEEDASS
It’s a method of interviewing focus on assessment. Home environment, Education, Employment, Eating, Drugs, Activities, Sexuality, Suicide/safety
What should written materials look like?
They should be at a level 5 grade level or below. They should be in bullet points, 12 pt font, appropriate pictures. Make sure to have the client teach back
What does a health history consist of?
Biographical data, source of history, reasons for seeking care, brief statement in persons OWN words and NOT a diagnosis, present health or history of present illness, past history, family history, review of symptoms, functional assessment.
When obtaining the patients symptoms find the
location, character of quality, quantity or severity, timing, aggravating or reliving factors, associated factors, client’s perceptions
What is the purpose of a review of symptoms?
To evaluate and present health state of each body system, another opportunity to obtain significant data about the patient’s health; obtain subjective data; usually done covering all symptoms and you need to accept or deny all symptoms.
what is culturally sensitive nursing?
has basic knowledge of and constructive attitudes
What is culturally appropriate
apply underlying background and knowledge to provide best possible care
what is culturally competent
understands and attends to the whole person including immigration status, stress factors, social factors and cultural differences.
What is FICAA
Faith traditions, how is faith important to you, what is your church or community of faith, how do your religious/spiritual beliefs apply to your health, how might we address your spiritual needs?
What is always done first
inspection
What are four methods of palpation?
fingertips, dorsa, ulnar, bimanual
what do you elicit during percussions
pain of an inflamed organ and deep tendon reflex
Resonant
normal in adults, dense, air structures - louder, softer & shorter
Hyper-resonant
abnormal sounds in the sounds in the lungs but normal in children
Tympani
air filled in the stomach; drum-like spleen
Dull
dense organs; fluid filled; liver or cardiac tissue
flat
no sounds; heard over muscle or tumors
diaphragm
used for high pitch sounds such as the heart, breast and bowl
Bell
used for soft low sounds such as a heart murmurs (hold lighter)
ADPIE (+o)
Assessment, Diagnosis, Outcome identification, Planning, Implementation, Evaluation
