Final exam

Question 1

What are 4 types of data?

Answer 1

Comple, Focused, Problem centered, Follow up, Emergency.

Question 2

What is the purpose of an Interview?

Answer 2

Gather and complete data, establish trust, teach the person about their health status and begin teaching health promotion and disease prevention.

Question 3

What are traps for interviewing?

Answer 3

Proving false assurance or reassurance, Giving unwanted advice, using authority, distancing, using professional jargon, talking too much, interrupting, using “why” questions

Question 4

What Should you do for someone who does not speak English?

Answer 4

Get an interpreter?

Question 5

What is HEEEDASS

Answer 5

It’s a method of interviewing focus on assessment. Home environment, Education, Employment, Eating, Drugs, Activities, Sexuality, Suicide/safety

Question 6

What should written materials look like?

Answer 6

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

Question 7

What does a health history consist of?

Answer 7

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.

Question 8

When obtaining the patients symptoms find the

Answer 8

location, character of quality, quantity or severity, timing, aggravating or reliving factors, associated factors, client’s perceptions

Question 9

What is the purpose of a review of symptoms?

Answer 9

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.

Question 10

what is culturally sensitive nursing?

Answer 10

has basic knowledge of and constructive attitudes

Question 11

What is culturally appropriate

Answer 11

apply underlying background and knowledge to provide best possible care

Question 12

what is culturally competent

Answer 12

understands and attends to the whole person including immigration status, stress factors, social factors and cultural differences.

Question 13

What is FICAA

Answer 13

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?

Question 14

What is always done first

Answer 14

inspection

Question 15

What are four methods of palpation?

Answer 15

fingertips, dorsa, ulnar, bimanual

Question 16

what do you elicit during percussions

Answer 16

pain of an inflamed organ and deep tendon reflex

Question 17

Resonant

Answer 17

normal in adults, dense, air structures - louder, softer & shorter

Question 18

Hyper-resonant

Answer 18

abnormal sounds in the sounds in the lungs but normal in children

Question 19

Tympani

Answer 19

air filled in the stomach; drum-like spleen

Question 20

Dull

Answer 20

dense organs; fluid filled; liver or cardiac tissue

Question 21

flat

Answer 21

no sounds; heard over muscle or tumors

Question 22

diaphragm

Answer 22

used for high pitch sounds such as the heart, breast and bowl

Question 23

Bell

Answer 23

used for soft low sounds such as a heart murmurs (hold lighter)

Question 24

ADPIE (+o)

Answer 24

Assessment, Diagnosis, Outcome identification, Planning, Implementation, Evaluation

Question 25

Level 1

Answer 25

Most life threatening, breathing/airway

Question 26

Level 2

Answer 26

prompt interventions, abnormal labs/pain

Question 27

level 3

Answer 27

Knowledge deficit, long-term, important but can deal with later.

Question 28

Evidence based practice

Answer 28

patient preferences and values; clinical expertise and physical exam and assessment

Question 29

Benefits of electronic health records

Answer 29

easy, safe, access anywhere, scan meds, better quality of care, timely updates, better coordination of care.

Question 30

SOAP

Answer 30

subjective, objective, assessment, plan

Question 31

SBAR

Answer 31

situation, background, assessment, recommendations,

Question 32

MSE - Mental Status Exam

Answer 32

Appearance, behavior, cognition, thought process

Question 33

When is a full mental exam

Answer 33

initial screening suggests an anxiety disorder or depression, behavior changes, brain lesions, aphasia, symptoms of psychotic mental illness, concentration problems trouble with simple activities, inappropriate judgement. Linguistic difficulty

Question 34

lethargic

Answer 34

not fully alert