Health Assessment Powerpoint Flashcards

1
Q

The systematic and continuous organization validation and documentation is called

A

Assessment

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2
Q

Each pt is to have an initial assessment of hx within 24hr upon admission is a requirement of what department.

A

JCO

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3
Q

What’s the purpose of assessment?

A

To make a dx

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4
Q

What does nsg assessment focus on

A

Pt’s response to health problem

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5
Q

A systematic and continuous assessment of our pt is defined as what:

A

baseline

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6
Q

The collection of biographical data, C/O, HX of present illness, past hx family hx, lifestyle, social data, psychological data, and patterns of health care are all components of a…

A

nsg history

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7
Q

What is oldcart and what is it used for?

A

O=onset; L=location; D=duration; C=characteristics; A=aggravating factors; R=relieving factors; T=tx; used for pain

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8
Q

What is the BATHE format stand and used for?

A

B=what bothers you; A=affect you; T=troubles; H=handel it; E=empathy are questions used for psychological data

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9
Q

How do you collect data accurately?

A

Both pt and nurse must actively participate in communication

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10
Q

What are the two types of data

A

Subjective=is what the pt tells you; objective=is what you observe

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11
Q

What are the sources of data?

A

There are primary=what the pt tells you; secondary=info from everybody else

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12
Q

Data collection methods include:

A

Observation, interviewing, examination

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13
Q

Gathering data via our senses is called?

A

observation

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14
Q

What type of questions are used in the interviewing process:

A

Directive/nondirective, closed-ended questions, neutral questions, and leadings questions

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15
Q

What is directive and nondirective questioning?

A

Directive=highly structured questioning; nondirectivee=rapport building, getting familar w/the pt

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16
Q

What is closed-ended questions?

A

Closed-ending is yes or no questions; open-ended questions gets the pt to talk more info

17
Q

What are neutral questions?

A

questions w/o putting pressure on the pt to answer a question

18
Q

What are leading questions?

A

Questions that causes the pt to “agree” with how they “should” be feeling

19
Q

The physical assessment utilizing a systematic approach is defined as?

A

Examination

20
Q

Physical assessment includes what components in an examination.

A

Inspection, auscultation, palpation, percussion

21
Q

What are the examination approaches/models?

A

Cephalocaudal, bodysystems approach, nsg conceptual models

22
Q

What is the Neuman model?

23
Q

What is the LAC+USC healthcare network?

A

We used a cephacaudal system

24
Q

What is Maslow System?

A

Hierarchy of needs

25
What is the Erikson/developmental system used on?
used on PEDS
26
How is data validated?
Data is validated by cues and inferences.
27
What are cues?
subjective or objective info
28
What are inferences?
A nsg's interpretation based on cues.
29
What are the types of physical assessments?
Initial assessment, problem-focused assessment, emergency assessment, and time-lapsed assessment.
30
A type of assessment is based upon admission within 2 hours (all info;4pg long) similar to a doctor's H&P is defined as:
Initial assessment?
31
A type of assessment done on adults every 8 hours (head-to-toe) as soon as u come on shift; peds is every 4 hours is defined as:
Problem-focused assessment?
32
A type of assessment upon a pt's acute change in V/S; anything emergency is defined as:
Emergency assessment?
33
A type of assessment that's done over a period of time (months usually) is defined as:
Time-lapsed assessment?
34
What is HIPPA?
An organization concerned about a pt's right to privacy of their personal health information