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?

A

?

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
Q

What is the Erikson/developmental system used on?

A

used on PEDS

26
Q

How is data validated?

A

Data is validated by cues and inferences.

27
Q

What are cues?

A

subjective or objective info

28
Q

What are inferences?

A

A nsg’s interpretation based on cues.

29
Q

What are the types of physical assessments?

A

Initial assessment, problem-focused assessment, emergency assessment, and time-lapsed assessment.

30
Q

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:

A

Initial assessment?

31
Q

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:

A

Problem-focused assessment?

32
Q

A type of assessment upon a pt’s acute change in V/S; anything emergency is defined as:

A

Emergency assessment?

33
Q

A type of assessment that’s done over a period of time (months usually) is defined as:

A

Time-lapsed assessment?

34
Q

What is HIPPA?

A

An organization concerned about a pt’s right to privacy of their personal health information