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Health Assessment > Holistic Nursing Assessment > Flashcards

Holistic Nursing Assessment Flashcards

1
Q

the first part of the physical examination
that begins the moment the nurse meets
the client.

A

General Survey

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2
Q

are the body’s indicators of health

also known as “cardinal signs”

A

VITAL SIGNS

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3
Q

rate of energy utilization in the body

required to maintain essential activities

A

Basal Metabolic Rate (BMR)

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4
Q

increases metabolic rate
using large muscles to make heat rather
than movement

A

Muscle Activity

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5
Q

plays an important role on the
maintenance of core body temperature
through thermoregulation processes.

A

Sympathetic Nervous System

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6
Q

transfer of heat from one molecule to a

molecule of lower temperature

A

Conduction

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7
Q

transfer of heat in the form of waves

and particles

A

Radiation

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8
Q

it is the dispersion of heat by air

currents

A

Convection

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9
Q

it is a continuous evaporation of
molecules from the respiratory tract and
from the mucosa of the mouth and from
the skin.

A

Vaporization/Evaporation

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10
Q

alternative at regular intervals between
periods of fever and periods of
normal/subnormal temperature

A

Intermittent

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11
Q

wide range of temperature fluctuations

of which are above normal

A

Remittent

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12
Q

short febrile periods of a few days are
interspersed with periods of 1 or 2 days
of normal temperature.

A

Relapsing

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13
Q

fluctuates minimally but always remain

above normal

A

Constant

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14
Q

a shock wave produced by the
contraction of the heart and forceful
pumping of blood out of the ventricles
into aorta

A

PULSE

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15
Q

condition in which the apical pulse rate is

greater that the radial pulse rate

A

Pulse Deficit

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16
Q

is the regularity of the heartbeat
there are regular intervals between
beats

A

Pulse Rhythm

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17
Q

arrhythmia

irregular heartbeat

A

Dysrhythmia

18
Q

is a measurement of the strength or
amplitude of force exerted by the
ejected blood against the arterial wall
with each contraction.

A

Pulse Volume

19
Q

artery feels straight, resilient, & springy

A

Arterial Elasticity

20
Q

is a heart rate less than 60 bpm in an

adult

A

Bradycardia

21
Q

is a heart rate in excess of 100 bpm in

adult

A

Tachycardia

22
Q

the act of breathing
rate and character are additional clues to
the clients overall health status

A

RESPIRATIONS

23
Q

overexpansion of the lungs, rapid deep

breaths

A

Hyperventilation

24
Q

shrill harsh sound during inspiration -

laryngeal obstruction

A

Stridor

25
Q

snoring or sonorous respiration - partial

obstruction of upper airway

A

Stertor

26
Q

high pitched musical squeak on
expiration - narrowed/partially
obstructed airway (asthma)

A

Wheeze

27
Q

It is the measure of pressure exerted as

blood flows through the artery

A

BLOOD PRESSURE

28
Q 
refers to client's level of cognitive
functioning (thinking, knowledge,
problem solving) and emotional
functioning ( feelings, mood, behaviors,
stability)
A

MENTAL STATUS

29
Q 
an unpleasant
sensory and emotional experience
associated with actual or potential
tissue damage, or described in terms
of such damage.
A

PAIN

30
Q

perceived at the source of the pain

and extends to the nearby tissues

A

Radiating Pain

31
Q

felt in a part of the body that is
considerably removed or far from the
tissues causing the pain

A

Referred Pain

32
Q

a pain that contributes insomnia,

weight gain, constipation, etc.

A

Persistent Pain

33
Q

an emergency situation deserving

attention and professional treatment

A

Severe Pain

34
Q

excessive sensitivity to pain

A

Hyperalgesia

35
Q

the amount of pain stimulation a
person requires before feeling pain
least level of pain that the patient is
able to detect

A

Pain Threshold/Sensation

36
Q

maximum amount and duration of
pain that an individual is willing to
endure

A

Pain Tolerance

37
Q

the point which the person becomes

aware of the pain

A

Pain Perception

38
Q

pain due to a stimulus that does not

normally provoke pain

A

Allodynia

39
Q

unpleasant abnormal sensation,
imitates the pathology of central
neuropathic pain disorder.

A

Dysesthesia

40
Q

pain directly related to tissue damage

and may be somatic

A

Nociceptive Pain

41
Q

an increased sensitivity of a receptor
after repeated activation by noxious
stimuli or nociceptor

A

Sensitization

Health Assessment (6 decks)

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