Lecture 1 Flashcards

1
Q

what would you want to know with PMHx

A

allergies
medications
previous illnesses
vaccinations

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2
Q

PMHx

A

Past medical history

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3
Q

difference between symptoms and signs

A

symptoms - how the patient feels (burning while peeing)
signs - what you can see (cloudy pee)

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4
Q

what are the steps of the nursing process

A

assessment
diagnosis
planning
intervention
evaluation

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5
Q

who are the 3rd level priority of assessment

A

those with important issues but no threat of immininent or short term harm

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6
Q

are symptoms objective or subjective3

A

subjective

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7
Q

approaching all interactions with patients as an inquirer represents what approach

A

relational

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8
Q

what does SOAP stand for

A

Subjective information
Objective information
Assessment
Plan

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9
Q

What is SBAR used for

A

ensuring efficient communication between HCPs

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10
Q

what are the 4 components of diagnostic reasoning

A

dealing with signs and symptoms
formulate hypotheses
collect data on assumptions
evaluate hypotheses with this new data

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11
Q

why would you want to know about family health

A

can be important for genetic disorders or to understand if things run in the family

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12
Q

what are the 5 verbal responses that are your reaction to the patient

A

facilitate
silence
relfection
empathy
clarification

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13
Q

what does SBAR stand for

A

situation
background
assessment
recommendation

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14
Q

are signs objective or subjective3

A

objective

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15
Q

Analysis and interpretation of health data *term

A

diagnostic reasoning

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16
Q

Health history

A

collection of subjective and objective data

17
Q

What is SOAP used for

A

its a standardized method of patient documentation

18
Q

name some parts of biographical data

A

birth date
address/phone number
Insurance info
Occupation

19
Q

what is diagnostic reasoning

A

Analysis and interpretation of health data

20
Q

what are the three essential elements in the nursing process

A

diagnostic reasoning
nursing process
critical thinkin

21
Q

FamHx

A

family history

22
Q

what is the relational approach in communication

A

approaching all interactions with patients as an inquirere

23
Q

what are the second level priority of assessment

A

those who require prompt intervention to prevent deterioration

24
Q

what are the 8 types of verbal responses

A

facilitate
silence
reflection
empathy
clarification
interpretation
explanation
summary

25
Q

what things would you want to know in a functional assessment

A

exercise and nutrition
sleep
substance use
IPV

26
Q

name all the parts of history to be recorded

A

Biographical data
reason for seeking care
current health/illness history
past medical history
family history
review of systems
functional assessment

27
Q

What are ADLs

A

activities of daily living

28
Q

what are the 3 verbal responses in which the nurse leads the discussion

A

interpretation
explanation
summary

29
Q

Bio

A

Biographical data

30
Q

When do you use PQRSTU

A

when getting characteristics of symptoms

31
Q

what is the first level priority of assessment

A

those with immediately life threatening issues

32
Q

what do you want to avoid when doing a review of systems

A

negative terms

33
Q

RoS

A

review of systems