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NR509 - Advanced Assessment > Midterm review > Flashcards

Midterm review Flashcards

1
Q

FIFE Model

A

Feelings
Ideas
Function
Expectations

Used to assess the patient’s experience of their illness

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2
Q

CAGE questionnaire screens for what?

A

Alcohol misuse

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3
Q

BMI Scale

A

Underweight <18.5
Normal 18.5–24.9
Overweight 25.0–29.9
Obesity I 30.0–34.9
Obesity II 35.0–39.9
Extreme obesity ≥40

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4
Q

5 A’s Model

A

Ask
Advise
Assess
Assist
Arrange

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5
Q

Validity

A

Does the test measure what it is supposed to measure?

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6
Q

Sensitivity

A

probability that a person with the disease has a positive test (true positive rate)
* Negative result from a test with high sensitivity usually excludes disease

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7
Q

Specificity

A

probability that a non-diseased person has a negative test

  • Positive result from a test with high specificity usually indicates disease
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8
Q

Positive predictive value

A

probability that a person with a positive test has the disease

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9
Q

Negative predictive value

A

probability that a person with a negative test does not have the disease

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10
Q

Intra-observer reliability

A

the degree to which measurements taken by the same observer are consistent,

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11
Q

What is the difference in blood pressure between arms that is a normal range?

A

Within 10mmHg

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12
Q

Masked hypertension

A

Normal BP in the clinic or office, but elevated level at home

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13
Q

Hallucinations can occur with which conditions?

A
  1. dementia
  2. PTSD
  3. delirium
  4. Schizophrenia
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14
Q

Seborrheic keratoses

A

They are benign skin lesions and often do not require treatment

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15
Q

actinic keratosis

A

A rough, scaly white patch on the skin that develops from years of sun exposure. It’s often found on the face, lips, ears, forearms, scalp, neck or back of the hands. Can become cancerous, usually removed as a precaution.

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16
Q

What is the USPSTF recommendation for skin cancer screening?

A

recommends against routine screening for skin cancer due to lack of evidence for this intervention across
the general population.

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17
Q

S/S of kawasaki’s disease

A
  • rash
  • decreased appetite
  • fatigue
  • low-grade fevers
  • strawberry tongue
  • erythema of the palms and soles
    are noted.
  • Nonpainful peeling of the skin of the child’s fingertips is noted
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18
Q

Alopecia areata - symptoms

A

Patchy hair loss without associated skin changes

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19
Q

What is pectus excavatum?

A

Depression on the lower part of the sternum

20
Q

Bronchophony

A

An atypical increase in the intensity and clarity of the individual’s spoken voice heard when auscultating the lungs with a stethoscope

21
Q

Egophony

A

increased resonance of voice sounds heard when auscultating the lungs. When spoken voices are auscultated over the chest, a nasal quality is imparted to the sound which resembles the bleating of a goat.

22
Q

Whispered pectoriloquy

A

an increased loudness of whispering noted during auscultation with a stethoscope on the lung fields on a patient’s torso

23
Q

Tactile fremitus

A

palpation of the chest wall to detect changes in the intensity of vibrations created with certain spoken words in a constant tone and voice indicating underlying lung pathology

24
Q

Constitutional symptoms

A
  • fatigue
  • weakness
  • fever/chills
  • night sweats
  • weight loss/gain
  • pain
25
Q

Hypertension levels

A

normal 120/80
elevated 120-129/<80
Stage 1 130-149/80-89
Stae 2 >140/90

Must be elevated on 2 consecutive but separate occassions

26
Q

Orthostatic hypotension

A

SBP drop >20
DBP drop >10

within 3 minutes of standing
- causes: drugs, blood loss, prolonged bed rest, ANS disease

27
Q

Normal respiratory rate

A

12-25 BPM

28
Q

Testing for aphasia

A
  1. word comprehension: 1 step command
  2. Repetition - repeat sentence with one syllable words
  3. Naming - name watch parts
  4. reading comprehension
  5. Writing
29
Q

PHQ

A

Patient Health Questionairre -
screening for depression

30
Q

MMSE

A

Mini Mental State Exam
- screening for dementia

31
Q

GCS

A

coma severity screening

32
Q

CAGE

A

alcohol screening

33
Q

GAD 7

A

Screening for anxiety disorder

34
Q

Pressure ulcer staging

A
  1. nonblanchable erythema
  2. partial thickness loss, dermis exposed
  3. full thickness skin loss
  4. Full thickness skin and tissue loss, underlying muscle, bone tendon etc exposed
  5. Unstageable - obscured by slough or eschar
35
Q

Cranial nerve 1

A

Olfactory nerve

Smell - sensory nerve

36
Q

Cranial nerve 2

A

Optic nerve

Visual acuity, central/peripheral vision, PERRLA (pupils equal, round, reactive to light, accomodation - change in pupil size depending on focus area)

37
Q

Cranial nerve 3

A

Oculomotor nerve

EOM movements, pupillary construction and accommodation, upper eyelid, follow H pattern with eyes only

Motor

38
Q

Cranial nerve 4

A

Trochlear nerve

EOM movements, H trace

Motor nerve

39
Q

Cranial nerve 5

A

Trigeminal nerve

Motor: clench jaw
Sensory: light touch

Face, mouth, cornea, muscles of mastication

40
Q

Cranial nerve 6

A

Abducens nerve

EOM movement, H trace

motor

41
Q

Cranial nerve 7

A

Facial nerve

Smile, frown, raise eyebrow, puff cheeks, pucker lips

42
Q

Cranial nerve 8

A

Vestibulocochlear nerve

Whisper test

Sensory - hearing and balance

43
Q

Cranial nerve 9

A

Glossopharyngeal nerve

Gag reflex

Sensory & motor

44
Q

Cranial nerve 10

A

Vagus nerve

Ahhh –> look for uvula rise

Sensory and motor function

Swallowing, vocal chords, pharynx and larynx sensation, cardiac inhibition

45
Q

Cranial nerve 11

A

Spinal accessory nerve

Shoulder and neck muscles - shrug

46
Q

Cranial nerve 12

A

Hypoglossal nerve

stick out tongue, move side to side

Motor - tongue movements

NR509 - Advanced Assessment (9 decks)

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