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Nursing School > NUR 220 - Quiz 2 > Flashcards

NUR 220 - Quiz 2 Flashcards

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1
Q

what does ANO stand for?

A

alert and oriented

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2
Q

ANO x1

A

knows who they are

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3
Q

ANO x2

A

name + where they are

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4
Q

ANO x3

A

name, place, time

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5
Q

ANO x4

A

name, place, time, situation

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6
Q

ANO is used to gather what?

A

neurological baseline

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7
Q

mneumonic used to assess level of conciousness (LOC)

A

AVPU

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8
Q

what does AVPU stand for?

A

A- awake
V- verbal stimulation
P- painful stimulation
U- unresponsive

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9
Q

what is the Glasglow Coma Scale used to measure?

A

eye opening, verbal response, motor response

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10
Q

how does scoring work for the Glasglow Coma Scale?

A
  • higher the better
  • decrease of 2 points is significant
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11
Q

what is the earliest and most sensitive indicator of alterations in cerebral function?

A

change in Level of Consiousness

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12
Q

what must be done before obtaining a health history?

A

neuro assessment

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13
Q

is health history subjective or objective data?

A

subjective

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14
Q

what is the purpose of health history?

A

to get a database which is used to create a plan, prevent disease, resolve problems, and minimize limitations

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15
Q

what are the three phases of an interview?

A
  • oritentation phase
  • working phase
  • termination phase
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16
Q

purpose of orientation phase

A

gain patient trust and set agenda

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17
Q

purpose of working phase (2)

A
  • gather accurate, relevant, and complete info on patients condition
  • pick up on verbal + nonverbal cues
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18
Q

purpose of termination phase (3)

A
  • summarize findings with patient
  • check for accuracy
  • tell them you will be back
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19
Q

what are some factors than can affect patient answers?

A
  • personality
  • feeling at time of interview
  • nature of information being asked
20
Q

factors that can affect your interviewing

A
  • task complexity
  • time constraints
21
Q

common phrase used for open-ended questions

A

“tell me more”

22
Q

purpose of open-ended quesitons

A

allow patient to describe their condition and concerns to you

23
Q

purpose of direct close-ended questions

A

to get a patient to describe problem more accurately and fully

24
Q

why are leading questions risky?

A

patient may give you the answer they think you want to hear

25
Q

what is probing?

A

asking more open ended questions as patient is telling their story to get more info

26
Q

facilitation

A

verbal + nonverbal phrases that encourage talking

27
Q

restatement

A

repeat what patient said back to them

28
Q

reflection

A

repeate what patient said and encourage more information

29
Q

confrontation

A

tell patient what they are saying is not adding up with data

30
Q

interpretations

A

share your take on the data so that patient may confirm or deny

31
Q

summarize

A

summary of what was discussed

32
Q

how should you deal with anger?

A

directly to identify source

33
Q

how should you deal with crying?

A

be compassionate and delay questioning until theyre ready

34
Q

pneumonic for present illness/ health concert

A

PQRST

35
Q

what does PQRST stand for?

A

P- provoke
Q- quality (what does it feel like)
R- radiate
S- severity (0-10)
T- time

36
Q

what are some age related variations when interviewing?

A
  • older adults need more time and childhood history may not be necessary
  • children may have adult answering for them
37
Q

age group for depression

A

25-44

38
Q

what is PHQ-9 (patient health question) used to screen for?

A
  • screens for depression
  • 4 or more checks in grey section = depression
39
Q

what is GAD-7 used to screen for?

A
  • anxiety
  • 15 and up = anxiety
  • 10 and up = referred
40
Q

what is the Mini-Cog

A
  • assess cognitive impairment
  • three word recognition, clock drawing, three word recall
  • score 3 or less = impaired
41
Q

Mini-Mental State Exam

A
  • 30 = perfect score
  • 23 and below = cognitive issue
42
Q

AUDIT screening tool

A
  • 8 and above = harmful alcohol use
43
Q

CAGE questionaire mneumonic

A

C- cut down drinking
A- annoyed by people criticizing
G- guilty
E- eye opener (drink first thing in AM)

44
Q

what score indicates alcohol abuse on CAGE questionaire

A

2 or more

45
Q

COWS

A
  • clinical opiate withdrawl scale
  • assesses physical dependence to drugs
46
Q

HITS screening tool

A
  • screens for abuse
  • 10 or more = partner violence

Nursing School (16 decks)

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