Quiz 1 Flashcards
beck depression inventory
assesses severity of depression in adults and adolescents (13 and up) with a diagnosis of psychiatric illness
NOT a sole diagnostic measure
score <15 indicates mild depression, 15-30 moderate depression, and >30 severe depression
PHQ-9
multipurpose tool for screening, diagnosis, monitoring, and measuring severity of depression
question 9 screens for presence and duration of suicidal ideation
5 P’s of sexual assessment
partners
practice
prevention of STI’s
prevention of pregnancy
and past history of STI’s
CAGE questionnaire
C- have you ever been CONCERNED about your drinking/feel the need to CUT down?
A- have you ever felt ANNOYED by criticism about your drinking?
G- have you ever felt GUILTY about your drinking or what you did while drinking?
E- have you ever felt the need for a morning EYE-OPENER
RAFFT questionnaire
R- do you drink/do drugs to RELAX or fit in?
A- do you drink/do drugs when you are ALONE?
F- do any of your FRIENDS use drugs/alcohol?
F- does a FAMILY member have a drug/alcohol problem?
T- have you ever gotten in TROUBLE because of drugs/alcohol?
any culture has 4 basic characteristics:
learned from birth through language and socialization
shared by all members of the same group
can be adapted to situations
dynamic and ever changing
social determinants of health
combination of:
environment
economic stability
education
social/community
health/healthcare
BMI interpretation
underweight <18.5
normal 18.5-24.9
overweight 25-29.9
obese >30
SCOFF screening tool
S- do you make yourself SICK when you feel uncomfortably full?
C- do you worry you have lost CONTROL over how much you eat?
O- have you recently lost more than 15 pounds in a ONE- month period?
F- do you believe yourself to be FAT when others say you are thin?
F- would you say that FOOD dominates your life?
what is MET?
metabolic equivalence testing
how much is burned per workout
HEADS questions for adolescents?
H: how are things at HOME?
E: how is school? grades? subjects? EDUCATION
A: what kind of ACTIVITIES do you do? what is AFFECT, AMBITION, ANGER?
D: do you use DRUGS/ETOH? does anyone in your family?
S: are you engaging in SEX? sexuality issues- sexting? oral sex? anal sex?
mini mental state test (MMSE)
max score is 30
score affected by age, education, environment, cerebrovascular factors, and behavioral factors
depressed clients w/o dementia score 24-30
score of 20 or less is found with dementia, delirium, schizophrenia, or an affective disorder
MOCA assessment
a brief 10 minute screening tool for mild cognitive impairment
can detect people who score in the normal range of MMSE
more sensitive for the early or mild impairment
MCI is a risk factor for dementia
normal score of 26-30
lower score requires more in depth assessment
primary prevention
before it occurs
exercise, nutrition, smoking cessation or immunizations
secondary prevention
detecting and treating asymptomatic risk factors
health fair to screen for HTN/DM
detecting and treating early asymptomatic disease
mammogram/colonoscopy
tertiary prevention
reduction in subsequent morbidity and mortality
managing meds/blood sugar to prevent complications from DM
definition of new patient
has not received any professional service from any provider at your same practice in the last 3 years
consultation
may initiate diagnostic or therapeutic services, but is NOT taking over care of the patient
if taking over care, this is a REFERRAL
your middle aged patient has a BMI of 29. you would tell him that he is at risk for what?
CAD and DM
you realize that as an advanced practice nurse, you must ask questions regarding sensitive topics. to be most effective you employ the basic principles that guide responses to sensitive topics. what is the most important?
be nonjudgmental
susie lee presents for a checkup to your office. you have not seen her before but she was last seen by the MD in your group for a URI 2 years ago. according to the CPT definition she is classified as what kind of patient?
established
ms. waters is being assessed for a job physical. you ask her about her exercise regimen. she responds that she uses the treadmill every day for 30 minutes. what would be your next question?
how long have you been doing this?
what would a woman age 19 need to get yearly?
dental screen
shirley, age 56, presents with a blood pressure of 156/94 mmhg. your history taking should include what?
be directed toward symptoms suggesting causes of HTN
include an evaluation of dietary intake and physical activity
evaluate all OTC drugs, herbal remedies, or illicit drug use
