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GNUR101 - Health Assessment > Quiz 1 > Flashcards

Quiz 1 Flashcards

Chapter 1 + 2

1
Q

1oz to ml

A

30ml

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2
Q

1tbs (T) to ml and tsp

A

15 ml = 3tsp

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3
Q

1oz to tbs

A

2tbs

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4
Q

1 cup to ml and oz

A

240 ml = 8oz

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5
Q

1 pint (pt) to ml and oz

A

500ml = 16oz

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6
Q

1 quart (qt) to ml and oz

A

1000ml = 32oz

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7
Q

1 pound (lbs) to oz

A

16oz

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8
Q

1kg to lbs

A

2.2lbs

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9
Q

1 inch to cm

A

2.5cm

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10
Q

how to calculate F

A

1.8*C + 32

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11
Q

how to calculate C

A

5/9 * (F - 32)

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12
Q

1 pint to cups

A

2c

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13
Q

1 quart to pints and cups

A

2 pints = 4 cups

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14
Q

1 gallon to quarts and pints

A

4 quarts = 8 pints

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15
Q

1 ton to lbs

A

2000lbs

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16
Q

1foot to inches

A

12 inches

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17
Q

1 yard to feet and inches

A

3 feet = 36 inches

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18
Q

Components of Health Assessment

A

3 primary components + Data collection

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19
Q

Three primary components of health assessment are

A

History (subjective)
Physical exam (objective)
Documentation

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20
Q

Data collection

A
  1. Symptom
  2. Sign
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21
Q

Symptom

A

What the patient feels and communicates (subjective)

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22
Q

Sign

A

Clinical findings (objective) collected during physical exam

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23
Q

Clinical manifestations

A

signs and symptoms collected utilizing inspection, palpation, percussion, and auscultation

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24
Q

Legal document of patient’s health status

A

The health record

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25
Q

EHR

A

electronic health record

26
Q

amount of information gained during assessment depends on these factors

A
  1. context of care
  2. patient need
  3. expertise of the nurse
27
Q

context of care

A

circumstance or situation related to health care delivery

28
Q

type of assessments

A
  1. comprehensive health assessment
  2. problem-bases/focused assessment
  3. episodic (follow-up)
  4. shift assessment
  5. screening assessment
29
Q

comprehensive health assessment

A

involves detailed history and physical exam performed at onset of care in primary care setting

30
Q

problem-bases/focused assessment

A

involves history and physical exam that limited to specific problem or complaint

31
Q

episodic follow up assessment

A

usually done when patient follows up with their provider for a previously identified problem

32
Q

shift assessment

A

identifies changes to condition from a baseline in hospitalized patients

33
Q

screening assessment/examinations

A

short exam focused on disease detection

34
Q

health promotion

A

behavior motivated by desire to increase and actualize health potential

35
Q

health protection

A

behavior motivated by desire to avoid illness / detect it early

36
Q

data organization formats

A

body system (cardiovascular)
conceptual format (perfusion, mobility)

37
Q

clinical judgment

A

conclusion about patient’s needs, concerns, or health problems and/or the decision to take action

38
Q

three levels of health promotion are

A
  1. primary
  2. secondary
  3. tertiary
39
Q

primary health promotion

A

Preventing disease from developing
through promoting healthy lifestyle

40
Q

secondary health promotion

A

Screening efforts to promote early
detection of disease

41
Q

tertiary health promotion

A

Minimizing disability from acute or chronic illness or injury and allowing for most productive life within limitations

42
Q

3 phases of the interview

A

Introduction
Discussion
Summary

43
Q

Facilitation

A

uses verbal and nonverbal phrases
to encourage patients to continue talking further

44
Q

Clarification

A

used to gather more information

45
Q

restatement

A

repeating what patient says in
different words to confirm interpretation

46
Q

Reflection

A

repeating what patient said and
encourages elaboration or more information

47
Q

Confrontation

A

used when inconsistencies are
noted between patient report and nurse’s observations

48
Q

Interpretation

A

used to share conclusions
drawn from data

49
Q

Summary

A

condenses data to clarify
sequence of events for patient

50
Q

comprehensive health history includes

A
  1. biographic data
  2. reason for seeking care
  3. history of presenting illness
  4. present health status
  5. past health history
  6. family history
  7. personal and psychosocial history
  8. review of systems
51
Q

symptom analysis (old carts)

A
  1. Onset - when did symptoms begin
  2. Location - where is the symptom
  3. Duration - how long does it last
  4. Characteristics - describe the symptom
  5. Aggravating factors - what makes symptom worse
  6. Related symptoms - are other symptoms present
  7. Treatment - what factors alleviate it
  8. Severity - describe intensity
52
Q

Standards of nursing practice

A
  1. Assessment
  2. Diagnosis
  3. Outcome identification
  4. Planning
  5. Implementation
  6. Evaluation
53
Q

Palpation

A

involves using hands to feel body structures

54
Q

Inspection

A

visual examination of the body

55
Q

Percussion

A

tapping on the body to assess underlying structures

56
Q

auscultation

A

listening to internal body sounds

57
Q

Assessment

A

Data collection relative to the health care’s consumer health

58
Q

Diagnosis

A

RN analyzes the assessment data to determine actual or potential diagnoses

59
Q

Outcome identification

A

RN identifies expected outcomes for a plan

60
Q

Planning

A

RN develops a plan to attain desirable outcome

61
Q

Implementation

A

Implementation of identified plan

62
Q

Evaluation

A

RN evaluates progress toward attainment

GNUR101 - Health Assessment (5 decks)

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