Special Assessments Flashcards

1
Q

HOPE Assessment of Spiritual Beliefs

H:
O:
P:
E:

A

H: Sources of hope
O: Organized Religion
P: Personal/Spiritual Practices
E: Effects on Medical Care and End of Life Issues

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2
Q

Cultural Beliefs can affect food:
P:
P:
B:

A

FOOD PREFERENCES
FOOD PREPARATION AND CONSUMPTION
FOOD BELIEFS (cause or cure illness, used in rites or ceremonies

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3
Q
Culture and C\_\_\_\_\_ are interrelated.
Effects:
E\_\_\_ of F\_\_\_\_
Role of t\_\_\_\_\_
Signs of R\_\_\_ and D\_\_\_\_
A
COMMUNICATION 
Expression of Feelings
Primary Language
Role of Touch
Signs of Respect and disrespect
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4
Q
Cultural Assessment should include:
Beliefs regarding H\_\_\_\_
R\_\_\_\_\_\_\_\_
L\_\_\_\_\_\_\_\_\_
Role of \_\_\_\_\_\_\_\_
Sources of s\_\_\_\_\_\_\_
D\_\_\_\_\_\_\_
A
HEALTH
RELIGION
LANGUAGE 
ROLE OF FAMILY
SOURCES OF SUPPORT 
DIET
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5
Q

CULTURE-A _____/_____ way of life of a group of people. Includes _____, ___, ___, _______

A

learned/socially transmitted

beliefs, values, customs and norms

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6
Q

RACIAL GROUPS-Classifications of individuals based on b_________s______t______ such as
s___ t____,
f____ f_____
b____ b_____

A
RACIAL GROUPS-
Biological shared traits 
skin tone
facial features
body build
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7
Q

ETHNIC GROUPS- Share
R_____ O_______
s________ c______
L_____

A

regional origin
social culture
language

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8
Q
ADL's: EATDBC
1.
2.
3.
4.
5.
6,
A
Eating
Ambulating
Transferring
Dressing
Bathing
Continence
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9
Q

Functional Status- individual’s ________ to ______ normal d______ a_______ required to meet b______ n______, fulfill usual r_____, and maintain health and well-being

A

Functional status is an individual’s ability to perform normal daily activities required to meet basic needs, fulfill usual roles, and maintain health and well-being

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10
Q

functional capacity:

A

maximum capacity to perform daily activities

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11
Q

functional performance:

A

activities people actually do

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12
Q
Common symptoms of altered mental health
S\_\_\_\_\_ \_\_\_\_\_\_\_
A\_\_\_\_\_ \_\_\_\_\_\_\_
A\_\_\_\_\_ M\_\_\_\_\_ or A\_\_\_\_\_
H\_\_\_\_\_\_\_\_\_
A

Suicidal ideation
Aggressive behavior
Altered mood and affect
Hallucinations

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13
Q

Mental Health Assessment:
R_____ F_____
P______ ______ ______ _______
M_________ S_________

A

Role of RN in assessing Mental Status
risk factors
preexisting mental health conditions including substance abuse, depression, suicidal ideations
mental status including appearance, behavior, cognition, and thought processes

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14
Q
Developmental Theories:
P\_\_\_\_\_
F\_\_\_\_\_
E\_\_\_\_\_
K\_\_\_\_\_
A

Piaget
Freud
Erikson
Kohlberg

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15
Q

ERIKSON (THEORY OF P______)
Follow a P_____ of G_____
Each stage B____ on previous stage
M____ a C_____ during each stage

A

Personality
plan of growth
builds on previous stage
master a crisis during each stage

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16
Q

KOHLBERG (M_____ DEVELOPMENT)

A

Moral
When conflict occurs among universal values such as affection, authority, truth and justice. One makes a moral choice which includes problem solving

17
Q

Freud- P_______ Development
Behavior is motivated by u___- m_____
p_________- and psychosocial identity develop through
accumulated e________

A

unconscious mind;

personality and psychosocial identity developed through accumulation of interactional experiences

18
Q

PIAGET - C_____ DEVELOPEMENT
Age related s_____ s_____
develop c______ skills in order to adapt

A

PIAGET (COGNITIVE DEVLOPMENT)
Age related sequential stages.
develop cognitive

19
Q

5 Developmental Stages

A
Infants and children
Adolescence
Young adult
Middle age adult
Older adult
20
Q

2 growth spurts occur at

first

A

first year of life and puberty

21
Q

Puberty can begin as early as

A

8-9 years old

22
Q

Girsl develop body hear at ____ and menarche at ____

A

9-10;

2 years after start of body hair and breasts

23
Q

Boys testicular development starts at

and body hair at

A

9 and 12

24
Q

Causes of aging:
B___ ____
D___ D____

A

Biological Clock

Damage to DNA from environment or inability to repair

25
Q
Symptoms of Malnutrition
Changes in H\_\_\_, N\_\_\_\_, S\_\_\_\_
Inability to \_\_\_\_
Intolerance to  \_\_\_\_ or \_\_\_\_
Change in w\_\_\_\_\_\_
Change in e\_\_\_\_ l\_\_\_\_
A
Changes in hair, nails, and skin
Ability to heal
Tolerance of hot or cold weather
Recent change in weight
Recent change in energy level
26
Q

Anthropometrics:

H___-, W____, B_____
S____ F____ T_____
M_____ C_______
W_____ to H_____ R______

A
Height and Weight
Body Mass Index
Skin-fold thickness
Mid-arm Circumference
Waist-to-hip Ratio: waist circumference
                                  hip circumference
27
Q

Unhealthy Waist to hip ratio
men
women

A

A ratio of >1.0 in men or >0.8 in women is android or upper body obesity and is indicative of increased risk of obesity-related diseases.

28
Q

3 Malnutrition screening questions

A

Unintentional weight loss
how much
decreased appetite

29
Q

Food:
provides e______ for a____ and for b____ and m____ t_____
r_____ body p_______

A

PROVIDE ENERGY FOR ACTIVITIES
BUILDING AND MAINTAINING BODY TISSUE
REGULATE BODY PROCESSES

30
Q

MACRONUTRIENTS-
1
2
3

A

CARBOHYDRATES, PROTEIN AND FAT

31
Q

MICRONUTRIENTS-

A

VITAMINS AND MINERALS

32
Q

Most vital nutrient

A

Water

33
Q

most common symptoms of malnutrition include

A

significant weight loss, fatigue and dizziness

34
Q
Purposes for assessment:
S\_\_\_\_\_\_
A\_\_\_\_\_ C\_\_\_\_\_
S\_\_\_\_\_
M\_\_\_\_ D\_\_\_\_\_
R\_\_\_\_\_\_
E\_\_\_\_\_\_
P\_\_\_\_\_\_
A
Screening
Assess change
Staging
Management /placement decisions
Research
Eligibility
Payment