Test 1 Flashcards
When do you collect when doing a full health history
Bio graphical data Reasons for seeking care Current health or history of current illness Past health Family history Review of systems Functional assessment and ado'so
What is subjective data
What the patient says about himself or herself
What are the phases of noxious stimuli
Transduction
Transmission
Perception
Modulation
What is somatic pain?
Superficial from skin and subQ tissue
Caused by joints tendons muscles or bone
What is visceral pain?
From direct injury or stretching of interior organs
Result of tumor ischemia distention or contraction
What is neuropathic pain
Caused by lesion or disease affecting somatic sensory nervous system
Result from damaged nerve pathway
What are the causes of neuropathic pain
Caused by nerve trauma infection metabolic problems maybe drug-induced
What does PQRSTU stand for
Provocative or palliative Quality of pain Region of the body Severity Timing in onset of pain Understanding of pain
According to the biomedical model a narrow definition of health is
The absence of disease
A medical diagnosis is used to evaluate
The cause of disease
Examples of subjective data is A.decreased range of motion B. Crepitation in the left knee joint C.Left knee has been swollen and hot for the past three days C.arthritis
C. Left knee has been swollen for the past three days
Subjective data is when a person says about himself or herself during history taking
Whatever database is most appropriate for an individual who is been admitted to a long term carefacility
Complete database
because it includes a complete health history and a full physical examination it describes the current and past how state and forms a baseline against which All future changes can be measured
Which of the following is considered objective data A.alert and oriented B.dizziness C.an earache D. Sore throat
Alert and oriented
It is what the health professional observes
An example of objective data is
Capitation in the left knee joint
Objective data is when the hell professional observed by inspecting for percussing palpating during the physical examination
A nursing diagnosis is best described as
Concise statement of actual or potential health concerns or level of wellness
Before determining whether cultural practices are helpful harmful or neutral nurses must first understand
A.The logic of traditional beliefs systems
B.The believes of the patient’s family
C.Their personal belief model
D. The risk of the disease in the patient ethnic group
A.The logic of traditional beliefs systems
Spirituality is defined as
Personal effort to find meaning and purpose in life
What is the ying/yang theory of health
Health exists when all aspects of the person are in the perfect balance
Which theory has been expanded and attempt to study the degree to which person’s lifestyle reflects his or her traditional heritage
Heritage consistency
Symptom is greatly influenced by persons cultural heritage
Pain
Parents or caregivers a company children to the healthcare setting starting at ____ years of age the interviewer asked the child directly about his or her presenting systems
7
The use of euphemisms avoid reality or to hide feelings is known as
Avoidance language
Are used to avoid reality or to hide feelings
using direct language is the best way to deal with frightening topics instead of using avoidance language
Nonverbal communication is the primary form of communication for which group of individuals
Infants
Viewing the world from another person’s inner frame of reference is called
Empathy
Which of the following is included in documenting and history source
Reliability of information
The cage test is screening questionnaire that helps to identify
Excessive or uncontrolled drinking
The review of systems in the health history is
An evaluation of past and present health state of each body systems
When recording info for the review of the systems the interviewer must document
A. Physical findings
B. “Negative” under the system heading
C. The presence or absence of all symptoms under the system heading
D. Objective data that supports the history of present illness
C. The presence or absence of all symptoms under the system heading
Assessment of self-esteem and self concept is part of the functional assessment. Areas covered under the self-Esteem and self concept include:
Education, financial status, and value belief systems
PQRSTU helps the clinician to remember to address characteristics specific to:
Symptoms
The 8 critical characteristics of any symptoms reported in the history of the present illness
What info is included in greater detail when taking a health history on an infant?
Nutritional data
A full mental status examination should be completed if the patient
Has a change in behaviour and the family is concerned
Aphasia is best described as
A language disturbance in speaking writing or understanding
A patients who was recently diagnosed with a seizure disorder plans to continue a career as a pilot. At this time in the interview, the nurse begins to question the patients A. Thought process B. Judgement C. Perception D. Intellect
Judgement
A major characteristic of dementia is:
Impaired short term and long term memory
Mental status assessment documents:
Emotional and cognitive functioning
Which of the following statements that mental health status testing of children is correct
Abnormal findings are usually related to not achieving an expected developmental milestones
Which of the following best abnormality of thought process A.liability B. Blocking C.compulsion D. Aphasia
B. Blocking
Thought process is defined as the way a person thinks or as the logical train of thought locking is a sudden interruption in training thought
The mental status examination is
Assesses mental health drinks and coping skills and screens for any dysfunction
The palpation is used for
Identifying abdominal content
Amplitude is
The intensity softer loud sound
The dorsa of the hand is used to determine
Temperature
Find tactile discrimination is best achieved with the
Fingertips
Funduscopic examination is an examination of the A.inner ear B. Pharynx C.internal structure of the day D.nasal
C. Internal structure of the Eye
Performing percussion the examiner
Strikes the stationary finger at the distal interphalangeal joint
At the end of it examination examiner should
You the findings with the patient
When should the examiner use handwashing instead of an alcohol-based hand rub
If the patient has infection with clostridium difficult
General survey consists of four distinct areas of these areas include
Physical parents body structure mobility and behavior
The general survey is the study of the whole person covering the general health state and any obvious physical care of sticks
A common blood pressure measurement includes
Waiting less than 1 to 2 minutes before repeating the blood pressure reading on the same arm
The Doppler technique is
Augments korotkoff during blood pressure measurement
the Doppler technique maybe use to locate peripheral pull sites and for blood pressure measurements to argument Korotkoff sounds
The tympanic membrane thermometer
In accurate measurement of core body temperature
Endogenous obesity is
Caused by excessive adrenocorticotropin production of the pituitary gland
To perform an accurate assessment of respiratory examiner should
Him for 30 seconds after completing a post assessment and multiply by two
Physical parents include statement second pair appearance with
Stated age
And adults patient’s pulse is 46 bpm the term used to describe this rate is
Bradycardia
The nurse records of the patient's pulse is 3+ or full and bounding which of the following could be the cause A.dehydration B.shock C.bleeding D.anxiety
D. Anxiety
When taking health history the patient complains of pruitus.what is the common cause of the symptoms
Drug reactions
Common causes include dry skin aging drug reactions allergy obstructed jaundice and lice
A flat macular hemorrhages called
PurpurA
Risk factors that may lead to skin disease and breakdown include
A lifetime of environmental trauma
What term refers to a linear skin lesion that runs along a nerve route?
Zosteriform
An example of a primary lesion is an
Urticaria
A scooped out shallow depression in the skin is called an Ulcer Excoriation Fissure Erosion
Erosion
An erosion is a scooped out shallow depression in the skin
Bleeding into the periosteum during birth is know as
Cephalhematoma
Craniosynostosis is a severe deformity caused by
Premature closure of the structures resulting in a long narrow head
What disease is characterized by a flat expressionless or mask-like face, a staring gaze, oily skin, and elevated
Parkinson’s Disease
The number of lobes within the breasts ranges between
15-20
The most common site of cancerous breast tumours are in the
Upper outer quadrant
Stridor is a high pitched, inspiratory crowing sound commonly associated with
Upper airway obstruction
Percussion of the chest is
Helpful only in identifying surface alterations of lung tissues
The first heart sound is produced by
Closure of the av valve
Palpable inguinal lymph nodes are
Normal if small, movable and no tender
The cervical nodes drainage the
Head and neck
The patient has severe bilateral lower extremity edema is most likely caused by
Heart failure
The organ I’m the right upper quadrant of the abdomen is the
Liver
Pyrosis s
Burning sensation in the upper abdomen
Pain signals are carried to the CNS by
Afferent fibres
What occurs during transduction
Pain signals move from the site of origin to the spinal cord
What is the source of deep somatic pain
Bones and joints
Specialized nerve endings that are designed to detect painful sensations are
Nociceptors
What is a negus?
A mole
To access for jaundice you will assess
Sclera and hard palate
You examine nail beds for clubbing the normal angle between nail base and the nail is how many degrees
160 degrees
During tithe otoscopic examination of a child younger than 3 years of age the examiner
Pulls the pinna down
Examining an adult ear you
Up and back
The Manubriosternal angle is
It he articulation of the Manubriosternal and the body of the sternum
In order to use the technique of egophony ask the patient to
Say eee each time the stethoscope is moved
The pulse oximeter measures
Arterial oxygen measures
Where would you fine the apex of the lungs
3-4 cm above the inner third clavicle
Where would you find the base of the lung
Rests on the diaphram
Where would you find the lateral left lung
6th rib, mid clavicular line
Where would you locate the lateral right lung
Fifth intercostal
Where would you locate the posterior apex
c7
To listen to the pulmonic valve area you would listen with your stethoscope where
Second left interspace
When auscultating the heart your first step is to
Identify s1 and s2
In order to screen for deep vein thrombosis you would
Measure the widest point with tape measure
Right upper quad tenderness may indicate pathology in the
Liver pancreas or gallbladder
The a sense of bowel sounds establish after listening for
5 full minutes
Auscultating of the abdomen begin in the right lower quad because
Bowel sounds are always heard here
Tenderness during abdominal palpation is expecting when palpating
The sigmoid process
Murphys sign is best described as
Pain felt when taking a deep breath when the examiners fingers are on the approx location of the inflamed gallbladder
