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HEALTH ASSESSMENT > UNIT 1 > Flashcards

UNIT 1 Flashcards

1
Q

Effective nursing care begins with an ____ and _____ health assessment.”

A

accurate and holistic

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2
Q

is the first and most critical step of the nursing process and accuracy of assessment data affects all other phases of the nursing process.

A

Assessment

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3
Q

What is the Nursing process?

A

Assessment
Diagnosis
Planning
Implementation
Evaluation

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4
Q

It is collecting subjective and objective data

A

Assessment

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5
Q

It is the analysis of the subjective and objective data to make a professional judgment

A

Diagnosis

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6
Q

Determining outcome criteria & developing a plan

A

Planning

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7
Q

Carrying out the plan

A

implementation

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8
Q

Assessing whether outcome criteria have been met & revising the plan as necessary

A

Evaluation

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9
Q

Nursing process is not ____ but _____

A

linear but a cycle

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10
Q

IN ADOPIE, what is O?

A

Outcome Identification

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11
Q

Assessment is the gathering of information about a patient’s ______, ________

A

physiological
psychological
sociocultural
developmental
spiritual status

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12
Q

What is the purpose of assessment?

A

it is to collect subjective and objective data to determine a client’s overall level of functioning in order to make a PROFESSIONAL CLINICAL JUDGMENT

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13
Q

What are the four types of Assessment?

A

Initial Comprehensive Assessment
Ongoing or Partial Assessment
Focused or Problem-Oriented Assessment
Emergency Assessment

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14
Q

collection of subjective data about the client’s perception of ALL body parts or systems, past health hx, family hx & lifestyle & health practices plus gathering of objective data during a step-by-step physical examination

A

Initial Comprehensive Assessment

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15
Q

Initial Comprehensive Assessment is the collection of _____ about the client’s perception of ALL 1. _____, 2. ______, 3. ______, 4. _____

A

subjective data
1. body parts or systems
2. past health history
3. family history
4. lifestyle and health practices

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16
Q

data collection after comprehensive assessment

A

Ongoing or Partial Assessment

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17
Q

It is also called as baseline data

A

Initial comprehensive assessment

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18
Q

thorough assessment of a PARTICULAR client problem &DOES NOT cover areas not
related to the problem

A

Focused or Problem-Oriented Assessment

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19
Q

very-rapid assessment performed in life- threatening situations

A

Emergency Assessment

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20
Q

What is an example of an emergency assessment?

A

Assessment of ABCs (Airway, Breathing, Circulation)

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21
Q

What are the 4 Major Steps of Health Assessment?

A

Collection of subjective data
collection of objective data
validation of data
documentation of dafa

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22
Q

In preparing for the assessment, what should you do?

A

Gathering information before actually meeting the client
keep an OPEN MIND
Avoid Premature judgment
Educate yourself about client’s medical diagnosis
Obtain and organize materials needed for assessment

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23
Q

What are the data included in the subjective data?

A

sensations or symptoms
feelings
perceptions
desires
preferences
beliefs
ideas
values
personal information

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24
Q

Subjective data can only be ____ and ____ by the client

A

elicited and verified

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25
Q

What is the method used to ibtain data?

A

client interview

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26
Q

Major areas of subjective data?

A

biographical information
physical symptoms related to each body part or system
past health history
family history
health and lifestyle practices

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27
Q

In the collection of objective data it includes what data?

A

directly obtained by the nurse/examiner through observation and physical examination
observed by the family or significant others about the client
client’s health record

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28
Q

What are the MAJOR AREAS of Objective data?

A

physical characteristics
body functions
appearance
behavior
measurements
laboratory results

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29
Q

the process of confirming or verifying that the subjective data & objective data you have gathered are __________ and _____ as well as ____

A

reliable and accurate as well as complete

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30
Q

What are the METHODS of validation?

A
  1. recheck your own data
  2. clarify data with the client
  3. verify with another health care professional
  4. compare objective from subjective findings
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31
Q

What are the primary reasons why nurses need to document the data collected?

A
  1. provide the health care team with a database that becomes the foundation of care
  2. helps identify health problems, formulate nursing diagnoses and plan
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32
Q

In the evolution of nurse’s role in HA, in the past assessment integral
part of nursing ever since the days of?

and the nurses relied on their?

A
  1. Nightingale
  2. natural senses
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33
Q

In the present, ____ and ___ of nursing assessment has expanded due to advances in _______ and _____

A
  1. depth
  2. scope
  3. medical knowledge
  4. technology
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34
Q

In the future, there will be an increase _____ and ____ of assessment skills

A

specialization and diversity

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35
Q

a purposeful mental activity

A

critical thinking

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36
Q

critical thinking involves?

A

problem solving and decision making

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37
Q

critical thinking is ____, _____, _____, and _____

A

self-directed
self-disciplined
self-monitored
self-corrective thinking

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38
Q

is a major component of critical thinking.

A

creative thinking

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39
Q

goal directed thinking that leads to better solutions by using new ideas or methods

A

creative thinking

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40
Q

are standards which must be applied to thinking whenever one is interested in checking the quality of reasoning about a problem, issue or situation

A

universal intellectual standards for critical thinking

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41
Q

In the universal intellectual standards for critical thinking, what are the 8 components?

A

clarity
accuracy
precision
relevance
depth
breath
logic
fairness

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42
Q

Could you elaborate further on that point?” - “Could you express that point in another
way?”
- “Could you give me an example?”

A

clarity

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43
Q

“Is that really true? “
- “How could we find out if that is true?”

A

accuracy

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44
Q

Could you give more details? “
- “Could you be more specific?”

A

precision

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45
Q

How is that connected to the question? “

A

relevance

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46
Q

“How does your answer address the complexities in the question? “
- “Is that dealing with the most significant factors?”

A

depth

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47
Q

Do we need to consider another point of view? “
- “Is there another way to look at this question?

A

breadth

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48
Q

“Does this really make sense? “
- “Does that follow what you said?”

A

logic

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49
Q

Do I have a vested interest in this
issue?
- Am I sympathetically representing the
viewpoints of others?

A

fairness

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50
Q

Health assessment involves assessment of the individual as a

A

whole

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51
Q

The individual is part of a _____context, a _____ context, a _____ context and a _____ context, all of which affect the client’s health status.

A

cultural
family
spiritual
community

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52
Q

the totality of socially transmissible behavioral patterns, arts, beliefs, values, customs, lifeways, and all other products of human work and thought characteristic of a population or people that guide their worldview and decision making.

A

culture

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53
Q

composed of people who have a distinct identity and yet are related to a larger cultural group

A

subculture

54
Q

the classification of people according to shared biologic characteristics, genetic markers or features

A

race

55
Q

the process where people adapt to or borrow traits from another culture

A

acculturation

56
Q

occurs in response to transition from one cultural setting to another

A

culture shock

57
Q

assuming all members of a culture or ethnic group are alike

A

stereotyping

58
Q

the tendency to view your own way of culture as the most desirable, acceptable, or best, and to act in a superior manner toward other cultures

A

ethnocentrism

59
Q

the tendency to impose your beliefs, values, and patterns of behavior on individuals from another culture

A

cultural imposition

60
Q

What are the characteristics of culture?

A

Learned
shared
adapted
universal

61
Q

transmitted from generation to generation; learned through life experiences within one’s culture group

A

learned

62
Q

culture is ____ by all members of the group

A

shared

63
Q

as environmental
circumstances change, the group
changes to improve its ability to survive

A

adapted

64
Q

all humans have culture

A

universal

65
Q

are culturally-defined conditions which may have no equivalent from a biomedical/scientific perspective.

A

culture-bound syndromes

66
Q

example of culture bound syndrome among Cebuanos and Hispanic Americans?

A

Panuhot-cebuano
empacho-hispanic Americans

67
Q

In chinese culture, _____ may be considered disrespectful?

A

eye contact

68
Q

_______ are hesitant to ask questions; _____ may not mean agreement

A

Chinese
nodding

69
Q

Chinese has respect for _____ and ____

A

elders and authority figures

70
Q

In chinese culture, ____ in care is preferred

A

family involvement

71
Q

illness is an imbalance of ___ and ____ (CHINESE)

A

yin and yang

72
Q

yin foods are
yang foods are

A
  1. cold
  2. hot
73
Q

What are the other health practices of chinese?

A
  1. acupuncture
  2. medicinal herbs
  3. ventosa
  4. acupressure or massage
74
Q

In ______ touching someone’s head is disrespectful

A

Korean

75
Q

What is the culture-bound syndrome of Korean?

A

hwa-byung

76
Q

a mental illness common in married, middle- aged women; triggered by life crises

A

hwa-byung

77
Q

men & women do not shake hands, touch each other or go together in public, unless they are married or belong to same immediate family

A

Middle Eastern

78
Q

_____ is considered healthy in Middle eastern

A

physically robust

79
Q

the culture of middle eastern is

A

male-dominated

80
Q

In middle eastern, health care provide must be ?

A

same sex

81
Q

culture of the middle eastern is influenced by ______

A

islamic religion

82
Q

What is the culture-bound syndrome of Middle eastern?

A

Zar

83
Q

apathy & withdrawal believed to be caused by spirit possession)

A

zar

84
Q

tend to be verbally expressive, yet values confidentiality

A

Hispanic American

85
Q

believes illness to be caused either by the supernatural, as a punishment from God or as an imbalance between the _____ and ____

A

caliente and frio

86
Q

What are the health practices of Hispanic Americans?

A

when ill, first seeks
advice from older women
in family
goes to jerbero (specializes in the use of herbs or **curandero or curandera (holistic healer) **

87
Q

What are the culture bound syndromes of hispanic Americans?

A

mal ojo (evil eye)
empacho (ball of food)
susto (soul loss)
caida dela mollera (depressed fontanelle

88
Q

menstruation is believed to rid the body of dirty and excess blood.

A

African American

89
Q

African American have rich tradition of ____

A

herbal remedies

90
Q

What are the culture bound syndromes of African American?

A

voodoo illness (result of withcraft)
falling out (normal reaction, fainting)

91
Q

Filipino need to engage in ____ before discussing more serious matters

A

small talk

92
Q

In filipino culture, ____ and ____ are too personal to discuss

A

sex and socioeconomic status

93
Q

expressing _____ and ___is a sign of weakness

A

pain and crying

94
Q

What are the cultural beliefs of Filipino?

A

Illness is caused by evil spirits, folk or faith healers

95
Q

What are the health practices of Filipino?

A

Flushing (perspiration)
protection (use of amulets, religious medals, pictures, statues)

96
Q

What are the culture bound syndrome of Filipino?

A

panuhot
pasmo
nabuyagan
kabuhi
barang

97
Q

refers to an ability to interact effectively with people of different cultures

A

cultural competence

98
Q

a search for meaning & purpose in life, w/c seeks to understand life’s questions in relation to the sacred

A

Spirituality

99
Q

will help the nurse address client’s spiritual needs to maintain well-being

A

Spiritual Assessment

100
Q

Spirituality is ?

A

informal, non-organized, self-reflection and experienced

101
Q

refers to rituals, practices & experiences involving a search for the sacred (God, Allah) that are shared within a group

A

religion

102
Q

Religion is ?

A

formal, organized, ritualistic, and group-oriented

103
Q

prayer & meditation are used for cleansing & healing

A

Buddhism

104
Q

death is associated with rebirth into another form

A

Reincarnation
Buddhism

105
Q

Many buddhist are strict ____

A

vegetarians

106
Q

Believes that illness is a result of past & current life actions or karma

A

Hinduism

107
Q

In Hinduism, ___ hand is seen as holy

A

right hand

108
Q

No beef diet

A

Hinduism

109
Q

In Islam, prayer occurs?

A

5 times per day: sunrise, noon, afternoon, sunset, and evening

110
Q

In Islam, prayers are done facing ____ on a rug, preceded by washing hands and feet

A

EAST

111
Q

ladies are not to view men other than their husbands, naked

A

ISLAM

112
Q

all outcomes in life are seen as predetermined by Allah

A

Islam

113
Q

it is important for dying clients to face EAST & die facing EAST

A

Islam

114
Q

consumption of pork & alcohol is prohibited

A

Islam

115
Q

month of fasting; refraining from eating, drinking, having sex & indulging in anything in excess or ill- natured from dawn until sunset

A

Ramadan

116
Q

Jesus Christ is the savior & miracles can happen through prayers

A

Christianity

117
Q

In Christianity, there is an ____ for the dying and _____ for the dying or dead newborns

A

extreme unction
emergency baptism

118
Q

Restrictions related to work on holy days are removed to save a life

A

Judaism

119
Q

Psalms & last prayer of confession (vidui) are held at bedside

A

Judaism

120
Q

what is the last prayer of confession in Judaism?

A

vidui

121
Q

At death, arms are NOT crossed & any clothing or bandages should be buried with the person

A

Judaism

122
Q

What is the diet of Jews?

A

No mixing of meat and dairy because of Kosher laws
special slaughter of animals
unleavened bread only during passover week

123
Q

What is a religious person of the Jews called?

A

Rabbi

124
Q

PROHIBITS consumption, storage & transfusion of blood

A

Jehovah’s Witnesses

125
Q

PROHIBITS alcohol, coffee, tea and tobacco/smoking

A

Church of Jesus Christ in Latter Day Saints(Mormon)
Seventh Day Adventist

126
Q

consists of individuals YOU consider to be your significant others

A

family

127
Q

It is important in the family

A

family assessment

128
Q

geopolitical communities determined by natural boundaries

A

community

129
Q

What is the role of community in illness?

A

communities affect the emotional and physical health of individuals and families.

130
Q

nursing which recognizes the biopsychosocial & spiritual dimensions of persons; recognizing that individuals are unitary wholes whose lives are intertwined with family, culture & environmental

A

holistic nursing

HEALTH ASSESSMENT (16 decks)

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