Unit 1 Flashcards

1
Q

Assessment

A

The collection of data about an individual’s health state

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2
Q

Clinical judgement

A

A way of structuring nursing education to enhance clinical judgement skills of novice practitioners

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3
Q

Complete database

A

A complete health history and full physical examination

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4
Q

Emergency database

A

Rapid collection of the database, often compiled concurrently with lifesaving measures

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5
Q

Environment

A

The total of all the conditions and elements that make up the surroundings and influence the development of a person

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6
Q

Epigenetics

A

The study of how environment and behavior ions impact gene expression

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7
Q

Evidence-based practice

A

A systematic approach emphasizing the best research evidence, the clincician’s experience, patient preferences and values, physical examination and assessment

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8
Q

Focused database

A

used for a limited or short-term problem; concerns mainly one problem, one cue complex, or one body system.

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9
Q

Follow-up database

A

Used in a lil setting to monitor progress of short term or chronic health problems

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10
Q

Holistic health

A

The view that the mind, body, and spirit are interdependent and function as a whole within the environment

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11
Q

Nursing process and what are the components

A

A method of collecting and analyzing clinical information with the following comments: assessment, diagnostic, outcome indetification, planning, implementing, and evaluation

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12
Q

Objective data

A

What the health professional observes by inspecting, palpating, percussing, and auscultating during the physical examination

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13
Q

Prevention

A

Any action directed toward promoting health and preventing the occurrence of disease

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14
Q

Social determinants of helath

A

Factors that influence a person’s health and well-being, including the environment, access to health care, community, education, and economic stabilityS

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15
Q
A
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16
Q

Acculturation

A

Process of social and psychological exchanges with encounters between persons of different cultures, resulting in changes in wither group

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17
Q

Cultural and linguistic competence

A

A set of congruent behaviors, attitudes and policies that come together in a system amount professionals that enables work in cross-cultural situations

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18
Q

Cultural care

A

Professional health care that is culturally sensitive, appropriate, and competent

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19
Q

Cultural skills

A

Ability to complete a thorough cultural assessment and recognize potential variations in people based on cultural background

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20
Q

Title VI of the civil rights act

A

A federal law that mandates that when people with limited English proficiency seek helath care in health care settings such as hospitals, nursing homes, clinical, etc.

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21
Q

What has the greatest influence in health status

A

Poverty

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22
Q

What are the 5 social determinants of health?

A

1.) education access and quality
2.) health care access and quality
3.) neighborhood and built environment
4.) social and community context
5.) Economic status

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23
Q

What are the four basic characteristics of culture

A

1.) learned from birth
2.) shared by all members of cultural group
3.) adapted to specific conditions related to environmental factors
4.) dynamic and ever changing

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24
Q

What are the three dimensions of acculturative stress?

A

1.) Instrumental/environment
2.) social/Interpersonal
3.) societal

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25
Q

What are the 5 examples of instrumental/environmental stressors?

A

Financial, language barriers, lack of access to health care, unemployment, lack of education.

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26
Q

What are the 6 examples of social/interpersonal stressors

A

Loss of social network, loss of social status, family conflict, family separation, intergenerational conflict, changing gender roles.

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27
Q

What are the 5 societal stressors

A

Discrimination, level of acculturation, political/historical forces, legal status.

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28
Q

How can understanding a patient’s spirituality improve their health care?

A

Understanding a patient’s spirituality can improve understanding of coping mechanisms, identify referral needs such as visits by a chaplain, identify social after discharge, and open discussions about medical care

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29
Q

What does FICA stand for, and how do you apply them?

A

F-faith-“Do you consider yourself spiritual or religious? DO you have spiritual beliefs, values, or practices that help you cope with stress?”
I-importance/influence-“What importance does your faith or belief have in your life? Have your beliefs influenced you in how to handle stress? Do you have specific beliefs that influence your health care decisions? If so are you willing to share those with your health care team?
C-community- “Are you part of a spiritual community? If so, how does this group support you? Is there a group of people you really love or who are important to you?”
A- address/action- “How should I address these issues in your health care?”

30
Q

What are the four inner factors of being the examiner?

A

Liking others, empathy, ability to listen, and self-awareness.

31
Q

What are the external factors of being an examiner?

A

Ensure privacy, refuse interruptions, physical environment

32
Q

What are the ten traps of interviewing?

A
  1. Providing false assurance, 2. Giving unwanted advice, 3. Using authority, 4. Using avoidance language, 5. Distancing, 6. Using professional jargon, 7. Using leading or biased questions, 8. Taking too much, 9. interrupting, 10. using why questions.
33
Q

What are the ten traps of interviewing?

A
  1. Providing false assurance, 2. Giving unwanted advice, 3. Using authority, 4. Using avoidance language, 5. Distancing, 6. Using professional jargon, 7. Using leading or biased questions, 8. Taking too much, 9. interrupting, 10. using why questions.
34
Q

What is telegraphic speech?

A

Mostly common in toddlers, usually a combination of a noun and a verb. Ex: “me up”, “all gone”

35
Q

What entails an inspection?

A

The general survey always comes first, concentrated watching, inspect from head to toe.

36
Q

What are the 6 qualities of palpitation?

A
  1. Fingers tips are best for fine tactile discrimination
  2. Grasping with fingers and thumb to detect the position shape and consistency
  3. The dorsa(back of the hands and fingers) to determine temperature
  4. Base or ulnar surface of the fingers to determine vibration
  5. Light palpation to deep
  6. Bimanual palpation to envelop or capture certain body parts
37
Q

What is a otoscope

A

Funnels light into ear canal onto tympanic membrane

38
Q

What is a otoscope

A

Funnels light into ear canal onto tympanic membrane

39
Q

What is an ophthalmoscope used for?

A

Illuminates the internal eye structures (fungus)

40
Q

What is an ophthalmoscope used for?

A

Illuminates the internal eye structures (fungus)

41
Q

What is a sphygmomanometer?

A

Blood pressure cuff

42
Q

What are the 4 times to use hand hygiene?

A
  1. Before and after physical contact
  2. After contact with bodily fluids
  3. After contact with contaminated equipment
  4. After removing gloves
43
Q

What are the standard precautions for all patients?

A
  1. Hand hygiene
  2. PPE
  3. Respiratory hygiene
44
Q

What is acculturation?

A

Adopting the culture and behavior of majority culture

45
Q

What is acculturation stress?

A

Transition stress( changing of beliefs, routines, and social interactions)

46
Q

What are the culture characteristics?

A
  1. Learning: language and socialization (learned from birth)
  2. Shared: by all members of the same culture
  3. Adapted: specific condition related to environment
  4. Dynamic: ever changing
47
Q

What are the characteristics of subculture?

A
  1. Groups of people with shared characteristics (ethnicity, religion, occupation)
  2. Values
  3. Norms/rules
48
Q

What is the difference between spirituality and religion.

A

Spirituality- broader term connection to something greater and larger than self
Religion- organized groups of same belief and values

49
Q

What are the three largest health-related believes and practices?

A

Biomedical-theory of causation of events in life that have cause and effect.
Naturalistic/holistic- nature and life with in harmony
Magicoreligious- supernatural causes of illness (voodoo/ witchcraft)

50
Q

Define mental disorder?

A

Traumatic unexpected response

51
Q

What is organic disorder

A

Brain disease such as delirium, alcohol, drug, dementia

52
Q

What is the difference between mood and affect?

A

Mood- durable, prolonged display of feelings
Affect- temporary expression of feelings

53
Q

What is the difference between recent memory and remote memory>

A

Recent memory- day to day recall event
Remote memory- years worth of experience

54
Q

What is the difference between thought process and thought content?

A

Proves the way a person thinks
Content what the person thinks

55
Q

What is aphasia?

A

Language dysfunction
Stroke- impairment of language ability second to brain damage

56
Q

What are the four questions we ask for orientation?

A

Time, place, Person, Situation

57
Q

what are the five levels of consiciousness?

A

Alert
Lethargic
Obtunded (transition state between lethargy and stupor—mumbles)
Stupor/semi-coma- repsonds to only vigorous shakes and pain
Coma

58
Q

What is marasmus?

A

Waisting syndrome
Inadequate amount of protein and calories of prolonged starvation
Loss of fat effects on every organ system

59
Q

What is Kwashiorkor?

A

Not enough calories, little protein
Edema
Unlike marasmus, they look normal, maybe even look obese

60
Q

What is the mix of marasmus/kwashiorkor

A

Prolonged inadequate of protein and calories
Muscle wasting
Immune compromised

61
Q

What is AHC

A

ambulatory health care

62
Q

What is BHC

A

Behavioral health care

63
Q

What is CAH

A

Critical access hospital

64
Q

What is HAP

A

Hospital

65
Q

What is LTC

A

Long term care

66
Q

What is OBS

A

Office based surgery

67
Q

What is OME

A

Home care

68
Q

What are the 4 types of partners violence

A

Physical, sexual, stalking,psycholgical aggression

69
Q

What are the 4 types of child abuse

A

Neglect
Physical abuse
Sexual abuse
Emotional abuse

70
Q

What are the 5 types of elder abuse?

A

Physical abuse
Sexual abuse
Psychological emotional abuse
Neglect
Financial abuse