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Health Assessment > Unit 1 Concepts > Flashcards

Unit 1 Concepts Flashcards

1
Q

nursing process

A
  1. assessment
  2. diagnosing
  3. planning
  4. Intervention
  5. evaluating
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2
Q

How do novice nurses use the nursing process?

A

no experience with specific populations

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3
Q

culture

A

attitudes, beliefs, norms, rules, values

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4
Q

socialization

A

the process of being raised w/in a culture and acquiring the characteristics of the group

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5
Q

What are the 4 characteristics of culture?

A

learned through birth, shared by all members, adapted to specific conditions, and dynamic

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6
Q

FICa

A

tool used to assess spirituality

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7
Q

What are the three phases of an interview?

A

introduction, working phase, closing

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8
Q

During the working phase of an interview, what should you start with?

A

open-ended questions then close-ended

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9
Q

What are some traps of interviewing?

A

false assurance, giving unwanted advice, using professional jargon, interrupting, talking too much

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10
Q

health history

A

collects subjective data

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11
Q

What are the 8 categories of data?

A

biographic, source of history, reason for case, present health, past health, family history, ROS, functional assessment

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12
Q

PQRSTU

A

palliative/provocative
quantity
region
severity
timing
understand pt. perception

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13
Q

What are the 4 main components of a mental assessment?

A

appearance, behavior, cognition, and thought processes

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14
Q

Assessment Techniques

A
  1. inspection with all 5 senses
  2. palpation
  3. percussion
  4. auscultation

order only switches when you get to the abdomen

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15
Q

general survey

A

a study of the whole person

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16
Q

BMI

A

body mass index is a practical marker of healthy weight for height and an indicator of obesity or malnutrition

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17
Q

What is the most convenient route for temperature?

A

oral

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18
Q

What is the most accurate route for temperature?

A

rectal

19
Q

blood pressure

A

the force of the blood pushing against the blood vessel walls

20
Q

systolic pressure

A

pressure felt on the artery during contraction

21
Q

pulse pressure

A

systolic - diastolic

22
Q

Normal Temp Range

A

97.6 -99.6

23
Q

nociceptive pain

A

nerve endings that detect pain

24
Q

What are the phases of nociceptive pain?

A
  1. Transduction- release pain mediators due to stimulation
  2. Transmission- pain impulse taken from spinal cord to brain
  3. Phase 3- Perception- awareness of pain
  4. Modulation- body release analgesics
25
Q

neuropathic pain

A

no phases
due to lesion/ disease of somatosensory pathway

26
Q

visceral pain

A

originates from internal organs

27
Q

somatic pain

A

from musculoskeletal tissues

28
Q

deep somatic pain

A

originates from blood vessels, joints, tendons, bone

29
Q

breakthrough pain

A

spike in pain level in otherwise controlled pain syndrome
-may already have chronic pain
-break through existing analgesic pain regimens

30
Q

Infant pain

A

infants have the same capacity for pain but high risk for being under treated bc they’re nonverbal

31
Q

How does pain relate to older adults?

A

pain is more common but it is not a normal process for aging

32
Q

opiods

A

produce pain relief and euphoria but can cause constipation and respiratory depression

33
Q

nutritional status

A

balance between nutrient uptake and requirements

34
Q

breast feeding

A

recommended for full-term infants for 1st year of life

35
Q

Why shouldn’t kids be placed on a low-fat diet?

A

children need fat for development

36
Q

What do adolescents need?

A

lots of calories, protein, calcium, and iron

37
Q

nutritional assessment

A

identifies people who are malnourished, provides data for making a plan, and establishes a baseline

38
Q

skin

A

largest organ
epidermis, dermis and subq

39
Q

What are the appendages of the epidermis?

A

nails, hair, sebaceous and sweat glands

40
Q

eccrine glands

A

make sweat

41
Q

apocrine glands

A

makes milk

42
Q

Why can’t infants prevent fluid loss or regulate temp?

A

their skin is immature

43
Q

ABCDEF assessment for lesion

A

asymmetry, border, color, diameters, elevation, funny looking

44
Q

carotene

A

yellow-orange pigment

Health Assessment (5 decks)

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