Week 1

Question 1

what the person says about themselves during history taking

Answer 1

Subjective Data

Question 2

what you as the health care provider observe by inspecting, percussing, palpitating, and osculating during the physical examination

Answer 2

Objective Data

Question 3

subjective data, objective data, the patient’s record, laboratory studies, and other diagnostic tests form this

Answer 3

Database

Question 4

the process of analyzing health data and drawing conclusions to identify diagnoses

Answer 4

Diagnostic Reasoning

Question 5

A) attending to initially available cues,
B) formulating diagnostic hypotheses
C) gather data relative to tentative hypotheses and
D) evaluation each hypothesis with the new data collected, thus arriving at the final diagnosis

Answer 5

The 4 steps of diagnostic reasoning

Question 6

a systematic method of planning and providing patient care organized around a series of phases that integrate evidence-informed practice and critical thinking

Answer 6

Nursing Process

Question 7

a) assessment, b) nursing diagnosis, c) planning, d) implementation, and e) evaluation

Answer 7

5 Steps of the Nursing Process

Question 8

Collect data related to outcomes
Complete data without outcomes
Relate nursing actions to patient goals/outcomoes
Draw conclusions about problem status
Continue, modify, or end the patient’s care plan

Answer 8

Evaluation

Question 9

Collect data
Organize data
Validate data
Document data

Answer 9

Assessment

Question 10

Analyze data
Identify health problems, risks, and strengths
Formulate diagnostic statements

Answer 10

Nursing Diagnosis

Question 11

Prioritize problems and diagnoses
Formulate goals and desired health outcomes
Identify nursing interventions

Answer 11

Planning

Question 12

Reassess the patient
Determine the nurse’s need for assistance
Implement nursing interventions
Supervise delegated care
Document nursing activities

Answer 12

Implementation

Question 13

registered nurses who typically have a masters degree and have advanced education in health assessment and the diagnosis and management of illness and injuries, including the ability to order diagnostic tests and prescribe medications

Answer 13

Nurse Practitioner

Question 14

Airway problems
Breathing problems
Cardiac problems
Vital sign concerns
Exception: with CPR resuscitation for cardiac arrest

Answer 14

First priority ABC’s

Question 15

problems that are emergencies, life-threatening, and immediate, such as establishing an airway or supporting breathing

Answer 15

First-level priority problem

Question 16

health care extends beyond treating disease to include secondary and primary preventions, with emphasis on changing behaviours and lifestyles

Answer 16

Behaviour model

Question 17

are recommended according to age, risk and people’s particular needs to provide preventative counselling and screening test proven to be of benefit and are identified as particularly useful for people older than 65

Answer 17

Periodic preventative examinations

Question 18

problems that are important to the patient’s health but can be addressed after more urgent health problems are addressed. Referrals and interventions for these problems are lengthier, response to treatment takes more time

Answer 18

Third-level problem

Question 19

problems in which the approach to treatment involves multiple disciplines, and nurses often have the primary responsibility to diagnose the onset and monitor the changes in status

Answer 19

Collaborative problem

Question 19

problems that are next in urgency: those necessitating the prompt intervention to forestall further deterioration, such as mental status change, acute pain, acute urinary elimination problems, untreated medical problems, abnormal laboratory values, risks of infection, or risk to safety and security

Answer 19

Second-level priority problem

Question 20

Lifelong problem-solving approach to clinical decision making that involves the conscientious use of the best available evidence with one’s own clinical expertise and patient values and preferences to improve outcomes for individuals, groups, and community systems

Answer 20

Evidence-informed practice

Question 21

the predominant model of the Canadian healthcare system, health is the absence of disease

Answer 21

Biomedical model

Question 22

health care extends beyond treating disease to include secondary and primary preventions, with emphasis on changing behaviours and lifestyles

Answer 22

Behavioural model

Question 23

incorperates sociological and environmental aspects in addition to the biomedical and behavioural ones

Answer 23

Socio-enviromental model

Question 24

social, economic, and political conditions that shape the health of individuals, families, and communities

Answer 24

Social determinants of health

Question 25

comprehensive social and political process of enabling people to increase control over the determinants of health and thereby improve their health

Answer 25

Health promotion

Question 26

problems that are important to the patient’s health but can be addressed after more urgent health problems are addressed. Referrals and interventions for these problems are lengthier, response to treatment takes more time

Answer 26

Third level problem

Question 27

guides you to enter all nursing situations as an inquirier, inquiring into the experiences of people (including ourselves), how people understand their health and well-being, how they manage given their current and evolving status of health and/or illness and contexts, and how the health of people and your care are shaped in relation to wider contexts, including healthcare

Answer 27

Relational approach

Question 28

complete health history and results of a full physical examination. Current and past health states and forms a baseline in which all future changes can be measured.

Answer 28

Complete (total health) database

Question 29

for a limited or short-term problem

Answer 29

Episodic or Problem-Centred database

Question 30

identified problems should be evaluated at regular and appropriate intervals. Used in settings to monitor short-term or chronic health problems

Answer 30

Follow-up database

Question 31

calls for rapid collection of the data, often compiled while life-saving measure are occurring. Diagnosis is swift and sure

Answer 31

Emergency database

Question 32

whereby people and populations are prevented from becoming ill, sick, or injured in the first place

Answer 32

Primary prevention

Question 33

early detection of disease, before symptoms emerge

Answer 33

Secondary prevention

Question 34

the prevention of complication when. Condition or disease is present or has progressed

Answer 34

Tertiary prevention

Question 35

"the process of enabling people to increase control over, and to improve their health

Answer 35

Health promotion

Question 36

occur when the combination and interaction of the determinants of health result in differences in health status between segments of the population and result in health inequalities

Answer 36

Disparities in health

Question 37

when inequalities result from the marginalization of groups and are determined to be unjust and unfair

Answer 37

Health inequalities

Question 38

ask for specific information and elicit a short one - or two-word answer, a “yes” or a “no”, forced choice

Answer 38

Health inequalities

Question 39

Home & environment Education & employment Activities Drugs Sexuality Suicide/depression

Answer 39

HEADSS

Question 40

people who belong to a First Nation who signed a treaty with the crown

Answer 40

Treaty Indian

Question 41

persons, other than Aboriginal peoples, who are non-Caucasian in race or non-white in colour. Mainly the following groups: Chinese, South Asian, Black, Arab, West Asian, Filipino, Southeast Asian, Latin American, Japanese, and Korean

Answer 41

Visible minority

Question 42

a person’s ho is or has ever been a landed immigrant or permanent resident

Answer 42

Immigrant

Question 43

person granted the right to live in Canada permanently

Answer 43

Landed immigrant

Question 44

an inherently complex dimension of people’s lives - a dynamic relational process of selectively responding and integrating particular historical social, political and economic, physical and linguistic factors that relational determined and contextual

Answer 44

Culture

Question 45

a socially structured and sanctioned phenomenon, justified by ideology and expressed in interactions among and between individuals and institutions that maintains privileges for members of dominant groups at he cost of deprivation for others

Answer 45

Discrimination

Question 46

purely a social construct that has no biological legitimacy

Answer 46

Race

Question 47

being enacted on the basis of racism

Answer 47

Racial discrimination

Question 48

differences in the distribution of health outcomes between population groups that are unnecessary, avoidable, unfair and unjust

Answer 48

Health inequities

Question 49

the primary cause of poor health among Canadians

Answer 49

Poverty

Question 50

you consider what is going on around people and their circumstances - meaning the structures and condition of our society that influence peoples’ health and well-being and their intrapersonal and interpersonal responses

Answer 50

Contextually

Question 51

power that impacts peoples health and well-being in different ways and how power operates in our society to shape people’s life experiences, health, and well-being (e.g. healthcare system, social welfare system, justice sector, economic systems, house sector, and education system)

Answer 51

Structures

Question 52

the impact of structures

Answer 52

Structural conditions

Question 53

the social process by which people are labeled according to particular physical characteristics or presumed ethnocultural or racial categories and then treated in accordance with misinformed beliefs related to those labels

Answer 53

Radicalization

Question 54

regulatory policies that impact First Nations Peoples

Answer 54

Indian Act

Question 55

people registered under the Indian Act of Canada

Answer 55

Registered Indian

Question 56

PQRSTU stands for:

Answer 56

Provocative or palliative Quality or quantity Region or radiation Severity Timing Understand (patients perception of the problem)

Question 57

a subjective sensation that the patient feels from the disorder

Answer 57

Symptom

Question 58

an objective abnormality that you as the examiner could detect on physical examination or in laboratory reports

Answer 58

Sign

Question 59

Registered or Treaty Indians are sometimes referred to as this

Answer 59

Status Indian

Question 60

First Nations lands that have been appropriated, often of insufficient size and resources to support the population and in regions with little potential for economic development

Answer 60

Reserves

Question 61

preferred term to indicate people who were not born in Canada; this includes people classified by the Canadian federal government as immigrants or refugees

Answer 61

Newecomers

Question 62

a relational approach prompts you to consider what is going on within an individual patient you are accessing, what they think is important, and what they might be overlooking, including what others such as family members might be experiencing. Also pay attention to yourself

Answer 62

Intrapersonal

Question 63

draws attention to how people are experiencing “being assessed”

Answer 63

Interpersonal

Question 64

Income and social status Employment/working conditions Education and literacy Childhood experiences Physical environments Social supports and coping skills Healthy behaviours Access to health services Biology and genetic endowment Gender Culture Race/racism

Answer 64

Determinants of Health

Question 65

History forms contain the following data (in order):

Answer 65

1. Biographical data 2. Reason for seeking care 3. Current health or history of current illness 4. Past health history 5. Family health history 6. Review of systems 7. Functional assessment