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Advanced Health Assessment > Week 2 > Flashcards

Week 2 Flashcards

1
Q

Define Substance abuse

A

the harmful or hazardous use of psychoactive substances, including alcohol and illicit drugs

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2
Q

If there is a pattern of substance use, what is it defined as?

A

Substance use disorder

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3
Q

If there is NOT a patter, what is the substance use defined as?

A

Substance abuse

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4
Q

What are some examples of risk factors for substance abuse

A
  1. history of early aggressive behavior
  2. Lack of parental supervision
  3. prev hx of substance abuse
  4. Drug availability
  5. Poor coping skills (self medicating)
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5
Q

What is diversion

A

Pulls opioids and charts that it was given to the patient but then pockets the med

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6
Q

Who is most likely to divert?

A

burnt out nurses

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7
Q

What is the AUDIT tool?

A

a simple method for screening hazardous or risky alcohol use

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8
Q

What does AUDIT stand for?

A

Alcohol Use Disorders Identification Test

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9
Q

Why do we say ETOH at the bedside rather than alcohol?

A

sometimes the word alcohol can trigger the patient

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10
Q

What is the SBIRT screening tool?

A

in deifies harmful use of drugs and alcohol.

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11
Q

What is PHQ-9 questionnaire use to screen for?

A

depression

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12
Q

what is the most common signs that someone is depressed

A

trouble falling falling or staying asleep, or sleeping too much

consistent pattern

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13
Q

What is a sign that someones anxiety is growing?

A

becoming easily annoyed or irritable

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14
Q

are males or females more likely to carry out suicide?

A

men

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15
Q

what ages are those more likely to commit suicide?

A

early age and end of age

20s-elderly

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16
Q

What are risk factors for SAD PERSONS risk assessment?

A
  1. age
  2. sex
  3. Depression
  4. Rational thinking loss
  5. No spouse
  6. sickness
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17
Q

In an inpatient setting, what does assessment and re-assessment focus on?

A

lethality and pain

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18
Q

What are common questions we can ask in an inpatient setting for assessing mental status?

A
  1. can you tell me your name and date of birth
  2. where are we right now
  3. Who is the current president
  4. What brought you into the hospital today
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19
Q

What is the Glasgow coma scale

A

effective for rating na patients response to stimuli and assessing changes in level of consciousness following traumatic brain injury

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20
Q

do we always document a GCS?

A

YES

21
Q

Define Alzheimer’s disease

A

a progressive neurodegenerative disease that causes disturbances in thinking, behavioral and social skills, and the ability to function independently

22
Q

Why is Alzheimers disease starting to be refereed to as Type 3 diabetes?

A

because of insulins role in the prevention of amyloid plague buildup

23
Q

when caring for a patient with alzheimers disease, what factors would you consider assessing outside of those that are already related to the disease progression?

A

make sure the caregiver has access to respite care due to burnout which will lead to abuse

24
Q

What is the CAM tool and what is it used for?

A

Confusion Assessment Method

used by clinicians to quickly identify the onset delirium

25
Q

The diagnosis of delirium by CAM requires the presence of which assessment features?

A

1, 2, and 3

OR

1, 2, and 4

26
Q

What are features 1, 2, and 3 of the CAM tool?

A
  1. Acute onset or fluctuating course
  2. inattention
  3. disorganized thinking
27
Q

What are features 1, 2, and 4of the CAM tool?

A
  1. Acute onset or fluctuating course
  2. inattention
  3. Altered level of consciousness
28
Q

What is the difference between dementia vs delirium?

A

Delirium has a rapid onset with a short period of time and can be treated

Dementia is long term, slow progression, and cannot be treated

29
Q

Define violence?

A

the use pf physical force or intimidation with the intent of harming someone or something

30
Q

Define domestic violence?

A

A pattern of abusive behavior in any relationship that is sed by one partner to gain or maintain control over another intimate partner

31
Q

What are the different theories of family violence

A
  1. psychopathology
  2. Social learning
  3. Biologic
  4. Family systems
  5. Feminist
32
Q

What is psychopathology theory?

A

aggressors are afflicted by an underlying personality disorder

33
Q

what is social learning theory?

A

violence is a learned behavior from childhood

34
Q

what is biologic theory?

A

genetics os physiologic changes from childhood trauma incite violent behavior

35
Q

What is family systems theory?

A

family relationships and interactions incorporate and accommodate violent behavior from the family member who displays it.

36
Q

Why is family systems theory subject to criticism?

A

it can be seen as victim blaming

37
Q

what is feminist theory?

A

gender inequality in a patriarchal society leads to violent behavior

38
Q

What are the different types of family violence?

A

Physical
psychologicL
Economic
sexual

39
Q

What is intimate partner violence?

A

Physical, sexual, or psychological harm directed at a current or former partner or spouse.

40
Q

What do victim of Intimate partner violence (IPV) report?

A

experiencing chronic pain, difficulty sleeping, headaches, and poor physical/mental health when compared to those who have not experienced violence.

41
Q

What is often seen in children who are suspected to have been or are being abused?

A

spiral fractures! detected in radiological survey of the wrist and lower forearm

42
Q

what age group is bullying typically seen in?

A

grades 6-10 are most likely to engage in bullying

43
Q

What is a hate crime?

A

violence against a person based on their sexual orientation/identity, race/ethnicity, gender identity, national origin, and religion.

44
Q

Define human trafficking

A

an organized form of exploitation that can involve sex, forced labor, slavery, servitude, and organ removal.

45
Q

What are some signs that may alert you to a possible human trafficking scenario?

A

if they don’t have an I.D, someone is refusing to leave at bedside and answering all of the questions

46
Q

What is PTSD?

A

a mental health condition that is brought on by witnessing or experiencing a terrifying event.

47
Q

In order to be diagnosed with PTSD, how long must they experience symptoms for?

A

longer than one month

48
Q

What is PTS?

A

post traumatic stress: occurs following a harrowing or extremely difficult experience that reults in clinical manifestations resembling a fight-or-flight response.

49
Q

How long does it typically take for PTS symptoms to resolve?

A

typically one month, which means it is not a disorder

Advanced Health Assessment (2 decks)

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