Week 2: Intro + General Survey Flashcards
1
Q
Nurse treat diseases at different levels of care. What are these 4 levels?
A
- PRIMARY
- secondary
- tertiary
- quaternary
2
Q
What is considered primary care? (2)
A
- Going to physician or nurse practitioner
- They know you, understand your health and illness trajectory
3
Q
What is considered secondary care? (2)
A
- access to primary care, gynecology, dermatology
- they are more specific and you cannot access them right away
ie. referrals from family doctor for specific concerns
4
Q
What is considered tertiary care? (3)
A
- going to the hospital, consulting physicians
- diagnostics, imaging, blood work
- a bunch of different services coming together in a coordinated effort to provide care
5
Q
What is considered quaternary care? (2)
A
- randomized control trials
- privatized care
6
Q
What is clinical judgment? (2)
A
- the observed outcome of critical thinking and decision making
- uses nursing knowledge to observe and assess presenting situations, prioritizing patient concerns, and used evidence-informed solutions to deliver safe patient care
7
Q
What are the 5 things you should do when critical thinking?
A
- assessment
- nursing diagnosis
- planning
- implementation
- evaluation
no particular order cuz they go in a circle
8
Q
What is assessment? (2)
A
- deliberate and systematic collection of data to determine a patient’s current and past health and functional status
- also to determine that patient’s present and past coping patterns
9
Q
What do you do in assessment? (3)
A
- data collection/verification
- make sure data collected is accurate
- subjective vs. objective data
10
Q
What is considered primary data? (3)
A
- comes directly from the patient
- objective data
- something we can observe from the patient
11
Q
What is considered secondary data?
A
- from a source
- family talking about a patient
- charts, lab results, past medical history
12
Q
What is considered tertiary data? (4)
A
- Data related to how we make sense of it
- terms on nurse’s or physician’s knowledge about it (past experiences or encounters)
- references from textbooks or manuals
- more info on condition and not specific to patient
13
Q
Assessment techniques: What is the patient’s baseline? (3)
A
- Client health history (verbal)
- Review of Systems (verbal)
- Head to toe assessment (physical assessment and observations)
14
Q
What is the goal in assessing client health history?
A
- determine patient concerns and help find solutions
- how does that lead to their present condition?
15
Q
Why is INTERVIEWING for client health history important? (3)
A
- allows for formation of partnership with the patient
- interview the patient, not the disease (patient lives with diabetes, NOT a diabetic patient)
- use sample approach
