Lesson 1 Flashcards

1
Q

A state of complete physical, mental, and social well being and not merely the absense of disease or infirmity

A

Health of WHO

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2
Q

It focuses on both health history and physical examination

A

Nursing Health Assessment

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3
Q

It is used to evaluate the overall status of an individual

A

Nursing Health Assessment

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4
Q

It involves systematic data gathering that provides pertinent information (verbal/nonverbal) to facilitate a plan to deliver the quality nursing care for thr patient

A

Health Nursing Assessment

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5
Q

The systematic and continuous collection, organization, validation, and documentation of information

A

Assessment

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6
Q

Involved gathering of data

A

Assessment

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7
Q

Those that can be described only by the patient by the patient / the person

A

Subjective

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8
Q

Those that can be observed or measured

A

Objective

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9
Q

What type of data: dizzeness

A

Subjective

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10
Q

What type of data: Paleness / palor

A

Objective

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11
Q

What type of data: results of diagnostics

A

Objective

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12
Q

What type of data: nausea / vomiting

A

Can be both depends

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13
Q

What type of data: quality of pain

A

Subjective

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14
Q

What type of data: rashes

A

Objective

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15
Q

What type of data: bp, rr, pr, temperature

A

Objective

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16
Q

What type of data: diaphoresis

A

Objective

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17
Q

What type of data: fear, nervousness, anxiety

A

Subjective

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18
Q

What type of data: skin discoloration

A

Objectibe

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19
Q

What type of data: facial crimase

A

Objective

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20
Q

It is a planned, purposeful conversation

A

Interview

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21
Q

Who’s the primary source of data

A

Patient

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22
Q

What do you use in gathering data for health history

A

Interview

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23
Q

The method of data collection that uses of senses

A

Ovservation

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24
Q

The method of data collection that use units of measure

A

Observation

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25
Q

The method of data collection : interpretation of laboratory results

A

Observation

26
Q

What are the secondary sources of data

A

Fanily
Friends
Health team members

27
Q

Patient’s record or chart is what source of data

A

Secondary source

28
Q

In depth assessment of the patients health status,,,, that usually takes place in the admission or transfer to a hospital or health care agency

A

Initial Comprehensive / Admission Assessment

29
Q

Continuous assessment of the patients health status accompanied by monitoring and observation of specific problems identified in a mini, initial comprehensive or focused assessment

A

On-going time lapsed or partial assessment

30
Q

An assessment of a specific condition, problems, identified risk or assessment of care

A

Focused Assessment/ Problem-oriented Assessment

31
Q

A snapshot view of the patient based on a quick visual and physical assessment

A

Emergency Assessment

32
Q

What is the first thing we get in emergency assessment?

A

ABC
Airway
Breathing
Circulation

33
Q

Where do nurses gathers patient’s data?

A

Health history
Physical examination

34
Q

It is used to analyze the patient data and develop hypotheses as to the patients problem

A

Clinical Reasoning Process

35
Q

What are the foundation of clinical assessment?

A

Health history and Physical assessment

36
Q

Is symptoms subjective or objective data?

A

Subjective

37
Q

Is signs subjective or objective data?

A

Objective

38
Q

This develops between the nurse and the patient and a mutual trust begins

A

Rapport

39
Q

The use of this is beneficial as an instrument in assisting the new nurse to formulate relavant and interrelated questions

A

OLDCART

40
Q

What is OLDCARTS

A

Onset
Location
Duration
Characteristics
Associated Manifestation
Relieving Factors
Treatment
Severity

41
Q

Where the sign of symptom is located

A

Location

42
Q

What the symptoms feels like, how it is described, and the severity

A

Characteristics

43
Q

Anything that the patient has tried to relieve the signs or symptoms

A

Relieving Factors

44
Q

When the sign or symptoms started

A

Onset

45
Q

Any interventions the patient has previously tried

A

Treatment

46
Q

What else is goin on when the patient experiences the signs and symptoms

A

Associated Manifestation

47
Q

How long the sign has been going on

A

Duration

48
Q

The use of pain scale or score

A

Severity

49
Q

It is the subjective and objective data gathered duting the initial health history and physical examination

A

Assessment

50
Q

This is essential to elicit pertinent information about the patient, family, and the community in order to provide the best care for the patient

A

Therapeutic Communication

51
Q

A continuing process that determines if the goals or outcomes have been attained

A

Evaluation

52
Q

The nurse uses clinical reasoning to formulate this base on the assessment data

A

Diagnosis

53
Q

It is devising the best course of action to address the patient’s diagnosis

A

Planning

54
Q

Indicated how well repeated measurements of the same relatively stable phenomenon will give the same result

A

Reliability

55
Q

When observation or test is negative in people with the disease

A

Sensitivity

56
Q

When observation or test is positive in people without the disease

A

Specificity

57
Q

Indicated how closely a given observation agress with the “true state of affairs”

A

Validity

58
Q

This is also knows as precision

A

Reliability

59
Q

The best possible measure of reality

A

Validity

60
Q

May be measured for one observer or for more than one observer

A

Reliability