Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

203: Health Assessment > 203 Exam #1 > Flashcards

203 Exam #1 Flashcards

(88 cards)

Start Studying
1
Q

What is the primary level of health prevention? Give an example

A

First round of defense against illness/disease w/ intention of promoting overall health & wellness

Ex. Immunizations, health and safety education

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is the secondary level of health prevention? Give an example

A

Early screening for disease while patient does not yet display symptoms

Ex. Cancer screening, pap smear, colonoscopy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is the tertiary level of health prevention? Give an example

A

Restoration of health after disease/illness symptoms have presented

Ex. Physical therapy after surgery, rehab centers

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is the purpose of the nursing process?

A

Systemic problem solving to develop a plan of care

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What are the five steps of the nursing process?

A

Assessment, diagnosis, planning/outcome, implementation, evaluation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is the first step of the nursing process? What does this step entail?

A

Assessment: collect & analyze data
- involves physiological, psychological, psychosocial, economical, spiritual, and cultural practices & beliefs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is the second step of the nursing process? What does this step entail?

A

Diagnosis: analyzing potential/confirmed health problems/needs of the patient using objective & subjective data

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is the third step of the nursing process? What does this step entail?

A

Planning /outcomes: working w the patient & health care team to determine now to meet both the short & long term goals/needs of the patient (care plan is made during this step)

This stage is time limited

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is the fourth step of the nursing process? What does this step entail?

A

Implementation (of intervention): medical team collectively acts upon care plan to meet patient goals/needs

This step is not time limited

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is the fifth step of the nursing process? What does this step entail?

A

Evaluation: ongoing assessment of whether patient’s short & long term goals are being met

Involves clinical judgement to determine if care plan is effective or should be re-evaluated

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Which step of the nursing process is specifically time limited? Why?

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What are the three primary cognitive skills required for nursing assessment?

A

Critical thinking
Clinical reasoning & judgement Intuitive thinking

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Define the following cognitive skill: critical thinking

A

Active, purposeful, and organized cognitive process involving creativity, reflection, and problem solving skills

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Define the following cognitive skill: clinical reasoning & judgement

A

Clinical reasoning: Uses patient history, physical signs, & symptoms to formulate a treatment plan

Clinical judgement: interpretation or conclusion about patient needs/concerns or the decision to take action or not

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Define the following cognitive skill: intuitive thinking

A

“Gut feeling” that something is wrong (needs to be done by the nurse despite there potentially not being evidence supporting the concern

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What are the four psychomotor skills required for physical assessment?

A

Inspection, percussion, auscultation, palpitation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Define the following psychomotor skill required for physical assessment: inspection

A

To look & assess physical aspects of the body

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Define the following psychomotor skill required for physical assessment: percussion

A

Tapping on different areas of the body to assess underlying structures

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Define the following psychomotor skill required for physical assessment: auscultation

A

Listening for sounds, usually done using stethoscope

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Define the following psychomotor skill required for physical assessment: palpation

A

Using hands to assess the body- feel for texture, shape, consistency, pulses, and crepitus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

What is the formulla used when converting from Fahrenheit to Celsius?

A

[(x-32)5] / 9

Subtract 32, multiply by 5, divide by 9

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

What is the formula used when converting from Celsius to Fahrenheit?

A

[(x*9)/5] +32

Multiply by 9, divide by 5, add 32

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

What is the range for “normal” oral and temperature?

A

97.5°F to 99.5°F

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

What is the range for “normal” temporal and rectal temperature?

A

98.7°F to 100.5°F

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
What is pyrexia?
A fever- at least 100°F
26
Define blood pressure
Force of circulating blood being exerted on the walls of the large arteries of systemic circulation being pumped out of the heart
27
Define systolic pressure
Pressure in the arteries as the heart contracts
28
Define diastolic pressure
Pressure in the arteries as the heart relaxes between beats
29
Define pulse pressure
Difference between systolic pressure & diastolic pressure SP - DP = PP
30
Define mean arterial pressure and explain how it is found
Average blood pressure MAP = DP + 1/3 (PP)
31
What are the four possible durations of pain?
Acute pain, chronic pain, intractable pain, intermittent pain
32
What is acute pain?
Short-term pain that comes on suddenly, does not last long
33
What is chronic pain?
Long-term pain that lasts a minimum of 6 months
34
What is intractable pain?
Constant pain
35
What is intermittent pain?
Pain that comes and goes
36
What are the eight of types pain?
Cutaneous pair, colicky pain, nociceptive pain, neuropathic pain, Phantom limb syndrome, Psychogenic pain Radiating pain Referred pain
37
What is cutaneous pain?
Originates from the skin & subcutaneous tissues Sharp pair for a short duration (ex-skin laceration)
38
What is colicky pain?
Pain that in intensity from mild to severe- usually spasms in the intestines
39
What is nociceptive pain?
Damage or inflammation to the sensory nerves in soft tissue, may be described as dull, sharp, or achy pain
40
What are the two types of nociceptive pain?
Somatic pain & visceral pain
41
What is somatic pain?
Dull, achy, comes from muscles, joints, tissue (ex.arthritis)
42
What is visceral pain?
Muscle pain thoracic, pelvic, abdominal ex. Menstrual cramps
43
What is neuropathic pain?
Injury/damage to the nerves in the peripheral or central nervous system (sharps, stings, burns, could experience numbness & tingling)
44
What is phantom limb syndrome?
Poorly understood type of neuropathic pain that is felt in a body part that has been removed
45
What is psychogenic pain?
Has no organic or structural cause- described as mental and emotional pain (ex. Social isolation, divorce)
46
What is radiating pain?
Pain in one part of body moving to another part
47
What is radiating pain?
Pain felt in part of the body away from the injury site (patient is the best person to ask about their pain)
48
Which temperature taking technique is most effective for finding core temperature?
49
What does the OPQRST pain assessment tool stand for?
Onset Provocation & palliates Quality Radiation & region Severity Timing & temporal
50
What does the OLDCARTS pain assessment tool stand for?
Onset Location/radiation Duration Character Aggravating or alleviating factors Related symptoms Treatment Severity
51
What age group is the wong-baker face pain rating scale used for?
Three years old and over
52
What age group is the FLACC assessment scale used for?
Patients younger than 3 years old & patients w/ confusion/dementia
53
What are the normative characteristics of the following component of the general survey: physical
Overall appearance of health, age, personal hygiene, body structure
54
What are the normative characteristics of the following component of the general survey: mobility
Gait, posture, range of motion, signs of distress
55
What are the normative characteristics of the following component of the general survey: behavior
Appropriate, facial expression, mood, speech
56
What are the 9 main barriers to communication?
Leading the patient Using medical jargon Using cliches Offering false assurance Asking "why" questions Changing the subject Giving opinions Stereotyping Using patronizing language
57
What are the 7 main cultural considerations that may impact the interview?
Comfort level of patient Physical closeness Involving significant others Being addressed by first name Ask prior to touching Allow open space for patient to share beliefs Eye contact (or intentionally avoiding this)
58
What are the 3 phases of the interview?
Introduction Working Termination
59
Which of the 3 phases of patient interview consists the following: Identify yourself Explain your role Identify patient Establish trust & rapport Explain purpose of what you're doing Tell patient you will be taking notes Ask patient if they are comfortable w/ the situation
Introduction phase
60
Which of the 3 phases of patient interview consists the following: Collect information Ask both open-ended & close-ended questions Observe non-verbal ques Patient self- medical history Identify patient problems, needs, & goals Ask patient if they have questions for you
Working phase
61
Which of the 3 phases of patient interview consists the following: Clarify patient's report & observed findings Validate patient's feelings, needs, & concerns
Termination phase
62
What are the components of health history?
Medical history (past med. treatments, surgical history, immunization records) Medication Allergies Family history Domestic abuse Functional assessment (dressing, bathing, eating) Presenting symptoms Military
63
What is a genogram?
Study of hereditary in the individual's family Usually focuses on the individual & their immediate family
64
Genograms are used to ID ______ and ______ ______ problems
genetic and familial health
65
66
What is neuropathic pain?
Injury/damage to the nerves in the peripheral or central nervous system ( stabbing, stinging, burning, may experience numbness or tingling)
67
What is psychogenic pain?
No organic or structural cause-described as mental & emotional pain (ex, social isolation, divorce)
68
What is phantom limb syndrome?
Poorly understood type of neuropathic pain felt in a body part that has been removed
69
What is radiating pain?
Pay that moves from one crew of the body to another
70
What is referred pain?
Pain felt in an area of the body away from the injury site (patient is best person to ask about pain being experienced)
71
What does the pain assessment pneumonic OLDCARTS stand for?
Onset Location/radiation Duration Character Aggravating or alleviating factor Related symptoms Treatment Severity
72
What does the pain assessment pneumonic OPQRST stand for?
Onset Provocation and palliates Quality Radiation and region Severity Timing or temporal
73
McGill pain questionnaire
74
What does the FLACC pain assessment scale stand for?
Face, legs, activity, cry, consolability
75
Which patient group should the FLACC pain assessment scale be used with?
Patients younger than 3 years old Confused patients/patients w/ dementia
76
Which patient group should the Wong-Baker Faces pain assessment scale be used with?
Patients three years old or above
77
What are the 3 components of general survey?
Physical appearance, mobility, behavior
78
What are the characteristics of the physical appearance component of the general survey?
Overall health, age, personal hygiene, body structure
79
What are the characteristics of the mobility component of the general survey?
Gait, posture, range of motion, signs of distress
80
What are the characteristics of the behavior component of the general survey?
Appropriate, facial expression, mood, speech
81
What are the three main techniques used to encourage communication during interview?
Asking close-ended questions Asking open-ended questions Active listening/observing
82
What are the main barriers to communication?
Leading the patient Using medical jargon Offering false assurance Asking "why" questions Changing the subject Giving opinions Stereotyping Using patronizing language
83
What are the 7 main cultural considerations that may impact the interview?
Comfort level w/ private issues Physical closeness Involving significant others Being addressed by first name Asking prior to touching patient Allowing open space for patient to share beliefs Maintaining vs. Avoiding eye contact depending on patient's culture)
84
What are the 3 phases of the interview process?
1. Introduction 2. Working 3. Termination
85
Which phase of the interview process consists of the following: Introducing self & explaining role Identity patient Establish trust & rapport Inform patient that you will be taking notes Ask patient if they're comfortable w/ the situation
Introduction phase
86
Which phase of the interview process consists of the following: Information collection Ask both open-ended & close-ended questions Patient self-reports health history Identify patient's problems, needs, & goals Ask patient if they have questions for you
Working phase
87
Which phase of the interview process consists of the following: Clarify patient's report & findings to validate feelings, needs, & concerns
Termination phase
88

203: Health Assessment (7 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions