Exam 1 Blueprint Flashcards

1
Q

Subjective Data

A

information obtained from the patient and/or family

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2
Q

Objective data

A

Information observed through the senses of the nurse or physician while examining the patient.

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3
Q

Diagnostic reasoning

A

a thinking process that leads to identifying a hypothesis that supports clinical evidence.

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4
Q

Prioritization Level

A

Levels 1-3 and based on the ABC-SP
First level: Emergent
Second level: Requiring attention to avoid further deterioration
Third: Important but can be address after more urgent problems

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5
Q

How to preform a cultural assessment

A

Ask about ethnic background, religious beliefs, family patterns, eating habits

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6
Q

What are the social determinants of health? SDOH

A

Environment, Health and health care, economic stability, education, and social/community

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7
Q

How do health care disparities affect patients?

A

Health care disparities affect patients because it does not allow certain patients to get the healthcare they need and cause symptoms to be push back till it is life or death.

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8
Q

Ethnicity

A

Social group with shared traits

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9
Q

acculturation

A

Process of adopting culture and behavior of the majority culture

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10
Q

spirituality

A

Expressing something larger than one owns existence with belief in transcendence

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11
Q

religion

A

organized system of beliefs that assist in meeting someone’s spiritual needs.

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12
Q

culture

A

the customary beliefs, social forms, and material traits of a racial, religious, or social group

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13
Q

sub-culture

A

a cultural group within a larger culture, often having beliefs or interests at variance with those of the larger culture.

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14
Q

holistic

A

Belief in the force of nature that there is balance in universe

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15
Q

magicreligious

A

Supernatural forces dominate resulting in good the universe

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16
Q

Alternative/complementary therapy

A

Is the used of technologic resources have ked to increased numbers of individuals who self-treat.

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17
Q

When does the assessment begin?

A

When you first walk into the patient’s room

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18
Q

Verbal vs non-verbal communication

A

Verbal- words you speak
Non-verbal: Body language, unconscious messages

19
Q

External vs internal factors of communication

A

Internal Factors: Catered to you as a HTM which helps maximize communication
External Factors: Defining the environment foster communication

20
Q

HIPAA stand for and what it does

A

Health Insurance Portability and Accountability Act
Protects patients personal health information

21
Q

Components of health history

A

Subjective and objective data combine with biographical data
Reason for care
HPI (history presenting illness)
PMH (present medical history)
PFH( past family history)
ROS (review of systems)

22
Q

What are some social history, medical history, surgical history, family history questions to ask

A

Open ended
Yes or no

23
Q

What are the red flags of the interview process?

A

Suicidal intervention
Chest pain- always cardiac until proven otherwise
CVA (stroke)- facial drooping, slurred speech, pupil changes
Headache

24
Q

Difference between a sign and a symptom

A

a sign= a manifestation of a disease in the eyes of the physician
a symptom= a manifestation of a disease that the patient sees in themselves

25
Q

Assessing for pain

A

Pain scale 1-10

26
Q

Vital signs - heart rate, respirations, temperature, blood pressure, and Sp02

A

HR: 60-100
RR: 12-20
Temp: 96.4-99.1 F
Blood pressure: 90-120/ 60-88

27
Q

Review of systems

A

You ask questions catered to each body system to identify symptoms and figure out what the patient is experiencing

28
Q

What is a functional assessment and how is it used?

A

Functional assessment is seeing what your patient daily activities are. it is used to see if you patient’s activites may effect their reason for care

29
Q

How do you conduct a mental status exam?

A

By assess emotional and cognitive functions

30
Q

What are the main heading of the mental status assessment?

A

Seeing the orientation of the patient
Coping mechanism
Mental disorders
Organic disorders
Mental illness

31
Q

How do you assess the orientation of a patient?

A

Person
Place
Time
Situation

32
Q

Assessment tool name for anixiety

A

GAD-7

33
Q

Assessment tool for depression

A

PHQ-9

34
Q

Assessment tool for cognitive impairment

A

MMSE, MOCA, Mini Cog

35
Q

Aphasia

A

Language disorder that is caused by an area of the brain that controls language expression and comprehension

36
Q

Role of a SANE nurse and importance

A

Role- they take the physical examination of the sexual assault patient.
Importance- the CHAIN of custody and following protocol

37
Q

Types of abuse

A

Physical, emotional/psychological, substance, sexual abuse

38
Q

What do PFTs identify?

A

shows how well you lungs are working

39
Q

How to conduct an interview?

A
  • Keep it short and sweet
  • open-ended
  • Verbal skills
40
Q

How to assess imitate partner violence

A

open end questions, interview separately, listen for cues that dont match and be aware of state laws

41
Q

Abnormalities in body and height

A

Dwarfism, Gigantism, anorexia. bulimia, obesity

42
Q

Hw to assess and intervene with a suicidal patient?

A

Assess risk of harm
begin with general questions
Don’t skip questions
Share concerns

43
Q

S3 heart sound

A

Occurs when ventricles to filling during early rapid filling phase

44
Q

S4 heart sounds

A

Occurs at end of diastole when ventricle resistant to filling