Lesson 1 Flashcards

(60 cards)

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
The method of data collection : interpretation of laboratory results
Observation
26
What are the secondary sources of data
Fanily Friends Health team members
27
Patient's record or chart is what source of data
Secondary source
28
In depth assessment of the patients health status,,,, that usually takes place in the admission or transfer to a hospital or health care agency
Initial Comprehensive / Admission Assessment
29
Continuous assessment of the patients health status accompanied by monitoring and observation of specific problems identified in a mini, initial comprehensive or focused assessment
On-going time lapsed or partial assessment
30
An assessment of a specific condition, problems, identified risk or assessment of care
Focused Assessment/ Problem-oriented Assessment
31
A snapshot view of the patient based on a quick visual and physical assessment
Emergency Assessment
32
What is the first thing we get in emergency assessment?
ABC Airway Breathing Circulation
33
Where do nurses gathers patient's data?
Health history Physical examination
34
It is used to analyze the patient data and develop hypotheses as to the patients problem
Clinical Reasoning Process
35
What are the foundation of clinical assessment?
Health history and Physical assessment
36
Is symptoms subjective or objective data?
Subjective
37
Is signs subjective or objective data?
Objective
38
This develops between the nurse and the patient and a mutual trust begins
Rapport
39
The use of this is beneficial as an instrument in assisting the new nurse to formulate relavant and interrelated questions
OLDCART
40
What is OLDCARTS
Onset Location Duration Characteristics Associated Manifestation Relieving Factors Treatment Severity
41
Where the sign of symptom is located
Location
42
What the symptoms feels like, how it is described, and the severity
Characteristics
43
Anything that the patient has tried to relieve the signs or symptoms
Relieving Factors
44
When the sign or symptoms started
Onset
45
Any interventions the patient has previously tried
Treatment
46
What else is goin on when the patient experiences the signs and symptoms
Associated Manifestation
47
How long the sign has been going on
Duration
48
The use of pain scale or score
Severity
49
It is the subjective and objective data gathered duting the initial health history and physical examination
Assessment
50
This is essential to elicit pertinent information about the patient, family, and the community in order to provide the best care for the patient
Therapeutic Communication
51
A continuing process that determines if the goals or outcomes have been attained
Evaluation
52
The nurse uses clinical reasoning to formulate this base on the assessment data
Diagnosis
53
It is devising the best course of action to address the patient's diagnosis
Planning
54
Indicated how well repeated measurements of the same relatively stable phenomenon will give the same result
Reliability
55
When observation or test is negative in people with the disease
Sensitivity
56
When observation or test is positive in people without the disease
Specificity
57
Indicated how closely a given observation agress with the "true state of affairs"
Validity
58
This is also knows as precision
Reliability
59
The best possible measure of reality
Validity
60
May be measured for one observer or for more than one observer
Reliability