study guide brainscape exam 1 Flashcards
(58 cards)
What is health assessment?
A skill to identify normal from abnormal findings
It involves collecting, validating, and clustering data to assess the whole patient.
What does ADPIE stand for in the nursing process?
Assessment, Diagnosis, Planning, Implementation, Evaluation
This framework guides nurses in providing care.
What is the purpose of the assessment phase in nursing?
To collect and analyze information about the whole individual
This includes physiological, psychological, psychosocial, and spiritual/cultural data.
Define critical thinking in nursing.
A broad term used to describe a set of skills aimed at continuously collecting data and cues while creating the best plan in any situation
It includes prioritizing care and problem-solving.
What are the levels of prevention in health care?
Primary, Secondary, Tertiary
Each level focuses on different aspects of disease prevention and health promotion.
What is primary prevention?
Prevention of disease and disability; focuses on improving overall health and well-being
Example: vaccinations.
What is secondary prevention?
Early screenings and detection of disease and treatment of diseases
Example: routine health check-ups.
What is tertiary prevention?
Restoration of health after illness or disease has occurred
Example: rehabilitation for stroke patients.
What does the American Nurse Association Code of Ethics for Nurses emphasize?
High standards including the maintenance of competency and skill based on evidence-based research.
What is the purpose of conducting a health history?
To gather information about a patient’s past and present health and personal beliefs influencing health and illness.
What is the Review of Systems (ROS)?
A subjective report by the patient about all body systems
It includes pertinent positives and negatives.
Define therapeutic communication.
Sensitive, nonjudgmental, culturally competent communication that is not rushed.
What does the acronym CLEAR stand for in health history interviewing?
Center, Listen, Empathy, Attention, Respect.
What is the significance of OLDCART in health assessments?
It helps structure the assessment of the history of present illness
OLDCART stands for Onset, Location, Duration, Characteristics, Aggravating factors, Relieving factors, Treatments.
What is the difference between objective and subjective data?
Objective data is observable (e.g., vital signs), while subjective data is reported by the patient (e.g., pain levels).
What are the components of a psychosocial assessment?
Behavioral, Environmental, Social, Financial/economic.
What does a nutritional assessment include?
Physical examination, anthropometric measurements, laboratory data, and food intake.
What is Body Mass Index (BMI) used for?
To screen for the amount of body fat based on height and weight.
What percentage weight loss indicates increased risk of malnutrition?
5% weight loss can be an early indicator.
What types of pain are identified in pain assessment?
Neuropathic, Somatic, Visceral, Colicky, Cutaneous.
What is the gold standard for assessing pain?
The patient’s self-report of pain.
What is the purpose of pain assessment tools?
To systematically assess the characteristics and intensity of pain.
What are the types of headaches?
Migraine, Cluster, Sinus, Tension.
What are standard precautions in nursing?
Hand hygiene and PPE as appropriate.
