Test 1 Flashcards by Siobhan Freeman

When do you collect when doing a full health history

Bio graphical data
Reasons for seeking care
Current health or history of current illness
Past health
Family history
Review of systems
Functional assessment and ado'so

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What is subjective data

What the patient says about himself or herself

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What are the phases of noxious stimuli

Transduction
Transmission
Perception
Modulation

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What is somatic pain?

Superficial from skin and subQ tissue

Caused by joints tendons muscles or bone

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What is visceral pain?

From direct injury or stretching of interior organs

Result of tumor ischemia distention or contraction

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What is neuropathic pain

Caused by lesion or disease affecting somatic sensory nervous system
Result from damaged nerve pathway

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What are the causes of neuropathic pain

Caused by nerve trauma infection metabolic problems maybe drug-induced

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What does PQRSTU stand for

Provocative or palliative
Quality of pain
Region of the body
Severity
Timing in onset of pain
Understanding of pain

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According to the biomedical model a narrow definition of health is

The absence of disease

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A medical diagnosis is used to evaluate

The cause of disease

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Examples of subjective data is
A.decreased range of motion
B. Crepitation in the left knee joint
C.Left knee has been swollen and hot for the past three days
C.arthritis

C. Left knee has been swollen for the past three days

Subjective data is when a person says about himself or herself during history taking

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Whatever database is most appropriate for an individual who is been admitted to a long term carefacility

Complete database
because it includes a complete health history and a full physical examination it describes the current and past how state and forms a baseline against which All future changes can be measured

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Which of the following is considered objective data
A.alert and oriented
B.dizziness
C.an earache 
D. Sore throat

Alert and oriented

It is what the health professional observes

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An example of objective data is

Capitation in the left knee joint
Objective data is when the hell professional observed by inspecting for percussing palpating during the physical examination

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A nursing diagnosis is best described as

Concise statement of actual or potential health concerns or level of wellness

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Before determining whether cultural practices are helpful harmful or neutral nurses must first understand
A.The logic of traditional beliefs systems
B.The believes of the patient’s family
C.Their personal belief model
D. The risk of the disease in the patient ethnic group

A.The logic of traditional beliefs systems

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Spirituality is defined as

Personal effort to find meaning and purpose in life

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What is the ying/yang theory of health

Health exists when all aspects of the person are in the perfect balance

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Which theory has been expanded and attempt to study the degree to which person’s lifestyle reflects his or her traditional heritage

Heritage consistency

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Symptom is greatly influenced by persons cultural heritage

Pain

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Parents or caregivers a company children to the healthcare setting starting at ____ years of age the interviewer asked the child directly about his or her presenting systems

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The use of euphemisms avoid reality or to hide feelings is known as

Avoidance language
Are used to avoid reality or to hide feelings
using direct language is the best way to deal with frightening topics instead of using avoidance language

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Nonverbal communication is the primary form of communication for which group of individuals

Infants

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Viewing the world from another person’s inner frame of reference is called

Empathy

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Which of the following is included in documenting and history source

Reliability of information

The cage test is screening questionnaire that helps to identify

Excessive or uncontrolled drinking

The review of systems in the health history is

An evaluation of past and present health state of each body systems

When recording info for the review of the systems the interviewer must document A. Physical findings B. "Negative" under the system heading C. The presence or absence of all symptoms under the system heading D. Objective data that supports the history of present illness

C. The presence or absence of all symptoms under the system heading

Assessment of self-esteem and self concept is part of the functional assessment. Areas covered under the self-Esteem and self concept include:

Education, financial status, and value belief systems

PQRSTU helps the clinician to remember to address characteristics specific to:

Symptoms | The 8 critical characteristics of any symptoms reported in the history of the present illness

What info is included in greater detail when taking a health history on an infant?

Nutritional data

A full mental status examination should be completed if the patient

Has a change in behaviour and the family is concerned

Aphasia is best described as

A language disturbance in speaking writing or understanding

``` A patients who was recently diagnosed with a seizure disorder plans to continue a career as a pilot. At this time in the interview, the nurse begins to question the patients A. Thought process B. Judgement C. Perception D. Intellect ```

Judgement

A major characteristic of dementia is:

Impaired short term and long term memory

Mental status assessment documents:

Emotional and cognitive functioning

Which of the following statements that mental health status testing of children is correct

Abnormal findings are usually related to not achieving an expected developmental milestones

``` Which of the following best abnormality of thought process A.liability B. Blocking C.compulsion D. Aphasia ```

B. Blocking Thought process is defined as the way a person thinks or as the logical train of thought locking is a sudden interruption in training thought

The mental status examination is

Assesses mental health drinks and coping skills and screens for any dysfunction

The palpation is used for

Identifying abdominal content

Amplitude is

The intensity softer loud sound

The dorsa of the hand is used to determine

Temperature

Find tactile discrimination is best achieved with the

Fingertips

``` Funduscopic examination is an examination of the A.inner ear B. Pharynx C.internal structure of the day D.nasal ```

C. Internal structure of the Eye

Performing percussion the examiner

Strikes the stationary finger at the distal interphalangeal joint

At the end of it examination examiner should

You the findings with the patient

When should the examiner use handwashing instead of an alcohol-based hand rub

If the patient has infection with clostridium difficult

General survey consists of four distinct areas of these areas include

Physical parents body structure mobility and behavior The general survey is the study of the whole person covering the general health state and any obvious physical care of sticks

A common blood pressure measurement includes

Waiting less than 1 to 2 minutes before repeating the blood pressure reading on the same arm

The Doppler technique is

Augments korotkoff during blood pressure measurement the Doppler technique maybe use to locate peripheral pull sites and for blood pressure measurements to argument Korotkoff sounds

The tympanic membrane thermometer

In accurate measurement of core body temperature

Endogenous obesity is

Caused by excessive adrenocorticotropin production of the pituitary gland

To perform an accurate assessment of respiratory examiner should

Him for 30 seconds after completing a post assessment and multiply by two

Physical parents include statement second pair appearance with

Stated age

And adults patient's pulse is 46 bpm the term used to describe this rate is

Bradycardia

``` The nurse records of the patient's pulse is 3+ or full and bounding which of the following could be the cause A.dehydration B.shock C.bleeding D.anxiety ```

D. Anxiety

When taking health history the patient complains of pruitus.what is the common cause of the symptoms

Drug reactions | Common causes include dry skin aging drug reactions allergy obstructed jaundice and lice

A flat macular hemorrhages called

PurpurA

Risk factors that may lead to skin disease and breakdown include

A lifetime of environmental trauma

What term refers to a linear skin lesion that runs along a nerve route?

Zosteriform

An example of a primary lesion is an

Urticaria

``` A scooped out shallow depression in the skin is called an Ulcer Excoriation Fissure Erosion ```

Erosion | An erosion is a scooped out shallow depression in the skin

Bleeding into the periosteum during birth is know as

Cephalhematoma

Craniosynostosis is a severe deformity caused by

Premature closure of the structures resulting in a long narrow head

What disease is characterized by a flat expressionless or mask-like face, a staring gaze, oily skin, and elevated

Parkinson's Disease

The number of lobes within the breasts ranges between

15-20

The most common site of cancerous breast tumours are in the

Upper outer quadrant

Stridor is a high pitched, inspiratory crowing sound commonly associated with

Upper airway obstruction

Percussion of the chest is

Helpful only in identifying surface alterations of lung tissues

The first heart sound is produced by

Closure of the av valve

Palpable inguinal lymph nodes are

Normal if small, movable and no tender

The cervical nodes drainage the

Head and neck

The patient has severe bilateral lower extremity edema is most likely caused by

Heart failure

The organ I'm the right upper quadrant of the abdomen is the

Liver

Pyrosis s

Burning sensation in the upper abdomen

Pain signals are carried to the CNS by

Afferent fibres

What occurs during transduction

Pain signals move from the site of origin to the spinal cord

What is the source of deep somatic pain

Bones and joints

Specialized nerve endings that are designed to detect painful sensations are

Nociceptors

What is a negus?

A mole

To access for jaundice you will assess

Sclera and hard palate

You examine nail beds for clubbing the normal angle between nail base and the nail is how many degrees

160 degrees

During tithe otoscopic examination of a child younger than 3 years of age the examiner

Pulls the pinna down

Examining an adult ear you

Up and back

The Manubriosternal angle is

It he articulation of the Manubriosternal and the body of the sternum

In order to use the technique of egophony ask the patient to

Say eee each time the stethoscope is moved

The pulse oximeter measures

Arterial oxygen measures

Where would you fine the apex of the lungs

3-4 cm above the inner third clavicle

Where would you find the base of the lung

Rests on the diaphram

Where would you find the lateral left lung

6th rib, mid clavicular line

Where would you locate the lateral right lung

Fifth intercostal

Where would you locate the posterior apex

To listen to the pulmonic valve area you would listen with your stethoscope where

Second left interspace

When auscultating the heart your first step is to

Identify s1 and s2

In order to screen for deep vein thrombosis you would

Measure the widest point with tape measure

Right upper quad tenderness may indicate pathology in the

Liver pancreas or gallbladder

The a sense of bowel sounds establish after listening for

5 full minutes

Auscultating of the abdomen begin in the right lower quad because

Bowel sounds are always heard here

Tenderness during abdominal palpation is expecting when palpating

The sigmoid process

Murphys sign is best described as

Pain felt when taking a deep breath when the examiners fingers are on the approx location of the inflamed gallbladder

Test 1 Flashcards

(100 cards)