1: EBP
What are the steps of the Nursing process? (6)
Assessment, Diagnosis, Outcome Identification, Planning, Implementation, Evaluation
What is the first step to being cultural competent?
be aware of your own culture
What does LEP stand for?
Limited English Proficiency
What is the significance of a past medical history?
past medical history can have a residual impact on present (as well as future) health status
The stethoscope magnifies sound. True or false.
False.
Abnormal lab values is what priority level?
Second Priority Level
What is the first and second largest and fastest growing ethnicity?
Hispanics, Blacks
What is an example of a verbal response to allow the patient to lead, and a verbal response to allow the interviewer to lead?
1- facilitation, silence, reflection, empathy, clarification
2- confrontation, interpretation, explanation, summary
What is the difference between a sign and a symptom?
sign- objective
symptom- subjective
What are the four skills of assessment?
Inspection, Palpation, Percussion, Auscultation
What are the five levels of expertise?
Novice, Advanced Beginner, Competent, Proficient, Expert
What are the four basic characteristics of culture?
Learned, Shared, Adapted, Dynamic
What do you need to be alert of when interviewing people with special needs?
"personal questions"
What does PQRSTU stand for?
P-provocative, palliative
Q- quality/quantity
R- region/radiation
S- severity scale
T- timing (onset, duration, frequency)
U- understand patient's perception
What are the two uses for percussion?
mapping location/size of organs, density of organs, detecting superficial abnormal masses, eliciting pain if inflamed, eliciting tendon reflex
Give 3 examples of subjective data.
earache, headache, dizziness, fatigue, exhaustion, etc.
A 30-year-old woman has recently moved to the United States with her husband. They are living with the woman's sister until they can get a home of their own. When company arrives to visit with the woman's sister, the woman feels suddenly shy and retreats to the back bedroom to hide until the company leaves. She explains that her reaction to guests is simply because she does not know how to speak "perfect English." This woman could be experiencing:
culture shock
What are the six interview contract terms?
location, explanation, purpose, time frame, confidentiality, cost
What does GTPAL stand for?
Gravita
Term
Premature
Abortion
Living Children
What kind of sounds is the diaphragm of a stethoscope used for?
high pitched sounds
What are the four types of data collection? Give examples.
Complete - routine checkup
Problem-Centered - for specific diagnosis
Follow-up - postoperation, chronic illnees checkups
Emergency - assessment after car accident in ER
What are the three disease causation theories? Give an example of each.
biomedical/scientific - germ theory
naturalistic/holistic - yin/yang theory
magicoreligious - voodoo
What are the three techniques to improve health literacy?
oral teaching, written materials, teach back
What approach is recommended for Review of Systems?
cephalocaudal approach (head to toe)
What are the four characteristics of sound?
amplitude - intensity
pitch - frequency
quality - timbre
duration - length of time