That's the Correct Assessment
(Types of Assessments)
(Types of Assessments)
Most important part of delivering of Patient-Centered Care: When planning patient care
Whatever the Patient believes is the most important, allowing for autonomy and including the client as part of the interdisciplinary team
(page 1)
Direct Percussion
Striking a finger or hand against the patient's body
vs.
Indirect Percussion- hitting fist on top of non-dominant hand
page 26 & 27
Therapeutic Communication in a Health History Interview
Goal oriented interaction
Rapport between patient and Nurse
often initiated by being non-abrasive with the client, asking open ended questions, not making assumptions or stereotyping
Page 8+
Most accurate temperature measurement
Rectal
Page 44
What is Pain ?
An unpleasant sensory or emotional experience
Will also accept "Whatever the patient says it is"
page 58
Why Standard Precautions are used
Prevention of transition of infectious disease through body fluids
("if its wet and not yours.... dont touch it".....without a glove on)
page 23
Difference between light palpation and deep palpation
Light Palpation is 1cm
Deep Palpation is 4 cm
When would you use these?
page 26
Neurotransmitters in deficit associated with Depression
Serotonin, Dopamine, and Norepinephrine
page 69
5 Routes of Temperature Measurement
Oral, Temporal, Tympanic, axillary, and Rectal
(page 44)
2 standardized Pain assessment tools
FACES and Number Rating Scale
page 58
What assessment would you do for a patient with a gunshot wound?
What is a Focused Assessment
Order of the 4 techniques for physical inspection
Inspection, Auscultation, Palpation, Percussion
(Look, Listen, Touch, then hit it a couple times)
page 26
Tool used to assess depression
PHQ9 Questionnaire
page 72
The most likely time to have the lowest temperature
Early morning before you wake
(page 43)
Chronic Pain
Also called Persistent pain, ongoing for 6+ months
Can be intermittent or continuous
(can also be accompanied by depression, anxiety, irritability, etc.)
p. 59
What are the 5 Types of Assessments?
Comprehensive Assessment, Focused Assessment, Screening, Shift Assessment, & Follow up Assessment
(When would you use each of these?)
Page 3
What are the 5 Percussive Tones?
Tympany- normal when over abdomen
Resonance- normal over healthy lung tissue
Hyper-resonance- heard on over-inflated lungs
Dullness- Heard over the liver
Flatness- heard over bone/muscle
page 27
Initiating Screening for Domestic Violence
Approach in a non-judgmental, open, calm, matter-of-fact way
Possibly with a statement that ensures the safety to open up about conversations regarding intimate partner violence
Such as "Nobody deserves to be afraid in their own home"
page 76 & page 17
Elements of a complete set of vital signs
Blood pressure, heart rate, temperature, oxygen saturation, respiratory rate AND pain
(Page 43)
Acute Pain
Onset of less than 6 months
Can result in tissue damage- often self limiting- usually ends when the tissue heals
page 59
Daily Calorie Percentage Breakdown for Adults
Protein- 12-20% of total
Fats- 20-30% of total
Carbohydrates- 55-60% of total
(dependent on ideal body weight)
page 84-85
Medical Term for a blood pressure cuff (in the CORRECT SPELLING)
SPHYGMOMANOMETER
page 31
DAILY DOUBLE!!!!
Possible Signs of Depressions
(Must have 5 out of the 9)
-Loss of Interest or pleasure for over 2 weeks
-Depressed mood most of the day
-Significant weight loss, decrease in appetite
-Fatigue/Loss of energy
-Decrease ability to concentrate
-Feelings of worthlessness/ self-deprivation
-Psychomotor agitation/deprivation
-Recurrent occupation with suicidal ideation/death
-Attempt to end one's own life
page 79
According to multiple studies, THIS is the least accurate way to measure a temperature
Axillary
(page 44)
Vital Sign assessment and movement (guarding/grimacing/facial expression)
Difficult to identify anxiety vs. pain
page 65