Health History
Pain
The Nursing Process
Intro to H.A.
Miscellaneous
100

Phase of the interview where the purpose and process is explained

Introduction Phase

100

Pain that is typically sudden in onset, and lasts less than 6 months 

Acute Pain
100

The first step in the nursing process

Assessment 

100
Objective data observed, felt, heard, or measured. 

Sign

100

Scale used to assess the level of consciousness in patients. 

Glasgow Coma Scale

200

Type of interview question that requires precise details.

Directive questions

200

The most reliable indicator of a patients pain. 

What the patient states their pain is. 

200

Sources of data gathered in the physical exam in the nursing process 

Patient interview; Physical assessment data; vital signs; diagnostic test results' general observation 

200

Subjective data perceived and reported by the patient.

Symptom

200

Medical term for a respiratory rate over 20 breaths per minute

Tachypnea 

300

Three behaviors that can interfere with the interview process. 

Using medical terminology; Expressing value judgement; interrupting the patient; being authoritarian/paternalistic; using 'why' questions

300

The "O" in OLDCARTS symptom analysis and an example of what could be asked. 

Onset: When did the pain begin?
300

Another name for an 'actual' nursing diagnosis 

Problem-Focused Nursing Diagnosis 

300

An assessment performed on a patient at a health fair

Screening assessment

300

Term for a nurse using their hands to feel texture, size, and shape in a physical assessment 

Palpation

400

Type of health history that is performed on a new patient in any clinical setting.

Comprehensive health history 

400

Pain tool that is appropriate for an alert and oriented adult patient's pain level. 

1-10 numeric rating scale. 

400
The three parts of an 'actual' nursing diagnostic statement 

P (Problem); E (Etiology); S (Signs/Symptoms) 

400

A short assessment done on a specific problem or complaint

Problem-based, or focused assessment

400

Tool, used for assessing vibratory sensation, and auditory screenings (Click for image in response) 

500

Section of the patient health history that focuses on the patients current health conditions, medications they are currently taking, and known allergies

Present Health Status

500

Each word in the mnemonic OLDCARTS.

Onset, Location, Duration, Characteristics, Aggravating factors, Related symptoms, Treatment by the patient, Severity 

500

The 'defining characteristics' in this nursing diagnostic statement: "Impaired Physical Mobility, related to decrease muscle mass, as evidenced by limited range of motion"

Limited range of motion
500

Level of health promotion that involves immunizations

Primary prevention 

500
A drop in blood pressure when a patient stands up from a lying or sitting position, that can cause dizziness

Orthostatic hypotension 

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