Nursing Assessment
Name one strategy to ensure cultural sensitivty during health history taking.
What is using the patient's preferred language/ avoiding assumptions/ asking about cultural health beliefs?
The four primary techniques in pysical assessment are inspection, palpation, percussioin, and this.
What is auscultation?
This terms refers to a person's ability to adapt and bounce back from stressors.
What is resilience?
What are factual, measurable, and nonjudgemental language?
These are the four primary physical assessment techniques performed in a specific order (except in the abdominal exam).
What are inspection, ausultation, palpation, and percussion?
This mnemonic guides symptoms analysis: Onset, Location, Duration, Characteristics, Aggravating/Relieving Factors, Related symptoms, Treatment, Severity.
What is OLDCARTS?
You should use the diaphragm of the stehoscope to best hear these type of sounds.
What are high-pitched sounds (breath, bowel, heart sounds)?
When a client avoids eye contact due to cultural norms, this should be interpreted as...
What is cultural difference?
This methos of communication technique is used for managing tense conversations, conflict, or de-escalation.
What is LARA? Listen, Affirm, Respond, Ask questions/ Add information.
Before beginning a physical assessment, the nurse should always perform this essential step.
What is hand hygiene (and introdue yourself/ ensure privacy)?
When asking, "Can you tell me more about your diet?" The nurse is using what type of question?
What is an open-ended question?
Participating in Physical Therapy is an example of this stage of prevention.
What is tertiary?
This model helps nurses understand how culture influences health beliefs and practices.
What is Leninger's Transcultural Nursing Model?
If a nurse completes an assessment at 0900, but doesn't chart until 1200, this could compromise which professional standard?
What is timeliness of accuracy of documentation?
This approach involves assessing the person's mind, body, spirit, and environment as interconnected
What is holistic approach?
The nurse uses the FICA tool to assess which domain of holistic health?
What is spirituality?
Then nurse's first impression of the patient's physical appearance, mobility, and behavior is recorded as what part of the physical assessment?
What is the general survey?
The recognition and understanding of the differnece and similarities between cultures and being conscious of your own cultural biases.
What is cultural awareness?
The acronym SOAP (Subjective, Objective, Assessment, Plan) is used to guide what type of documentation?
What is problem-oriented charting?
A patient states, "I feel dizzy." This is an example of what type of data?
What is subjective data?
During an interview, the nurse maintains eye contct, nods, and occacionally restates the patient's words. This demonstrates what communication skill essential to holistic assessment?
What is active listening?
A nurse mantains a calm tone and explains each step before touching the patient. This ensures what therapeutic principle?
What is maintaining trust and respecting personal boundaries?
An ethical principle that refers to the duty of nurses to be truthful and honest with patients.
What is veracity?
This federal law focuses on protecting patient privacy. (No acronyms)
What is the Health Insurance Portability and Accountability Act?