Intro
List the components of health assessment
What is conducting a health history, performing a physical examination, reviewing other data from health record?
The difference between health promotion and health protection
What is behavior motivated by the desire to increase well being is health promotion and the behavior motivated by the desire to actively avoid illness, detect it early, or maintain functioning within its constraints?
The first thing to consider about a physical setting of care or any setting at a hospital before treatment
What is privacy?
*Make sure the room is private, quiet, comfortable room free from environmental distractions
List things included in past health history
*Hint there are seven
What is childhood illnesses, surgeries, hospitalizations, accidents or injuries, immunizations, last examinations types such as ( physical, dental, vision hearing, ECG, chests radiograph, skin test for tuberculosis, for women, pap test, and Obstetric history?
Things that we look for in skin hair or nails
What is texture, color,and amount?
List component of a health history
Variables of patient needs
What is patient's age, general level of health, presenting problems, knwoledge level, and support systems?
The two types of interview questions
What are open-ended questions and directive questions(closed questions)
Ex:
Open ended questions " How have you been feeling" "what brings you to the clinic today'
Closed ended questions "Do you become short of breath when walking a flight of stairs" or "how many days have you been unable to eat?
List components of present health status
*Hint there are three
What is current health conditions, medications, and allergies
Things the nurse might as the patient about as it relates to respiratory system
What is cough, hemoptysis, frequent colds, shortness of breath, night sweats, wheezing, stridor, breath sounds, pain while inspiriting or expirating , exposure to smoke?
The standards of nursing practice
What is ADPIE
Assesment: The registratered nurse collects pertinent data and infromation releave to the health care consumer's health of the situation
Diagnosis: The registered nurse analyzes the assesment data to determine actual or potential diagnoses,problems, or issues
Planning
Implementation
Evaluation
The key component of data analysis and interpretation
What is the formulation of a problem list?
*KNOW That this list is placed in order of the most important or most active problems first, followed by problems of less concern. The problem list is updated over time as the patient's condition changes or as problems resolve.
The three phases of the interview
What is Introduction phase, Discussion phase, and Summary phase?
During the introduction phase the nurse greets patient introduces self and hears the purpose of the visit from the patient
During the discussion phase, patient centered discussion is provided
During the summary phase: summarize the data with the patient, allow the patient to clarify the data
List the components of Personal and Psychosocial History
*Hint there are 8
What is personal status, family and social relationships, diet/nutrition, functional ability- is the person able to perform their ADLs, mental health, tobacco, alcohol, and illicit drug use, health promotion activities, and environment?
Things the nurse might as the patient about as it relates to cardiovascular system
What is palpitations, chest pain, dyspnea, orthopnea( difficult breathing standing up), blood flow, edema swelling, varicose veins?
Signs vs symptoms
What is objective data that is observed, felt, heard or measured vs subjective which is what the patient says: such as pain, itching, and nausea?
Types of health assessment and examples of when they are used
What is during onset of care or admission ( comprehensive), walk in clinic or emergengy department, a sprained ankle, return back to hospital after being diagnosed with diabetes as a part of the regular visits, the shift assesment purpoe is to identify changes to a patients condition from the baseline, a screening could be doen at health care provider's office or at a health fair, examples include blood pressure screening, glucose screening, cholesterol screening?
Factors a nurse should consider while taking on a patient centered approach
*Hint there are 7
What is age, culture, gender identity or expression, language, physical or emotional distress, sensory impairment( can the patient hear or see you), cognitive impairment( is the person alert and oriented)?
Patient A is suffering from a severe cluster headache and states that their pain is an 8/10 on the pain scale how would you assess their pain further
*Hint think OLDCARTS
Things the nurse might as the patient or look for as it relates to gastrointestinal system
What is bowel habits, the kind of diet your on, abdominal pain, heartburn, nausea/vomiting, hematemesis, jaundice, ascites
How objective data is collected
What is through the techniques of inspection, palpation, percussion ( advance nurses), and auscultation?
List the three levels of health promotion and describe each
What is primary prevention, secondary prevention, tertiary prevention?
In primary prevention occurence is based on protection from the disease, secondary prevention is early identification of disesae before it becomes symptomatic, the teritary prevention, the person is living with the conditions, the goal is to minimize the severity
EX:
primary- immunizations, nutrition, exercise, pollution control
secondary- screenings and self examination practices
Tertiary prevention- Diabetes mellitus management, cardiac rehabitation, hypertension management
List the techniques that enhances an interview and behaviors that interfere with the interview
What is active listening, faciliation- go on, or uh-huh or then, clarification,reflection, Confrontation- can you help me understand this, Interpretation-let me share my thoughts, summarization
What is using medical terminology, expressing value judgement-ex The nurse says if you have a mammograms', do you recall when you had the last one rather than saying " you have had regular mammograms', haven't you?", interrupting the patient, being authoritarian, using why questions
All components of a health history (list them)
*Hint there are 8
What is Biographic data, reasons for seeking care, history of presenting illness, present health status, past health history, family history, personal and psychosocial history, and review of systems?
(The biographic data consist of the persons name, gender or gender identity, address, telephone number, email, birth date, birth place , race, religion, marital status, occupation, contact person, source of data)
Things the nurse might as the patient about or assess for him/herself assessing neurological and musculoskeletal
What is syncope(any fainting episodes),loss of consciousness, seizures, cognitive changes, changes in memory, disorientation to time, place, person, motor and gait, tingling or numbness(paresthesia)?
What is muscles twitching, bones and joint swollen, pain, limited range of motion, any arthritis or gout interference with activities of daily living?