Category 1
a detailed nursing assessment of specific body system related to the presenting problem or other current concern(s).
Focused Assessment
open-ended question
This involves a detailed history and physical examination performed at the onset of care in a primary care setting or on admission to a hospital or long-term care facility.
Comprehensive Assessment
usually done when a patient is following up with a healthcare provider for a previously identified problem.
Episodic Assessment
Close ended questions are appropriate for what type of patients?
Talkative patients
This is one of the biggest factors in preventing transmission of micro-organisms?
Hand hygiene
Involves using both hands, one anterior and one posterior, to entrap a mass or an organ between the fingertips to assess size and shape.
Bimanual technique
A flat tone on percussion means that the area being percussed is what?
Muscle or bone
PPE, Hand hygiene, patient placement, and cough etiquette are all examples of?
Standard precautions
Of all the temperature assessments which is the least accurate?
Axillary temp
The maximum pressure exerted on arteries when the ventricles contract is?
Systolic pressure
A patient who had an open cholecystectomy 2 days ago would have what type of assessment done?
Shift Assessment
the difference between the apical and peripheral pulse rates
The nurse would document "the patient complains of itching" where in the patient's chart?
In the patient's history
For every liter of fluid retained weight increases by?
2.2 pounds or 1 kg
Understanding that there is diversity even among people of the same culture implies?
Culturally competent care
The patient and his family have red hair and fair skin; is an example of?
Race
Asking the question: “Do you have any specific religious or spiritual practices or beliefs” helps you to learn about?
A patient's religious practices
Asking questions about language spoken, cultural influences, country of origin, and food and drink a patient prefers involves what?
A cultural asssessment
Tachypnea, increased heart rate, and increased blood pressure are all examples of what type of changes that are seen with pain?
physiologic changes
This type of pain typically starts suddenly in response to an injury — a cut, bruise, burn, or broken bone.
Acute Pain
a type of pain caused by damage to body tissue.
Nociceptive pain
Duration or intensity of pain that a person endures or tolerates before responding outwardly.
Pain tolerance
This tool might be used to determine if a patient has a problem with alcohol use.
Cage Questionnaire
A person who has a narrower field of perception and uses selective inattention to ignore stimuli in the environment to focus on a specific type of concern have what type of anxiety? (mild, moderate, or severe)
moderate anxiety