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What is Subjective Data
what a person says about himself or herself
What is Objective Data
What you as a health professional observe (by inspecting, percussing, palpating, and auscultating during the physical examination)
What is Diagnostic Reasoning
the process of analyzing health data and drawing conclusions to identify diagnoses
What are the 4 major components of the hypthetico-deductive process known as Diagnostic Reasoning
- 1. Attending to initially available cues
- 2. Formulating diagnostic hypotheses
- 3. gathering data relative to the tentative hypothesis
- 4. evaluating each hypothesis with the new data collected thus arriving at a final diagnosis
Name the 6 phases of the Nursing Process
- Outcome Identification
AD o PIE (A delicious orange PIE)
What is critical thinking
a means by which we learn to assess and modify, if indicated, before acting.
Define First-level priority problems
emergent, life threatening
- Remember: ABC plus V
- Cardiac/circulation problems
- Vital sign concerns
Define Second-level priority problems
- those requiring your prompt intervention to forestall further deterioration, for example:
- mental status change,
- acute pain,
- acute urinary elimination problems, untreated medical problems,
- abnormal values,
- risks of infections,
- or risk to safety or security.
Define Third-level priority problems and give examples
those that are important to patients health but can be addressed after more urgent health problems are addressed.
problems with lack of knowledge, rest, activity, or family coping
Define Collaborative problems
those in which the approach to treatment involves multiple disciplines.
certain psychologic complications in which nurses have the primary responsibility to diagnose the onset and monitor the changes in status
What are the four different types of data-bases (depending on the clinical situation)
- Focused or problem centered
- & Emergency
What is the essence of holistic health
Consideration of the whole person
List the several terms and categories of immigrant populations
- Legal resident
- Permanent Resident Alien
What is Effective Care
care that results in positive outcomes and satisfaction for the patient
What is Respectful Care
care that takes into consideration the values, preferences, and expressed needs of the patient
What is cultural and linguistic competence
a set of congruent behaviors, attitudes, and policies that come together in a system among professionals that enables work in cross-cultural situations
What act provided people with Limited English Proficiency the right to equal opportunity health care?
Title VI of the Civil Rights Act of 1964
What is a health disparity
the unusual and disproportionate frequency of a given health problem within a population when compared with other populations.
the balance of a person both within ones being and in the outside world as a complex, and interrelated phenomenon
What is considered a universally recognized phenomenon that is an important aspect of assessment for people of various ages
In preparing for Cultural Care, remember R.E.S.P.E.C.T
- R ealizeE xamineS elect
- P ace
- E ncourage
- C heck
- T ough
How would you best describe the purpose of a physical assessment?
it collects objective and subjective data to help identify and evaluate problems and develop a plan of care
Assessment is the _______ for the rest of the ______
foundation, nursing process
In what way will you record your findings from a physical assessment (Adult)
record a summary of the physical-assessment data, system by system
What does the Health Insurance Portability and Accountability Act of 1996 (HIPAA) ensure to patients?
ensures that patient information is kept confidential and gives patients more control over their personal healthcare information and who has access to it.