Assessment Exam 1

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MeganM
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261907
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Assessment Exam 1
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2014-02-16 22:28:08
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Med Term
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Assessment/Med Term
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  1. -tomy
    incision
  2. -itis
    inflammation
  3. -oma
    tumor
  4. -ectomy
    surgical removal
  5. -emia
    blood
  6. -cele
    protrusion; hernia
  7. -pnea
    breathing
  8. -stenosis
    narrowed; blocked
  9. -stasis
    level, unchanging
  10. -iasis
    a condition
  11. -gen
    origin, producing
  12. ad-
    toward, near to
  13. pan-
    all or everywhere
  14. ab-
    away from, outside of, beyond
  15. epi-
    upon, subsequent to
  16. -spasm
    muscular contraction
  17. -sclerosis
    hardness
  18. -algia
    pain
  19. Hypogastric.
    pubic region (middle section below the umbilical region; p. 45)
  20. Inguinal region.
    Iliac region (right & left)
  21. Umbilical region
    middle region that contains the belly button
  22. coccyx
    tailbone
  23. thoracic
    chest
  24. Steps of the Nursing Process (p. 3)
    • Assessment
    • Diagnosis
    • Planning 
    • Implementation
    • Evaluation
  25. What does it mean to be culturally competent?
    To understand and attend to the total context of the individual's situation, including awareness of imigration status, stress factors, other social factors, and cultural similarities and differences (p. 14)
  26. What is the purpose of assessment?
    to make a judgment or diagnosis
  27. What is a functional assessment?
    Assesses the activities of daily living (such as brushing teeth, etc)
  28. What is the purpose of facilitation in an interview?
    • Encourage the pt to say more;
    • "general leads"
  29. What's the purpose of reflection in an interview?
    • echoes the patient's words;
    • repeating part of what the pt said
  30. Order of assessment techniques.
    • Inspection
    • Palpation
    • Percussion 
    • Auscultation
  31. What confirms points noted during inspection?
    palpation
  32. What are your fingertips used to assess?
    • skin texture
    • swelling
    • pulsation
    • lumps
  33. What are the 4 parts of interpreting data?
    • -identify clusters of clues
    • -make hypotheses
    • -test hypotheses
    • -derive diagnoses
    • (part of the diagnosis step)
  34. When woud you use a grasping action of the fingers and thumb to detect?
    position, shape, and consistency of an organ or mass
  35. When would you use the back of your hands when palpating?
    to determine temp (skin is thinner)
  36. What part of the hand best used to palpate vibration?
    Base of fingers or ulnar surface
  37. What is percussion used for?
    • location and size of an organ
    • density 
    • detects abnormal mass up to about 5cm deep
    • deep tendon reflex
  38. What kind of database is for a limited or short-term problem?
    Focused or Problem-Centered
  39. Summarizing the main theme of communication.
    Reflection
  40. Repeating the main idea expressed.
    Restatement
  41. What are the phases of the interview process?
    • 1. Pre-interaction
    • 2. Beginning
    • 3. Working
    • 4. Closing
  42. What kind of data can you get from percussing over a bone?
    none, it always sounds "dull"
  43. Where is the preauricular lymph node?
    in front of the ear
  44. Where is the posterior auricular lymph node?
    superficial to the mastoid process (behind the ear)
  45. What should you remember when assigning first-level priority problems?
    • Airway problems
    • Breathing problems
    • Cardiac/circulation problems
    • Vital sign concerns (high fever, etc)
  46. What priority level is mental status change?
    2
  47. What priority level is an untreated medical problem that requires immediate attn (such as a diabetic who needs insulin)?
    2
  48. What priority level is acute pain?
    2
  49. What priority level is acute urinary elimination problems?
    2
  50. What priority level is an abnormal laboratory value?
    2
  51. What priority level is a risk of infection, safety, or security?
    2
  52. What priority level is a problem with lack of knowledge?
    3
  53. Where is the occipital lymph node?
    base of skull
  54. Where is the submental lymph node?
    midline, behind the tip of the mandible
  55. Where is the submandibular lymph node?
    halfway b/w the angle and the tip of the mandible
  56. Where is the jugulodigastric lymph node?
    under the angle of the mandible
  57. Where is the superficial cervical lymph node?
    overlying the sternocleidomastoid
  58. Where is the deep cervical lymph node?
    deep under the sternocleidomastoid
  59. What does it mean to be culturally sensitive?
    possessing some basic knowledge of and constructive attitudes toward the diverse cultural populations
  60. What is cultural competence?
    • understanding and attending to the TOTAL CONTEXT of the individual's situation
    • includes awareness of immigration status, stress factors, other social factors, and cultural similarities and differences
  61. What is the most valued response to pain by health care professionals?
    silent suffering
  62. What 3 things help determine the experience of pain?
    • the meaning of painful stimuli
    • the way people define their situation
    • the impact of personal experience
  63. Which phase of the interview is the data-gathering phase?
    The working phase
  64. What type of response encourages the pt to say more, to continue with the story? (for ex: mmm-hmmm....)
    facilitation
  65. When would you use confrontation as a response in an interview?
    • When you notice parts of the story are inconsistent
    • you notice a discrepancy in verbal and non-verbal communication ("You say it doesn't hurt, but when I touch you here, you grimace")
  66. What is a confrontation response based on?
    direct observation
  67. What is an interpretation response in an interview based on?
    your inference or conclusion.
  68. This type of response in an interview links events, makes associations, or implies cause - "it seems that every time you feel stomach pain, you have had some kind of stress".
    Interpretation
  69. Three things to keep in mind when communicating with a blind patient.
    • speak to the pt when you enter the room
    • speak in a normal tone
    • speak before touching
  70. Feeling with the person rather than feeling like the person
    empathy
  71. This response echoes the pt's words. It is repeating part of what the pt just said.
    reflection
  72. This response is used to encourage the person to continue talking.
    facilitation
  73. What is a good distance to set b/w you and the pt?
    4-5 ft
  74. What does PQRSTUVW stand for (summary of each symptom)?
    • Provacative or Palliative - what brings it on
    • Quality/Quantity - How does it look/feel/sound?
    • Region or Radiation
    • Severity scale
    • Timing - onset
    • Understand pt's perception
    • Variables
    • Where
  75. Where is the posterior cervical lymph node?
    in the posterior triangel along the edge of the trapezius muscle
  76. Where is the supraclavicular lymph node?
    just above and behind the clavicle, at the sternocleidomastoid muscle
  77. Abnormal skin finding, usually in spring and summer, mild illness, incubation 14-21 days.
    Rubella (German measles)
  78. What is a bruit?
    • soft, pulsatile, whooshing, blowing sound
    • heard best with bell
    • may be present in enlarged thyroid
    • occurs w/ turbulent BF
  79. In which arteries can you hear a bruit?
    • Femoral 
    • Aortic
    • Radial
    • Carotid
    • Illiac
  80. What are the main components of a mental status exam?
    • Appearance
    • Behavior
    • Cognition
    • Thought process
  81. What is the CAGE test?
    • A screening questionnaire to id excessive or uncontrolled drinking
    • Cut down
    • Annoyed
    • Guilty
    • Eye Opener
    • (2 or more = suspected alcohol abuse)
  82. What is the purpose of a Health History?
    • establish rapport
    • collect subjective data
    • view pt as a WHOLE person
    • document for others
  83. How do you document skin findings?
    • Asymmetry
    • Border
    • Color
    • Diameter (>6mm or change in mole size)
    • Elevation/enlargement

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