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_____ & ____concepts that influence the health beliefs and health behaviors of patients.

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Wellness And Health

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Nurses Assess health on many levels, including

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psychosocial,physical, emotional, spiritual, and cultural.

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What Are the four broad goals in Nursing?

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1. To Promote health 2. To Prevent Illness 3.To treat human responses to health or illness 4.To advocate for individuals, families, communities, and populations.

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Nurses Provide____ to help restore health for ill patient in hospitals, clinics, long term care facilities, and schools.

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Direct Care

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Nurses Are Advocates For What Two Things?

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For The Patient And The Profession

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A True Concern for the welfare of others, and is reflected in the desire to understand the patients perspective and health beliefs.

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Altruism

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Is reflected in the desire to understand the patient's perspective and health beliefs.

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Altriusm

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____Is Present when nurses show respect for patients, such as by ensuring privacy and confidentiality.

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Human Dignity

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Patients Have The Right To Make ____ About Thier Health Care

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Decisions

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Patients Have the right to make decisions about their health care; Nurses as advocates provide information to patients and their families to Promote this_____

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Autonomy

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What Are The Nursing Values?

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1. Altruism, 2.Human Dignity, 3.Autonomy, 4.Integrity, 5.Social Justice.

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Nurses Act With ____ When Providing Honest Information To Patients, documenting care accurately, and reporting errors.

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Integrity

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hen Nurse's work to ensure equal treatment and access to quality health care, they support_______

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Social Justice

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Nurses Perform _______ And _______ to provide care based on current evidence.

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Scholarship and research

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Gathering Information About the Health Status of the patient Falls Under?

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Health Assessment

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A Health Assessment Includes Both A ____

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Health History And Physical Assessment

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A Health History And Physical Assessment Are The Two Crucial Items For A _____

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Health Assessment

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An Umbrela Term given to an RN who has met advanced educational and clinical practices at a minimum Master's level, beyond the basic nursing education licensing required of all RNs and who provides at least some level of direct care to patient populations.

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Advanced practice registered Nurse (APRN)

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Analyzing and synthesizing data Falls Under

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Health Assessment

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Making Judgements About Nursing Interventions Based On The FIndings And Evaluating Patient Care Outcomes Falls Under?

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Health Assessment

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Nurses Perform _______ ; ________ To Provide care based on current evidence.

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Scholarship And Research.

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Why Do Nurses Perform Scholarship And Research?

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To Provide care based on current evidence.

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What All Doess The Health History Include?

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Interviewing to Collect the Patients Past Medical And Surgical Histories, Risk Factors, And Current Symptoms, Nutrition, Development, Mental Health, Social Cultural And Spiritual Dimensions, And Safety Issues.

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The Nursing Process Begins With A Complete And Accurate____

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Health Assessment

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A Process by which people maintatin balance and direction in the most favorable environment.

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Wellness

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WHy Is It Crucial To Begin WIth A Complete And Accurate Health Assessment?

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To Promote Health At The Highest Level.

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Considers the relationship between a person's belief and actions

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Health Belief Model

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What Are The Three Elements Of Nursing?

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Host (patient), Agent (disease) and environment.

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The most Organized system for gathering comprehensive physical data.

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Head to toe assessment

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Focuses on the functional patterns that all humans share

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Functional Assessment

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A ______ Aprproach is a logical tool for organizing data when documenting and communicatig findings.

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Body Systems

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What are the three major frameworks for organizing assessment data?

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Functional Systems, Head To Toe System, Body Systems.

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Neurological and cardiovascular would be an example of?

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Body System

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Neurological would be an example of

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Body System

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Gastrointestinal and respiratory would be an example of

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Body System

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Respiratory would be an example of

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Body System

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Cardiovascular would be an example of

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Body System

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Reproductive would be an example of

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Body System

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Gastrointestinal, Urinary, And Reproductive would be examples of?

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Body System

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Musculoskeletal Would be an example of?

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Body System

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Gastrointestinal and reproductive would be an example of?

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Body System

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Head And Neck Would Be An Example Of?

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Head To Toe

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Eyes And Ears Would Be An Example Of?

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Head To Toe

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Nose Mouth And Throat Would Be An Example Of?

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Head To Toe

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Thorax And lungs Would Be An Example Of?

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Head To Toe

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Cardiac Would Be An Example Of?

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Head To Toe

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Peripheral Vascular Would Be An Example Of?

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Head To Toe

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Breast Would Be An Example Of?

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Head To Toe

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Abdominal Would Be An Example Of?

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Head To Toe

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Musculoskeletal Would Be An Example Of?

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Head To Toe

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Neurological Would Be An Example Of?

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Head To Toe

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Male Or Female Genitalia Would Be An Example Of?

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Head To Toe

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Anus, Rectum, And Prostate Would Be An Example Of

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Head To Toe

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A Patient is having side effects from a medication. The nurse calls the provider to request a change to the medication order. The nurse is functioning as an/ a

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Advocate

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Nurses advocate for underserved populations to reduce health disparities. This promotes

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Socail Justice

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Nurses belong to the ANA as part of their

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Ongoing prfessional responsibility

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The Purpose Of Health Assessment Is To?

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Obtain Subjective And Objective Data

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The nurse Documents the following information in a Patient's Chart: "cough And deep breathe every hour while awake. This is an example of

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Nursing Interventions

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The Nurse provides teaching about smoking cessation t a 20 year old man. The nurse assesses that the patiet is concerned because his father died from lung cancer. Which theory would the nurse most likely use when providing teaching to this patient.

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Health belief model

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Which of the following processes is the most important when providing nursing care to an ill patient.

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Using critical thinking

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_____ is the key to resolving problems

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Critical Thinking

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____relies upon research findings and high grade scientific support

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Evidence Based

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Are Based On The Patients experiences and perceptions

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Subjective Data

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Are Measurable and usually collected as part of the physical assessment.

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Objective Data

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Organizing Frameworks for assessment include

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functonal, head to toe, and body systems.

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Which Of the following are components of a comprehensive health assessment?

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Examination of body systems

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A patient is admitted to a hospital for surgery for colon cancer. What type of assessment is the nurse most likely to perform upon admission

answer

Comprehensive

question

What Are The Four Steps Of Evidence Based Thinking?

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1. Clearly Identify the issue or problem based on an accurate analysis of curret nursing knowledge and practice. 2. Search the literatre for relevant research 3. valuate the research evidence using established criteria regarding scientific merit. 4. Choose interventions and justify the selection with the most valid evidence.

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What are the type of assessments?

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emergency, comprehensive, and focused.

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______Is A Process by which nurses use critical thinking to cluster the assessment information and to draw inferences about meaning.

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Diagnostic Reasoning

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What are the steps of the nursing process?

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assessment, diagnosis, setting goals and outcomes, planning, intervening, and evaluating.

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Providers

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Nurses

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Designers

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Nurses

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___ Is The Key To Resolving Pro

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Critical Thinking

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encompases the nurse's empathy for and connection with the patient.

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Caring

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Means the ability to perceve, reason, and communicate understanding of another person's feelings.

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Empathy

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A Basic tool that the Nurse uses in the caring relationship with patients.

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Therapeutic Commuication

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A Complex, Ongoing, interactive process that forms the basis for building interpersonal relationships.

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Communication

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All Nursing Practice Revolves Around The_____

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Nurse- Patient Relationship

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Is similar to restatement

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Reflection

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Is similar to restatement; however, instead of simply restating comments, the nurse summarizes the main themes of communication.

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Reflection

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The nurse makes a simple statement, usually using the words of patients.

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Restatement

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___ Provides an opportunity for patients to further understand their communication.

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Restatement

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Is Important when the patient;s word choice or ideas are unclear

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Clarification

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The Nurse Uses _____ When Patients are straying from a topic and need redirection.

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Focusing

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_____ Are the techniques to facilitate therapeutic communication?

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Active listening, restatement, reflection, elaboration, silence, focusing, clarification, and summarizing.

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False reassurance, unwanted advice, leading or biased qustions, changes of subject, distractions, too many technical terms, and talking too much are examples of?

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Nontherapeutic Responses

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WHat Are the Phases Of The Interview Process?

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Preinteraction, Beginning, Working, ANd Closing.

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______ & _____ are essential when assessing adolescents

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Privacy And Respect

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___ may be helpful when working with clients in special situations

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Special Techniques

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life threatening errors in health care

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Sentinel events

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includes verbal and nonverbal

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Communication

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Why is the clients medical record important?

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because it is a legal document

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involves entering client information into the written or computerized client record

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Documentation

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all nurses use this to determine if abnormal assessment data is significant

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Critical thinking and critical judgement

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Quality assuranse refers to

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following policies

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Education

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when you review chart, you know what will be going on since you have the education

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dont chart in _____

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advance

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Allows nurses to enter assessments quickly

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electronic medical record

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increases clinet safety

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electronic medical record

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Computerized part or all of clients medical record

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Electronic medical record

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What are the advantages of an electronic medical record

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Graphs trends in vital signs Team members

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What does Hippa stand for?

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Health Insurance Portability and Accountability act.

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Subjective Data is?

answer

what the subject (patient) tells you

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Objective data is______

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What You Observe as a nurse

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POC stands for?

answer

plan of care

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Confidential Health Insurance Portability and Accountability Act (HIPAA) Accurate and complete Organized Timely Batch charting Point-of-care Concise Falls Under?

answer

Documntation

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occupational history will be under?

answer

biographical data

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Used to document routine, scheduled assessments

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Flow sheetds

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PIE Notes=

answer

Problem, Intervention, Evaluation

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Discharge teaching, medications, when to contact provider, condition at discharge, time of discharge

answer

Discharge Note

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A nurse recognizes that it is best to begin the objective data collection with which procedure?

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Measure the client's vital signs, height, and weight

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When performing a physical assessment on an older adult client, what should the nurse consider offering this client?

answer

An extra blanket

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The nurse should wear gloves when examining or touching

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any areas where there is the potential for exposure to blood or body fluids.

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The nurse is percussing the area over the lungs and hears a loud, low pitched, hollow sound. The nurse documents this finding as which of the following?

answer

Resonance

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a soft, high flat sound typically heard over very dense tissue.

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Flatness

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a loud, high-pitched drum like sound heart over air filled areas.

answer

Tympany

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a medium, medium-pitched thud like sound heard over more solid tissue.

answer

dullness

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A group of students is reviewing information about auscultation in preparation for a test. The students demonstrate understanding of the material when they identify which of the following?

answer

The diaphragm should be held firmly against the body part

question

transmits lower pitched sounds

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The bell of diaphragm

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The nurse detects resonance over the lungs by

answer

Percussing the thorax

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The nurse is having difficulty auscultating a patient's bowel sounds during a physical examination of the abdomen. What can the nurse do to improve hearing the patient's sounds of this body area?

answer

reduce all environmental noise

question

What physical assessment technique should a nurse use to obtain a pulse on a client?

answer

light palpation

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What action by a nurse demonstrates the correct technique when using a stethoscope for auscultation?

answer

Ensure that contact with the skin is maintained

question

A nurse performs an admission assessment on a client admitted with chest pain. The nurse knows that using the bell of the stethoscope is appropriate to auscultate for which type of sounds?

answer

Heart Murmur

question

When assessing the temperature of the feet of an older client with diabetes, the nurse would use which part of the hand to obtain the most accurate information?

answer

Dorsal hand surface

question

What should the nurse do before conducting a physical examination of a patient?

answer

• Obtain and check needed equipment. • Identify ways to ensure patient privacy. • Wash hands. • Ensure a quiet environment.

question

When should the nurse perform hand washing?

answer

• When hands are visibly soiled • After removing gloves • After providing mouth care

question

________ often yields the most signs during an examination.

answer

Inspection

question

The nurse is preparing to perform a physical examination on a client. The nurse would begin with which of the following examinations?

answer

Vital Signs

question

After the physical examination of a client, a nurse disposes of the used gloves. The nurse has not come in contact with any body fluids or excretion, mucous membranes, non-intact skin, or wound dressings. The nurse's hands do not appear to be visibly soiled. What hand hygiene should the nurse perform?

answer

Application of an antiseptic handrub

question

What condition are clients who are frequently hospitalized, as well as nurses, more often diagnosed with than the general population?

answer

Latex Allergy

question

Wears gloves to palpate the tongue and buccal membranes would fall under?

answer

Standard Precautions

question

In which order should a nurse implement the four physical assessment techniques when initiating a health assessment?

answer

Inspection, palpation, percussion, auscultation (IPPA)

question

the ___________ should be held firmly against the body part being examined.

answer

Diaphragm

question

A nurse on an oncology unit enters a client's room to auscultate bowel sounds. What should the nurse do before auscultating?

answer

Disinfect the stethoscope before touching the client

question

involves smelling for odors and conscious observation of the patient's physical characteristics and behaviors, such as noting symmetry of the thorax.

answer

Inspection

question

is appropriate for the assessment of surface characteristics, such as texture, surface lesions or lumps, or inflamed areas of skin.

answer

Light Palpation

question

should be used to assess the size, shape, and consistency of abdominal organs.

answer

Moderate Palpation

question

the nurse uses a pressure to palpate 2 to 4 cm in depth.

answer

Deep Palpation

question

is needed to assess air and bone sound conduction.

answer

Tuning Fork

question

To adhere to standard precautions, the nurse should remember to

answer

• wash hands before and after patient contact • change white coat frequently

question

the nurse uses _____ to detect mases

answer

Palpation

question

When is it necessary for a nurse to change gloves?

answer

• Between tasks and procedures on the same client • When going from a contaminated area to a cleaner area • After contact with material that contains a high concentration of microorganisms

question

allows the examiner to assess such normal anatomic details

answer

Percussion

question

are used to detect fine discriminations, pulses, texture, size, consistency, shape, & thrills.

answer

Finger Pads

question

the part of the hand used to palpate vibrations.

answer

The Ulnar or Plamar surface of the hand

question

are the metal tubing that connects the ear pieces to the tubing.

answer

binaurals

question

by using the nondominant hand as a barrier between the nurse's dominant hand and the patient to assess organs, such as the gallbladder, kidneys, and liver.

answer

indirect percussion

question

Some positions may be very difficult or impossible for the older client to assume or maintain because of

answer

decreased joint mobility and flexibility.

question

What is the principle of percussion?

answer

To create vibration in a body wall

question

The nurse wears gloves to prevent

answer

transmission of flora from patient to patient.

question

The nurse demonstrates the proper technique for light palpation by which of the following?

answer

Feeling the surface structures using a circular motion

question

performed by tapping the fingers directly on the patient's skin, such as for assessment of the sinuses.

answer

direct percussion

question

the use of tactile pressure from the fingers to assess contours and sizes of organs.

answer

palpation

question

is most sensitive to temperature and should be used to assess the temperature of the feet of an older adult client with diabetes.

answer

Dorsal

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