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Nursing 142 Final Review Questions and Answers

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Health History - ANSWER-Information about a patients health in his or her own words and based on the patients own perception. Includes biographic data, perceptions about health, past and present history of illness or injury, Family History, a review of systems, and health. Primary Souce - ANSWER-The patient is the best source because he or she can describe personal symptoms, experiences, and factors leading to the current concerns. Secondary Source - ANSWER-A person or record that beyond the patient that provides additional information about the patient. The interview - ANSWER-Subjective data gathering, including the health history and focused interview, that include primary and secondary sources Focused Interview - ANSWER-An interview that enables the nurse to clarify points, to obtain missing information, and to follow up on verbal and nonverbal cues identified in the health history Components of Health History - ANSWER-Biographic Data History of Present Illness Past Medical History Family Medical History Psychosocial History Review of Body Systems Biographic Data - ANSWER-Name, DOB, Birthplace, Sex, Marital Status, Gender Identity, Sexual Orientation, Race, Religion, Occupation, Health Insurance, Source of information/ Reliability. History of Present Illness - ANSWER-Reason for Seeking Care Health Beliefs and Practices Health Patterns: Lifestyle, Nutrition, and Activity Medications: Prescription and

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Nursing 142 Final Review Questions and
Answers
Health History - ANSWER-Information about a patients health in his or her own words
and based on the patients own perception. Includes biographic data, perceptions about
health, past and present history of illness or injury, Family History, a review of systems,
and health.

Primary Souce - ANSWER-The patient is the best source because he or she can
describe personal symptoms, experiences, and factors leading to the current concerns.

Secondary Source - ANSWER-A person or record that beyond the patient that provides
additional information about the patient.

The interview - ANSWER-Subjective data gathering, including the health history and
focused interview, that include primary and secondary sources

Focused Interview - ANSWER-An interview that enables the nurse to clarify points, to
obtain missing information, and to follow up on verbal and nonverbal cues identified in
the health history

Components of Health History - ANSWER-Biographic Data

History of Present Illness

Past Medical History

Family Medical History

Psychosocial History

Review of Body Systems

Biographic Data - ANSWER-Name, DOB, Birthplace, Sex, Marital Status, Gender
Identity, Sexual Orientation, Race, Religion, Occupation, Health Insurance, Source of
information/ Reliability.

History of Present Illness - ANSWER-Reason for Seeking Care

Health Beliefs and Practices

Health Patterns: Lifestyle, Nutrition, and Activity

Medications: Prescription and OTC meds

,Past Medical History - ANSWER-Medical

Surgical

Hospitalization

Outpatient Care

Childhood Illness

Immunizations

Mental and Emotional Health

Allergies

Substance Use

Family Medical History - ANSWER-Immediate Family

Extended Family

Genogram and Pedigree

Nursing Process - ANSWER-A rational and dynamic process used by the nurse to plan
for and provide patient care

Assessment
Diagnosis
Planning
Implementation
Evaluation

Psychosocial History - ANSWER-Occupational History

Education

Financial Background

Roles and Relationships

Family

Social Structures/ Emotional Concerns

,Self-Concept

Review of Body Systems - ANSWER-Skin, Nail, and Hair

Head, Neck, and Lymphatics

Eyes

Ears, Mouth, Nose and Throat

Respiratory

Breasts and Axillae

Cardiovascular

Peripheral Vascular

Abdomen

Male/Female Reproductive

Urinary

Musculoskeletal

Neurological

SBAR - ANSWER-S(Situation)B(Background)A(Assessment)R(Recommendation)

Commonly used guide of communication between team members in Health

Situation - ANSWER-Concern for Patient
Vital Signs
Code Status

Background - ANSWER-Patient Mental Status
Skin
On Oxygen or Not

Assessment in SBAR - ANSWER-What do I think the problem is?

Recommendation - ANSWER-Suggestion of Level of Care

Tests

, Treatment

Components of Wellness - ANSWER-physical, emotional, intellectual, spiritual, social,
environmental

Stages of Wellness - ANSWER-Primary
Secondary
Tertiary

Primary Stage of Prevention - ANSWER-interventions that occur to promote health and
well being before a problem occurs

Immunizations, etc


Diverstiy - ANSWER-The state of being different.

HIPAA - ANSWER-Health Insurance Portability and Accountability Act of 1996

only individuals involved in direct patient care are allowed to access the patients health
record

Why is Culture/diversity important in Nursing? - ANSWER-When Nurses understand
diversity, apply cultural and spiritual knowledge, and act in cultural and spiritually
competent ways, the can be more effective in assessing patients, developing culturally
and spiritually sensitive interventions, and influencing healthcare Policy and Practice.

Pain - ANSWER-A Highly unpleasant sensation that affects a person's senses and
emotion and is associated with real or potential tissue damage

Acute Pain - ANSWER-Pain that only lasts through the expected recovery of an illness,
injury or surgery, whether it has a sudden or slow onset and regardless of intensity.

Chronic Pain - ANSWER-Prolonged , usually reoccurring and persisting over 6 months
or longer.

Pain Rating Intensity Scale - ANSWER-Pain Scale from 0 to 10.

OLDCART & ICE - ANSWER-Onset
Location
Duration
Characteristics
Aggravating factors
Relieving factors
Treatment
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