1. Airway - Answers - Airwflow flow through the upper respiratory system
- Patient can talk comfortably with no SOB
- Breathing is silent but evident
- Colour of the patient can be a cue to obstruction
1. Behavioural - Answers - Focuses on lifestyle and behaviours at the individual level
- Ex- behavioural health promotion strategies could include healthy eating, smoking cessation,
reducing alcohol consumption, or exercise programs.
- This approach to health promotion is based on the ideology of choice
- An RN working in a diabetic clinic offers educational sessions to clients with Type II Diabetes
on healthy eating to promote balanced blood sugar levels.
This is considered a behavioural approach because it focuses on the behavior of the individual
with no consideration of context.
- Example, this approach does not consider contextual factors such as whether the client has
access to healthy food.
1. healthy child development - Answers Assessment of health child focuses on the physical,
cognitive, and emotional development of the child and whether its needs are being met
1. Inspection - Answers - Involves your visual sense to observe the client
- always complete this first because its less invasive
- observation begins as soon as the patient walks in the room and ends when the patient leaves
* Body position and posture
* Gait
* Skin
* behaviour
* Dress and hygiene
- Inspect client overall and then specific body areas and body systems to focus your
assessment
2. Breathing - Answers -Measure respiratory rate
, - Evaluate work of breathing
-Measure oxygen saturation
2. Lifelong Learning - Answers Involves personal and professional pursuit of knowledge. It can
involve developing job skills and improving employability.
2. Palpation - Answers - Involves your sense of touch to physically feel areas of the body
- Using your hands/fingers to assess client based on sensation of touch
- Be aware of permission to touch and warmth of your hands
- Bilateral comparison
- Note normal and abnormal findings
1. Temperature ( use dorsal surface of you own hands to assess temp of skin
2. Use fingertips to assess (texture- the smoothness or roughness of surface)
- Thickness refers to how thin or thick an object is
- Moisture (refers to the amount of wetness/liquid on a surface
- Swelling/masses are often assessed using your fingertips ( always assess a painful area last)
- Pulsatitly is feeling the patients pulse
- crepitus is when air becomes trapped in the tissue of the chest neck area
- Crepitation is the grating or crunching sound or sensation felt or heard over joints
3. Absence of racism and discrimitiantion; associated with culture, gender, and sexual
orientation - Answers - Can negatively affect a person's health and well-being. Observe the
presences of these and see how it can affect them
3. Circulation - Answers Palpate (pulse rate and rhythm
Measure (blood pressure)
Assess ( urine output)
3. Percussion - Answers - Involves a combination of touching and hearing but your focus is on
hearing sounds when tapping areas
- sounds determined by consistency of underlying structure
1. air filled