HESI ADULT HEALTH 2
Acculturation - ANSWER the process of adapting to acquiring another culture
Assimilation - ANSWER the process by which a person develops a new cultural identity
and becomes like the members of the dominant culture
Ethnicity - ANSWER Describes a group united by
Common geographic origin
Migratory status
Religion
Race
Language
Shared values, traditions, or symbols
Food preferences
Magicoreligious - ANSWER Supernatural forces dominate. The fate of the world and
those in it depends on the actions of these forces. Voodoo, Witchcraft, Santeria
Respect Module - ANSWER Heritage Assessment:
Realize - Must know your own heritage, cultural values, bias, health beliefs and
practices
Examine- Within patient's own cultural context
Select- Appropriate questions
Pace- questions
Encourage- discussion
Check- understanding
Touch- within appropriate cultural boundaries
Working Phase - ANSWER Open-ended questions
Closed or direct questions
Part of interview
Reflection: - ANSWER Repeating part of the patient's statement.
Empathy - ANSWER Naming a patient's feeling and encouraging him or her to discuss
it.
Interpretation: - ANSWER Making associations or implying cause and effect.
Explanation - ANSWER Sharing information with the patient
,Symptom - ANSWER Subjective
Sign - ANSWER Objective abnormality
Detectable on physical exam or in laboratory reports
Reason for Seeking Care: - ANSWER "chief complaint."
PQRST - ANSWER P: Provocative or palliative
Q: Quality or quantity
R: Region or radiation
S: Severity scale
T: Timing
U: Understand patient's perception
Spiritual resources - ANSWER faith, influence, community, address.
ADLs - ANSWER Activities of daily living.
CAGE - ANSWER Cut
Annoyed
Guilty
Eye opener
(TWO)
IPV - ANSWER Intimate partner violence: Begin with the following: "How are things at
home" and "Do you feel safe?" Progress to the following: "Have you ever been
emotionally or physically abused by your partner or someone important to you?" "Within
the last year, have you been hit, slapped, kicked, pushed or shoved, or otherwise
physically hurt by your partner or ex-partner?" "Does your partner ever force you into
having sex?" "Are you afraid of your partner or ex-partner?"
Pack Year - ANSWER Number of pack-years = (packs smoked per day) × (years as a
smoker)
or
Number of pack-years = (number of cigarettes smoked per day/20) × number of years
smoked. (1 pack has 20 cigarettes)
For example: a person who has smoked 15 cigarettes a day for 40 years has a (15/20)
x 40 = 30 pack-year smoking history.
HEEADSSS - ANSWER Developmental Care
, (Home, Education/Employment, Eating, Activities, Drugs, Sexuality, Suicide
Depression, Safety)
Main components of a mental status assessment - ANSWER A—Appearance
B—Behavior
C—Cognition
T—Thought processes
Binge Drinking - ANSWER Binge drinking defined as consuming five drinks or more in
single occasion in past 30 days.
MiniMental State - ANSWER Orientation
Registration
Attention and calculation
Recall
Language
Concentrates only on cognitive functioning, not on mood or though processes. 11
questions takes 5 to 10 minutes to complete. Good screening tool to detect dementia
and delirium. Normal score is 27. Scores between 24-30: no cognitive impairment.
Scores below 24 cognitive impairment present
Four levels of anxiety - ANSWER mild Learning occurs in mild anxiety.
, moderate, severe, and panic.
Two phases of alcohol withdrawal - ANSWER syndrome (AWS): alcohol withdrawal and
alcohol withdrawal delirium or delirium tremens (DT)
Lethargic: - ANSWER Drifts off to sleep when not stimulated.
Obtunded - ANSWER Sleeping most of the time, difficult to arouse.
Stupor: - ANSWER Responds only to persistent or vigorous shake or pain.
Coma - ANSWER No response to pain, ranges from "light coma" with some reflex
action to "deep coma" which includes no motor activity.
Screening AAS - ANSWER All women over the age of 14 years
Primary care: every visit
Physical Examination Skills - ANSWER Inspection
Palpation
Percussion
Auscultation
Acculturation - ANSWER the process of adapting to acquiring another culture
Assimilation - ANSWER the process by which a person develops a new cultural identity
and becomes like the members of the dominant culture
Ethnicity - ANSWER Describes a group united by
Common geographic origin
Migratory status
Religion
Race
Language
Shared values, traditions, or symbols
Food preferences
Magicoreligious - ANSWER Supernatural forces dominate. The fate of the world and
those in it depends on the actions of these forces. Voodoo, Witchcraft, Santeria
Respect Module - ANSWER Heritage Assessment:
Realize - Must know your own heritage, cultural values, bias, health beliefs and
practices
Examine- Within patient's own cultural context
Select- Appropriate questions
Pace- questions
Encourage- discussion
Check- understanding
Touch- within appropriate cultural boundaries
Working Phase - ANSWER Open-ended questions
Closed or direct questions
Part of interview
Reflection: - ANSWER Repeating part of the patient's statement.
Empathy - ANSWER Naming a patient's feeling and encouraging him or her to discuss
it.
Interpretation: - ANSWER Making associations or implying cause and effect.
Explanation - ANSWER Sharing information with the patient
,Symptom - ANSWER Subjective
Sign - ANSWER Objective abnormality
Detectable on physical exam or in laboratory reports
Reason for Seeking Care: - ANSWER "chief complaint."
PQRST - ANSWER P: Provocative or palliative
Q: Quality or quantity
R: Region or radiation
S: Severity scale
T: Timing
U: Understand patient's perception
Spiritual resources - ANSWER faith, influence, community, address.
ADLs - ANSWER Activities of daily living.
CAGE - ANSWER Cut
Annoyed
Guilty
Eye opener
(TWO)
IPV - ANSWER Intimate partner violence: Begin with the following: "How are things at
home" and "Do you feel safe?" Progress to the following: "Have you ever been
emotionally or physically abused by your partner or someone important to you?" "Within
the last year, have you been hit, slapped, kicked, pushed or shoved, or otherwise
physically hurt by your partner or ex-partner?" "Does your partner ever force you into
having sex?" "Are you afraid of your partner or ex-partner?"
Pack Year - ANSWER Number of pack-years = (packs smoked per day) × (years as a
smoker)
or
Number of pack-years = (number of cigarettes smoked per day/20) × number of years
smoked. (1 pack has 20 cigarettes)
For example: a person who has smoked 15 cigarettes a day for 40 years has a (15/20)
x 40 = 30 pack-year smoking history.
HEEADSSS - ANSWER Developmental Care
, (Home, Education/Employment, Eating, Activities, Drugs, Sexuality, Suicide
Depression, Safety)
Main components of a mental status assessment - ANSWER A—Appearance
B—Behavior
C—Cognition
T—Thought processes
Binge Drinking - ANSWER Binge drinking defined as consuming five drinks or more in
single occasion in past 30 days.
MiniMental State - ANSWER Orientation
Registration
Attention and calculation
Recall
Language
Concentrates only on cognitive functioning, not on mood or though processes. 11
questions takes 5 to 10 minutes to complete. Good screening tool to detect dementia
and delirium. Normal score is 27. Scores between 24-30: no cognitive impairment.
Scores below 24 cognitive impairment present
Four levels of anxiety - ANSWER mild Learning occurs in mild anxiety.
, moderate, severe, and panic.
Two phases of alcohol withdrawal - ANSWER syndrome (AWS): alcohol withdrawal and
alcohol withdrawal delirium or delirium tremens (DT)
Lethargic: - ANSWER Drifts off to sleep when not stimulated.
Obtunded - ANSWER Sleeping most of the time, difficult to arouse.
Stupor: - ANSWER Responds only to persistent or vigorous shake or pain.
Coma - ANSWER No response to pain, ranges from "light coma" with some reflex
action to "deep coma" which includes no motor activity.
Screening AAS - ANSWER All women over the age of 14 years
Primary care: every visit
Physical Examination Skills - ANSWER Inspection
Palpation
Percussion
Auscultation
