what is subjective data? data the patient tells you
what are symptoms? something the client feels
what are signs? observable findings
what is objective data what you observe and can measure
determination about a client's health status
what is clinical judgement?
deciding their capacity to engage in care and whether action should be taken o
what is clinical reasoning? the thinking process by which a nurse reaches a clinical judgement
what is clinical deterioration? a worsening clinical state related to physiological decompensation
what are priorities of care? what actions are most important to take first, and which can follow
self-actualization
esteem
what are the levels of maslow's hierachy of
social
needs from top to bottom
security
physiological
,what are the levels of priority of care? first, second, third
what is first level priority of care? problems that reflect critical findings & require urgent action
problems that may lead to clinical deterioration / may become life threatening
what is second level priority of care?
requires prompt action
problems that are not acute in nature
what is third level priority of care?
not urgent & can wait until the client is stable
effective
ineffective
what are the four types of interventions?
unrelated
contraindicated
primary survey
focussed assessment
what are the types of health assessments?
head to toe assessment
complete health assessment
,what are the components of a primary ABCDE (Airway, breathing, circulation, disability and exposure)
survey?
what does D stand for in ABCDE (primary disability - level of consciousness, speech, pain
survey)? what does it mean?
what does E stand for in ABCDE (primary exposure - temperature, skin integrity, ability to transfer, wounds, etc
survey)? what does it mean?
what is a focussed assessment? specific to a health concern / reason for seeking care
assesses several body systems & provides an overview of the client's current he
what is a head to toe assessment?
status
what does a cephalocaudal approach head to toe
mean?
what is a complete health assessment? subjective & objective assessment of all body systems; comprehensive
alert & oriented
confused & disoriented
what are the five levels of consciousness? lethargic
obtunded
unconscious
, what does lethargic mean (level of slow to arouse to stimuli or questions, sleepy
consciousness)?
what does obtunded mean (level of significant impairment to level of consciousness; without stimuli they immediate
consciousness)? return to sleep
by asking them about:
how do you assess someone's level of place
orientation? time
person
self
strategies that enable people/communities to increase control over & improve t
what is health promotion?
health
behavioural
what are the three types of health
relational
promotion?
structural
what is behavioural health promotion? focus on lifestyles & behaviours on an individual level
what is relational health promotion? emphasizes social change at the relational level
what is structural health promotion? addresses policies & practices that affect health at a broader community level
what is hyperthermia? elevated body temperature
what are symptoms? something the client feels
what are signs? observable findings
what is objective data what you observe and can measure
determination about a client's health status
what is clinical judgement?
deciding their capacity to engage in care and whether action should be taken o
what is clinical reasoning? the thinking process by which a nurse reaches a clinical judgement
what is clinical deterioration? a worsening clinical state related to physiological decompensation
what are priorities of care? what actions are most important to take first, and which can follow
self-actualization
esteem
what are the levels of maslow's hierachy of
social
needs from top to bottom
security
physiological
,what are the levels of priority of care? first, second, third
what is first level priority of care? problems that reflect critical findings & require urgent action
problems that may lead to clinical deterioration / may become life threatening
what is second level priority of care?
requires prompt action
problems that are not acute in nature
what is third level priority of care?
not urgent & can wait until the client is stable
effective
ineffective
what are the four types of interventions?
unrelated
contraindicated
primary survey
focussed assessment
what are the types of health assessments?
head to toe assessment
complete health assessment
,what are the components of a primary ABCDE (Airway, breathing, circulation, disability and exposure)
survey?
what does D stand for in ABCDE (primary disability - level of consciousness, speech, pain
survey)? what does it mean?
what does E stand for in ABCDE (primary exposure - temperature, skin integrity, ability to transfer, wounds, etc
survey)? what does it mean?
what is a focussed assessment? specific to a health concern / reason for seeking care
assesses several body systems & provides an overview of the client's current he
what is a head to toe assessment?
status
what does a cephalocaudal approach head to toe
mean?
what is a complete health assessment? subjective & objective assessment of all body systems; comprehensive
alert & oriented
confused & disoriented
what are the five levels of consciousness? lethargic
obtunded
unconscious
, what does lethargic mean (level of slow to arouse to stimuli or questions, sleepy
consciousness)?
what does obtunded mean (level of significant impairment to level of consciousness; without stimuli they immediate
consciousness)? return to sleep
by asking them about:
how do you assess someone's level of place
orientation? time
person
self
strategies that enable people/communities to increase control over & improve t
what is health promotion?
health
behavioural
what are the three types of health
relational
promotion?
structural
what is behavioural health promotion? focus on lifestyles & behaviours on an individual level
what is relational health promotion? emphasizes social change at the relational level
what is structural health promotion? addresses policies & practices that affect health at a broader community level
what is hyperthermia? elevated body temperature
