American Nurses ANA 4 broad goals - Answers 1. promote health
2. prevent illness
3. treat human responses
health assessment tracks - Answers patient improvement
is continuous
Health Assessment includes - Answers Health history; physical assessment
Additional necessary factors assessed
Psychological; sociocultural; spiritual; economic; lifestyle
nursing process begins with - Answers a complete and accurate health assessment
ADPIE - Nursing Process - Answers Assessment
Diagnosis
Planning
Implementation
Evaluation
Nontherapeutic Communication Techniques - Answers false reassurance, sympathy, distractions, etc
preinteraction phase - Answers compiling existing data; preparing for patient interview from existing
medical records
beginning phase - Answers introduction; state purpose for interview
working phase of interview - Answers -Data-gathering phase
-Verbal skills include questions to patient and your responses to what is said
closing phase - Answers summarizing, stating most important two to three problems or patterns
inspection - Answers observing patient visually for general appearance or specific details
palpation - Answers clinical touching of specific body areas to assess characteristics
percussion - Answers tapping on a surface to determine the difference in the density of the
underlying structure
Auscultation - Answers using a stethoscope to assess movement of air or fluid within specific body
systems
deep palpation should not be performed on - Answers enlarged spleen
inflamed appendix
contact transmission of hep to pt is most common form of transmission because - Answers
microorganisms from one pt is spread to another pt
Quality Assurance - Answers The maintenance of a desired level of quality in a service or product,
agency reviewing
patient medical records can be used in - Answers civil or criminal court
eMAR - Answers electronic medication administration record
electronic patient medical records increases - Answers safety
batch charting - Answers Waiting until the end of the shift to record events on several patients NOT
GOOD
general survey begins during - Answers interview phase of health assessment
vital signs establishes a - Answers baseline bitch
sinus arythmia - Answers when you note when heart rate increases in inspiration and decreases with
expiration.
Hypertention risk factors - Answers family history
high cholesterol
high triglycerides
obesity
smoking/alcohol
renal disease
stress
gate control theory of pain - Answers body responds to pain by either:
opening a neural gate to allow pain to be produced
or
creating a blocking effect at the synaptic junction to stop pain
Steps in pain transmission - Answers 1. gate opens due to continued painful stimulus
2. pain passes from PNS to CNS