Functional Health Assessment 5 Components - answers-self-care ability; ability to
perform ADLs; skills needed for independent living; social relationships, self-
concept, coping; home environment.
ADLs (activities of daily living) - answers-basic self-care activities
Review of Systems (ROS) - answers-A systematic approach for collecting the
patient's self-reported data on all body systems.
ABCDE - answers-A: airway B: breathing C: circulation D: disability (LOC, pupils,
and movement) E: exposure
Hand Hygeine - answers-most important action to prevent infection; implemented
prior to contact, after contact, after removal of gloves, and prior to invasive
procedures
Using Gloves - answers-1. reduce the risk of infection from patient
2. prevent transmission of flora from HCW to patients
3. reduce transient contamination of the hands of personnel by flora that can be
transmittted from patient to patient
Wear gloves when - answers-touching blood, fluids, secretions, excretions, and
contaminted items; new gloves when touching nonintact skin or mucous
membranes
4 goals of nursing - answers-promote health, prevent illness, diagnose and treat
human responses to health or illness, advocate for individuals, families,
communities, and populations
,Scope and Standards of Practice - answers-describes nursing duties and works in
tandem with the nursing process; includes assessment, diagnosis, outcome
identification, planning, implentation, and evaluation
Code of Ethics for Nurses - answers-focuses on the conscience of the nurse and
respect for the individual
Care Responsibilities of Nurses - answers-direct care to help restore health for ill
patients; focus on how diseases affect activity levels and abilities to perform
tasks and how patients cope with health issues
Managing Care of Patients - answers-nurses communicate findings to appropriate
people and document data to share information and identify trends
Nursing Advocates - answers-when a nurse takes the responsibility to protect the
legal and ethical rights of patients
Nursing Values - answers-respect, unity, diversity, integrity, excellence
Advanced Practice Registered Nurse (APRN) - answers-an RN who has achieved a
BSN and a minimum of a master of science; includes NP, CRNA, CNM, and CNS
What do nurses assess for? - answers-nutrition, fitness, mental health, safety,
and stress
Wellness - answers-maximum well-being; highest level of health
Illness - answers-separate short or long events that challenge a person's desire
for health; signs and symptoms of disease
, "Healthy People" - answers-a nationwide health promotion and disease prevention
plan designed to serve as a guide for improving the health of all people in the
United States; focus areas: physical activity, substance use, tobacco use
Primary Prevention - answers-aimed at health promotion includes health
education programs, immunizations, safety precautions, and nutrition counseling;
prevent
Secondary Prevention - answers-Early diagnosis and prompt treatment to prevent
complications; vision/hearing screening, PAP smear, BP screening, TB skin test
Tertiary Prevention - answers-preventing complications of an existing disease
and promoting health; diet teaching and exercise programs
Health Assessment - answers-Gathering information about the health status of
the patient, analyzing and synthesizing those data, making judgments about
nursing interventions based on the findings and evaluating patient care outcomes;
includes health history and physical assessment; also assess psychological,
sociocultural, spiritual
Nursing Process: Assessment - answers-Systematic and continuous collection,
analysis, validation, and communication of patient data
Nursing Process: Diagnose - answers-providing the basis for selection of nursing
interventions to achieve outcomes for which the nurse is accountable; may
identify actual problems, risk for developing problems, and possible difficulties;
data clustering to determine a patient's condition; use NANDA