NSG-316 Exam 1
Study online at https://quizlet.com/_9c3rai
1. Describe the ele- -physical appearance (age, sex, consciousness, skin color, facial features, signs of
ments of a gener- distress)
al survey -body structure (stature, nutrition, symmetry, posture, position, build, deformi-
ties)
-mobility (gait, involuntary movements)
-behavior (expression, mood, speech, dress, hygiene)
PBMB
2. when should you the second you see the client
begin observing
3. health assess- collection of data about the patient's health state
ment
4. complete data- full health history and physical examination (family practice)
base
5. episodic data- limited or short term problem
base concerns 1 problem or complex or system (urgent care)
6. follow-up data- status of pervious problem at regular scheduled intervals (doctors office)
base
7. emergency data- rapid collection of data (ER)
base
8. comprehensive health history and complete physical examination, usually conducted when a
assessment patient first enters a health care setting
9. focused assess- assessment conducted to assess a specific problem; focuses on pertinent history
ment and body regions
10. subjective data what the person says about himself or herself during history taking
, NSG-316 Exam 1
Study online at https://quizlet.com/_9c3rai
11. objective data information that is seen, heard, felt, or smelled by an observer; signs
12. first level priority Emergent, life threatening, and immediate (ABCs)
13. second level pri- Next in urgency, requiring attention so as to avoid further deterioration
ority
14. third level priori- Important to patient's health but can be addressed after more urgent problems
ty are addressed
15. functional as- -basis for care planning, goal setting, and discharge planning
sessment com- -self care (ADLs)
ponents -self maintenance (IADLs)
-physical mobility
16. collecting subjec- information about health problem
tive data for the
ill person
17. obtaining an ac- -subjective data
curate and cur- -biographical data (name,DOB,sex,race,ethnic origin)
rent health histo- -source of history (themselves or family?)
ry -reason for seeking care (signs/symptoms)
-present health/illness (location, severity, timing, setting, relieving factors)
-past health (childhood illness, hospitalizations, operations, immunizations, aller-
gies, current meds)
-family history
-review of systems
-functional assessment (ADLs, IADLs, AADLs)
18. cultural compe- An understanding of how a patient's cultural background shapes his beliefs,
tence values, and expectations for therapy; established through knowing your own
culture first
, NSG-316 Exam 1
Study online at https://quizlet.com/_9c3rai
19. inspection -begins when you first see the patient
-first examine as a whole and then systems
-good lighting, exposure, and instruments
20. palpation -examine by touch
-doctor does this, if nurses do this it will be light
-fingertips (skin texture, swelling, pulsation, lumps)
-fingers/thumb (position, shape, consistency of organ/mass)
-dorsa of hand/fingers (temperature)
-base of fingers (vibration)
21. direct percussion striking hand directly contacts body wall
22. indirect percus- using both hands, striking hand contacts stationary hand fixed on patient's skin
sion
23. Auscultation -listening to body sounds
-bell (low-frequency sounds: extra heart sounds or murmurs)
-diaphragm (high-frequency sounds: breaths, bowels, normal heart sounds)
24. acute pain -short term
-fast onset
-predictable trajectory
-goes away after injury heals
25. incident acute happens with movement
pain
26. chronic pain -lasts 6 months or longer
-slow onset
-malignant
-nonmalignant (arthritis, fibromyalgia, low back pain)
Study online at https://quizlet.com/_9c3rai
1. Describe the ele- -physical appearance (age, sex, consciousness, skin color, facial features, signs of
ments of a gener- distress)
al survey -body structure (stature, nutrition, symmetry, posture, position, build, deformi-
ties)
-mobility (gait, involuntary movements)
-behavior (expression, mood, speech, dress, hygiene)
PBMB
2. when should you the second you see the client
begin observing
3. health assess- collection of data about the patient's health state
ment
4. complete data- full health history and physical examination (family practice)
base
5. episodic data- limited or short term problem
base concerns 1 problem or complex or system (urgent care)
6. follow-up data- status of pervious problem at regular scheduled intervals (doctors office)
base
7. emergency data- rapid collection of data (ER)
base
8. comprehensive health history and complete physical examination, usually conducted when a
assessment patient first enters a health care setting
9. focused assess- assessment conducted to assess a specific problem; focuses on pertinent history
ment and body regions
10. subjective data what the person says about himself or herself during history taking
, NSG-316 Exam 1
Study online at https://quizlet.com/_9c3rai
11. objective data information that is seen, heard, felt, or smelled by an observer; signs
12. first level priority Emergent, life threatening, and immediate (ABCs)
13. second level pri- Next in urgency, requiring attention so as to avoid further deterioration
ority
14. third level priori- Important to patient's health but can be addressed after more urgent problems
ty are addressed
15. functional as- -basis for care planning, goal setting, and discharge planning
sessment com- -self care (ADLs)
ponents -self maintenance (IADLs)
-physical mobility
16. collecting subjec- information about health problem
tive data for the
ill person
17. obtaining an ac- -subjective data
curate and cur- -biographical data (name,DOB,sex,race,ethnic origin)
rent health histo- -source of history (themselves or family?)
ry -reason for seeking care (signs/symptoms)
-present health/illness (location, severity, timing, setting, relieving factors)
-past health (childhood illness, hospitalizations, operations, immunizations, aller-
gies, current meds)
-family history
-review of systems
-functional assessment (ADLs, IADLs, AADLs)
18. cultural compe- An understanding of how a patient's cultural background shapes his beliefs,
tence values, and expectations for therapy; established through knowing your own
culture first
, NSG-316 Exam 1
Study online at https://quizlet.com/_9c3rai
19. inspection -begins when you first see the patient
-first examine as a whole and then systems
-good lighting, exposure, and instruments
20. palpation -examine by touch
-doctor does this, if nurses do this it will be light
-fingertips (skin texture, swelling, pulsation, lumps)
-fingers/thumb (position, shape, consistency of organ/mass)
-dorsa of hand/fingers (temperature)
-base of fingers (vibration)
21. direct percussion striking hand directly contacts body wall
22. indirect percus- using both hands, striking hand contacts stationary hand fixed on patient's skin
sion
23. Auscultation -listening to body sounds
-bell (low-frequency sounds: extra heart sounds or murmurs)
-diaphragm (high-frequency sounds: breaths, bowels, normal heart sounds)
24. acute pain -short term
-fast onset
-predictable trajectory
-goes away after injury heals
25. incident acute happens with movement
pain
26. chronic pain -lasts 6 months or longer
-slow onset
-malignant
-nonmalignant (arthritis, fibromyalgia, low back pain)
