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Health Assesment
| Question | Answer |
|---|---|
| What is diagnostic reasoning? | process of analyzing health data and drawing conclusions to identify diagnoses |
| What is the nursing process? | assessment, diagnosis, outcome identification, planning, implementation, and evaluation |
| What is a first level priority problem? | emergent, life threatening, immediate such as establishing airway or support breathing |
| What is a second level priority problem? | requiring your prompt intervention to forestall further deterioration (mental status change, acute pain, acute urinary elimination problems, untreated medical problems, abnormal lab values, risk of infection, risk to safety or security |
| What is a third level priority problem? | interventions to treat problems that are long term, and the response to treatment is expected to take more time |
| What are the five steps to evidence based practice? | ask the clinical question, acquire sources of evidence, appraise and synthesize evidence, apply relevant evidence in practice, assess the outcomes |
| What is a complete (total health) database? | includes a complete health history and full physical examination; describe the persons health status, perception of health, strengths or assets such as health maintenance behaviors, individual coping patterns, support systems, and curretny developmental t |
| What is a focused or problem centered database? | "mini" database; concerns mainly one problem, one cue complex or one body system; hx follows the direction of the presenting concern |
| What is a follow up database? | used to check the status of an identified problem |
| What is an emergency database? | urgent, rapid collection of crucial information and often is compiled concurrently with lifesaving measures |
| A patient was brought in with suspected substance overdose. Which database would you use for this patient? | emergency database |
| A patient who is new in town came to the office to set up a PCP in the area. Which database would you use for this patient? | complete database |
| A patient who was diagnose with heart failure comes to see their PCP to check the dosage of medications and improval in symptoms. Which database would you use for this patient? | follow up database |
| A patient comes to the ED 2 days s/p surgery and has a congested cough, SOB, and fatigue. Which database would you use for this patient? | focused or problem centered database |
| What would you assess in a pt using the holistic model of health? | lifestyle behaviors, culture and values, family and social roles, self care behaviors, job related stress, developmental tasks, and failures and frustrations of life |
| What is the guide to clinical preventive services? | an annually updated guide that presents evidence based recommendations on screening, counseling, and preventative topics and included clinical considerations for each topic |
| What is the emerging majority in the US? | hispanic |
| What is a limiting factor to immigrants receiving health care in the US? | minimal understanding of health care resources and how to navigate the health care system |
| What are the social determinants of health (SDOH)? | economic stability, education, social and community context, neighborhood and built environment and health and health care |
| What is culture? | a complex phenomenon that includes attitudes, beliefs, self definitions, norms, roles and values |
| What are the four basic characteristics of culture? | learned from birth through language acquisition and socialization, shared by all members of the same cultural group, adapted to specific conditions related to environmental and technical factors, dynamic and ever changing |
| What is ethnicity? | refers to a social group that may possess shared traits such as a common geographic origin, migratory status, religion, language, values, traditions or symbols and food preferences |
| what is acculturation? | process of adopting the culture and behavior of the majority culture |
| What are instrumental/ environmental dimensions of acculturative stress? | financial, language barriers, lack of access to health care, unemployment, lack of education |
| What are social/ interpersonal dimensions of acculturative stress? | loss of social networks, loss of social status, family conflict, family separation, inter generational conflict, changing gender roles |
| What are societal dimensions of acculturative stress? | discrimination/ stigma, level of acculturation, political/ historical forces, legal status |
| What is hypo pituitary dwarfism? | deficiency in growth hormone in children, delayed puberty, hypothyroidism, adrenal insufficiency |
| What is gigantism? | excessive secretion of growth hormone by the anterior pituitary results in overgrowth of the entire body; increased height and weight and delayed sexual development |
| What is acromegaly (hyperpitutarism)? | excessive secretion of growth hormone in adulthood after normal completion of body growth --> overgrowth in bones in face, head, hands and feet; internal organs enlarge, and metabolic disorder |
| What is achondroplastic dwarfism? | genetic disorder converting cartilage to bone; short arms and legs and short stature. Characterized by large head with frontal bossing, midface hypoplasis and thoracis kyphosis, lumbar lordosis |
| What is anorexia nervosa? | severe and life threatening weight loss; fanatic conern about weight, aversion to food, distoreted body image, starvation diets, frenetic exercise patterns, striving for perfection |
| What is endogenous obesity (cushing syndrome)? | excessive productive of ACTH; characterized by wt gain and edema with central trunk and cervical obestiy, round, plethoric face; causes muscle wasting, weakness, thin arms and legs, reduced ht and thin, fragile skin with purple abd stria, bruising, acne |
| What is Marfan syndrome? | connective tissue disorder, tall, thin stature, arachnodactyly, hyperextensible joints, arm span greater than height, pubis to sole measurements exceeding crown to pubis measurment, sternal deformity, high arched narrow palate, narrow face, and pes planus |
| What is hypotension |
Created by:
alenabritt
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