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28 Cards in this Set

  • Front
  • Back
Within cultures, groups of people share different beliefs, values, and attitudes
Subcultural
Microscopic organisms such as bacteria and viruses are responsible for specific disease conditions
Germ Theory
Documents a dysfunction and determines how that dysfunction affects self-care in everyday life
Purpose of a Mental Assessment

-Collect subjective data


-Provides a complete picture of past and present health


-Describes individual as a whole and how they interact with the environment


-Records health strengths and coping skills

Purpose of Health history

ACRONYM


W, I, T, L, w/ P, D, Au frm Av, G, F

Ten traps of Interviewing
Respect, Feel validated, be honest, stay in character, use icebreakers, explains every step, short & simple questions, avoid silent periods and reflection, use pos reinforcement and early intervention
Interviewing the Adolescent
ABCs plus V

First level priorities:


Airway


Breathing


Cardiac/Circulation


Vital Signs (high fever)

Emergent, life threatening and immediate
First level priorities

Next in urgency:


Mental Status, Acute pain, Abnormal lab values, risks of infection, security, or safety

Second level priorities
Important but can be addressed after more urgent problems
Third level priorities
The force flares the arterial walls and generates a pressure wave
Pulse
Normal Pulse rate
50-90 b/m
bradycardia
<50 b/m
trachycardia
>90 b/m
What is hypertension and what are the stages?

Abnormally high BP


Normal: 120/80 mmHg


Prehypertension: 120-139/80-89 mmHg


Stage 1: 140-159/90-99 mmHg


Stage 2: >160/>100 mmHg

Hypotension

abnormally low BP


<95/60 mmHg

After open-ended questions, give patient time to think and organize thoughts without interruption
Silence
Feeling of care and concern for someone. Does not involve shared perspective/emotions.
Sympathy
Viewing the world from the other person's point of view. Understand with the person how he/she perceives the world
Empathy

Assessment


Diagnosis


Outcome Identification


Planning


Implementation


Evaluation

Six steps of Nursing Process
Listening to sounds produced by the body (heart and blood vessels, lungs and abdomen)
Auscultation
Tapping the person's skin with short, sharp strokes to assess underlying structures
Percussion
Sense of touch using fingertips, grasping with fingers and thumb, dorsa of hands and fingers, base of fingers
Palpation
The collection of data about the individuals health state
Assessment
Order of assessment
Inspection, Palpation, Percussion, Auscultation

What's the difference between subjective and objective?
what the patient tells you vs what you observe
Clustering related cues

See relationship in the data



Relevant vs. Irrelevant
cluster data then determine which is important for the health problem