NURS 251 Final Exam
axillary lymph nodes - ANS central axillary nodes
pectoral
subscapular
lateral
flow is UPWARD
inguinal lymph nodes - ANS located in the inguinal area of the lower abdomen, can be
NORMAL to palpate isolate node
testicular self exam - ANS 1x/month, starting @ 13-14 years old, goal of early detection of
testicular cancer
T - ANS timing, 1x/month
S - ANS shower, relaxes scrotum
E - ANS examine, looking for changes in consistency
Testicular Cancer age group - ANS 15-35 y/o
Breast Self Exam - ANS BSE, lie down press 3 middle fingers in a circular motion using 3 levels
of pressure, follow an UP & DOWN pattern, hold hand on hips and shrug shoulder to look for
surface changes
Time and place BSE - ANS 1x/month, BEST after period in shower
Modifiable risk factors for breast cancer - ANS alcohol use
decreased physical activity
postmenopausal weight gain
non-modifiable risk factors for breast cancer - ANS 1st degree relative (daughter, sister, mother)
Hormones taken for more than 5 years
h/o early period before 12 y/o
h/o late menopause, after 55 years
prostate - ANS secretes a fluid rich in fructose, nourishes sperm
lies in front of anterior wall of rectum
normal prostate - ANS smooth, elastic, rubbery structure with a central sulcus depression
,firm - ANS the prostate should not feel ______
benign prostatic hypertrophy - ANS present in 80% of men over 60, gland commonly stars to
enlarge during middle adult years and increases with age
prostate cancer - ANS most frequently diagnosed cancer in men, increased risk with African
ancestry, FMH
menopause - ANS the time of natural cessation of menstruation; also refers to the biological
changes a woman experiences as her ability to reproduce declines
bio changes from menopause - ANS uterus drops, pelvic musculature weakens, cervix shrinks,
vagina becomes shorter, narrower, less elastic, atrophy of breast tissue, decrease in vaginal
secretions
components of a health history - ANS biographical data
reason for seeking care
h/o present illness
PMH
Family MH
Review of systems
Functional Assessments
biographic data - ANS name, age, gender, relationship status, ethnic origin, occupation,
language
reason for seeking care - ANS brief description from the patient, symptoms
symptoms - ANS subjective , sensation that the person feels and reports
signs - ANS objective data, abnormality collected through physical exam or diagnostic tests
history of present illness - ANS PQRST
COLDSPA
PQRST - ANS provocative/palliative, quality, region/radiation, severity, timing
past medical history - ANS diagnoses, past illness
family history - ANS genogram, patient risk factors
review of system - ANS review each system and evaluate health promotion activities
, functional assessment - ANS measures a person's self-care ability in the areas of general
physical health (life style type, living environment, FICA, self-concept, self-esteem, activity,
exercise, sleep/rest, nutrition, coping stress)
subjective data - ANS what the person says about himself or herself during history taking
(symptoms)
objective data - ANS what you as the health professional observe by inspecting, percussing,
palpating, auscultating during the physical exam (signs)
Accurate data - ANS the goal of assessment is to collect
complete health history - ANS baseline, total health history and full physical examination
describing current and past health state
focused health history - ANS problem centered, limited, targeted, mainly 1 problem or 1 body
system
episodic health history - ANS urgent rapid collection of data with life saving measures, limited to
go through everything
facilitation - ANS general leads, encourages the patient to say more, mmhmm-go on
silence - ANS communicates that the client has time to think, don't fidget, count to 10
reflection - ANS echoes client's words by repeating part of what they said, help express and
discover underlying meaning
empathy - ANS names a feeling and allows its expression
clarification - ANS when someone's word choice is vague, summarize to make sure you're on
the right track
confrontation - ANS clarifying inconsistent information, when the pt. contradicts themselves
interpretation - ANS links events, making associations
explanation - ANS informing, sharing factual and objective information
summary - ANS review facts, allow patient to make corrections
evidence-based practice - ANS all patients deserve to be treated with the most current and best
practice techniques