What are the steps in the nursing process? - assessment
Diagnosis
Outcome & planning
Implementation
Evaluation
What are four types of data? - 1. Complete (total health)- complete body data. 2. Focused or problem-centered data (single)
3. Follow up database
4. Emergency data base
Wh...
Holistic Health Exam Correctly Tackled
What are the steps in the nursing process? - ✅✅ assessment
Diagnosis
Outcome & planning
Implementation
Evaluation
What are four types of data? - ✅✅ 1. Complete (total health)- complete body
data. 2. Focused or problem-centered data (single)
3. Follow up database
4. Emergency data base
What is collected during a complete (total health) data? - ✅✅ complete health
history and a full physical examination. It describes the current and past health
state and forms a baseline. Yields first diagnosis
What is collected in a focused or problem centered database? - ✅✅ used for
limited or short term problems. "mini" database, smaller scope, and a more
targeted complete database. Concern is "one body system"
What is collected in an emergency database? - ✅✅ rapid collection of crucial
information and is often compiled with lifesaving measures.
What is intrapersonal communication? - ✅✅ self talk
What is interpersonal communication? - ✅✅ One on one talk with another
person.
What is transpersonal communication? - ✅✅ talking to others across disciplines
What is small group communication? - ✅✅ a huddle of people regardless of
discipline
What does SOLER mean? - ✅✅ S-sit facing patient
O- open stance
L-lean toward patient
E-establish and maintain eye contact
, R-relax
When should open-ended questions be asked? - ✅✅ to begin an interview, to
introduce a new section of questions, whenever the patient introduces a new topic
When should closed-ended questions be asked? - ✅✅ when specific information
is needed
When encountering confrontation, how should it be handled? - ✅✅ frame of
reference should shift from the patient's perspective to yours. Give honest feedback
about what you see and feel
What is the correct way to assess the abdomen? - ✅✅ inspection, auscultation,
palpation, (percussion?)
What is done in assessment? - ✅✅ cluster data, gathering data from subjective
and objective data.
What assessments are done when gathering objective data? - ✅✅ Inspection,
palpation, percussion, Auscultation
What is the highest priority in assessment? - ✅✅ Airway, breathing, circulation,
vital signs
What is the secondary priority when assessing a patient? - ✅✅ safety, security,
mental status, unrelated emergent, acute pain, infection
What is the third priority when assessing a patient? - ✅✅ non-urgent, long-term
intervention
What is orthostatic hypotension? - ✅✅ taking the blood pressure at different
positions (laying, sitting, standing). Decrease in 20 or greater between each bp. If
the blood pressure continues to drop until last phase, it is a positive test. If
negative, may mean the symptoms are from a different cause like vertigo.
What happens during a nursing diagnosis? - ✅✅ assessment of data-
organization and prioritizing.
-Actual vs potential risk
-Collaborative medical and nursing interventions
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