UNCG Nursing 220 Test 1 (Questions + Answers) Solved
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Course
UNCG Nursing 220
Institution
UNCG Nursing 220
nurse determines _______ in Interview - ️️- How does the patient define health
- Beliefs about attaining and maintaining health
- View of responsibility for health, health behaviors currently practiced, and unhealthy
behaviors practiced by patients they are willing to change
Hea Level of Co...
UNCG Nursing 220 Test 1
nurse determines _______ in Interview - ✔️✔️- How does the patient define health
- Beliefs about attaining and maintaining health
- View of responsibility for health, health behaviors currently practiced, and unhealthy
behaviors practiced by patients they are willing to change
Hea Level of Consciousness assessment (AVPU) - ✔️✔️A. patient is Awake
V. patient responds to Verbal stimulus
P. patient responds to Painful stimulus (sternal rub)
U. patient is completely Unresponsive
Primary components of Health Assessment - ✔️✔️1. History (Subjective)
2. Physical Examination (Objective)
3. Documentation of data
4. Develop a plan of care
Symptom - ✔️✔️What the patient feels/ communicates (Subjective)
Sign - ✔️✔️Clinical Findings during physical exam (Objective)
Comprehensive Health Assessment - ✔️✔️All-inclusive, encompasses past and
present health problems
Problem Based Health Assessment - ✔️✔️History and Physical Exam limited to a
specific problem or complaint
Episodic/ Follow up Assessment - ✔️✔️returning to see the physician for a follow up
appt.
Screening Assessment - ✔️✔️Focused on disease detection
Data organization - ✔️✔️can be based on Body System format or Conceptual Format
Health Promotion - ✔️✔️Patient Already has the Illness
, Behavior is motivated by a desire to increase well-being and actualize health potential
Health Protection - ✔️✔️Behavior motivated by a desire to actively avoid illness, detect
it early, or maintain functioning within its constraints.
Primary Health Promotion - ✔️✔️preventing disease from developing through
promoting healthy lifestyle
ex. immunizations, nutrition, exercise
Secondary Health Promotion - ✔️✔️screening efforts to promote early detection of
disease
Tertiary Health Promotion - ✔️✔️minimizing disability from acute or chronic illness or
injury and allowing for most productive life within limitations
Inspection - ✔️✔️-Visual examination of the body including movement, posture, and
smell
- Inspect each area for size, shape, color, symmetry, position, and abnormality
- smell included
Palpation - ✔️✔️- use hands to feel the texture, size, shape, consistency, and location,
of certain parts, and identify painful or tender areas
- State purpose and location of touching
- wear gloves if contact with body fluids is possible
Palmar surface - ✔️✔️- determines position, texture, size, consistency, masses, fluid,
and crepitus
- Most sensitive to vibration
Dorsal Surface - ✔️✔️- Best for temperature
Light palpation - ✔️✔️1-2 cm
Deep palpation - ✔️✔️4 cm
percussion evaluates - ✔️✔️- Size, borders, and consistency of internal organs
- Locate masses
- Detect tenderness
- determine the extent of fluid in a body cavity
Percussion Tone Tympathy - ✔️✔️loud, high-pitched sound over abdomen
Percussion Tone Resonance - ✔️✔️Heard over normal lungs
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