NUR 230 Test 1 study guide
NUR 230 Test 1 study guide NUR 230
Popular in Health Appraisal Across the Lifespan
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HSC 180 - 1
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This 10 page Study Guide was uploaded by Issy Notetaker on Sunday September 13, 2015. The Study Guide belongs to NUR 230 at Ball State University taught by Marjorie Pyron in Fall 2015. Since its upload, it has received 396 views. For similar materials see Health Appraisal Across the Lifespan in Nursing and Health Sciences at Ball State University.
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Date Created: 09/13/15
Chapter 1 Assessment begins on rst encounter and is continuous 0 Data is subjective and objective Know difference 0 Note clues pt is giving you collect all data and form a database to create a hypothesis to create diagnosis Critical thinking is used throughout the Nursing process and allows nurses to move back and forth between each step 0 Use ever changing data 0 Include other discipline 0 Create priorities Know what is included in rst level second level and third level 0 Create goals and outcomes then plan implement and evaluate them Evidence Based Practice is what Nurses use 0 Pt treated with current practices 0 Systemic approached developed in 1972 0 Add in evidence experience and preferencesvalues Types of data De ne and know examples 0 Complete 0 Focused or problem centered 0 Follow up 0 Emergency Holistic Health De nition What is included in health promotion and prevention 0 Chapter 3 Interview 1St contact point 0 Subjective data obtained 0 Complete and correct information is gathered o AIDET Communication behavior 0 Behavior Verbalnonverbal De ne both Important aspects of both When to use touch When to use eye contact Communication zones 0 Intimate 0 Personal 0 Public O O O Message sending and receiving process and steps 0 Internal affecting factors What are they External affecting factors What are they Personal bias prejudice sexual and gender preferences and values How can they affect care Communication techniques 0 O O O O AIDET SOLDCART Questions Advantages disadvantages examples Open ended Close ended Therapeutic communication techniques What are they When to use them Verbal Examples Nonverbal Examples Defense Mechanisms List them and de ne them How to identify them Interviewing Traps List and explain them How should you begin and close and interview Developmental O 0 Why should you interview the caregiver Builds trust in child and caregiver Greet everyone by name Provide toys and DON T ignore the child Don39t judge or accuse the parents quotwhy didn39t you bring them in sooner or why would you do something like thatquot Cognitive developmental stages Nonverbal until certain age Use play and toys Include in conversation when possible How should you communicate with the different ages 0 O O O 0 Infant Toddler Preschooler Adolescent Older Adult What are some special needs that need to be taken into consideration and how should you deal with them 0000 Hearing impaired Acute illness Undertheln uence Personal Questions o Sexually aggressive or hostile o Crying 0 Anxiety 0 Those that don39t speak a language you are uent in CultureGenetics 0 Gender consideration Where could this be a problem 0 In some cultures male nurses shouldn39t examine a female patient and vice versa 0 Sexual Orientation Use partner Use same questions regardless of orientation Don39t make assumptions 0 Interpreters Who should you use 0 Not a family member if possible 0 Should you consider region and religion Why 0 Language barriers lead to negative outcomes 0 Should you speak to the patient or the interpreter 0 Health Literacy De ne What reading level should all materials be at 0 5th grade List and brie y describe the tests used What are some teaching aid and what are their guidelines 0 Oral instructions Simple wording and terms 0 Written 5th grade level 12 point font appropriate graphics that many cultures would understand 0 Teach back Have the pt repeat the instructions at a later time after teaching Chapter 4 Health History 0 Purpose Data collected what is in each category 0 Biographic 0 Source Why is this important 0 Reason for seeking care 0 Present health state SOLDCART 0 Past Health CthhoodiHness Accidentsinjuries Chronicseriousillness Hospitalization and operations Obstetric history Immunizations Child Older Adult Everyone Last exam Allergies Medications 0 Family history Why is this important What is the diagram used and how do you readcreate one How far should you go back CultureGenetics 0 Review of systems Purpose ONLY SUBJECTIVE DATA Head to toe assessment What questions are sked in each section 0 Functional Assessment Ability to perform ADLs What are these General Health What is included in each section Selfesteem Stresscoping Relationships Resources available Activity Sleep Nutrition What is the persons perception of their health 0 Development 0 Child What in uences this Why is this important How can this time be used as a teaching session What other information should you include Mother and pregnancy How are the parents hanling the child Milestones and current development Odd changes in behavior Nutritional history 0 More detailed the younger the child is Functional Assessment 0 Interpersonal relationships 0 ActivityRest o SES Home environment hazards copingstress habits health promotion Adolescent HEEADSSS o What does this stand for 0 Why is this important Older Adult 0 Generation Obstetrical History 0 Greater pregnancies greater risk of cervical cancer 0 Fewer of pregnancies Greater risk of breast cancer 0 Medication Last Exam 0 Functional Mental Cultural Nutritional Skin Disease and Age 0 Past 5 years health Chapter8 O 0 Methods of Assessment 0 Insection What is it Concentrated watching Palpation Touch Con rms inspection 0 Slow Systemic Light then deep Percussion Nurses don39t commonly use 0 Tapping skin 0 What is the technique 0 Sound Vibration What does more air do Makes it louder longer and deeper If it is more dense it is Softer shorter higher Auscutation Listening using stethoscope What parts of stethoscope is used for what sound o How should you hold the bell Diaphragm Should you listen through clothing NO Setting 0 What should this be like 0 What equipment should be used 0 How often should you clean the stethoscope with an alcohol swab Hand washing procedure 0 When should you use soap an when should you use alcohol based Clinical Setting 0 What is the general state of the patient Developmental level emotional state 0 What are the basic measurements taken 0 Explain each step and proceed in an organized manner 0 Summarize ndings Development 0 Infant Parents there in lap as much as possible Let them touch objects soothing voice lock eyes smile Heart lung and abdomen rst Startle re ex at the end 0 Toddler Sit in parent lap Let have security object Offer limited choices this or this rst Grossmotor function Begin w games 0 Preschool Lap or on exam table Short simple explanations Explain Offer limited choice Be slow Thorax abdomen extremities and genitals rst HEENT last 0 SchoolAge On exam table Small talk Demo on toy Head to toe sequence 0 Adolescent On exam table with as much clothing as possible Give feedback Communicate Focus on health promotion Head to Toe 0 Aging Adult Exam table or supine Minimal changes in position O Allow resting Realize more stress Less hearing and vision ability Head to Toe III Collect illness data and then move on Chapter 9 Objective Data Study of whole person General Survey De ne o AIDET 0 Include orientation 0 T 0 Appearance what questions should be asked with each Age Sex Consciousness Skin Color Face Overall Hygiene 0 Structure What questions should be asked Stature Nutrition Symmetry posture Position Build Deformities o Mobility Gait ROM 0 Behavior Expression Mood Speech Pattern of Speech Dress Hygiene Measurments 0 Weight Height BMI what are the ranges and waist circumference Ranges Vital Signs 0 Temp Abnormalities Ranges 0 O O 372 C or 99F normal in resting is 37C and range of 358373 C and rectal are 45 C higher In uences Pulse Normal is 5095 beatsminute Or 60100 Regular and even rhythm Force Respirations Normal is 1220 Don t mention you are counting BP 40and 80 markers Arm at heart level Systolic normal 101139 120 Diastolic 6189 80 14090 is hypertension In uencing factors Determined by 0 Cardiac Output 0 Peripheral Vascular Resistance 0 Volume of blood Viscosity Elasticity What is an ausculatory Gap What is Orthostatic hypotension How can it be treated What is the criteria for having it Does pulse increase of decrease 0 Pulse Oximetry 95100 is normal Need warm hands 0 Developmental o InfantsChildren General Survey 0 Appearance wider gait Behavior Response and alertness Bonding w parents 0 Signs of abuse Measurements Weight Length continuous but even growth head circumference Vitals Pulse Count for full minute 0 Temp Tympanic or temporal Respirations Neonate 3040 1 yr 2040 2 yr 2532 810 yr 2026 1214 yr 1822 16 yr 1210 Adult1020 BP 90th percentile is hypertension 0 Aging Adult OOOOOOO General 0 Sharp and angular appearance Wider gait Measurement 0 How is weight distribution different 0 How does height change Vitals Temp is lower and greater risk for hypothermia Respirations are increased rate and decreased volume 0 BP increase w age Sp02 What does it measure 0 Normal is 95 Abnormalities Chapter 10 Nociceptor are pain nerve endings o Transduction 0 Transmission 0 Perception 0 Modulation Neuroptahic pain 0 Perceived long after wound has healed o Nerve cells are altered 0 Increased sensitivity Source 0 Visceral o Somatic 0 Deep Somatic o Cutaneous o Referred Types of pain 0 What are they Explain o Selfreporting is only reliable source of pain Development 0 Infants and adults have same capacity Culturegenetics o No clear link 0 In uenced by culture social emotional an spiritual PAIN IS SUBJECTIVE DATA 0 Initial assessment is SOLDCART 0 Rate and evaluate all pain sites 0 Reassess after every intervention 0 What are different tools Initial Assessment Brief Pain PainRating Short Form Numeric Rating Verbal Descriptor Visual Analogue 0 Assess nonverbal aspects Developmental 0 Infant limited information CRIES FLACC 0 Aging Adult pain is NOT a normal part of aging PAINAD Abnormal 0 Peripheral Neuropathy Explain o ChemotherapyInduced PN Explain 0 Complex Regional Pain Syndrome Re exive Sympathetic Dystrophy Explain httpsstudysoupcomballstateuniversitynur230studyguidenur230test1 studyguideid34664 Hey Classmates I m an Elite Notetaker for StudySoup this semester in this class which means I ll be posting my notes and detailed study guides in case you need them Click this link to open a page of this upcoming test studyguide httpsstudysoupcomballstate universitynur230studyguidenur230test1 study guideid34664 Hopefully this is helpful to you Feel free to reachout if you have any questions or need a study buddy Goodluck in the Class and Happy Studyingl Izzy
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