NSG 121 Exam 1 - Complete Solutions (Answered)

NSG 121 Exam 1 - Complete Solutions (Answered) Objective mental health assessment (ABCT) - appearance (posture, hygiene) - behavior (eye contact, speech) - cognitive function (orientation, judgment) - thought process (logical, relevant) Types of human violence - child maltreatment - sibling violence - elder abuse - intimate partner violence - adults with disabilities - youth and school violence - sexual violence - hate crimes - human trafficking - war-related violence - drug abuse and addiction Characteristics of culture - primary: age, gender, nationality, ethnicity (things that CANNOT BE changed) - secondary: values, beliefs, occupation, socioeconomic status (things that CAN BE changed) General survey components - overall appearance - hygiene - skin color - body development - behavior - facial expressions - level of consciousness - speech - posture - range of motion - gait Rapid response may be called for: - acute change in mental status - stridor - respirations 10 or 32 - increasing effort to breathe - O2 saturation 92% - heart rate 55 or 120 beats/min - systolic BP 100 or 170 - temp 35C or 39.5C - new onset of chest pain - agitation - restlessness Equipment needed for vital signs - scale - height bar - stethoscope - thermometer - watch with second hand - sphygmomanometer (B/P gauge) - pulse oximeter - tape measure (for infants) Normal body temperature range - 97.7°F to 98.6°F (36.5°C to 37°C) - rectal and temporal temps are 0.7 to 1.0°F (0.4 to 0.5°C) higher than oral temps - axillary temps are 1.0°F (0.5°C) lower than oral temps What temperature is considered to be a fever? 38°C (100.4°F) Convert 99 degrees Fahrenheit to Celsius 37.2 (99 - 32 x 0.555555) or (99 - 32 x (5/9)) °F - 32 x (5/9) = °C Convert 37 degrees Celsius to Fahrenheit 98.6 (37 x 1.8 + 32) or (37 x (9/5) + 32) °C x (9/5) + 32 = °F Rectal temperatures are contraindicated for: - newborns - infants