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Nurs 3309 - Exam 1 with complete solutions
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Nurs 3309 - Exam 1 with complete solutions
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Nurs 3309 - Exam 1 with complete solutionsj j j j j j j
j
subjective jdata j- jANSWER✓✓-things ja jperson j*tells* jyou jabout jthat jyou jcannot
jobserve jthrough jyour jsenses; jsymptoms
objective jdata j- jANSWER✓✓-what jthe jhealth jprofessional j*observes* jby
jinspecting, jpalpating, jpercussing, jand jauscultating jduring jthe jphysical
jexamination
Health jHistory jSequence j- jANSWER✓✓-1. jBiographic jdata
2. jReason jfor jseeking jcare
3. jPresent jhealth jor jhistory jof jpresent jillness
4. jPast jhistory
5. jMedication jreconciliation
6. jFamily jhistory
7. jReview jof jsystems
8. jFunctional jassessment jor jactivities jof jdaily jliving j(ADLs)
biographic jdata j- jANSWER✓✓-name, jaddress, jphone jnumber, jage, jbirthdate,
jgender, jmarital jstatus, jrace, jethic jorigin, joccupation, jprimary jlanguage
Source jof jHistory j- jANSWER✓✓-Record jwho jfurnishes jthe jinformation, jjudge
jhow jreliable jthe jinformant jseems jand jhow jwilling, jnote jany jspecial
jcircumstances
Reason jfor jseeking jcare j- jANSWER✓✓-Brief jspontaneous jstatement jin
jperson's jown jwords jdescribing jreason jfor jvisit
symptom j- jANSWER✓✓-*subjective* jevidence jperson jfeels jof ja jdisease, jsuch
jas jpain jor ja jheadache
,sign j- jANSWER✓✓-*objective* jevidence jof jdisease jsuch jas ja jfever, jlab jreports,
jphysical jfindings
History jof jPresent jIllness j(HPI) j- jANSWER✓✓-*OLDCARTS* j
-onset
-location
-duration
-character
-allieving/aggravating
-radiating
-time
-severity
PQRSTU j- jANSWER✓✓--*P*rovocative jor jpalliative
-*Q*uality jor jquantity
-*R*egion jor jradiation
-*S*everity jscale: j1-10
-*T*iming
-*U*nderstanding jthe jpatient's jperception jof jthe jproblem.
Past jMedical jHistory j(PMH) j- jANSWER✓✓--Childhood jillnesses
-Accidents jor jinjuries
-Serious jor jchronic jillnesses
-Hospitalizations
-Operations
-Obstetric jhistory
-Immunizations
-Last jexamination jdate
-Allergies
-Current jmedications
Family jHistory j(FH) j- jANSWER✓✓-A jreview jof jmedical jevents jin jthe jpatient's
jfamily jincluding jdiseases jthat jmay jbe jhereditary jor jplace jthe jpatient jat jrisk
Genogram j- jANSWER✓✓-A jfamily jdiagram jthat jdepicts jeach jmember jof jthe
jfamily jand jshows jconnections jbetween jthe jgenerations.
, Pedigree j- jANSWER✓✓-A jdiagram jthat jshows jthe joccurrence jof ja jgenetic jtrait
jin jseveral jgenerations jof ja jfamily.
cross-cultural jcare jimplications j- jANSWER✓✓-Additional jquestions jfor jnew
jimmigrants
Biographical jdata
Spiritual jresource jand jreligion: jassess jif jcertain jprocedures jcannot jbe jdone
Past jhealth: jwhat jimmunizations, jif jany
Health jperception
How jdoes jperson jdescribe jhealth jand jillness
How jdoes jperson jsee jproblems jhe jor jshe jis jnow jexperiencing
Nutrition: jtaboo jfoods jor jfood jcombinations
review jof jsystems j- jANSWER✓✓-physical jexamination jof jall jbody jsystems jin ja
jsystematic jmanner jas jpart jof jthe jnursing jassessment
review jof jsystems jis j_______ jdata j- jANSWER✓✓-subjective
ADLs j- jANSWER✓✓-activity jof jdaily jliving
ADL jAssessment jTools j- jANSWER✓✓-Self-esteem, jself-concept
Activity jand jexercise
Sleep jand jrest
Nutrition jand jelimination
Interpersonal jrelationships jand jresources
Spiritual jresources
Coping jand jstress jmanagement
Personal jhabits
Illicit jor jstreet jdrugs
Environment jand jwork jhazards
Intimate jpartner jviolence
Occupational jhealth
Perception jof jHealth j- jANSWER✓✓-How jdo jyou jdefine jhealth?
How jdo jyou jview jyour jsituation jnow?
What jare jyour jconcerns/goals?
What jdo jyou jthink jwill jhappen jin jthe jfuture?
What jdo jyou jexpect jfrom jyour jhealth jcare jproviders?
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