NUR 1600 Final 1
1. critical indicators
Answer
introduce self, hand hygiene, 2 patient identifiers (name and DOB) allergies, pronouns/ how
patient wants to be addressed
2. interviewing your patient
Answer
asking their name and date of birth, allergies, and pronouns, and asking what brings them in
and questions about their condition
3. VS throughout the lifespan
Answer
see doc
4. pain assessment
Answer
numeric scale or faces for children
5. brief head to toe
Answer
introduce self, orientation X4, PERRLA, lung and heart sounds, abdomen sounds, skin
assessment, skin turgor, capillary refill, extremities, check for skin breakdown in back elbows
and feet, patient safety (bed is in lowest position, rails are up, safety socks, call button in reach,
and room is free of spills and cords)
6. holistic assessment
Answer
spirituality in patient care
addresses all human needs/ all aspects of patient (not just physical)
,7. signs vs symptoms
Answer
signs
objective
medical provider can prove symptoms
subjective
what patient describes
8. therapeutic communication
Answer
engaged listening, empathy, ask for clarification, reflect, interpretation, summarize, kind
confrontation (confrontation does not have to be a bad thing), communication enhancement,
create trusting relationship (we want patient to feel comfortable telling us everything so that we
can give them the best care)
9. open ended vs closed ended questions
Answer
open ended
describe for me closed ended
do you have a bowel movement everyday?
10. subjective vs objective data
Answer
subjective
what the patient describes (symp- toms)
objective
can be proven by nurse by tests and data
,11. health history
Answer
a collection of subjective data that provides information about the patient's health status
(previous or current conditions, medications, procedures, etc.)
12. general survey
Answer
studying the physical appearance of the patient. simply looking, no questions
13. OLD CARTS ICE
Answer
onset
location duration characteristics
aggravating factors relieving factors treatment
severity
impact on ADLs
coping strategies emotional response
14. ISBAR
Answer
Introduction Situation
Background Assessment Recommendation
15. comprehensive assessment
Answer
history and physical assessment
16. problem assessment
Answer
chief complaint
17. episodic assessment
, Answer
follow up
18. shift assessment
Answer
brief head to toe
19. screening assessment
Answer
exams to detect disease
20. fluid and electrolytes
Answer
skin turgor tells us how hydrated someone is
21. thermoregulation
Answer
taking temperature
22. perfusion
Answer
heart rate, respirations, o2 sat, blood pressure, capillary refill
23. gas exchange
Answer
Breathing, transport of gases, and exchange of gases with tissue cells; Provides O2 for cellular
respiration and removes its waste product, CO2
24. infection
Answer
invasion of the body by a pathogenic organism
25. safety
Answer