NR 302 Health Assessment Week 1
9 types of verbal responses - ANS-1. Facilitation
2. Silence
3. Reflection
4. Empathy
5. Clarification
6. Confrontation
7. Interpretation
8. Explanation
9. Summary
Abuse - ANS-daily or recurrent use such that impairment and decreased functioning has
occurred leading to ongoing problems
acculturation - ANS-the process of adopting the culture and behavior of the majority culture
acculturative stress - ANS-based on input from environment, social/interpersonal and societal
ADLs (activities of daily living) - ANS-self-care activities of daily living as they relate to general
health status
aphasia - ANS-loss of ability to speak or write coherently or to understand speech or writing due
to a cerebrovascular accident (stroke)
appearance to look for during objective data collection for mental status - ANS-Posture (Erect
and position relaxed)
Body movements( Body movements voluntary, deliberate, coordinated, and smooth and even)
Dress (Appropriate for setting, season, age, gender, and social group)
Grooming and hygiene (Congruence between grooming and age)
assimilation - ANS-unidirectional in linear fashion
AUDIT questionnaire - ANS-AUDIT is an acronym for Alcohol Use Disorders Identification Test.
It is a 10-item questionnaire that organizes the patient history of alcohol use.
The AUDIT will help detect less severe alcohol problems (hazardous and harmful drinking) as
well as alcohol abuse and dependence disorders.
,basic characteristics of culture related concepts - ANS--Learned from birth through process of
language acquisition and socialization
-Shared by all members of the same cultural group
-Adapted to specific conditions r/t environmental and technical factors in the context of available
resources
-Dynamic interphase that is ever changing
behavior traits to look for when collecting objective data for mental status - ANS-Level of
consciousness
Facial expression
Speech
Mood and affect
biculturalism and integration - ANS-allow for reciprocal change and maintaining ethnic identity
binge drinking criteria for men/women - ANS-men = more than 5 drinks/day
women = more than 4 drinks/day
biomedical or scientific disease causation theory - ANS-Cause and effect that can provide
physical and psychological illnesses—e.g., germ theory
CAGE Method - ANS-c- cut down on drinking
a- annoyed by criticism
g- guilty about drinking
e- eye opener (drinking in the morning/upon waking)
can you use a family member as an interpreter? - ANS-no
Cephalocaudal approach - ANS-head to toe
organized manner proceeding in a logical sequence
clarification - ANS-asking for confirmation
clinical decision making - ANS-best evidence from literature review + patient's own preference +
clinician's experience/expertise + physical exam
clinical institute withdrawn assessment scale (CIWA) - ANS-most sensitive scale for objective
measurement of withdrawal
-includes vital signs/oxygen saturation
-based on continued assessment provides trended results to determine level of monitoring that
is needed
, closing the interview - ANS--Ending should be gradual thereby allowing for adequate closure to
allow for final expression.
-No new topics introduced
-Summary provided as final statement
-"ROATH" (Reassess pain, offer comfort measures, ask them if they need anything else, thank
them for their time, hand hygiene)
cochrane - ANS-used randomized, controlled trials to incorporate more evidence into the
medical profession
collaborative problems - ANS-approach to treatment involves multiple disciplines
ex: nurses and specialty doctors working together
communicating with different ages - ANS--consider the maturity level of the child
-take into account that a health care crisis can lead to regression as common response
communicating with other professionals - ANS--promotes effective interpersonal communication
-maintains open lines of communication
-impacts the ineffectiveness of interpersonal communication
competency - ANS-building on 2 to 3 years of clinical experience
see actions in the context of patient goals or plans
complete total health database - ANS-describes current and past health state that forms
baseline to measure all future changes
confidentiality - ANS-reasonable and/or limited as it applies to legal/ethical standards
confrontation - ANS-clarifying inconsistent information
cost - ANS-disclosure of any financial costs
Cultural Assessment - ANS-systematic and comprehensive examination of the cultural care
values, beliefs, and practices of individuals, families, and communities
culture and genetics - ANS-awareness of the emerging minority
diversity and incorporation of cultural health rights
dependence - ANS-physiological reliance
Developmental competence - ANS-- Interviewing the caregiver
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