NURS1543 Test 1 Questions And Verified Detailed Answers
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Subjective Data - This is the answer to what the person says about himself or herself
during history taking.
Objective Data - This is the answer to what the health professional observes by
inspecting, palpating, percussing and auscultating during the physical examination
Database - This is the answer to Subjective data + Objective data + record + lab results +
diagnostic tests
Diagnostic Reasoning-process of analyzing health data and drawing conclusions.
Consists of 4 components: (a) attending to initially available cues; (b) formulation of
diagnostic hypotheses; (c) gathering of data relative to the tentative hypotheses and (d)
the evaluation of each hypothesis with the new data collected
Nursing Process-Systematic method of planning and delivering patient care organized
around a series of phases that incorporate evidenceinformed practice and critical
thinking.
5 phases of the nursing process - Answer 1. Assessment
2. Nursing Diagnosis
3. Planning
4. Implementation
5. Evaluation
First-level priority problems - Answer emergent, life-threatening, and immediate, such
as establishing an airway or supporting breathing
,Second-level priority problems - Answer those that are next in urgency requiring your
prompt intervention to forestall further deterioration. (mental status change, acute pain,
acute urinary elimination problem, untreated medical problems, abnormal lab test
results)
Third-level priority problems-Answer those that are important to the patient's health but
can be addressed after more urgent health problems are addressed. (Knowledge
deficit, altered family processes, and low self esteem)
Collaborative problems-Answer approach to treatment involves multiple disciplines
Evidence-informed practice An approach or paradigm and lifelong problem-solving
strategy to clinical decision-making in which the practitioner makes a conscientious
decision to use the best available evidence (including a systematic search for and
critical appraisal of the most relevant evidence to answer a clinical question) with
his/her own clinical expertise and patient values and preferences to improve outcomes
for individuals, groups, communities and systems
biomedical model of health - Answer Predominant model of the Canadian health care
system, health is the absence of disease.
Health and disease are viewed as two ends of a continuum. Disease is assumed to be
caused by specific agents or pathogens. Thus the biomedical focus is the diagnosis and
treatment of those pathogens and the curing of disease.
Behavioural Model of Health - Health care extends beyond treating disease to include
secondary and primary preventions, with emphasis on changing behaviour and
lifestyles
Socioenvironmental Model of Health - Includes sociological and environmental factors in
addition to the biomedical and behavioural ones.
Relational Approach in Nursing Practice - Response accounts for the fact that health,
illness and the meanings they hold for a person are situated in the person's social,
,cultural, family, historical and geographical contexts as well as the person's gender,
age, ability and other individual contexts. Draws nurses' attention to what is important to
people in the context of their daily lives and how capacities and socioenvironmental
constraints shape people's possibilities.
Complete (Total Health) Database - Answer Includes complete health history and full
physical examination
Describes current and past health state and forms baseline to measure all future
changes
Yields first diagnoses
episodic/problem centered database - Answer limited, or short term problem
- collect a "mini" database, smaller in scope and more targeted.
Follow-up database - Response used in all settings to monitor progress of short-term or
chronic health problems. Assessed the status of identified problems
Emergency database - Response rapid collection of the database, often compiled
concurrently with lifesaving measures
Periodic Health Examinations - Response Designed to prevent morbidity and mortality
but identifying modifiable risk factors and early signs of treatable conditions
primary prevention - People and populations are prevented from becoming ill, sick, or
injured in the first place
secondary prevention - early detection and treatment of disease
tertiary prevention - prevention of complications from an existing disease and promoting
health to the highest level
, Health Promotion - Response "the process of enabling people to increase control over,
and to improve their health. It moves beyond a focus on individual behaviour towards a
wide range of social and environmental interventions." (WHO)
Disparities in health vs. Health Inequities - Response Disparities in Health occur when
the combination and interaction of the SDoH result in differences in health status
between segments of the population.
Health inequities are the inequalities in health, which apart from being unfair, are also
preventable yet are outside of an individual's hands.
Population Health Promotion Model - Answer Multidimensional approach to considering
the SDoH in our nursing health assessment.
Culture - Answer There is no one definition of culture. Culture, in anthropology, is taken
to be a dimension of human existence that is inherently pluralistic
Ethnicity - Answer complex concept that may be made up of many elements, including a
person's country of origin or ancestry, identity and heritage, family background,
languages spoken and, in some cases, religious culture
ethnic group - Answer a group of people or a population that shares a sense of identity
or origin with each other based on a common heritage, culture, language, or religion
visible minority - Defined by Statistics Canada as "persons, other than Aboriginal
peoples, who are non-Caucasian in race or non-white in colour," and as consisting
"mainly of the following groups: Chinese, South Asian, Black, Arab, West Asian, Filipino,
Southeast Asian, Latin American, Japanese, and Korean."
Racialization - Answer process of ascribing social, economic, or supposed cultural
distinctions to "race." Racialization can be intentional and deliberate (an act of racism in
which discrimination is open) or unintentional and unplanned. Racism is based on the
belief that there are supposedly biologically factual divisions that entail "a hierarchy of
value."