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Questions and Answers
Which approach is suggested for interviewing patients with special needs, particularly those with low health literacy?
Which approach is suggested for interviewing patients with special needs, particularly those with low health literacy?
In which phase of the patient interview process is the main discussion of symptoms and concerns initiated?
In which phase of the patient interview process is the main discussion of symptoms and concerns initiated?
What type of health history is focused on a specific acute problem or symptom?
What type of health history is focused on a specific acute problem or symptom?
Which cultural consideration is important for effectively assessing a patient's health?
Which cultural consideration is important for effectively assessing a patient's health?
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What is the World Health Organization's definition of health?
What is the World Health Organization's definition of health?
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Which of the following best describes primary prevention?
Which of the following best describes primary prevention?
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In the nursing process, what does the 'Diagnosis' step involve?
In the nursing process, what does the 'Diagnosis' step involve?
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What role does tertiary prevention play in health care?
What role does tertiary prevention play in health care?
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Which factor does NOT typically influence an individual's health?
Which factor does NOT typically influence an individual's health?
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What is the primary focus of secondary prevention?
What is the primary focus of secondary prevention?
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Which component is NOT included in the assessment phase of the nursing process?
Which component is NOT included in the assessment phase of the nursing process?
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Which of the following represents a key element of health that differs among individuals, families, and communities?
Which of the following represents a key element of health that differs among individuals, families, and communities?
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What is the primary purpose of synthesizing and clustering information in patient care?
What is the primary purpose of synthesizing and clustering information in patient care?
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Which of the following characteristics is NOT a component of SMART goals in nursing care planning?
Which of the following characteristics is NOT a component of SMART goals in nursing care planning?
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In the context of the Clinical Judgement Model, what does 'prioritize hypothesis' imply?
In the context of the Clinical Judgement Model, what does 'prioritize hypothesis' imply?
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Which cognitive skill involves the use of historical, physical, and lab data to create a treatment plan?
Which cognitive skill involves the use of historical, physical, and lab data to create a treatment plan?
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What is the role of therapeutic communication in nursing care?
What is the role of therapeutic communication in nursing care?
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Which psychomotor skill involves listening for sounds in the context of patient assessment?
Which psychomotor skill involves listening for sounds in the context of patient assessment?
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What aspect is least emphasized in intuitive thinking (IT) as described in patient assessment?
What aspect is least emphasized in intuitive thinking (IT) as described in patient assessment?
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Which component of the nursing process is defined as the ongoing assessment of whether goals have been met?
Which component of the nursing process is defined as the ongoing assessment of whether goals have been met?
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Which of the following components is NOT included in the OLDCARTS acronym used for pain assessment?
Which of the following components is NOT included in the OLDCARTS acronym used for pain assessment?
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What aspect of health assessment does the anti-oppressive approach emphasize?
What aspect of health assessment does the anti-oppressive approach emphasize?
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Which of the following best describes the focus of a health prevention/promotion assessment?
Which of the following best describes the focus of a health prevention/promotion assessment?
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In a mental health assessment, which of the following would NOT typically be evaluated?
In a mental health assessment, which of the following would NOT typically be evaluated?
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Which method is NOT considered one of the assessment techniques used in patient evaluations?
Which method is NOT considered one of the assessment techniques used in patient evaluations?
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Which of the following factors is NOT assessed in psychosocial evaluations?
Which of the following factors is NOT assessed in psychosocial evaluations?
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What does the 'R' in OLDCARTS specifically refer to?
What does the 'R' in OLDCARTS specifically refer to?
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Which vital sign assessment technique specifically evaluates changes due to position?
Which vital sign assessment technique specifically evaluates changes due to position?
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What does nutritional assessment NOT typically include?
What does nutritional assessment NOT typically include?
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Which of the following is a characteristic of inclusive health assessments?
Which of the following is a characteristic of inclusive health assessments?
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Study Notes
Understanding Health Assessment
- Health is defined as a state of complete physical, social, and mental well-being; not merely absence of disease (WHO).
- Influenced by biological, environmental, physiological, behavioral, and socio-economic factors.
Levels of Health Prevention
- Primary Prevention: Aims to prevent disease through lifestyle choices and risk reduction (e.g., immunizations, health education).
- Secondary Prevention: Focuses on early detection of diseases in asymptomatic patients (e.g., screenings for cancers, identifying substance abuse risks).
- Tertiary Prevention: Seeks to restore health after illness (e.g., rehabilitation programs for stroke, inpatient treatment for mental health).
Nursing Process and Clinical Judgement Model
- Nursing Process: Comprised of Assessment, Diagnosis, Planning, Implementation, and Evaluation (ADPIE).
- Clinical Judgement Model: Involves recognizing cues, analyzing them, prioritizing hypotheses, generating solutions, taking action, and evaluating outcomes.
Cognitive Skills in Nursing
- Critical Thinking (CT): Involves knowledge recall, identifying deviations from the norm, and reflective problem-solving.
- Clinical Judgement (CJ): Interpreting patient needs and making decisions regarding care strategies.
- Intuitive Thinking (IT): A "gut feeling" that guides clinical decisions, often difficult to articulate.
Introduction to Psychomotor Skills
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Assessment Techniques:
- Inspection: Visual examination of the patient.
- Percussion: Tapping for underlying structure assessment.
- Palpation: Feeling surface characteristics with hands.
- Auscultation: Listening to internal body sounds.
Therapeutic Communication
- Emphasizes empathy, unconditional regard, genuineness, and respect.
- The CLEAR approach includes centering oneself, listening actively, empathizing, focusing attention, and respecting the individual.
Special Needs Patients
- May have challenges like hearing loss, visual impairments, cognitive issues, or low health literacy, requiring tailored communication strategies.
Cultural Considerations
- Must recognize how diverse beliefs, values, and behaviors impact health perceptions and expressions.
Interviewing the Patient
- Utilizes open-ended questions and structured phases (introductory, working, summary) for effective information gathering.
Completing the Health History
- Types of histories include comprehensive, focused/problem-based, and follow-up.
- Primary Source: The patient; Secondary Source: Family or other proxies.
- Subjective data gathering frameworks include LMNOPQRSTUVW and OLDCARTS for symptoms.
Biographical and Health Information Collection
- Collect demographic data (name, age, occupation), military history, medication use, immunization status, and psychosocial assessments covering various life domains.
Review of Systems
- Conducted through a head-to-toe approach covering general status, various body systems (respiratory, cardiovascular, gastrointestinal, etc.), and specific assessments like mental health and cognitive evaluation.
Nutritional Assessment
- Involves defining nutrition, understanding diagnostics, conducting a nutritional health history, and implementing anthropometric measurements.
Assessment Techniques in Nutritional Assessment
- Emphasizes preparation, standard precautions, and various assessment techniques like inspection, palpation, percussion, and auscultation tailored for nutritional evaluations.
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Description
Prepare for your Health Assessment Exam 1 with this comprehensive study guide focusing on major concepts from Chapters 1 to 3. This guide is tailored for Arizona College of Nursing students enrolled in NUR 216. Understand the essential components of health assessment necessary for your upcoming exam.
