Health Care Process: Assessment Steps

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Questions and Answers

What happens when a sterile object touches an unsterile object?

Clean

Sterile

Contaminated (correct)

Comfortable

Which state is achieved when a patient's specific need is met?

Comfort

Relief (correct)

Transcendence

Ease

What type of data can be physically observed in the health care process?

Subjective Data

Objective Data (correct)

Covert Data

Secondary Data

Which phase of the interview involves gathering information about the health status of the patient?

Working Phase Signup and view all the answers

What types of comfort measures are mentioned in the text?

Physical, emotional, and psychological Signup and view all the answers

Which part of the body is considered contaminated?

Below the waist Signup and view all the answers

What is an example of subjective data in the health care process?

"I feel sick" Signup and view all the answers

What is a primary source of data in the health care process?

The client Signup and view all the answers

In which direction does fluid flow, according to the text?

With gravity Signup and view all the answers

What are health care needs in the context provided?

Needs for comfort arising from stressful health care situations Signup and view all the answers

During which phase of the interview should a nurse begin by introducing themselves?

Orientation Phase Signup and view all the answers

What needs to be done to ensure accuracy when dealing with subjective data in the health care process?

Validate with follow-up questions Signup and view all the answers

What is one of the effects of heat application on the body?

Promote soft tissue healing process Signup and view all the answers

When is heat application contraindicated?

Localized malignant tumor Signup and view all the answers

What is one of the disadvantages of heat application?

Increase capillary permeability Signup and view all the answers

What is a systematic effect of heat application on the body?

Increased cardiac output Signup and view all the answers

What is a primary effect of cold application on the body?

Vasoconstriction Signup and view all the answers

When is cold application indicated according to the text?

As long as pain and swelling are still present Signup and view all the answers

What is the main difference between colonization and infection?

Infection involves the invasion of a host resulting in disease, while colonization does not cause tissue invasion or damage. Signup and view all the answers

During which stage of the infectious process do specific signs and symptoms develop?

Illness period Signup and view all the answers

What is the purpose of the chain of infection concept?

To illustrate how diseases spread from one person to another Signup and view all the answers

In which stage of the infectious process do non-specific signs and symptoms appear?

Prodromal period Signup and view all the answers

Which term refers to a person who is recovering after an illness?

Convalescent Signup and view all the answers

When does an infection become symptomatic?

When pathogens multiply and cause clinical signs and symptoms Signup and view all the answers

What is the correct order of steps for contrast baths?

Place body parts in warm water first, then in cold water, repeat 3 times Signup and view all the answers

Which precaution should be considered when applying contrast applications?

Neurosensory impairment Signup and view all the answers

Which method is NOT commonly used for applying heat and cold?

Heat tape Signup and view all the answers

What is the correct procedure for applying compresses?

Alternating between hot and cold compresses on the same area Signup and view all the answers

When using Arm/Foot Baths, what is the purpose of placing body parts in warm water first?

To soothe and relax the muscles Signup and view all the answers

Study Notes

Infection Control and Health Care Process

A sterile object that touches an unsterile object becomes contaminated.
When a patient's specific needs are met, a state of well-being is achieved.
Observable data in healthcare can include vital signs, physical appearance, and behavior.
The assessment phase of the interview involves gathering information about the patient's health status.

Comfort Measures

Types of comfort measures include pain management strategies, environmental adjustments, and emotional support.
The skin and mucous membranes are considered contaminated areas.

Data Types

Subjective data reflects the patient's feelings and experiences, such as pain levels or anxiety.
A primary source of data in healthcare is the patient themselves, providing firsthand information.

Fluid Dynamics

Fluids generally flow from areas of higher pressure to lower pressure.

Health Care Needs

Health care needs refer to the requirements for maintaining or improving an individual's health status.

Interview Phases

During the opening phase of the interview, the nurse should introduce themselves and establish rapport.

Subjective Data Accuracy

To ensure accuracy with subjective data, active listening and clarifying questions are necessary.

Heat Application Effects

One effect of heat application is increased blood flow to the area, promoting healing.
Heat application is contraindicated in cases of acute injury or inflammation.
One disadvantage of heat application is the potential for burns if improperly applied.
A systematic effect of heat application includes muscle relaxation and reduced muscle tension.

Cold Application Effects

A primary effect of cold application is the reduction of swelling and inflammation.
Cold application is indicated following acute injuries, such as sprains or strains.

Infection Process

The main difference between colonization and infection lies in the presence and impact of symptoms; colonization does not cause harm, while infection results in disease.
Specific signs and symptoms develop during the prodromal stage of the infectious process.
The chain of infection concept aims to identify and break the transmission cycle of infections.
Non-specific signs and symptoms appear in the incubation stage of the infectious process.

Recovery and Symptoms

A person who is recovering after an illness is often referred to as a convalescent.
An infection becomes symptomatic when the body exhibits noticeable signs resulting from the infectious agent.

Contrast Baths

The correct order of steps for contrast baths involves alternating between warm and cold water immersion for the limbs.
Precautions for contrast applications include monitoring skin condition and patient comfort levels.
A method not commonly used for applying heat and cold is vaporization.

Compress Application

The correct procedure for applying compresses involves ensuring proper temperature, applying for the recommended duration, and monitoring the site for adverse reactions.
Warm water is used first in Arm/Foot Baths to dilate blood vessels and enhance circulation before switching to cold water for constriction.

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Description

Learn about the systematic rationale method of planning and providing individualized care through the assessment step in the health care process. Understand the importance of collecting subjective data, such as symptoms, to identify client's health status and potential needs.