Term
| Define Cultural Assessment. |
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Definition
| --Cultural Assessment is a means of examining individuals, groups, and communities regarding their cultural beliefs, values, and practices as a means to determine needs and appropriate interventions |
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Term
| Define Cultural Competence. |
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Definition
--Developing an awareness of one's own existence, sensations and thoughts without letting them have an undue influence on those of other backgrounds.
--demonstrating knowledge and understanding of the client's culture
--accepting and respecting cultural difference
--adapting care to be congruent with the client's culture |
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Term
| What does Purnell's Model for Cultural Competence provide? |
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Definition
| --structure and organization for our assessment --a way to compare and contrast cultures --a framework for learning concepts and characteristics of a culture |
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Term
| What is Biocultural Ecology? |
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Definition
--looks at variations in biological characteristics that are inconsistent for an ethnic group that might pose a concern for the unknowing healthcare provider
--includes disease and health conditions that are genetic, hereditary, or endemic withini the cultural group
--identifies variations in drug metabolism that are characteristic of the ethnic group |
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Term
| Define the Nursing Process. |
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Definition
| The Nursing Process is a systematic method of giving individualized nursing care that focuses on the unique human response of a person or group of people to an actual or potential alteration in health. |
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Term
| What are the steps in the Nursing Process? What is the acronym? |
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Definition
ADPIE
1) Assess
2) Diagnose
3) Plan
4) Implement
5) Evaluate |
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Term
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Definition
| An assessment is an organized and systematic process of collecting data from a variety of sources, analyzing the data, and making a nursing diagnosis. |
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Term
| Name the two types of data sources and a source from within each. |
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Definition
--Primary (subjective statements and objective observations)
--Secondary (family and others, chart) |
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Term
| What are the two types of Assessments? |
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Definition
1) Comprehensive
2) Focused/Episodic/Problem-centered |
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Term
| List the four steps in the Physical Exam. |
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Definition
IPPA
1) Inspection
2) Palpation
3) Percussion
4) Auscultation |
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Term
| List the 7 Health History Components. |
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Definition
1) Biographical data
2) Reason for seeking care
3) History of present illness
4) Past history
5) Family history
6) Review of systems (ROS)
7) Functional assessment |
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Term
| What does HPI stand for and what are its components? |
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Definition
--History of Present Illness: a chronological record or summary of the symptoms and events leading up to the event/hospitalization.
PQRSTU
P: provocative or palliative
Q: quality or quantity
R: region and radiation
S: severity
T: timing
U: understanding the patient's perspective |
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Term
| How many generations should a genogram include |
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Definition
| 3: siblings, parents, grandparents |
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Term
| Define Review of Systems (ROS). |
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Definition
An ROS is an evaluation of the past and present state of each body system.
--NOTE: Subjective Data Only--DO NOT include objective health findings |
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Term
| Define Functional Assessment. |
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Definition
| A Functional Assessment assesses the ability to succeed at home and in society based on the person's general physical and mental health status. It includes an assessment of Mobility, ADLs, and IADLs. |
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Term
| Name the 12 components of the Functional Assessment. ;-) |
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Definition
1) Self-esteem/self-concept
2) Activity/exercise
3) Sleep/rest
4) Nutrition/elimination
5) Roles/relationship
6) Coping/stress management
7) Personal habits
8) Environment/hazards
9) Perception of own health
10) Cultural assessment
11) Spiritual assessment
12) Violence assessment |
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Term
| Name 6 Functional Assessment tools. |
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Definition
1) Katz ADL scale
2) Lawton IADL scale
3) CAGE
4) Mini-Mental Exam
5) Mini-Cog
6) Geriatric Depression Scale (GDS) |
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Term
| What does the Katz ADL scale measure and what are the ADLs? |
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Definition
--The Katz ADL Scale measures physical function in older adults and the chronically ill.
ADLs
1) Bathing
2) Dressing
3) Toileting
4) Transferring
5) Continence
6) Feeding |
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Term
What does the Lawton IADL Scale measure and what are the IADLs? |
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Definition
The Lawton IADL Scale measures the ability of persons to live independently.
IADLs:
1) Telephone
2) Shopping
3) Food prep*
4) Housekeeping*
5) Laundry*
6) Transportation
7) Medications
8) Finances
* = excludes stupid, lazy, worthless, deadbeat men |
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Term
| What does the acronym CAGE stand for? |
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Definition
Ever felt you should CUT down?
Are people ANNOYED by your drinking?
Have you ever felt GUILTY about it?
Do you need an EYE opener? |
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Term
| What are the components of the Mini-Mental Exam and what are its weaknesses? |
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Definition
1) Orientation
2) Registration
3) Attention and Calculation
4) Recall
5) Language
Problems: illiterate and/or ethnically diverse populations) |
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Term
| What are the two principal components of the Mini-Cog Exam? |
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Definition
1) 3-item recall
2) Drawing a clock
The Mini-Cog Exam is the PREFERRED mental status tool for determining and charting the progress of dementia. |
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Term
| What number of positive responses is suggestive of depression on the Geriatric Depression Scale questionnaire? |
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Definition
| >5 out of 15 is suggestive of depression |
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Term
| When should Vital Signs be measured? |
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Definition
1) Upon admission
2) According to policy
3)Before, during, and after an invasive procedure
4) Before and after vital sign-altering medication
5) Before and after vital sign-altering activity
6) When a PTs condition worsens
7) When vital signs are abnormal |
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Term
| Which part of the brain is considered the body's "heat loss center?" |
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Definition
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Term
| Which part of the brain is considered the body's "heat producing center?" |
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Definition
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Term
| Normal oral temperature (F and C) |
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Definition
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Term
| What is the formula for converting Fahrenheit to Celsius? |
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Definition
| degrees C = (degrees F-32)*5/9 |
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Term
| What is the formula for converting from Celsius to Fahrenheit? |
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Definition
| degrees F = (degrees Celsius * 9/5)+32 |
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Term
| What is the normal range for the pulse? |
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Definition
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Term
| What is the term for an abnormally high or abnormally low pulse? |
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Definition
Tachycardia (>120 BPM)
Bradycardia (<60 BPM) |
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Term
| What is the normal range for respirations? |
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Definition
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Term
| What should be done when dysrhythmia is noted at the radial pulse? |
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Definition
| Auscultate the apical pulse for 1 full minute. |
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Term
| What is the normal body temperature range? |
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Definition
F = 96.4 - 99.1
C = 35.8 - 37.3 |
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Term
| What are the normal and hypertensive BP ranges? |
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Definition
<120/<80 = Normal
120/80 = Prehypertensive
140/90 = Stage I Hypertensive
160/100 = Stage II Hypertensive |
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Term
| What are the 5 factors responsible for BP? |
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Definition
1) Stroke volume
2) Vascular resistance
3) Volume
4) Viscosity
5) Elasticity |
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Term
What is the clinical term for normal/unlabored breathing?
The term for labored breathing?
For a temporary cessation in breathing? |
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Definition
Normal = eupnea
Labored = dyspnea
Cessation = apnea |
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