Term
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Definition
| goal directed, one way/sided, help modify behavior, stay with client, formal skills, confidentiality |
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Term
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Definition
| empathetic, facilitates growth, achieve potential, trustworthy, available/timely, congruent |
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Term
| Nurse-Client Relationship |
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Definition
| Initial, working and closing phase |
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Term
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Definition
| establish trust, test behavior, set groundwork, contract |
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Term
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Definition
| Maintain trust, decrease in testing behavior, set goals, acceptance of strengths and weaknesses, exploring, progress towards goals |
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Term
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Definition
| channel trust to another helper if needed, time has elapsed, prep for mutual loss, summary, referrals |
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Term
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Definition
| Background data, reason for seeking care, present history OR history of present illness, Health history, Function assessment, psychosocial data, family history, review of systems (ROS) |
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Term
| Present History OR History of Present Illness |
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Definition
| date of onset, description- location, intensity, duration, severity, frequency, quality, aggravating, alleviating, course of problem, efforts to treat, ADLs, associated symptoms, client's perception |
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Term
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Definition
| childhood illnesses, chronic or serious illnesses, immunizations, allergies, hospitalizations and surgeries, current medications |
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Term
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Definition
| health habits (drug and alcohol use, exercise, rest/sleep patterns, nutrition, smoking, caffeine, safety devices) |
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Term
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Definition
| family dynamics, interpersonal relationships, stressors, environ. hazards, culture and spiritual, education |
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Term
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Definition
| most common blindness in adults, damage to capillaries leading to retina, dark spots in the visual field |
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Term
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Definition
| clouding of lens by built up proteins blocking light to retina, colors seem faded, double images, poor night vision |
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Term
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Definition
| ear infection, fluid behind tympanic membrane where bacteria forms, treatment if bacteria |
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Term
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Definition
| 3x more women, sensory warning (aura), mod to severe pain, pulsating/throbbing, affects ADLs, nausea, sensitive to light/sound |
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Term
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Definition
| majority, more women, dull aching pain, neck and shoulder pain |
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Term
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Definition
| more men, strikes quickly without warning, mostly on same side of head, intense pain behind eye/cheek |
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Term
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Definition
| facial, may be damaged w stroke, traumatic injury |
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Term
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Definition
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Term
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Definition
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Term
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Definition
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Term
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Definition
| inner ear, eyes closed and balance |
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Term
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Definition
| ant fontanels close 9 months-2 yrs. post fontanels close 2-9 months. bulging fontanels mean hemorrhage or extra fluid, depressed means dehydrated |
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Term
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Definition
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Term
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Definition
| red or inflamed means infection. viral if no temp, bacterial if temp. allergies would be pale blue. |
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Term
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Definition
| 0- flat, 4 means touching |
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Term
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Definition
| most common type, easily treatable, waxy or pearly bump on face, ears or neck or a flesh-colored or brown scar like lesion on chest or neck |
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Term
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Definition
| slow growing, highly treatable, more likely to spread than basil, firm nodule on face, lips, ears, neck, hands or arms. flat lesion w crusted surface. |
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Term
| Integument Assessment Factors |
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Definition
| temp, turgor, texture, color, lesions, edema, moisture |
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Term
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Definition
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Term
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Definition
| push on legs, 0- no dent, 4+ dent stays |
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Term
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Definition
| pull skin under clavicle, "tents" means dehydration |
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Term
| Primary vs. Secondary Lesions |
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Definition
| primary are macules and papules, secondary is something that occurred because of something a patient did |
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Term
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Definition
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Term
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Definition
| Pallor (white-anxiety, fear, shock, hypothermia), Cyanosis (blue- lack of O), Gangrene (green), Necrotic (black), Jaundice (yellow, increase in bilirubin, bad liver), Erythermia (red, ulcers) |
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Term
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Definition
| glosso and vagus nerves (9 and 10) |
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Term
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Definition
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Term
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Definition
| converge, constrict and dilate |
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Term
| Infection Fighting Lymphs |
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Definition
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Term
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Definition
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Term
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Definition
| range in motion limited in neck |
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Term
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Definition
| loss of elasticity in lens |
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Term
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Definition
| light in same spot in both eyes |
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Term
| Diagnostic Reasoning (5 steps) |
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Definition
| attending to available cues, hypotheses, gather data, evaluate hypotheses, final diagnosis |
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Term
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Definition
| used for a limited or short term problem |
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Term
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Definition
| viewing your own way as the best |
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Term
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Definition
| infection acquired during hospitalization |
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Term
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Definition
| blowing, swooshing sounds heard through stethoscope over an area of abnormal blood flow |
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Term
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Definition
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Term
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Definition
| increase in size of thyroid gland |
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Term
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Definition
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Term
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Definition
| gray white circle around limbus of iris, common with aging |
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Term
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Definition
| loss of both temporal visual fields |
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Term
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Definition
| inflammation of glands and eyelash follicles along the margin of the eyelids |
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Term
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Definition
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Term
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Definition
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Term
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Definition
| constriction vs. dilation |
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Term
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Definition
| outer fibrous rim encircling the eardrum |
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Term
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Definition
| connects middle ear with the nasopharynx and allows passage of air |
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Term
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Definition
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Term
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Definition
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Term
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Definition
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Term
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Definition
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Term
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Definition
| red swollen inflammation of nasal mucosa |
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Term
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Definition
| elevated cavity containing free fluid larger than 1 cm diameter |
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Term
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Definition
| skin lesion in which papules come together |
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Term
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Definition
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Term
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Definition
| linear shape of skin lesion along a nerve route |
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Term
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Definition
| raised red skin lesion due to interstitial fluid |
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