NUR 505 Exam 1
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1. Subjective Data: Information gathered from patient statements; the patient's feelings and perceptions. This
includes their chief complaint, HPI, review of systems, social, family, and medical history.
2. Objective data: observable and measurable data that can be seen, heard, or felt by someone other than the
person experiencing them. found through physical examination, diagnostic tests, and clinical observations
3. review of systems: physical examination of all body systems in a systematic manner as part of the nursing
assessment.
document relevant positive and negative findings in each body system.
it helps screen for any potential health problems beyond the patients primary complaint.
4. Speciality populations: Pediatric exams: communication should be age appropriate, trust-build-
ing, and consider developlment stages.
5. Speciality populations: Pregnancy: attention to maternal and fetal health, as well as agressing
unique concerns
6. Speciality populations: Geriatric: consider age related changes, comorbidities, and potential cogni-
tive impairments.
7. purpose of CAGE questionnaire: is a brief screening tool used to assess alcohol disorders and identify
individuals? who may need further evaluation
Scoring: "A yes" to two or more questions may indicate possible alcohol problem.
8. CAGE Questions: C: Cut Down: "have you ever felt the need to cut down on your drinking?
9. CAGE Questions: A: Annoyed: "Have you ever been annoyed by your critism of your drinking?"
10. CAGE Questions: G: Guilty: "Have you ever felt guilty about your drinking?"
11. CAGE Questions: E: Eye-opener: Have you ever had a drink first thing in the morning to steady your nerves
or get rid of a hangover?"
12. HITS Purpose: A screening tool used to assess domestic violence or intimate partner violence.
Screening: a "yes" to one or more questions may indicate potential partner violence.
13. HITS Questions: H: Hurt: "Have you ever been physically hurt by someone you are close to?"
14. HITS Questions: I: Insult: Have you ever been insulted or made to feel bad about yourself by someone you
are close to?"
15. HITS Questions: T: Threaten: Have you ever been threatened with physical harm by someone you are close
to?
16. HITS Questions: S: Scream: Have you ever been screamed or curses at by someone you are close to?"
, NUR 505 Exam 1
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17. PVS (Partner Violence Screening ) Tool purpose:: 3 questions used to detect partner
violence
1 positive response = positive screen
18. PVS Questions:: Have you been hit, kicked, punched, or otherwise hurt in the last year?
Do you feel safe in your current relationship?
Is there a partner from a past relationship that is making you feel unsafe now?
19. FICA tool purpose: used to assess a patient's spiritual, religious beleif and their impact on healthcare
descisions.
20. FICA components: F: Faith or beleif: Do you have spiritual beliefs to help cope with stress
21. FICA components: I: Importance: IS religion or spirituality important to you
22. FICA components: C: Community: Are you apart of a religious community
23. FICA components: A: Adress in care: How would you like your healthcare provider to adress these spiritual
concerns.
24. What are the sexual History 5 p's: Partners: Ask about number and gender of partners.
Practices: Sexual practice and behaviors
Protection from STIs: Condom use and safe sex.
Past STI: have they had any?
Prevention of pregnancy: explore methods used for pregnancy prevention.
25. Therapeutic communication: a type of communication that health care providers consciously use
when talking with residents in order to influence residents or help residents to a better understanding.
When dealing with an angry client use active listening, acknowledge their feelings, maintain a calm demeanor, and
adress their concerns empathetically.
26. Cultural Considerations things to do: Ask open ended questions about cultural beliefs, practices,
and preferences.
Don't make assumptions based on physical characteristics, as cultural diversity can exist within any group.
27. RESPECT MODEL: Rapport
Empathy
Support
Partnership
Explanations
, NUR 505 Exam 1
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Cultural Competence
Trust
28. Standard precautions 1st tier universal apllication:: baseline for infection prevention
practices that are applied to the care of all patients. regardless of their known or suspected status. USED ROUTINELY
FOR ALL PATIENTS
29. Standard precautions 1st scope: adress the transmission of infectios agents in healthcare settings
which include measures to prevent contact with blood, all bodily fluids (except sweat), non-intact skinm and mucous
membranes
30. Standard precautions 1st tier components: Hand Hygiene: wash hands before and after pt
contact
PPE: gloves, gown, masks, goggles when needed
Respiratory Hygiene and Cough Etiquette: cover mouth and nose when sneezing.
Safe injection practice: use aseptic techniques for administering injections
Proper handling of contaminated equipment or surfaces ensure cleanliness and disinfect equipment and surfaces that
may come in contact w/ pts
31. Transmission based precautions: 2nd tier : Specific pathogens: Additional precau-
tions applied when a patient is known or suspected to be infected w/ specific pathogens that require extra precautions.
32. Transmission based precautions: 2nd tier: Scope: tailored to the mode of transmission of
the infections agent and are specific to the identified infectious agent and its transmission role.
33. Transmission based precautions: 2nd tier Airborne Precautions: Special Ventilation
systems< N95 respirators, negative air pressure rooms for diseases transmitted via airborne particles (TB, measles.)
34. Transmission based precautions: 2nd tier Droplet precautions: masks and eye
protection for diseases transmitted through resp. droplets (flu, pertussis)
35. Transmission based precautions: 2nd tier Contact precautions: gloves and gowns
for diseases transmitted by direct or indirect contact (MRSA, C. difficile)
36. Latex allergy & those affected: healthcare workers and patients with multiple surgeries d/t high
frequency of exposure.
37. Latex allergy types irritant contact dermatitis: chemical irritation/reaction not involving
immune system) s/s dry itching hands.
38. Latex allergy types 1 systemic reactions:: True allergic rxn, s/s urticaria (localized or general-
ized) angioedema, asthma, itchy eyes and nose. GI complaints, anaphylaxis, chronic asthma, permanent lung damage
Study online at https://quizlet.com/_eku5r1
1. Subjective Data: Information gathered from patient statements; the patient's feelings and perceptions. This
includes their chief complaint, HPI, review of systems, social, family, and medical history.
2. Objective data: observable and measurable data that can be seen, heard, or felt by someone other than the
person experiencing them. found through physical examination, diagnostic tests, and clinical observations
3. review of systems: physical examination of all body systems in a systematic manner as part of the nursing
assessment.
document relevant positive and negative findings in each body system.
it helps screen for any potential health problems beyond the patients primary complaint.
4. Speciality populations: Pediatric exams: communication should be age appropriate, trust-build-
ing, and consider developlment stages.
5. Speciality populations: Pregnancy: attention to maternal and fetal health, as well as agressing
unique concerns
6. Speciality populations: Geriatric: consider age related changes, comorbidities, and potential cogni-
tive impairments.
7. purpose of CAGE questionnaire: is a brief screening tool used to assess alcohol disorders and identify
individuals? who may need further evaluation
Scoring: "A yes" to two or more questions may indicate possible alcohol problem.
8. CAGE Questions: C: Cut Down: "have you ever felt the need to cut down on your drinking?
9. CAGE Questions: A: Annoyed: "Have you ever been annoyed by your critism of your drinking?"
10. CAGE Questions: G: Guilty: "Have you ever felt guilty about your drinking?"
11. CAGE Questions: E: Eye-opener: Have you ever had a drink first thing in the morning to steady your nerves
or get rid of a hangover?"
12. HITS Purpose: A screening tool used to assess domestic violence or intimate partner violence.
Screening: a "yes" to one or more questions may indicate potential partner violence.
13. HITS Questions: H: Hurt: "Have you ever been physically hurt by someone you are close to?"
14. HITS Questions: I: Insult: Have you ever been insulted or made to feel bad about yourself by someone you
are close to?"
15. HITS Questions: T: Threaten: Have you ever been threatened with physical harm by someone you are close
to?
16. HITS Questions: S: Scream: Have you ever been screamed or curses at by someone you are close to?"
, NUR 505 Exam 1
Study online at https://quizlet.com/_eku5r1
17. PVS (Partner Violence Screening ) Tool purpose:: 3 questions used to detect partner
violence
1 positive response = positive screen
18. PVS Questions:: Have you been hit, kicked, punched, or otherwise hurt in the last year?
Do you feel safe in your current relationship?
Is there a partner from a past relationship that is making you feel unsafe now?
19. FICA tool purpose: used to assess a patient's spiritual, religious beleif and their impact on healthcare
descisions.
20. FICA components: F: Faith or beleif: Do you have spiritual beliefs to help cope with stress
21. FICA components: I: Importance: IS religion or spirituality important to you
22. FICA components: C: Community: Are you apart of a religious community
23. FICA components: A: Adress in care: How would you like your healthcare provider to adress these spiritual
concerns.
24. What are the sexual History 5 p's: Partners: Ask about number and gender of partners.
Practices: Sexual practice and behaviors
Protection from STIs: Condom use and safe sex.
Past STI: have they had any?
Prevention of pregnancy: explore methods used for pregnancy prevention.
25. Therapeutic communication: a type of communication that health care providers consciously use
when talking with residents in order to influence residents or help residents to a better understanding.
When dealing with an angry client use active listening, acknowledge their feelings, maintain a calm demeanor, and
adress their concerns empathetically.
26. Cultural Considerations things to do: Ask open ended questions about cultural beliefs, practices,
and preferences.
Don't make assumptions based on physical characteristics, as cultural diversity can exist within any group.
27. RESPECT MODEL: Rapport
Empathy
Support
Partnership
Explanations
, NUR 505 Exam 1
Study online at https://quizlet.com/_eku5r1
Cultural Competence
Trust
28. Standard precautions 1st tier universal apllication:: baseline for infection prevention
practices that are applied to the care of all patients. regardless of their known or suspected status. USED ROUTINELY
FOR ALL PATIENTS
29. Standard precautions 1st scope: adress the transmission of infectios agents in healthcare settings
which include measures to prevent contact with blood, all bodily fluids (except sweat), non-intact skinm and mucous
membranes
30. Standard precautions 1st tier components: Hand Hygiene: wash hands before and after pt
contact
PPE: gloves, gown, masks, goggles when needed
Respiratory Hygiene and Cough Etiquette: cover mouth and nose when sneezing.
Safe injection practice: use aseptic techniques for administering injections
Proper handling of contaminated equipment or surfaces ensure cleanliness and disinfect equipment and surfaces that
may come in contact w/ pts
31. Transmission based precautions: 2nd tier : Specific pathogens: Additional precau-
tions applied when a patient is known or suspected to be infected w/ specific pathogens that require extra precautions.
32. Transmission based precautions: 2nd tier: Scope: tailored to the mode of transmission of
the infections agent and are specific to the identified infectious agent and its transmission role.
33. Transmission based precautions: 2nd tier Airborne Precautions: Special Ventilation
systems< N95 respirators, negative air pressure rooms for diseases transmitted via airborne particles (TB, measles.)
34. Transmission based precautions: 2nd tier Droplet precautions: masks and eye
protection for diseases transmitted through resp. droplets (flu, pertussis)
35. Transmission based precautions: 2nd tier Contact precautions: gloves and gowns
for diseases transmitted by direct or indirect contact (MRSA, C. difficile)
36. Latex allergy & those affected: healthcare workers and patients with multiple surgeries d/t high
frequency of exposure.
37. Latex allergy types irritant contact dermatitis: chemical irritation/reaction not involving
immune system) s/s dry itching hands.
38. Latex allergy types 1 systemic reactions:: True allergic rxn, s/s urticaria (localized or general-
ized) angioedema, asthma, itchy eyes and nose. GI complaints, anaphylaxis, chronic asthma, permanent lung damage
