QUESTIONS AND ANSWERS
The nursing health assessment entails both a __ history and ____ exam -
ANSWER-comprehensive health history and a complete physical exam.
What contributes to a pt's past and present history helps for the assessment
name a few examples... - ANSWER-Physical, Psychological, social, spiritual,
cultural
The identification of important data is a... - ANSWER-systematic process.
What is the purpose of the nursing health assessment? - ANSWER-health status,
risk factors, need for health education. (basis for developing a nursing plan of
care)
Assessment is typically performed when? - ANSWER-Done on admission
What health assessment focuses on diagnoses and treatment of the disease? -
ANSWER-medicine
What health assessment focuses on diagnoses and treatment of the actual or
potential human responses? - ANSWER-nursing
What are the three levels of preventive care? - ANSWER-Primary, Secondary,
Teritray
,What are exotoxins? - ANSWER-Produced during bacterial growth. Usually
enzymes an can damage cell membranes, activator second messengers, and
inhibit protein synthesis
What preventative is available for endotoxic organisms? - ANSWER-Vaccines
What are endotoxins? - ANSWER-Lipopolysaccharides contained within the
cell wall of gram negative bacteria. They are released during lysis of bacteria
What can endotoxins lead to? - ANSWER-fatal (septic) shock
What do endotoxins do in the body? - ANSWER-Release vasoactive peptides
and cytokines, decrease oxygen delivery, produces cardiovascular shock, active
clotting cascades, and can cause DIC
What is the most notable acquired immune deficiency? - ANSWER-AIDS
What does AIDS do in the body? - ANSWER-Viral disease that depletes Th
cells making individuals susceptible to infection and malignancies
What are the three stages of stress? - ANSWER-1. Alarm/Reaction
2. Resistance/Adaption
3. Exhaustion
What happens in stage one of stress? - ANSWER-Alarm/Reaction: CNS is
aroused and the hypothalamus and SNS are activated
What happens in stage two of stress? - ANSWER-Resistance/Adaption: Fight or
Flight kicks in. Cortisol, Norepi, and Epi start flowing
,What happens in stage three of stress? - ANSWER-Exhaustion: continued stress
causes progressive breakdown of compensatory mechanisms
How does cortisol effect the body? - ANSWER-vasodilation and increased
capillary permeability, suppression of helper T cells which decreases innate
immunity, promotes resolution and repair
What are characteristics of a benign tumor? - ANSWER-Well differentiated
cells, slow growing, low miotic index, presence of a capsule. slight
vascularization, expansible growth, and unable to metastasize
What are the characteristics of a malignant tumor? - ANSWER-Poorly
differentiated cells, rapid growing, high mitoic index, no presence of capsule,
highly vascularized, invasive growth, and able to metastisize
What is the World Health Organization's staging system? - ANSWER-TNM
What does TNM stand for? - ANSWER-T=Tumor
N=Nodes
M=Mets
What are the four stages of cancer? - ANSWER-1- Cancer that is confined to
organ of origination
2- cancer that is locally invasive
3- cancer that has spread to regional structures
4- cancer that has spread to distant sites
focuses on improving overall wellness and protecting from disease or disability.
- ANSWER-Primary
, Focuses on early detection and treatment of a disease when it is curable or has
few complications or disabilities. - ANSWER-Secondary
focuses on decresasing the effects of a disease or disability by preventing
complication and the addiontional loss that happens when a defect is permanent.
- ANSWER-teritray
Nursing interventions promote what? - ANSWER-health and prevent disease.
Nursing interventions educate who? - ANSWER-counsel indviduals, families,
groups, and communities.
What is an example of a primary prevention? - ANSWER-Immunizations,
environmental measures, Health education,Diet and exercise, Preventive stuff
What is an example of secondary prevention? - ANSWER-Screenings, Early
treatment of diseases, Self examination,Disease control (STDs and ETCs)
What is an example of tertiary prevention? - ANSWER-Rehab programs,
Sheltered communities, prevention of skin breakdown in immobile pts
When meeting with a pt ask what they expect so see there view of health? -
ANSWER-Their goals
What are three things that have to be in order for a nurse to assist a pt with? -
ANSWER-health promotion, healthy environment, and nurturing
What is the nurses intiral role in health assessment? - ANSWER-Collect data
What makes up the autonomic nervous system? - ANSWER-Sympathetic and
parasympathetic nervous system