GUIDE COMPREHENSIVE REVIEW
◉ what are the 7 components of comprehensive health history?
Answer: identify data/source of history, CC, HPI, past history, family
history, ROS, health patterns
◉ what are primary and secondary sources of history? Answer:
primary: from the patient
secondary: from grandparent, parent, spouse, or sibling
◉ what are the 3 components of current health status? Answer:
general health(asking other than CC how are they), allergies(food,
drug, environment, and follow up with what reaction is), medication
(Rx, OTC, herbal)
◉ what are the 3 components of past medical history? Answer:
immunizations(influenza, tetanus, tDap), childhood
illnesses(mumps, asthma, chicken box, rubella), and adult
illnesses(medical, surgical, accident, psychiatric)
◉ what are the 4 risk factors for cardio Answer: tobacco, alcohol,
environmental hazards, substance abuse
,◉ what are the 4 alcohol abuse cage questions? Answer: 1. have you
ever felt the need to cut down on drinking?
2. have you ever felt annoyed by criticism of your drinking?
3. have you ever felt guilty about drinking?
4. have you ever taken a eye opener drink to steady nerves or cure a
hangover?
◉ what are the 7 lifestyle and health pattern categories? Answer:
self perception/concept(how would friends describe you, how
would you describe yourself)
value/belief
activity/exercise
sleep/rest
nutrition
role/relationships
coping/stress
◉ What are the 2 depression PHQ-9 screening questions? Answer: 1.
have you felt down, depressed, or hopeless in the past 2 weeks
2. have you had little interest or pleasure in doing things
◉ the nurse is auscultating Mr. Cook's right posterior chest above
T3. What lobe is he listening to? Answer: Right Upper Lobe
, ◉ what are the functions of lungs Answer: supply O2 for energy,
remove CO2, maintain acid base balance, maintain heat exchange in
body
◉ what are the three pleuras? Answer: visceral pleura: serous
membrane that lies next to the lungs, allows easy movement of lung
parietal pleura: serous membrane that lines inner rib cage and
upper surface of diaphragm
pleura place: space between visceral and parietal pleura. heps lungs
glide when expanding
◉ what does pleural effusion(extra pleura) cause? Answer:
respiratory disease
◉ During inspiration what happens to the chest cavity, pressure,
airflow? Answer: chest cavity: enlarges in size
pressure: negative in lungs
airflow: into lungs
◉ During expiration what happens to chest cavity, pressure, and
airflow? Answer: chest cavity: decrease in size
pressure: positive in the lungs
airflow: out of the lungs