EXAM 1 STUDY GUIDE HEALTH
ASSESSMENT, WELLNESS AND
PREVENTION)
5 steps of the nursing process - ANSWER-1. Assessment
2. Diagnosis
3. Planning
4. Implementation
5. Evaluation
Priority Setting (the levels) - ANSWER-First-Level: life threatening- Airway,
Breathing, Circulation
Second-Level: next in urgency- Infection risk
Third-Level: Important but can wait- medical knowledge
Evidence-based Practice - ANSWER-Integration of research evidence, clinical
expertise, clinical knowledge and patient value preferences
Four types of patient data - ANSWER-1. Complete Database- whole health history
(paperwork)
2. Focused Database- problem centered
3. Follow-up Database- check back up
4. Emergency Database- Urgent collection of info
Holistic Health Care - ANSWER-Care that promotes physical, emotional, social,
intellectual, and spiritual well-being
Social Determinants of Health - ANSWER-Factors that influence the health of
individuals and groups-- Environment, Economic stability, Education
AIDET? - ANSWER-Acknowledge, Introduce, Duration, Explain, Thankyou
SBAR? - ANSWER-Communicating w health professionals
Situation, Background, Assessment, Recommendation
IPPA? - ANSWER-Examination technique-
inspection, percussion, palpation, auscultation
Health History Sequence - ANSWER-1. Biographic data
2. Reason for seeking care
3. Present health or history of present illness
4. Past history
5. Medication reconciliation
6. Family history
, 7. Review of systems
8. Functional assessment or activities of daily living (ADLs)
Diagnostic reasoning - ANSWER-the process of analyzing health data and drawing
conclusions to identify diagnoses
Abductive Reasoning
Deductive reasoning
Inductive reasoning - ANSWER--thinking to determine the best explanation w best
info at hand
-draw on general principles from physiology and pathology
-use sign and symptoms as a guide
Childhood Illnesses - ANSWER-Measles, mumps, rubella, chickenpox, pertussis,
and strepthroat.
Past History - ANSWER-Childhood illnesses
Accidents or injuries
Allergies
Serious or chronic illnesses
Hospitalizations
Current medications
Operations
Obstetric history
Immunizations
Last exam date
HEEADSSS assessment - ANSWER-Home environment
Education/employment
Eating
Activities
Drugs
Sexuality
Suicide/depression
Safety from injury and violence
Inspection - ANSWER-Concentrated watching (begins with first introduction)
Aphasia - ANSWER-impairment of language, usually caused by left hemisphere
damage either to Broca's area (impairing speaking) or to Wernicke's area (impairing
understanding).
Confabulation - ANSWER-the act of filling in memory gaps
Neologism - ANSWER-a new word, expression, or usage; the creation or use of new
words or senses
Echolalia - ANSWER-Automatic and immediate repetition of what others say