Nursing 3rd ed. Varcarolis EXAM 2
1. Patient centered care:
The patient is the full partner in providing care based on patients preferences, values, and needs
2.Quality Improvement:
3. Safety
4. Information
5.Teamwork and Collaboration
6.EBP - ANS QSEN
Personal information:
Relationship, Religion, Living,
Appearance:
Grooming, Pupil, Ht, Wt, tattoos/piercing, relationship between appearance and age
Behavior:
Body movements, eye contact
,Speech:
Rate, volume, disturbance, cluttering
Affect and mood:
Ex: flat, bland, animated, angry, withdrawn, appropriate; sad, labile, euphoric
Thought:
Process and content
Perceptual disturbances:
Hallucinations, Illusions
Cognition:
Orientation, LOC, memory, attention, abstraction, Judgement - ANS Mental Status Examination
1. WHat day of the week is it?
2. What is the year
3. What state are we in
4. Please remember there five objects, I will ask about them later
5.You have $100 and buy a dozen apple for $3 and a bike for $20
-How much did you spend
, -How mush do you have left
6.Please name as many animals in 1 min
0-0-5, 1-5-10, 2-10-15, 3-15+
7.What were the 5 object I asked you to remeber
(1pt for each)
8.I am going to give you a series of number and I would like you to give them back to me
0 - 87, 1 - 649, 2 -8537
9. Place the time on this clock
2 - Hrs
2 - time
10. X marks the triangle
11. Story and response - ANS SLUMS
1. Does the patient have a spiritual or religious affiliation
2. what gives the patient strength and hope
3. Participation in any activities