A QUESTIONS AND ANSWERS APPROACH TO A+ IN HESI ADULT
HEALTH PRACTICE EXAM.
Acculturation
the process of adapting to acquiring another culture
Assimilation
the process by which a person develops a new cultural identity and becomes like the
members of the dominant culture
Ethnicity
Describes a group united by
Common geographic origin
Migratory status
Religion
Race
Language
Shared values, traditions, or symbols
Food preferences
Magicoreligious
Supernatural forces dominate. The fate of the world and those in it depends on the
actions of these forces. Voodoo, Witchcraft, Santeria
Respect Module
Heritage Assessment:
Realize - Must know your own heritage, cultural values, bias, health beliefs and
practices
Examine- Within patient's own cultural context
Select- Appropriate questions
Pace- questions
Encourage- discussion
Check- understanding
Touch- within appropriate cultural boundaries
,Working Phase
Open-ended questions
Closed or direct questions
Part of interview
Reflection:
Repeating part of the patient's statement.
Empathy
Naming a patient's feeling and encouraging him or her to discuss it.
Interpretation:
Making associations or implying cause and effect.
Explanation
Sharing information with the patient
Symptom
Subjective
Sign
Objective abnormality
Detectable on physical exam or in laboratory reports
Reason for Seeking Care:
"chief complaint."
PQRST
P: Provocative or palliative
Q: Quality or quantity
R: Region or radiation
S: Severity scale
T: Timing
U: Understand patient's perception
Spiritual resources
faith, influence, community, address.
ADLs
,Activities of daily living.
CAGE
Cut
Annoyed
Guilty
Eye opener
(TWO)
IPV
Intimate partner violence: Begin with the following: "How are things at home" and "Do
you feel safe?" Progress to the following: "Have you ever been emotionally or physically
abused by your partner or someone important to you?" "Within the last year, have you
been hit, slapped, kicked, pushed or shoved, or otherwise physically hurt by your
partner or ex-partner?" "Does your partner ever force you into having sex?" "Are you
afraid of your partner or ex-partner?"
Pack Year
Number of pack-years = (packs smoked per day) × (years as a smoker)
or
Number of pack-years = (number of cigarettes smoked per day/20) × number of years
smoked. (1 pack has 20 cigarettes)
For example: a person who has smoked 15 cigarettes a day for 40 years has a (15/20)
x 40 = 30 pack-year smoking history.
HEEADSSS
Developmental Care
(Home, Education/Employment, Eating, Activities, Drugs, Sexuality, Suicide
Depression, Safety)
Main components of a mental status assessment
, A—Appearance
B—Behavior
C—Cognition
T—Thought processes
Binge Drinking
Binge drinking defined as consuming five drinks or more in single occasion in past 30
days.
MiniMental State
Orientation
Registration
Attention and calculation
Recall
Language
Concentrates only on cognitive functioning, not on mood or though processes. 11
questions takes 5 to 10 minutes to complete. Good screening tool to detect dementia
and delirium. Normal score is 27. Scores between 24-30: no cognitive impairment.
Scores below 24 cognitive impairment present
Four levels of anxiety
mild Learning occurs in mild anxiety.
, moderate, severe, and panic.
Two phases of alcohol withdrawal
syndrome (AWS): alcohol withdrawal and
alcohol withdrawal delirium or delirium tremens (DT)
Lethargic:
Drifts off to sleep when not stimulated.
Obtunded
Sleeping most of the time, difficult to arouse.
Stupor:
Responds only to persistent or vigorous shake or pain.
HEALTH PRACTICE EXAM.
Acculturation
the process of adapting to acquiring another culture
Assimilation
the process by which a person develops a new cultural identity and becomes like the
members of the dominant culture
Ethnicity
Describes a group united by
Common geographic origin
Migratory status
Religion
Race
Language
Shared values, traditions, or symbols
Food preferences
Magicoreligious
Supernatural forces dominate. The fate of the world and those in it depends on the
actions of these forces. Voodoo, Witchcraft, Santeria
Respect Module
Heritage Assessment:
Realize - Must know your own heritage, cultural values, bias, health beliefs and
practices
Examine- Within patient's own cultural context
Select- Appropriate questions
Pace- questions
Encourage- discussion
Check- understanding
Touch- within appropriate cultural boundaries
,Working Phase
Open-ended questions
Closed or direct questions
Part of interview
Reflection:
Repeating part of the patient's statement.
Empathy
Naming a patient's feeling and encouraging him or her to discuss it.
Interpretation:
Making associations or implying cause and effect.
Explanation
Sharing information with the patient
Symptom
Subjective
Sign
Objective abnormality
Detectable on physical exam or in laboratory reports
Reason for Seeking Care:
"chief complaint."
PQRST
P: Provocative or palliative
Q: Quality or quantity
R: Region or radiation
S: Severity scale
T: Timing
U: Understand patient's perception
Spiritual resources
faith, influence, community, address.
ADLs
,Activities of daily living.
CAGE
Cut
Annoyed
Guilty
Eye opener
(TWO)
IPV
Intimate partner violence: Begin with the following: "How are things at home" and "Do
you feel safe?" Progress to the following: "Have you ever been emotionally or physically
abused by your partner or someone important to you?" "Within the last year, have you
been hit, slapped, kicked, pushed or shoved, or otherwise physically hurt by your
partner or ex-partner?" "Does your partner ever force you into having sex?" "Are you
afraid of your partner or ex-partner?"
Pack Year
Number of pack-years = (packs smoked per day) × (years as a smoker)
or
Number of pack-years = (number of cigarettes smoked per day/20) × number of years
smoked. (1 pack has 20 cigarettes)
For example: a person who has smoked 15 cigarettes a day for 40 years has a (15/20)
x 40 = 30 pack-year smoking history.
HEEADSSS
Developmental Care
(Home, Education/Employment, Eating, Activities, Drugs, Sexuality, Suicide
Depression, Safety)
Main components of a mental status assessment
, A—Appearance
B—Behavior
C—Cognition
T—Thought processes
Binge Drinking
Binge drinking defined as consuming five drinks or more in single occasion in past 30
days.
MiniMental State
Orientation
Registration
Attention and calculation
Recall
Language
Concentrates only on cognitive functioning, not on mood or though processes. 11
questions takes 5 to 10 minutes to complete. Good screening tool to detect dementia
and delirium. Normal score is 27. Scores between 24-30: no cognitive impairment.
Scores below 24 cognitive impairment present
Four levels of anxiety
mild Learning occurs in mild anxiety.
, moderate, severe, and panic.
Two phases of alcohol withdrawal
syndrome (AWS): alcohol withdrawal and
alcohol withdrawal delirium or delirium tremens (DT)
Lethargic:
Drifts off to sleep when not stimulated.
Obtunded
Sleeping most of the time, difficult to arouse.
Stupor:
Responds only to persistent or vigorous shake or pain.
