Health Asses Part 9

Piaget's formal operations stage

A developmental stage where individuals can think abstractly and logically.

Freud's superego

The component of personality that represents internalized ideals and provides standards for judgment.

Kohlberg's moral development

A framework that describes how individuals develop moral reasoning, primarily motivated by fear of consequences in early childhood.

Erikson's identity crisis

A stage in development where adolescents struggle to form a personal identity.

General survey

An assessment that provides clues about a patient's overall health and level of physical distress.

Lowest body temperature

Typically occurs in the early morning due to circadian rhythms.

First vital sign assessment

The nurse should assess respiration first as it is the most critical.

Radial pulse 2+

Indicates a pulse that is easily palpable and occludes with moderate pressure.

Stroke volume assessment

Best assessed by measuring the strength of the radial pulse.

Blood pressure interpretation

Lying down may result in a slightly lower reading compared to standing.

Usual blood pressure inquiry

Provides identifiable data about the patient's health status.

Blood pressure cuff placement

Should be about 1 inch above the antecubital area for accurate measurement.

Blood pressure inflation

Inflate the cuff 30 mm Hg above where the radial pulse disappears for accurate reading.

Auscultatory gap

The break in sounds between the first and second Korotkoff sounds during blood pressure measurement.

Kyphosis

A common finding in older adults with osteoporotic changes.

Patient posture observation

Leaning forward may indicate chronic obstructive pulmonary disease (COPD).

Elevated temperature expectation

A patient with a temperature of 102°F would likely have a heart rate greater than 100 bpm.

Orthostatic hypotension assessment

Important for patients on antihypertensive medications to ensure safety.

Radial pulse technique

Correct technique involves using two middle fingers lightly applied to the wrist area along the thumb side.

Abnormal skin finding

Ashen gray skin color in an African-American patient indicates a potential health issue.

Oral thermometer placement

Should be inserted at the gum line between the cheek and tongue for accurate reading.

Respiratory depth assessment

Best assessed by observing the patient's chest expansion bilaterally.

Axillary temperature interpretation

A finding of 97.4°F would correspond closely to a previous oral temperature of 98.4°F.

Stooped posture follow-up

A focused assessment of the patient's musculoskeletal system is warranted.

Fifth vital sign

Asking about pain is considered the fifth vital sign in patient assessments.

Normothermic temperature interpretation

A temperature of 97.5°F does not rule out the presence of an infection in the patient.

Heart rate assessment

The radial artery is most commonly palpated to assess heart rate in patients.