Healthy theory #2

Internal emotional problems, familial and social problems, community, and larger social issues are what?

Factors influencing mental health

what is a huge consideration you as a health care provider must include when interviewing about mental health

Socioeconomical considerations

________ is the second leading case of death for Canadian teens aged 15-19

Sucicide

what age do half of diagnosable mental health disorders over the lifetime begin at

14

During a mental health nursing assessment what is the first thing you must do with your patient to increase the likeness that they will open up to you

Build a rapport

When should a mental status exam be performed

in the overall physical assessments

What is the MoCA

montreal cognitive assessment

Nutritional patterns, sleep/rest changes, activity/mobility, elimination, interpersonal relationship and resources, self-esteem/self concept are all part of what assessment

functional assessment & ADLs

Suicidal thoughts assaultive or homicidal ideation, elopement risk are part of what assessment

Risk assessment

Preauricularm posterior auricular (mastoid), occipital, submental, submandibular are all part of the

Lymphatics

what age group are the following Developmental considerations a part of:
head growth
skull measurements
face symmetry, appearance
neck muscle development, head control

children and infants

who would present with slight enlargement of the thyroid gland

pregnant women

Asking a patient if they are experiencing any Headache, head injury, dizziness, neck pain or limitation of motion, lumps of swelling, history of head or neck surgery are what kind of data

subjective data

The following additional healthy history questions would be used for which age group
- prenatal drug exposure
-type of delivery
-growth pattern

Infants

hydrocephalus

an abnormal condition in which cerebrospinal fluid collects in the ventricles of the brain

parotid gland enlargement

Major salivary gland on each side of the mouth

Thyroid: multiple nodules

a condition where lumps are formed in the thyroid gland

hyperthyroidism

an overactive thyroid gland

hypothyroidism (myxedema)

under active thyroid

fetal alcohol syndrome

medical condition in which body deformation occurs or facial development is impa

Which cranial nerve in the eye move the eyes side to side

lateral rectus CN VI, medial rectus CN III

what visual reflexes do we look for during exam

pupillary light reflexes

What is the second leading cause of preventable blindness in Canada

Glaucoma

what abnormal findings would you find during an extra-ocular motor function

esotropia, exotropia

What is periodical edema

Swelling around one or both eyes

What is blepharitis

inflammation around eyelid

Hordeolum

Stye

what is miosis

Constricted and fixed pupils

what is mydriasis

dilated

conjunctivitis

inflammation of the conjunctiva of the eye

subconjunctival hemorrhage

bright red patch

what is iritis

Inflammation of the iris of the eye

acute glaucoma

glaucoma in which the iris blocks the outflow of aqueous humor

Infants should be breastfeed for the first ____ months

6

Infants and children need at least ___Mcg of vitamin D daily

10

_______ are know to have a decrease of energy requirements by 5% per decade

older adults

___________ has been recognized in Canada as key determinant of nutritional health

Food security

Consumption of more energy-dense, nutrient- poor diets are related to lower ________

socioeconomic status

What kind of diet is the following:
rich In unprocessed animal fats, plenty of lean meat, high amounts of omega 3 and 6 fatty acids, trans fats were rare

Traditional

what kind of diet is the following:
store bought, hight in fats, sodium, sugar, carbohydrates, minimal fruit and veggies, lack of energy

current Market diet

Eating patterns, usual weight/recent changes, changes in appetite, taste, smell, chewing, swallowing, recent surgery, trauma, burns, infection, chronic conditions etc are all part of what

subjective health history

Gestational, infant, and child nutrition are developmental considerations of _______ in infants and children

nutritional history

weight, use of agents to increase muscle size, snack, or fast food preferences, age at menarche are all part of developmental considerations of nutritional history in which age group

adolescents

nonsynovial/synovial, cartilage, ligament, bursa are what

joints

Fasciculi, tendon, skeletal muscle movements are what

muscles

______ includes medial and lateral epicondyles, olecranon process of the ulna

Elbow

_____ and _____ include the radoiocarpal joint, midcarpal joint, metacarpophalangeal joint, interphalangeal joint

Wrist, Carpa

Inspection, palpation, range of motion, muscle testing are the proper order for what

physical exam

Having the patient open their mouth maximally, protrude lower jaw and move side to side, stick out lower jaw is the physical exam of the

temporomandibular joint

Have your patient touch chin to chest
lift chin
move each ear to shoulder
turn chin to each shoulder
is the physical exam of the

cervical spine

Having your patient bend sideways, backwards,
twist shoulders to each side
is the physical exam for the

spine

Having your patient
bend hand up and down
bend fingers up and down
turn hands out and in
spread fingers
make a fist
touch thumb to each other
is the physical exam for the

wrist and hand

Having your patient
bend and straighten elbow
pronate and supinate hand
is the physical exam of the

elbow

Having your patient
move arms forward and up
move arms behind back and hands up
move arms to side and up over head
touch hands behind back is the physical exam for the

shoulder

Having your patient
raise leg
bend knee to chest
flex knee and hip, swinging foot out and in
swing leg laterally, medial
stand and swing leg back
is the physical exam for the

hips

Having your patient
Bend knee,
extend knee
check the knee during ambulation
is the physical exam for the

knee

Having the patient
point toes down and up
turn soles out and in
flex and straighten toes
is the physical exam for the

ankle and foot