NURS 340 Exam 1 Study Questions and Correct Answers
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Course
NUR 340
Institution
NUR 340
Define subjective and objective patient data - Objective data can be observed and measured -Subjective data is based on the patient's point of view; the information they provide
5 steps of the nursing process · Assessment- point of entry in an ongoing process · Diagnosis · Planning · Implement...
NURS 340 Exam 1 Study Questions and
Correct Answers
Define subjective and objective patient data ✅- Objective data can be observed and
measured
-Subjective data is based on the patient's point of view; the information they provide
5 steps of the nursing process ✅· Assessment- point of entry in an ongoing process
· Diagnosis
· Planning
· Implementation
·Evaluation
Describe the elements that are included in the assessment phase of the nursing
process ✅· Collect data: Review clinical record, health history, physical exam,
functional assessment, risk
assessment, review of literature.
· Use EBP
· Document relevant data
Elements of the complete health database and when is it appropriate to obtain a
complete health history ✅· Information from the database allows the nurse to make a
clinical judgment or diagnosis about the patient's health state.
·Describes current and past health state and forms a baseline to measure all future
changes.
Identify examples of subjective data ✅· "sore-throat," "headache," "pain"
Evidence-based practice---definition and the type of information utilized to determine
best practices ✅· Integration of research evidence, clinical expertise, clinical
knowledge, and patient values and preferences
·Clinical decision making = best evidence from literature review + patient's own
preference + clinician's experience/expertise + physical exam
Definition of a follow-up database ✅· Status of all identified problems should be
evaluated at regular and appropriate intervals.
Obtaining cultural information as part of the health assessment ✅· There is no one
universally accepted tool that addresses all variables.
· Do not apply stereotypes but listen and learn.
· Recommended list of domains of interest that may be included:
o Heritage, health practices and communication
o Family roles and social orientation, nutrition and pregnancy, birth/child-bearing
, o Spirituality/religion, death, and health providers
Providing and understanding culturally competent and appropriate care ✅1. Culturally
sensitive- Caregivers possess basic knowledge and understanding.
2. Culturally appropriate- Caregivers apply knowledge to improve health outcomes.
3. Culturally competent- Caregivers apply a universal concept of understanding to all
contextual aspects of care.
4. Cultural care- Provision of health care across cultural boundaries in consideration of
context
Fastly growing minority population in the US ✅Minority, or emerging majority accounts
for 38%
· Hispanics: largest and fastest growing group
· Blacks: second largest population
· Asians, American Indians, Alaska Natives, Native Hawaiians, and other Pacific
Islanders make up the third largest part of the population.
Physical environment of the interview ✅o Ensure privacy—aim for "geographic"
privacy but ensure "psychological" privacy
o Avoid interruptions—minimize and/or refuse
o Physical environment—"equal status" seating
o Dress—appearance and comfort
oNote-taking—keep to a minimum, offer "focused" attention
Beginning the interview—introductions ✅-Best chance to gain an understanding of the
patient's beliefs, concerns, and perceptions
-Establish trust and build rapport to foster acceptance and allow for data sharing
-Keep introductions short and formal
-Establish:
-Roles
-Purpose
-Time frame
-Participation
-Confidentiality
-Cost
Interview techniques—using various methods to obtain information ✅-Open ended
questions and closed ended questions (each has a different place and function)
-Facilitation—encourages patient to say more
-Silence—directed attentiveness
-Reflection—echoes to help express meaning
-Empathy—names a feeling and allows its expression
-Clarification—asking for confirmation
-Confrontation—clarifying inconsistent information
Interpretation—makes association to identify cause or conclusion
-Explanation—informing person by sharing factual and objective information
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