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NURS 251 Exam 1 Questions and Answers 2024/2025( A+ GRADED 100% VERIFIED).
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NURS 251 Exam 1 Questions and Answers 2024/2025( A+ GRADED 100% VERIFIED).
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NURS 251 Exam 16 phases of the nursing process - ANS 1. assessment
2. diagnosis
3. outcome identification
3. planning
5. implementation
6. evaluation
Assessment - ANS the first and ongoing essential step requiring the nurse to collect and
analyze information about the whole individual
subjective data - ANS what patients says about themself during health history taking
objective data - ANS what you as the health professional observe by inspecting, percussing,
palpating, and auscultating during the physical examination
First level priority problems - ANS Emergent, life threatening, and immediate (airway)
Second level priority problems - ANS next in urgency, requiring attention so as to avoid further
deterioration
Third level priority problems - ANS important to patients health but can be addresses after more
urgent problems are addressed
collaborative problems - ANS approach to treatment involves multiple disciplines
PQRST - ANS provocative/palliative, quality, region/radiation, severity, timing
health history components - ANS biographic data, PQRST (history of present illness), reason
for seeking care, past medical history, family history, review of systems, functional assessment
family history genome - ANS presents 3 generations gathering more health information
review of systems with health promotion activities - ANS evaluate past and present health, do
not record physical data, avoid writing "negative" instead write "denies", "absent", or "present"
functional assessment - ANS self-esteem, nutrition, rest, coping/stress management
FICA - ANS faith, importance, community, address in care
PPE - ANS personal protective equipment
, Inspection - ANS looking at and examining physical aspects of body, posture, appearance,
behavior, senses
palpation - ANS - using backs of hands to touch and feel surface characteristics and temp
- wear gloves with open wounds, areas or internal structures
light palpation - ANS surface deep
deep palpation - ANS organs, masses, tenderness
percussion - ANS - tapping on different areas of the body to asses underlying structures
- different tones elicited depending on tissue type
- direct vs. indirect
auscultation - ANS - listening for sounds produced by body
- stethoscope
factors that affect health assessment - ANS culture, environment, physiological, developmental
cultural factors - ANS listen to patient, be open to differences, culturally competent
culture - ANS learned, shared, adapted, dynamic
environmental factors - ANS - living and working conditions
- transportation
- involvement in community services
- international travel
physiological factors - ANS things that could affect your body
developmental factors - ANS children are not the same as adults
interview purpose - ANS - best chance to gain understanding of the patient's belief, concerns
and perception of their individual health state
- allows for compilation of subjective data and awareness of objective data
successful interview characteristics - ANS gather complete and accurate data about person's
health sate including description and chronology of any symptoms, establish trust to foster
acceptance an allow for data sharing, teach the person about their individual health state, build
rapport to continue therapeutic relationship, discuss health promotion and disease prevention
verbal communication - ANS words you speak, tone used in conversation
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