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NUR 311 Final Exam With Latest Updated Solutions 2024
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NUR 311 Final Exam With Latest Updated Solutions 2024
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NUR 311 Final Exam With Latest UpdatedSolutions 2024
subjective .data .- .correct .answer.things .a .person .tells .you .about .that .you .cannot .observe
.through .your .senses; .symptoms
objective .data .- .correct .answer.information .that .is .seen, .heard, .felt, .or .smelled .by .an
.observer; .signs
therapeutic .communication .techniques .- .correct .answer.-active .listening
-restatement
-reflection
-elaboration
-silence
-focusing
-clarification
-summarizing
nontherapeutic .communication .techniques .- .correct .answer.-false .reassurance
-sympathy
-unwanted .advice
-biased .questions
-changes .of .subject
-distractions
-technical .or .overwhelming .language
-interrupting
interview .process .- .correct .answer.-preinteraction .phase
-beginning .phase
-working .phase
-closing .phase
preinteraction .phase .- .correct .answer.-occurs .before .meeting .the .patient
-collect .data .from .the .medical .record .like .the .previous .medical .or .surgical .history,
.medication .list, .and .problem .list
,beginning .phase .- .correct .answer.-the .phase .of .the .interview .process .in .which .you
.introduce .yourself, .state .the .purpose .of .the .interview, .and .try .to .put .the .patient .at .ease
working .phase .- .correct .answer.-when .the .nurse .and .the .patient .work .together .to .solve
.problems .and .accomplish .goals
**close-ended .questions .best .for .specific .information .that .yields .yes-or-no .answers
**open-ended .questions .best .to .get .more .information .(more .broad .and .often .in .patient's
.own .words)
closing .phase .- .correct .answer.-the .phase .of .the .interview .in .which .you .summarize, .elicit
.outstanding .questions, .and .thank .the .patient .for .participating
health .history .- .correct .answer.-demographic .data
-reason .for .seeking .care
-history .of .present .illness
-past .health .history .(childhood .illnesses, .past .illnesses, .surgeries, .injuries .and .trauma,
.obstetric .history, .health .screening, .genomics)
-current .medications .with .indications
-allergies
-family .history
-functional .health .assessment
-growth .and .development
-review .of .systems
comprehensive .health .assessment .- .correct .answer.complete .health .history .and .physical
.assessment
-includes .all .the .body .systems .and .areas .usually .in .a .head-to-toe .format
-information .about .family .history .of .illness, .personal .illness, .medical .treatment .or
.surgeries, .perception .of .health, .strengths, .risk .factors .for .illness, .methods .of .coping, .and
.support .systems
COLDSPA .- .correct .answer.character: .what .does .your .pain .feel .like? .does .it .radiate?
onset: .when .did .your .pain .start?
location: .where .is .your .pain? .
duration: .how .long .have .you .had .the .pain? .when .did .it .go .away? .is .it .continuous .or
.episodic?
severity: .how .much .pain .do .you .have .on .a .scale .from .0-10 .with .0 .being .none .and .10
.being .the .worst?
pattern: .does .it .occur .at .certain .times .of .day? .
alleviating/aggravating .factors: .what .makes .the .pain .better? .what .makes .the .pain .worse?
,specific .aspects .of .pain .- .correct .answer.-location
-duration
-intensity
-quality/description
-alleviating/aggravating .factors
-pain .management .goal
-functional .goal
pain .assessment .scales .- .correct .answer.-numeric .pain .intensity .scale
-visual .analogue .scale
-combined .thermometer .scale
-brief .pain .inventory
-McGill .pain .questionnaire
-brief .pain .impact .questionnaire
numeric .pain .intensity .scale .- .correct .answer.rates .pain .on .a .scale .of .0 .(no .pain) .to .10
.(worst .imaginable .pain)
-1-3= .mild
-4-6= .moderate
-7-10= .severe
visual .analogue .scale .- .correct .answer.lets .the .patient .make .a .mark .along .a .10-cm
.horizontal .line .from ."no .pain" .to ."worst .pain .imaginable"
-cognitively .alert .but .verbally .impaired
combined .thermometer .scale .- .correct .answer.combines .verbal .descriptor .scale .and
.numeric .pain .intensity .scale
brief .pain .inventory .- .correct .answer.asks .the .patient .to .rate .the .pain .within .the .past .24
.hours .using .graduated .scales .(0-10) .with .respect .to .its .impact .on .areas .such .as .mood,
.walking .ability, .and .sleep
-worst .pain .in .past .24 .hrs
-least .pain .in .24 .hrs
-body .diagram .to .locate .pain
-functional .assessment .including .general .activity, .mood, .walking, .employment,
.housework, .relationships, .sleep, .and .enjoyment .of .life
McGill .pain .questionnaire .- .correct .answer.asks .the .patient .to .rank .a .list .of .descriptors .in
.terms .of .their .intensity .and .to .give .an .overall .intensity .rating .to .his .or .her .pain
brief .pain .questionnaire .- .correct .answer.a .set .of .structured .questions
-how .strong .is .your .pain .right .now .and .at .its .worst .over .the .pain .week?
-how .has .pain .interfered .with .your .ability .to .take .care .of .yourself .with .ADLs
-how .often .do .you .partake .in .pleasant .activities? .how .has .pain .interfered .with .this?
-how .often .do .you .exercise? .has .pain .interfered .with .this?
, -does .pain .interfere .with .your .ability .to .think .clearly?
-does .pain .interfere .with .your .appetite? .have .you .lost .weight?
-does .pain .interfere .with .your .sleep?
-has .pain .interfered .with .your .energy, .mood, .personality, .or .relationships .with .other
.people?
-have .you .taken .pain .medications?
-how .would .you .rate .your .health .at .the .present .time?
normal .vital .signs .- .correct .answer.-HR .60-100 .bpm
-pulse .regular .
-normal .strength .2+/4
-vessels .are .springy
HR .and .rhythm .regular
-respirations .12-20 .breaths .per .minute
-normal .respiratory .rate, .rhythm, .and .effort .(eupnea)
-no .retractions .or .use .of .accessory .muscles
-pulse .oximetry .between .92-99%
-normal .BP .systolic .less .than .120 .and .diastolic .less .than .80
-pulse .pressure .approximately .40 .mm .Hg
-oral .temperature .97.7-98.6 .degrees .F
-axillary .temperature .96.7-98.5 .degrees .F
-tympanic .temperature .98.2-100 .degrees .F
-temporal .temperature .98.7-100.5 .degrees .F
-rectal .temperature .98.7-100.5 .degrees .F
abnormal .vital .signs .- .correct .answer.-temperature .less .than .95 .degrees .F .(hypothermia)
-temperature .greater .than .101.5 .degrees .F .(hyperthermia/fever)
-heart .rate .greater .than .100 .bpm .(tachycardia)
-heart .rate .less .than .60 .bpm .(bradycardia)
-absence .of .a .pulse .(asystole)
-abnormal .rhythm; .speeding .up .of .HR .(sinus .dysrhythmias)
-diminished .or .absent .pulses
-two .systolic .pulses .(pulsus .bisferiens)
-rapid, .persistent .respiratory .rate .greater .than .24 .breaths/min .(tachypnea)
-persistent .respiratory .rate .less .than .8-12 .breaths/min .(bradypnea)
-difficult .breathing .(dyspnea)
-resting .respiration .that .is .deeper .and .more .rapid .than .normal .(hyperpnea)
-deep, .rapid .respiration .(hyperventilation)
-shallow, .slow .respiration .(hypoventilation)
-retractions .or .use .of .accessory .muscles
-systolic .less .than .90 .(hypotension)
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