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NURS 251 Exam 1 Questions and
Answers |100% Pass
6 phases of nursing process - Answer✔✔-1. assessment
2. diagnosis
3. outcome identification
3. planning
5. implementation
6. evaluation
Assessment - Answer✔✔-the first and ongoing essential step requiring the nurse to collect and analyze
information about the whole individual
subjective data - Answer✔✔-what patients says about themself during health history taking
objective data - Answer✔✔-what you as the health professional observe by inspecting, percussing,
palpating, and auscultating during the physical examination
First level priority problems - Answer✔✔-Emergent, life threatening, and immediate (airway)
Second level priority problems - Answer✔✔-next in urgency, requiring attention so as to avoid further
deterioration
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Third level priority problems - Answer✔✔-important to patients health but can be addresses after more
urgent problems are addressed
collaborative problems - Answer✔✔-approach to treatment involves multiple disciplines
PQRST - Answer✔✔-provocative/palliative, quality, region/radiation, severity, timing
health history components - Answer✔✔-biographic data, PQRST (history of present illness), reason for
seeking care, past medical history, family history, review of systems, functional assessment
family history genome - Answer✔✔-presents 3 generations gathering more health information
review of systems with health promotion activties - Answer✔✔-evaluate past and present health, do not
record physical data, avoid writing "negative" instead write "denies", "absent", or "present"
funtional assessment - Answer✔✔-self-esteem, nutrition, rest, coping/stress management
FICA - Answer✔✔-faith, importance, community, address in care
PPE - Answer✔✔-personal protective equipment
Inspection - Answer✔✔-looking at and examining physical aspects of body, posture, appearance,
behavior, senses
palpation - Answer✔✔-- using backs of hands to touch and feel surface characteristics and temp
- wear gloves with open wounds, areas or internal structures
light palpation - Answer✔✔-surface deep
deep palpation - Answer✔✔-organs, masses, tenderness
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FIRST PUBLISH SEPTEMBER 2024
percussion - Answer✔✔-- tapping on different areas of the body to asses underlying structures
- different tones elicited depending on tissue type
- direct vs. indirect
auscultation - Answer✔✔-- listening for sounds produced by body
- stethoscope
factors that affect health assessment - Answer✔✔-culture, environment, physiological, developmental
cultural factors - Answer✔✔-listen to patient, be open to differences, culturally competent
culture - Answer✔✔-learned, shared, adapted, dynamic
environmental factors - Answer✔✔-- living and working conditions
- transportation
- involvement in community services
- international travel
physiological factors - Answer✔✔-things that could affect your body
developmental factors - Answer✔✔-children are not the same as adults
interview purpose - Answer✔✔-- 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
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