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Hondros Nursing 200, Exam 1 With Correct Answers Graded A
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10/11/24, 11:01 AMHondros Nursing 200, Exam 1
Jeremiah
Terms in this set (280)
Indicate when a situation is normal, abnormal or has changed. Get an initial grasp on
Noticing
the situation
Collect: Subjective & objective data
Application to thinking noticing VS, Complaints, self-described symptoms. What nurse notices, such as rashes,
swelling, bruising, etc
Identifying signs and symptoms Noticing
Gathering Complete and Accurate Data Noticing
Assessing Systematically and Noticing
Comprehensively
Predicting (and Managing) Potential Noticing
Complications
Identifying Assumptions Noticing
5 concepts of critical thinking Standards Attitudes Competencies Experience Specific Knowledge Base
The nursing process is a variation of scientific
reasoning that involves five steps: assessment,
nursing diagnosis, planning, implementation, and
Nursing Process
evaluation.Assess (collection verification of data
and analysis of data) Diagnose, Plan, Implement,
Evaluate
obtain information that you obtain through sense. (Lies still with arms along side:
cue
tense. States has not turned in some time. Reports pain a 7 and on scale of 0-10)
Patient, family and significant other, health care team, medical records, other records
Sources of Data
and scientific literature
(1) setting the stage, (2) gathering information about the patient's problems and
An initial patient-centered interview setting an agenda, (3) collecting the assessment or a nursing health history, and (4)
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, 10/11/24, 11:01 AM
A nurse assesses a patient who comes to Health perception-health management pattern
the pulmonary clinic. "I see that it's been
over 6 months since you've been here, but
your appointment was for every 2 months.
Tell me about that. Also I see from your last
visit that the doctor recommended routine
exercise. Can you tell me how successful
you've been in following his plan?" The
nurse's assessment covers which of
Gordon's functional health patterns?
The nurse observes a patient walking down Clinical inference.
the hall with a shuffling gait. When the
patient returns to bed, the nurse checks the
strength in both of the patient's legs. The
nurse applies the information gained to
suspect that the patient has a mobility
problem. This conclusion is an example of:
A 72-year-old male patient comes to the A problem-oriented approach
health clinic for an annual follow-up. The
nurse enters the patient's room and notices
him to be diaphoretic, holding his chest
and breathing with difficulty. The nurse
immediately checks the patient's heart rate
and blood pressure and asks him, "Tell me
where your pain is." Which of the following
assessment approaches does this scenario
describe?
The nurse asks a patient, "Describe for me a Working phase
typical night's sleep. What do you do to fall
asleep? Do you have difficulty falling or
staying asleep? This series of questions
would likely occur during which phase of a
patient-centered interview?
A nurse is assigned to a 42-year-old "You have four children; do you have any concerns about going home and caring for
mother of 4 who weighs 136.2 kg (300 lbs), them?"
has diabetes, and works part time in the
kitchen of a restaurant. The patient is facing
surgery for gallbladder disease. Which of
the following approaches demonstrates the
nurse's cultural competence in assessing
the patient's health care problems?
A nurse is checking a patient's intravenous Patient's level of function.
line and, while doing so, notices how the
patient bathes himself and then sits on the
side of the bed independently to put on a
new gown. This observation is an example
of assessing:
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