NUR 310 health assessment EXAM 1 || All Questions Answered Correctly.
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Course
NUR 310 health assessment
Institution
NUR 310 Health Assessment
what are the 6 steps of the nursing process? correct answers 1. assessment
2. diagnosis
3. outcome identification
4. planning
5. implementation
6. evaluation
what is the standards of practice of nursing? correct answers the nursing process
what is assessment? correct answers *collecti...
NUR 310 health assessment EXAM 1 || All Questions
Answered Correctly.
what are the 6 steps of the nursing process? correct answers 1. assessment
2. diagnosis
3. outcome identification
4. planning
5. implementation
6. evaluation
what is the standards of practice of nursing? correct answers the nursing process
what is assessment? correct answers *collecting data
*using evidence based techniques
*using relevant document data
what is diagnosis? correct answers *comparing critical findings
*abnormal v.s normal findings
*interpret data
*validate and document the diagnosis
what is outcome identification? correct answers *individualize the patient
*realistic/expected outcomes
*timeline
what is planning? correct answers *priorites
*outcomes
*interventions
*integrate the research and evidence
what is implementation? correct answers *collaberate with colleagues
*health teachings
*do so in a safe timely manner
what is evaluation? correct answers *include the patient and loved ones
*give results to the patient and family
*progress toward outcomes
health assessment is characterized into what two types of data? correct answers 1. subjective date
2. objective data
what is subjective data? and an example of it correct answers what the person says about
themselves during history taking
ex: "I feel dizzy"
,what is objective data? and an example of it? correct answers what the health professional
observes by inspection, palpation, and auscultation during the physical
which kind of data supports the other? correct answers objective data can support subjective data
why is it important that assessments are thorough, organized, and accurate? correct answers
health care diagnosis, descions, and treatments are based on your data
what is a nursing diagnosis? correct answers describes a patient actual or potential health
problems that a nurse can identify
what are the four types of problems you will experience? correct answers 1. first level priority
problems
2. second level priority problems
3. third level priority problems
4. collaborative problems
what are first level priority problems? and an example? correct answers problems that are
emergent, life threatening, and require immediate attention
example: supporting breathing
what are second level priority problems? and an example? correct answers *next in urgency
*needs your intervention to prevent further deterioration
*example: acute pain, risk of safety, mental status change, untreated medical problems
what are third level priority problems? and an example? correct answers important to the patients
health but can be attended to after the more urgent issues
*interventions to treat these problems are more long term
what are collaborative problems? correct answers an effort between patient and health care
professionals to discuss appropriate care for the patient
what are the collecting four types of data? correct answers 1. complete (total health) database
2. focus (problem centered) database
3. follow up data base
4. emergency data base
what is complete (total health) database? and an example? correct answers includes complete
health history and a full physical
ex: performed in a primary care setting such as a family care or private practice
what is focused (problem-centered) database? and an example? correct answers *for a limited or
short term problem, "mini database"
*more targeted than other databases
ex: after surgery the patient complains of shortness of breath, the exam will focus solely on the
respiratory system
, what is follow-up database? and an example? correct answers *used in all settings as a followup
with short term and chronic health problems
*ex: patient with heart problems follows up with practitioner regularly to change meds
what is an emergency database? and an example? correct answers *urgent, rapid collection of
information that is combined with lifesaving measures
*ex: patient brought into ER suspected OD, questions asked, check breathing, this requires more
rapid collection
what is the first part of data collection? correct answers the interview
what does the interview allow the nurse to do? correct answers gather complete data about
patients health state, symptoms, make the patient feel comfortable (trust), teach patient about
health state, discuss health promotion and disease prevention
what are the 4 processes of communication? correct answers 1. sending
2. recieving
3. internal factors
4. external factors
what is sending in communication? correct answers converting a message for delivery
*more aware of verbal communication and body language
what is receiving in communication? correct answers receiving the message and processing the
information
what are internal factors? correct answers factors that are specific to the nurse as the interviewer
*ability to listen, self-awareness, empathy
what are external factors? correct answers factors related to the physical setting and where the
interview is
*hospital, exam room, or patients home
*prepare the setting, ensure privacy, refuse interruptions
what are the phases of the interview? correct answers 1. introduction
2. working phase
3. close of interview
what is the introduction in the interview? correct answers *keep it short and formal
*ask patient what name they prefer
what is the working phase? correct answers the data gathering phase, verbal skills include ability
to form questions
*use a combination of open and closed ended questions
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