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Nurs 335 Exam 1 | Nurs335 Actual Exam 2024 Questions and Correct Answers Rated A+
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Nurs 335 Exam 1 | Nurs335 Actual Exam2024 Questions and Correct Answers
Rated A+
According to the biomedical model, a narrow definition of health is: -
ANSWER-the absence of disease.
What type of data base is most appropriate when a rapid collection of
data is required and often compiled concurrently with life-saving
measures? -ANSWER-Emergency
A medical diagnosis is used to evaluate: -ANSWER-the cause of
disease.
An example of subjective data is:
A) decreased range of motion.
B) crepitation in the left knee joint.
C) left knee has been swollen and hot for the past 3 days.
D) arthritis. -ANSWER-C) left knee has been swollen and hot for the
past 3 days.
What type of database is most appropriate for an individual who is
admitted to a long-term care facility? -ANSWER-Complete
Which of the following is considered an example of objective data?
A) Alert and oriented
B) Dizziness
C) An earache
D) A sore throat -ANSWER-A) Alert and oriented
,An example of objective data is:
A) complaints of left knee pain.
B) crepitation in the left knee joint.
C) left knee has been swollen and hot for the past 3 days.
D) report of impaired mobility from left knee pain as evidenced by an
inability to walk, swelling, and pain on passive range of motion. -
ANSWER-B) crepitation in the left knee joint.
A nursing diagnosis is best described as: -ANSWER-a concise
statement of actual or potential health concerns or level of wellness.
A complete data base is: -ANSWER-used to perform a thorough or
comprehensive health history and physical examination.
A patient admitted to the hospital with asthma has the following
problems identified based on an admission health history and physical
assessment. Which problem is a first-level priority?
A) Ineffective self-health management
B) Risk for infection
C) Impaired gas exchange
D) Readiness for enhanced spiritual well-being -ANSWER-C)
Impaired gas exchange
Define Assessment -ANSWER-the collection of data about the
individual's health state
Define Subjective Data -ANSWER-what the person says about himself
or herself during history taking
Define Objective Data -ANSWER-what you as the health professional
observe by inspecting, percussing, palpating, and auscultating during
the physical examination
,What is diagnostic reasoning? -ANSWER-the process of analyzing
health data and drawing conclusions to identify diagnoses
What are the 6 phases in the nursing process? -ANSWER-
assessment, diagnosis, outcome identification, planning,
implementation, and evaluation
What is assessment? -ANSWER-collecting data from clinical record,
health history, physical exam, functional assessment, and risk
assessment,
What is diagnosis? -ANSWER-Nursing diagnoses are clinical
judgments about a person's response to an actual or potential health
state.
What is outcome identification? -ANSWER-Individualized goals for
each patient that are culturally appropriate and realistic. Needs to be
measurable so that goals can be evaluated.
What is planning? -ANSWER-Care planning is setting priorities,
develop outcomes, and setting timelines.
What is implementation? -ANSWER-Putting that plan into action,
implementing nursing interventions.
What is evaluation? -ANSWER-Make sure that plan is working, that
everything is progressing towards the outcomes.
Medical diagnosis vs. Nursing diagnosis -ANSWER-the medical
diagnosis is used to evaluate the etiology (cause) of disease. The
, nursing diagnosis is used to evaluate the response of the whole
person to actual or potential health problems. .
First level priorities: -ANSWER-are emergent, life threatening, and
immediate, such as establishing an airway or supporting breathing.
Airway problems,Breathing problems, Cardiac/circulation problems, &
Vital sign concerns (e.g., high fever).
Exception: With cardiopulmonary resuscitation (CPR) for cardiac
arrest, begin chest compressions immediately.
Second-level priorities: -ANSWER-next in urgency—those requiring
your prompt intervention to forestall further deterioration, for example,
mental status change, acute pain, acute urinary elimination problems,
untreated medical problems, abnormal laboratory values, risks of
infection, or risk to safety or security.
Third level priorities: -ANSWER-are important to the patient's health
but can be addressed after more urgent health problems are
addressed.
Four Assessment Types: -ANSWER-1) Complete
2)Focused or Problem-Centered
3)Follow-up
4)Emergency
Complete or Total Health Database -ANSWER-a complete health
history and a full physical examination. It describes the current and
past health state and forms a baseline against which all future
changes can be measured.
Focused or Problem Centered database -ANSWER-This is for a
limited or short-term problem. Here, you collect a "mini" database,
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