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Nurs 3100 Exam 1 questions with 100% correct answers
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Nurs 3100 Exam 1 questions with 100% correct answers
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Nurs 3100 Exam 1 questions with 100%correct answers
What are the 5 steps in the nursing process? - correct answer ✔✔Assessment
Diagnosis
Planning
Implementation
Evaluation
Assessment - correct answer ✔✔collecting subjective and objective data
Diagnosis - correct answer ✔✔analyzing data to make a collaborative nursing judgement
Planning - correct answer ✔✔Determining outcome criteria and developing a plan
Implementation - correct answer ✔✔carrying out the plan
Evaluation - correct answer ✔✔Assessing whether outcome criteria have been met and revising the plan
as necessary
4 Basic types of assessments - correct answer ✔✔Initial comprehensive, ongoing, focused, emergency
Initial Comprehensive (complete) - correct answer ✔✔subjective and objective data
Ongoing (partial) - correct answer ✔✔mini overview as a follow-up
Focused (problem-oriented) - correct answer ✔✔specific concern
,Emergency (rapid) - correct answer ✔✔immediate and prompt
Proper techniques to prepare for assessment - correct answer ✔✔review clients record, review client's
status with other team members, educate yourself about client's diagnosis and test performed, obtain
and organize needed materials
4 major steps in the assessment phase - correct answer ✔✔1. Collection of subjective data
2. Collection of objective data
3. Validation of assessment data
4. Documentation of data
collection of subjective data - correct answer ✔✔Biographical (name, age, religion)
• History of present health concern (physical symptoms related to each body system)
• Personal health history
• Family history
• Health and lifestyle practices
• Review of systems
Collection of Objective Data - correct answer ✔✔• Physical characteristics
• Body functions
• Appearance
• Behavior
• Measurements
• Results of laboratory testing
Validation of assessment data - correct answer ✔✔-Ensure assessment isn't ended before all data is
collected
Documentation of data - correct answer ✔✔-Forms the database for all healthcare members
-Ensures valid conclusions can be made
, ANALYSIS OF ASSESSMENT DATA/NURSING DIAGNOSIS (STEP 2 OF THE NURSING PROCESS) - correct
answer ✔✔Identify abnormal data & strengths
• Cluster the data
• Draw inferences & identify problems
• Propose possible nursing diagnoses
• Check for defining characteristics of those diagnoses
• Confirm or rule out nursing diagnoses
• Document conclusions
Collection of subjective data - correct answer ✔✔• Health History
• Phases of the Interview:
•1. Pre-introductory
•2. Introductory
•3. Working
•4. Summary and closing
Pre-introductory phase - correct answer ✔✔Review the client's medical record (aka "chart-check")
INTRODUCTORY PHASE - correct answer ✔✔• Introduce yourself to the client
• Explain the purpose of the interview
• Discuss the types of questions that will be asked
• Explain the reason for taking notes
• Assure the client that information will remain confidential
• Make sure the client is comfortable & has privacy
• Develop trust & rapport using verbal & nonverbal skills
WORKING PHASE - correct answer ✔✔• Biographical data
• Reasons for seeking care
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