NURS 251 EXAM 1 QUESTIONS AND ANSWERS
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list and describe steps of the nursing process - ANSWER 1. Assessment:
gathering and analyzing data
2. Diagnosis: determine what is wrong withe the patient
3. Planning: what can we do to help patient meet goals/set goals for patient
4. Implementation: carry out plans
5. Evaluation: have patient meet goals
What is the first step in determining priorities to individualize care? - ANSWER
assessment
what is the purpose of an assessment - ANSWER to establish baseline data
about the client
-gives you important information like risk factors, baseline is what you will
compare to when changes occur
what is an important factor when assessing a patient - ANSWER *individualize
systematic collection and verification of data - ANSWER assessment
what are some data collection methods during an assessment? - ANSWER -
Observation: looking
-Interview: asking questions - 4 stages
, -Examination
-Medical record review
-Analysis
what are the different phases of an interview with the purpose to collect data -
ANSWER 1. Pre-interaction phase: look at chart, medical record review, gather
data, obtain a brief history of what is going on with the patient
2. Orientation phase: introduce yourself, build some rapport, "tell me a little bit
about yourself.."
3. Working phase: start data collection, interview, observe, examine
4. Termination phase: set expectation and boundary of when you are leaving -
"close the loop"
basis of the clients plan of care - ANSWER assessment
*analysis - piecing everything together
piecing everything together that fits - ANSWER analysis
describe Maslows hierarchy - ANSWER (bottom of pyramid to top)
1. physiological needs: food, water, hydration, shelter, cardiac, temp.
2. Safety/security: getting correct medication, correct procedure
3. Love and belonging
4. Self esteem: making sure that they feel good about themselves, feel confident
5. Self-actualization: older people, often dying and reflecting on their life about
everything they are proud of *very few reach
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