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235-PHYS Exam 1 (ch 1, 2, 5-7, 20) NUR235 CBU 2025 - Prof Hamilton Questions With Complete Solutions $14.99
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235-PHYS Exam 1 (ch 1, 2, 5-7, 20) NUR235 CBU 2025 - Prof Hamilton Questions With Complete Solutions

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235-PHYS Exam 1 (ch 1, 2, 5-7, 20) NUR235 CBU 2025 - Prof Hamilton Questions With Complete Solutions

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  • March 10, 2025
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235-PHYS Exam 1 (ch 1, 2, 5-7, 20) NUR235 CBU 2025 -
Prof Hamilton Questions With Complete Solutions


Why do nurses assess?
To make nursing judgments
health history is what kind of data
subjective data
What are examples of subjective data?
Sensations, symptoms, feelings, perceptions, desires,
preferences, beliefs, ideas, values, personal info

(secondary source is family member unless they're
guardian/caregiver)
How does the nurse collect subjective data?
interviewing
When does the nurse collect health history/subjective data?
Precedes objective data collection (subjective is ALWAYS first)
What are ANA Scope of Practice Standards 1 and 2?
1: RN collects pertinent data and info relative to consumers
health & situation
2: RN analyzes assessment data to determine actual or potential
dx, problems, and issues
What are the phases of the interview? Know examples in each.

,Intro (make sure setting is good)
Working Phase (make sure patient is comfortable and feels like
a priority)
Closure
What questions should the nurse use and avoid?
USE: open ended q's, list, further q if abnormal, describe what
you see

AVOID: too much eye contact, multitasking, distant, biased q's,
relying on memory, rushing patient
COLDSPA stands for
Character
Onset
Location
Duration
Severity
Pattern
Association
COLDSPA Questions
Character: describe the sign & symptom “what does it feel
like”
Onset: when did it begin
Location: where is it? Does it radiate> does it occur anywhere
else?
Duration: how long does it last? Does it recur?

,Severity: how bad is it? How much does it bother you? Rate on
a scale
Pattern: what makes it better or worse?
Association: what other symptoms happen when it occurs
How will the nurse change the approach in the older adult?
Be gentle, genuine, straightforward, patient. Listen well and
allow time.

Assess hearing acuity (speak slowly, face client, speak to strong
side, speak louder IF you confirm a hearing deficit)

Turn off background noises.

Wear nametag, write name, provide notes.
How will the nurse approach a client who is angry?
be calm, reassuring, allow venting, don't argue, provide personal
space
How will the nurse approach a client who is anxious?
be simple and organized
How will the nurse approach a client who is manipulative?
provide structure and limits
How will the nurse approach a client who is depressed?
express interest and understanding in a neutral manner

, How will the nurse discuss sensitive issues? (Death, sexuality,
people who make decisions that are antithesis to nurse's personal
views like drugs, declining blood...)
be aware of OWN thoughts and feelings, do NOT avoid these
issues do need to be discussed, may refer to someone else
Know cultural variations. (9)
1 be aware, seek help from a culture broker.

2 Reluctance to review personal information to strangers

3 Variation in expression of emotional distress and pain

4 Variation in receiving information

5 Variation in USE of language (slang)

6 Variation in eye contact, stance, gestures, demeanor, touch

7 Variation in disease/illness perception like culture-specific
disorders having a physical or supernatural cause

8 Variation in time orientation (past, present, or future time
orientation)

9 Variation in family decision making processes-who is the
major decision maker
How does the nurse assess a non-English speaking client?

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