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NUR2000 Study Set Exam
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NUR2000 Study Set ExamHealth Assessment - Answer Systematic collection and analysis of patient data
RN Role in Health Assessment - Answer Collecting and analyzing patient data as the first
step in delivering care
Subjective Data - Answer Information provided by the patient
Objective Data - Answer Measurable or observable information
Nursing Process - Answer Assessing, diagnosing, planning, intervening, and evaluating
patient care
Priority Setting with Maslow - Answer Hierarchy of needs: physiological, safety,
love/belonging, self-esteem, self-actualization
Nursing Clinical Judgment Model - Answer Hypothesizing, prioritizing, generating
solutions, taking action
Therapeutic Communication - Answer Active listening, restatement, reflection,
elaboration, silence, focusing, clarification, summarizing
Phases of the Interview Process - Answer Pre-interaction, beginning, working, closing
Components of the Health History - Answer Reason for seeking care, data, history of
present illness, onset, duration
Hand Hygiene - Answer Key to preventing nosocomial infections
Standard precautions - Answer Standard precautions used with every patient --> hand
hygiene, common sense
Health Assessment Techniques - Answer Inspection, palpation, percussion,
auscultation
Purpose of the Medical Record - Answer Communication, care planning, quality
assurance, financial reimbursement, education/research
Types of Notes - Answer Narrative, SOAP, PIE, DAR, charting by exception
Types of Assessments - Answer Emergency, comprehensive, focused
SBAR - Answer Situation, background, assessment, recommendation
Normal Range for Vital Signs - Answer BP: 120/80, RR: 12-18, HR: 60-100, TEMP: 94-99,
O2: above 92
Techniques for Vitals - Answer Methods for measuring vital signs
, Bradycardia vs. Tachycardia - Answer Slow heart rate vs. fast heart rate
General Survey - Answer Initial encounter, history, physical exam, subsequent
interactions
Pulse Strength - Answer +2 is normal - it goes 0-+3
Definitions of Dyspnea, Apnea, Tachypnea, and Bradypnea - Answer Difficulty
breathing, no breathing, increased RR, decreased RR
Acute Pain vs. Chronic Pain - Answer Quick recovery vs. persistent over time
Pain Scales - Answer Faces scale, numeric scale, FLACC (nonverbal)
OLD CARTS - Answer Onset, Location, Duration, Characteristics, Aggravating factors,
Relieving factors, Timing, Severity
Intake and Output - Answer Measurement of fluid balance
Alcohol Withdrawal/CIWA CAGE Tool - Answer Assessment of alcohol withdrawal
symptoms
Red Flags for Violence - Answer Indicators of potential violence
Types of Abuse - Answer Child, elder, sibling, intimate partner, bullying, hate crimes,
family violence
Suicide Risk Assessment (SAD) - Answer Assessment of suicide risk factors
Dementia vs. Delirium - Answer Gradual process (common in old people) vs. underlying
medical cause (can be treated)
Social Determinants of Health - Answer Economic, education, healthcare,
neighborhood, social and community context
Respecting a Patient's Culture and Spirituality - Answer Awareness, acceptance, asking
Layers of the Skin - Answer Epidermis, dermis, subcutaneous
Braden Scale - Answer Predicting pressure sore risk, lower numbers are WORSE on a
9-18 scale
Skin Turgor - Answer Assessing hydration
Wound Staging - Answer 1. nonblanch-able
2 partial thickness skin loss
3. full thickness skin loss
4. full thickness and tissue loss
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