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Exam (elaborations)

Nursing 251 Training Exam Questions With Already Passed Answers.

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  • Course
  • Nurs 251
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  • Nurs 251

introductory phase - Answer introduce self, explain purpose of the interview, assure privacy, time frame, build rapport working phase - Answer nurse collects data by collaborating with patient to identify problems and set goals. uses skills of listening/thinking/observing summary/clos...

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  • August 19, 2024
  • 23
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • Nurs 251
  • Nurs 251
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Nursing 251 Training Exam Questions
With Already Passed Answers.
introductory phase - Answer introduce self, explain purpose of the interview, assure privacy, time
frame, build rapport



working phase - Answer nurse collects data by collaborating with patient to identify problems and set
goals.

uses skills of listening/thinking/observing



summary/closing phase - Answer - summarize/restate findings

- validates problems/goals

- discusses plan to solve problem



Facilitation - Answer cueing to patient to continue by saying "mm-hmm", or silent gestures like head
nod. it assures that you are listening and want them to keep going



interpretation - Answer inference about feelings or concerns.

ex) "you seem anxious. are you nervous about that upcoming test?"



confrontation - Answer identifying and stating observations that seem to be at odds with
statements/behavior.

ex) "you say you don't care, but yet you are crying."

not always the best approach



empathetic response - Answer saying things like "I know that must have been really hard for you"

-nonverbal: offering tissue if pt is crying, gently touching patient's hand.

-therapeutic use of self: "I can relate to what you are going through. I got surgery last year."

,clarification - Answer ex) "you said you and your mom had a falling out. what exactly do you mean by
falling out?"



reflection - Answer reiterating what the patient said

patient: "the pain got worse and began to spread"

you: "it spread?"



nursing process - Answer ADPIE

Assessment

Diagnosis

Planning

Implementation

Evaluation



initial comprehensive assessment - Answer -collect subjective/objective data

- done at doctors office

- occurs when patient first presents to health care setting



ongoing/partial assessment - Answer -reassessment of initial problem or baseline looking for
improvement or deterioration

-beginning of shift assessment in hospitals, weekly home visits

-occurs after comprehensive database is established



focused/problem assessment - Answer - occurs in relation to a specific topic

* patient admitted w SOB

* begin with cardiorespiratory system assessment then follow with a comprehensive assessment



emergency assessment - Answer - immediate diagnosis needed to begin treatment

, * ABC airway breathing cardiovascular

- occurs rapidly when life saving acting needs to be taken



Vital signs - Answer temp, pulse, respirations, BP, PAIN



temperature ranges - Answer 37 deg C or 98.6 deg F



pulse ranges - Answer 60 - 100 adult

80 - 120 child

120 -160 infant

(rate: BPM, 2+ normal)



Respiration ranges - Answer 12-20 bpm

<12 = bradypnea (head injury, stroke)

> 20 = tachypnea (fever, anxiety, exercise)



Blood pressure - Answer pressure exerted on artery walls

ventricles contract = systole

ventricles relax = diastole

normal range: 120/80 (s/d)

pulse pressure = 120 - 80 = 40



characteristics of pain - Answer COLDSPA

C: characteristics (feel, look, sound, smell)

O: onset (when did it start?)

L: location (where is it?)

D: duration (how long has it been going on?)

S: severity (is it bearable?)

P: pattern

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