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Exam (elaborations)

NUR 216 Exam 1 Questions and Answers

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NUR 216 Exam 1 comprehensive assessment - Answer- An assessment that includes a complete health history and physical assessment; Usually brand new patients focused assessment - Answer- assessment conducted to assess a specific problem; focuses on pertinent history and body regions HIPAA - ...

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  • September 8, 2024
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  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NUR 216 1
  • NUR 216 1
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NUR 216 Exam 1
comprehensive assessment - Answer- An assessment that includes a complete
health history and physical assessment; Usually brand new patients

focused assessment - Answer- assessment conducted to assess a specific problem;
focuses on pertinent history and body regions

HIPAA - Answer- Health Insurance Portability and Accountability Act

The nursing process - Answer- Assessment
Diagnosis
Planning
Implementation
Evaluation

Assessment (ADPIE) - Answer- Data collection (objective/subjective)

Prioritize Data: Primary (life threatening), Secondary (requires prompt attention),
Tertiary (not urgent)

Planning (ADPIE) - Answer- Develop SMART goals, plan nursing interventions

Implementation (ADPIE) - Answer- Perform planned nursing interventions

Evaluation (ADPIE) - Answer- Were the goals met? If not, re-assess

assessment skills - Answer- Inspection
Palpation
Percussion
Auscultation

(Bowels: Inspection, Auscultation, Percussion. Auscultation) Do not want to alter the
bowel sounds

Inspection - Answer- Observe for Symmetry, size, color, shape

Direct: Visualize with our eyes
Indirect: Use and instrument

Fingertips/pads: Palpation - Answer- Fine sensation (texture, swelling, pulsation.
lumps)

Dorsa of hands: Palpation - Answer- Best for determining temperature

Base of fingers or ulnar surface: - Answer- vibrations

Palpation - Answer- Light: surface characteristics

, Deep: Organs, masses, tenderness (use intermittent pressure)

Ballpottement: Size/Shape of free floating objects

- Always palpate tender areas last

Percussion - Answer- tapping on a surface to determine the difference in the density
of the underlying structure

Ausculation - Answer- listening to sounds within the body

Bell - Answer- low pitched sounds

(mummers)

Diaphragm - Answer- high pitched sounds

(bowel and lung sounds)

What should we do before leaving the patients room? - Answer- Patients safety
Bed to lowest position
Side Rails
Call button and personal belongings in reach

Contextual awareness - Answer- Understanding the status of the client and the
events that led to their interaction

Analyzing assumptions - Answer- Evaluating the client's clinical situation

Exploring alternatives - Answer- The use of holistic approaches for treating the whole
person
(physical health, lifestyle choices, culture, living environment, life experiences)

Reflecting and deciding - Answer- Reflect on the client's goals and decide on the
intervention with client input

Steps for communicating with members of the health care team - Answer- 1.Identify
the member by name and title
2.Provide info regarding the current situation
3.Provide info regarding the background situation
4.Give the most recent set of vital signs
5.Provide suggestions that may be helpful to the situation
6.Repeat the orders back that are given to you by the provider

Nonmaleficence - Answer- Do no harm

Beneficence - Answer- Promote good

Autonomy - Answer- the right to make own choice

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