Exam (elaborations)

Exam 1: NUR101/ NUR 101(Latest 2024/ 2025 Update) Health Assessment | Guide with Questions and Verified Answers| 100% Correct| Grade A – Fortis

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Course
NUR101

Institution
Fortis College Of Nursing

Q: Nursing process Answer: five-step systematic method for giving patient care; involves assessing, (analysis) diagnosing, planning, implementing, and evaluating (1) assess pt to determine need for nursing care (2) determine nursing diagnoses for actual and potential health problems and needs ...

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Uploaded on October 13, 2024
Number of pages 32
Written in 2024/2025
Type Exam (elaborations)
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Exam 1: NUR101/ NUR 101(Latest 2024/
2025 Update) Health Assessment | Guide with
Questions and Verified Answers| 100%
Correct| Grade A – Fortis

Q: Nursing process

Answer:
five-step systematic method for giving patient care; involves assessing, (analysis) diagnosing,
planning, implementing, and evaluating

(1) assess pt to determine need for nursing care
(2) determine nursing diagnoses for actual and potential health problems and needs
(3) identify expected outcomes and place care
(4) implement the care
(5) evaluate the results

Q: ADPIE of nursing process

Answer:
Assessing, (Analysis) Diagnosis, Planning, Implementation, Evaluation

Q: Assessment

Answer:
Subjective & Objective
Systematically collecting, validating and communicating pt data

Q: Diagnosis (analysis)

,Answer:
Nursing diagnosis
Clearly identify pt strengths and actual and potential health problems and needs

Q: Planning

Answer:
Goals — "SMART; specific, measurable, attainable, realistic, time based (pt-centered)"
Develop a holistic plan of individualized care that specifies the desired pt goals and related
outcomes and the nursing interventions most likely to assist the pt to meet those expected
outcomes

Q: Implementation/intervention

Answer:
Execute the plan of care

Q: Evaluation

Answer:
Pt response
Evaluate effectiveness of plan of care in terms of pt goal achievement

Q: Purpose of nursing observation, interview, and physical assessment

Answer:
Appraisal of health status
Identification of health problems
Establishment of a database for nursing interventions

Q: How to obtain nursing history using effective interviewing techniques

,Answer:
All interviews should begin with an explanation of the purpose of the interview

Open-ended questions or comments—prevents simple yes or no answers

Closed question or comment—answered by one or two words, yes or no; used to gather specific
information from a pt to focus on a particular area

Validating question or comment—overusing validating questions or comments can lead to a pt
thinking the nurse is not listening

Clarifying questions or comments—allows nurse to gain understanding of pts comment; can
prevent misconceptions that could lead to identification of an inappropriate diagnosis or pt
problem

Reflective question or comment—encourages pt to elaborate

Sequencing question or comment—places events in chronological order or to investigate
possible cause-and-effect relationship btw events

Directing question or comment—going back to a topic brought up earlier in interview or to
introduce new aspect of current topic

Q: Prioritizing assessments and collecting data systematically

Answer:
ABCs (or ABCDE): airway, breathing, circulation, disability, exposure
Pt needs—emergent or not
Maslows Hierarchy of needs

Q: 4 Phases of nursing interview

Answer:
Study preparatory, introduction, working, and termination phase

, Q: Study preparatory

Answer:
Pre-interaction, collects background info in the chart

Q: Introduction

Answer:
Orientation, introduce self, purpose, process, expectations, duration

Q: Working

Answer:
interview, proper client centered discussion, therapeutic communication techniques

Q: Termination phase

Answer:
Closing, summarize, clarify, validate, answer questions, set follow-up appointments

Q: Common problem encountered in data collection

Answer:
Inappropriate organization of the database
Omission of pertinent data
Inclusion of irrelevant or duplicate data, erroneous or misinterpreted data
Failure to establish rapport and partnership
Recording an interpretation of data rather than observed behavior
Failure to update database

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Exam (elaborations)

Exam 1: NUR101/ NUR 101(Latest 2024/ 2025 Update) Health Assessment | Guide with Questions and Verified Answers| 100% Correct| Grade A – Fortis

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