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Nurs 3100 Exam 1 Questions with complete solution

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Nurs 3100 Exam 1 Questions with complete solution Nurs 3100 Exam 1 What are the 5 steps in the nursing process? - correct answer Assessment Diagnosis Planning Implementation Evaluation Assessment - correct answer collecting subjective and objective data Diagnosis - correct answe...

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  • October 26, 2024
  • 35
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • NSG 3100
  • NSG 3100

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Nurs 3100 Exam 1
What are the 5 steps in the nursing process? - correct answer ✔Assessment
Diagnosis
Planning
Implementation
Evaluation


Assessment - correct answer ✔collecting subjective and objective data


Diagnosis - correct answer ✔analyzing data to make a collaborative nursing
judgement


Planning - correct answer ✔Determining outcome criteria and developing a
plan


Implementation - correct answer ✔carrying out the plan


Evaluation - correct answer ✔Assessing whether outcome criteria have been
met and revising the plan as necessary


4 Basic types of assessments - correct answer ✔Initial comprehensive,
ongoing, focused, emergency


Initial Comprehensive (complete) - correct answer ✔subjective and objective
data

,Ongoing (partial) - correct answer ✔mini overview as a follow-up


Focused (problem-oriented) - correct answer ✔specific concern


Emergency (rapid) - correct answer ✔immediate and prompt


Proper techniques to prepare for assessment - correct answer ✔review
clients record, review client's status with other team members, educate
yourself about client's diagnosis and test performed, obtain and organize
needed materials


4 major steps in the assessment phase - correct answer ✔1. Collection of
subjective data
2. Collection of objective data
3. Validation of assessment data
4. Documentation of data


collection of subjective data - correct answer ✔Biographical (name, age,
religion)
• History of present health concern (physical symptoms related to each body
system)
• Personal health history
• Family history
• Health and lifestyle practices
• Review of systems


Collection of Objective Data - correct answer ✔• Physical characteristics
• Body functions

,• Appearance
• Behavior
• Measurements
• Results of laboratory testing


Validation of assessment data - correct answer ✔-Ensure assessment isn't
ended before all data is collected


Documentation of data - correct answer ✔-Forms the database for all
healthcare members
-Ensures valid conclusions can be made


ANALYSIS OF ASSESSMENT DATA/NURSING DIAGNOSIS (STEP 2 OF
THE NURSING PROCESS) - correct answer ✔Identify abnormal data &
strengths
• Cluster the data
• Draw inferences & identify problems
• Propose possible nursing diagnoses
• Check for defining characteristics of those diagnoses
• Confirm or rule out nursing diagnoses
• Document conclusions


Collection of subjective data - correct answer ✔• Health History
• Phases of the Interview:
•1. Pre-introductory
•2. Introductory
•3. Working

, •4. Summary and closing


Pre-introductory phase - correct answer ✔Review the client's medical record
(aka "chart-check")


INTRODUCTORY PHASE - correct answer ✔• Introduce yourself to the
client
• Explain the purpose of the interview
• Discuss the types of questions that will be asked
• Explain the reason for taking notes
• Assure the client that information will remain confidential
• Make sure the client is comfortable & has privacy
• Develop trust & rapport using verbal & nonverbal skills


WORKING PHASE - correct answer ✔• Biographical data
• Reasons for seeking care
• History of present health concern
• Past health history
• Family history
• Review of body systems
• Lifestyle & health practices
• Developmental level


SUMMARY AND CLOSING PHASE - correct answer ✔• Summarize info
obtained during the working phase
• Validate problems & goals with the client
• Identify & discuss possible plans to resolve the problem with the client

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