2024 NUR 155 EXAM 1 WITH
CORRECT ANSWERS
4 Steps of Tanner's Clinical Judgement model - CORRECT-ANSWERSNoticing,
reflecting, responding and interpreting
Critical thinking - CORRECT-ANSWERSuses principles of nursing process and
evidence based practice
APIE - CORRECT-ANSWERSassessment, planning, implementation, evaluation
Assessing systematically and comprehensively - CORRECT-ANSWERSpiece by
piece, body systems, head to toe and focused assesment
3 things that could affect your thinking when predicting? - CORRECT-
ANSWERSEnvironmental, experience and recognizing the patterns
How to gather more information for drug seeking patients? - CORRECT-
ANSWERSReview medical records & focused pain assessment
How to prevent skin breakdown? - CORRECT-ANSWERSFloat heels, air
mattress
What do we make sure of when moving a patient? - CORRECT-ANSWERSNon-
skid slippers/socks, provide wide base of support, proper body mechanism
When leaving a patients room, what do we make sure they have? -
CORRECT-ANSWERSCall light near them, side rails, bed in low position.. ask
them if they need anything
Interpreting step - CORRECT-ANSWERSdeciding what to do, putting a plan in
place
What happens when the patient care plan is being made? - CORRECT-
ANSWERSEveryone collaborates
Step when we are doing interventions - CORRECT-ANSWERSResponding
Difference between novice and experienced nurse - CORRECT-
ANSWERSRecognizing patterns, more knowledge and experience
, When do we gather more information? - CORRECT-ANSWERSALWAYS
Identifying signs and symptoms - CORRECT-ANSWERSrecognizing
Bias: - CORRECT-ANSWERSdrug users, abortions, religion, diseases, criminal
background and sexual orientation
Which step of the Tanner's model is "looking back?' - CORRECT-
ANSWERSReflecting
Spices is used for... - CORRECT-ANSWERSGeriatrics and elderly people
If a patient is dizzy (subjective or objective) - CORRECT-ANSWERSsubjective
If a patient is having chest pain (subjective or objective) - CORRECT-
ANSWERSsubjective
If you can see a patient is having diarrhea (subjective or objective) -
CORRECT-ANSWERSobjective
Spices is important.. - CORRECT-ANSWERSto determine any risks & what
they are at risk for
Order of steps in Tanner's Model - CORRECT-ANSWERSNoticing, Interpret,
Respond, Reflect
What does the E (evaluate) in APIE go with? - CORRECT-ANSWERSReflect
Who does the nursing diagnosis? - CORRECT-ANSWERSRN
If a patient is complaining about pain during range of motion activities.. -
CORRECT-ANSWERSSTOP MOVING
What is critical thinking and nursing process based on? - CORRECT-
ANSWERSEvidence
What would, "looking at patients chart, and talking with their family" be
considered - CORRECT-ANSWERSGathering complete and accurate data
What would we do for a confused patient? - CORRECT-ANSWERSMove closer
to nursing station & frequent checks
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