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NUR 310 health assessment Exam 1 Questions with Complete Answers
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NUR 310 health assessment Exam 1 Questions with Complete Answers
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NUR 310 health assessment Exam 1Questions with Complete Answers
what are the 6 steps of the nursing process? - Answer-1. assessment
2. diagnosis
3. outcome identification
4. planning
5. implementation
6. evaluation
what is the standards of practice of nursing? - Answer-the nursing process
what is assessment? - Answer-*collecting data
*using evidence based techniques
*using relevant document data
what is diagnosis? - Answer-*comparing critical findings
*abnormal v.s normal findings
*interpret data
*validate and document the diagnosis
what is outcome identification? - Answer-*individualize the patient
*realistic/expected outcomes
*timeline
what is planning? - Answer-*priorites
*outcomes
*interventions
*integrate the research and evidence
what is implementation? - Answer-*collaberate with colleagues
*health teachings
*do so in a safe timely manner
what is evaluation? - Answer-*include the patient and loved ones
*give results to the patient and family
*progress toward outcomes
health assessment is characterized into what two types of data? - Answer-1. subjective
date
2. objective data
what is subjective data? and an example of it - Answer-what the person says about
themselves during history taking
,ex: "I feel dizzy"
what is objective data? and an example of it? - Answer-what the health professional
observes by inspection, palpation, and auscultation during the physical
which kind of data supports the other? - Answer-objective data can support subjective
data
why is it important that assessments are thorough, organized, and accurate? - Answer-
health care diagnosis, descions, and treatments are based on your data
what is a nursing diagnosis? - Answer-describes a patient actual or potential health
problems that a nurse can identify
what are the four types of problems you will experience? - Answer-1. first level priority
problems
2. second level priority problems
3. third level priority problems
4. collaborative problems
what are first level priority problems? and an example? - Answer-problems that are
emergent, life threatening, and require immediate attention
example: supporting breathing
what are second level priority problems? and an example? - Answer-*next in urgency
*needs your intervention to prevent further deterioration
*example: acute pain, risk of safety, mental status change, untreated medical problems
what are third level priority problems? and an example? - Answer-important to the
patients health but can be attended to after the more urgent issues
*interventions to treat these problems are more long term
what are collaborative problems? - Answer-an effort between patient and health care
professionals to discuss appropriate care for the patient
what are the collecting four types of data? - Answer-1. complete (total health) database
2. focus (problem centered) database
3. follow up data base
4. emergency data base
what is complete (total health) database? and an example? - Answer-includes complete
health history and a full physical
ex: performed in a primary care setting such as a family care or private practice
what is focused (problem-centered) database? and an example? - Answer-*for a limited
or short term problem, "mini database"
, *more targeted than other databases
ex: after surgery the patient complains of shortness of breath, the exam will focus solely
on the respiratory system
what is follow-up database? and an example? - Answer-*used in all settings as a
followup with short term and chronic health problems
*ex: patient with heart problems follows up with practitioner regularly to change meds
what is an emergency database? and an example? - Answer-*urgent, rapid collection of
information that is combined with lifesaving measures
*ex: patient brought into ER suspected OD, questions asked, check breathing, this
requires more rapid collection
what is the first part of data collection? - Answer-the interview
what does the interview allow the nurse to do? - Answer-gather complete data about
patients health state, symptoms, make the patient feel comfortable (trust), teach patient
about health state, discuss health promotion and disease prevention
what are the 4 processes of communication? - Answer-1. sending
2. recieving
3. internal factors
4. external factors
what is sending in communication? - Answer-converting a message for delivery
*more aware of verbal communication and body language
what is receiving in communication? - Answer-receiving the message and processing
the information
what are internal factors? - Answer-factors that are specific to the nurse as the
interviewer
*ability to listen, self-awareness, empathy
what are external factors? - Answer-factors related to the physical setting and where the
interview is
*hospital, exam room, or patients home
*prepare the setting, ensure privacy, refuse interruptions
what are the phases of the interview? - Answer-1. introduction
2. working phase
3. close of interview
what is the introduction in the interview? - Answer-*keep it short and formal
*ask patient what name they prefer
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