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NSC 114 Exam 1 Questions With Complete Solutions
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NSC 114 Exam 1 Questions With Complete Solutions
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NSC 114 Exam 1 Questions With Complete Solutions3 levels of health promotion Correct Answer Primary -
education/ immunization
Secondary - screening
Tertiary - after/ rehab
3 types of clients Correct Answer Individuals
families (move in)
community - pandemic
acknowledging Correct Answer Giving recognition in a non-
judgmental way. Do not agree or disagree, just recognize.
Example: "I'm sorry you don't like being here. That must be
difficult."
Ex: "You washed your hair."
Ex: "You are squinting your eyes. Are you having trouble
seeing?"
ADPIE Correct Answer Assessment (nursing history and
physical exam)
Diagnosis (NANDA)
Planning (considers all factors affecting the clients safety,
outcomes, and selects nursing activities to meet the outcomes)
Implementation
,Evaluation
Adult health assessment Correct Answer allow for ample time
for exam and patient history
aware of culture
aware of effective communication techniques
adapt to special patient needs
expose only area or body to be examined (privacy)
hard of hearing?
communication barrier?
interpretation (do NOT use family member)
aerobic exercise Correct Answer sustained exercise that
increases heart and lung fitness; may also alleviate depression
and anxiety
anarobic exercise Correct Answer exercise that usually requires
strength and speed but does not maintain a raised heart rate
Anti-embolism stockings (TED hose) Correct Answer
graduated compression pattern to improve circulation
decrease risk of DVT
prevents blood clots and edema
improves circulation
aphasia Correct Answer loss of power of expression by speech,
writing, or signs, or loss of comprehension of spoken or written
language
Assessment for patient falls Correct Answer morse fall scale
,risk for injury
nursing history
physical exam
home evaluation
Assessment for pressure ulcers Correct Answer braden scale
sensory
activity
moisture
Assessment of exercise and activity Correct Answer nursing
history
physical examination of body alignment
appearance, movement problems, etc
assessment of extremities Correct Answer palpate pulses to
include radial, dorsalis pedis and posterior tibialis
assess strength and movement in all extremities
assess gait and mobility when applicable
morse fall scale
gait and mobility
assessment of skin Correct Answer inspect (color or lesions)
palpate
capillary refills (4 sec)
temperature
sensation
, edema
turgor
moisture
Assessment of the ABDOMEN Correct Answer Inspect,
Auscultate, Palpate
Auscultation Correct Answer Listening with a stethoscope to
sounds within the body
learn normal sounds first before identifying abnormal sounds
barrel chest Correct Answer is a condition in which the chest
appears to be partially inflated all the time, with the rib cage
broadened as if in the middle of a deep breath
COPD
Barriers to communication Correct Answer failure to listen
improperly decoding client's intended message
placing nurses needs above client's needs
stereotyping
agreeing and disagreeing
being defensive
testing
rejecting
giving common advice
Being specific and tentative Correct Answer making statements
that are specific rather than general, and tentative rather than
absolute
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