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Hondros Nursing 200, Exam 1 QUESTIONS WITH CORRECT ANSWERS
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Hondros Nursing 200, Exam 1QUESTIONS WITH CORRECT ANSWERS
Noticing - CORRECT ANSWER-Indicate when a situation is normal, abnormal or has changed. Get an
initial grasp on the situation
Application to thinking noticing - CORRECT ANSWER-Collect: Subjective & objective data
VS, Complaints, self-described symptoms. What nurse notices, such as rashes, swelling, bruising, etc
Identifying signs and symptoms - CORRECT ANSWER-Noticing
Gathering Complete and Accurate Data - CORRECT ANSWER-Noticing
Assessing Systematically and Comprehensively - CORRECT ANSWER-Noticing
Predicting (and Managing) Potential Complications - CORRECT ANSWER-Noticing
Identifying Assumptions - CORRECT ANSWER-Noticing
5 concepts of critical thinking - CORRECT ANSWER-Standards Attitudes Competencies Experience
Specific Knowledge Base
Nursing Process - CORRECT ANSWER-The nursing process is a variation of scientific reasoning that
involves five steps: assessment, nursing diagnosis, planning, implementation, and evaluation.Assess
(collection verification of data and analysis of data) Diagnose, Plan, Implement, Evaluate
cue - CORRECT ANSWER-obtain information that you obtain through sense. (Lies still with arms along
side: tense. States has not turned in some time. Reports pain a 7 and on scale of 0-10)
Hondros Nursing 200, Exam 1 QUESTIONS WITH CORRECT ANSWERS
,Sources of Data - CORRECT ANSWER-Patient, family and significant other, health care team, medical
records, other records and scientific literature
An initial patient-centered interview involves - CORRECT ANSWER-(1) setting the stage, (2) gathering
information about the patient's problems and setting an agenda, (3) collecting the assessment or a
nursing health history, and (4) terminating the interview.
A nurse assesses a patient who comes to the pulmonary clinic. "I see that it's been over 6 months since
you've been here, but your appointment was for every 2 months. Tell me about that. Also I see from
your last visit that the doctor recommended routine exercise. Can you tell me how successful you've
been in following his plan?" The nurse's assessment covers which of Gordon's functional health
patterns? - CORRECT ANSWER-Health perception-health management pattern
The nurse observes a patient walking down the hall with a shuffling gait. When the patient returns to
bed, the nurse checks the strength in both of the patient's legs. The nurse applies the information
gained to suspect that the patient has a mobility problem. This conclusion is an example of: - CORRECT
ANSWER-Clinical inference.
A 72-year-old male patient comes to the health clinic for an annual follow-up. The nurse enters the
patient's room and notices him to be diaphoretic, holding his chest and breathing with difficulty. The
nurse immediately checks the patient's heart rate and blood pressure and asks him, "Tell me where your
pain is." Which of the following assessment approaches does this scenario describe? - CORRECT
ANSWER-A problem-oriented approach
The nurse asks a patient, "Describe for me a typical night's sleep. What do you do to fall asleep? Do you
have difficulty falling or staying asleep? This series of questions would likely occur during which phase of
a patient-centered interview? - CORRECT ANSWER-Working phase
A nurse is assigned to a 42-year-old mother of 4 who weighs 136.2 kg (300 lbs), has diabetes, and works
part time in the kitchen of a restaurant. The patient is facing surgery for gallbladder disease. Which of
the following approaches demonstrates the nurse's cultural competence in assessing the patient's
health care problems? - CORRECT ANSWER-"You have four children; do you have any concerns about
going home and caring for them?"
A nurse is checking a patient's intravenous line and, while doing so, notices how the patient bathes
himself and then sits on the side of the bed independently to put on a new gown. This observation is an
example of assessing: - CORRECT ANSWER-Patient's level of function.
Hondros Nursing 200, Exam 1 QUESTIONS WITH CORRECT ANSWERS
,A patient who visits the surgery clinic 4 weeks after a traumatic amputation of his right leg tells the
nurse practitioner that he is worried about his ability to continue to support his family. He tells the nurse
he feels that he has let his family down after having an auto accident that led to the loss of his left leg.
The nurse listens and then asks the patient, "How do you see yourself now?" On the basis of Gordon's
functional health patterns, which pattern does the nurse assess - CORRECT ANSWER-Self-perception-
self-concept pattern
During a visit to the clinic, a patient tells the nurse that he has been having headaches on and off for a
week. The headaches sometimes make him feel nauseated. Which of the following responses by the
nurse is an example of probing? - CORRECT ANSWER-Tell me what makes your headaches begin.
Steps of NOTICING - CORRECT ANSWER-Identifying Assumptions
Predicting (and Managing) Potential Complications
Assessing Systematically and Comprehensively
Gathering Complete and Accurate Data
Identifying signs and symptoms
SPICES tool - CORRECT ANSWER-a framework for assessing older adults that focuses on six common
"marker conditions": sleep problems, problems with eating and feeding, incontinence, confusion,
evidence of falls, and skin breakdown. These conditions provide a snapshot of a patient's overall health
and the quality of care.
Noticing-Identifying signs and symptoms - CORRECT ANSWER-Ability to identify signs and symptoms
indicating a situation is different, changed or not of normal state.
Noticing-Gathering complete and accurate data - CORRECT ANSWER-When assessing a situation it is
important to gather complete and accurate data. The data is used as the basis for identifying problems,
issues and concerns, solving problems and making decisions.
Noticing-Assessing systematically and comprehensively - CORRECT ANSWER-Nurses use a systematic
method such as body systems, a head to toe approach or focused assessment so no areas are forgotten.
Hondros Nursing 200, Exam 1 QUESTIONS WITH CORRECT ANSWERS
, Noticing-Predicting and managing potential complications - CORRECT ANSWER-Nurses must look at the
big picture to predict potential complications that may exist for individual patients
Noticing-identifying assumptions - CORRECT ANSWER-Taking something for granted or hastily arriving at
a conclusion without supporting evidence.
Interpreting-clustering related information - CORRECT ANSWER-Grouping together information with a
common theme to form the basis for problem identification.
Interpreting-recognizing inconsistencies - CORRECT ANSWER-In reviewing data, nurses are cognizant of
any inconsistencies that may indicate additional problems that may not be readily apparent.
Interpreting-checking accuracy and reliability - CORRECT ANSWER-If something doesn't seem quite right,
the nurse must take action to determine if the information is accurate.
Interpreting-compare and contrast data - CORRECT ANSWER-Comparing and contrasting information
about two similar situations provides practice with determining nuances between the cases.
Interpreting-distinguishing relevant from irrelevant information - CORRECT ANSWER-The nurse deciding
which information is pertinent or connects with the matter at hand.
Interpreting-Determining the importance of information - CORRECT ANSWER-Analyzing data to
determine if it is important or significant to the patient situation at hand, or indicative of an issue or
problem that was not previously identified.
Interpreting-judging how much ambiguity is acceptable - CORRECT ANSWER-Ambiguity refers to a
situation that is unclear, uncertain or vague. Determining how much "wiggle" room you have when
applying a rule to a particular patient.
Interpreting-using legal, ethical and professional guidelines - CORRECT ANSWER-Decisions are made
within a framework of legal, ethical and professional guidelines.
Hondros Nursing 200, Exam 1 QUESTIONS WITH CORRECT ANSWERS
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