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NURS 251 Exam 1 Questions And Verified Detailed Answers Latest Update
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NURS 251 Exam 1 Questions And Verified DetailedAnswers Latest Update
6 steps of nursing process- Ans. 1. assessment
2. diagnosis
3. outcome identification
3. planning
5. implementation
6. evaluation
Assessment- Ans. the first and continual critical step that involves the nurse gathering
and processing data about the entire person
subjective data- Ans. what patients says about him or herself while taking health history
objective data- Ans. what you as the health care provider observe while inspecting,
percussing, palpating, and auscultating during the physical exam
First level priority problems- Answer Emergent, life threatening, and immediate (airway)
Second level priority problems- Answer next in urgency, requiring attention so as to
avoid further deterioration
Third level priority problems- Answer important to patients health but can be addresses
after more urgent problems are addressed
collaborative problems- Answer approach to treatment involves multiple disciplines
,PQRST- Answer provocative/palliative, quality, region/radiation, severity, timing
components of health history - Answer biographic data, PQRSTx(history of present
illness), reason for seeking care, past medical history, family history, review of systems,
functional assessment
family history genome - Answer has 3 generations that gather more health information
review of systems with health promotion activites - Answer assesses past and present
health, does not record physical data, does not use the word "negative" instead use
"denies", "absent", or "present"
funtional assessment - Answer self-esteem, nutrition, rest, coping/stress management
FICA - Answer faith, importance, community, address in care
PPE - Answer personal protective equipment
Inspection - Answer looking at and examining physical aspects of body, posture,
appearance, behavior, senses
palpation - Answer - using backs of hands to touch and feel surface characteristics and
temp
- wear gloves with open wounds, areas or internal structures
light palpation - Answer surface deep
palpation- deep organs, masses, tenderness
, percussion-Answer - performance of light and sharp tapping on several regions of the
body to gauge structures beneath
- tones emitted are differentiated according to the nature of the tissue
- direct vs. indirect
auscultation-Answer - listening to sounds emanated by the body
- stethoscope
factors that affect health assessment-Answer culture, environment, physiological,
developmental
cultural factors-Answer listen to patient, open to differences, culturally competent
culture - Answer learned, shared, adapted, dynamic
environmental factors - Answer - living and working conditions
- transportation
- involvement in community services
- international travel
physiological factors - Answer things that could affect your body
developmental factors - Answer children are not the same as adults
interview purpose - Answer - best chance to gain understanding of the patient's belief,
concerns and perception of their individual health state
- allows compilation of subjective data and awareness of objective data
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