NUR 505 Exam II Questions With Updated Answers 100%
Subjective Data
Information gathered from patient statements; the patient's feelings and
perceptions. This includes their chief complaint, HPI, review of systems, social,
family, and medical history.
Objective data
observable and measurable data that can be seen, heard, or felt by someone
other than the person experiencing them. found through physical examination,
diagnostic tests, and clinical observations
review of systems
physical examination of all body systems in a systematic manner as part of the
nursing assessment.
document relevant positive and negative findings in each body system.
it helps screen for any potential health problems beyond the patients primary
complaint.
Speciality populations: Pediatric exams
communication should be age appropriate, trust-building, and consider
developlment stages.
Speciality populations: Pregnancy
attention to maternal and fetal health, as well as agressing unique concerns
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,Speciality populations: Geriatric
consider age related changes, comorbidities, and potential cognitive
impairments.
purpose of CAGE questionnaire
is a brief screening tool used to assess alcohol disorders and identify
individuals? who may need further evaluation
Scoring: "A yes" to two or more questions may indicate possible alcohol
problem.
CAGE Questions: C
Cut Down: "have you ever felt the need to cut down on your drinking?
CAGE Questions: A
Annoyed: "Have you ever been annoyed by your critism of your drinking?"
CAGE Questions: G
Guilty: "Have you ever felt guilty about your drinking?"
CAGE Questions: E
Eye-opener: Have you ever had a drink first thing in the morning to steady your
nerves or get rid of a hangover?"
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,HITS Purpose
A screening tool used to assess domestic violence or intimate partner violence.
Screening: a "yes" to one or more questions may indicate potential partner
violence.
HITS Questions: H
Hurt: "Have you ever been physically hurt by someone you are close to?"
HITS Questions: I
Insult: Have you ever been insulted or made to feel bad about yourself by
someone you are close to?"
HITS Questions: T
Threaten: Have you ever been threatened with physical harm by someone you
are close to?
HITS Questions: S
Scream: Have you ever been screamed or curses at by someone you are close
to?"
PVS (Partner Violence Screening ) Tool purpose:
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, 3 questions used to detect partner violence
1 positive response = positive screen
PVS Questions:
Have you been hit, kicked, punched, or otherwise hurt in the last year?
Do you feel safe in your current relationship?
Is there a partner from a past relationship that is making you feel unsafe now?
FICA tool purpose
used to assess a patient's spiritual, religious beleif and their impact on healthcare
descisions.
FICA components: F
Faith or beleif: Do you have spiritual beliefs to help cope with stress
FICA components: I
Importance: IS religion or spirituality important to you
FICA components: C
Community: Are you apart of a religious community
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Subjective Data
Information gathered from patient statements; the patient's feelings and
perceptions. This includes their chief complaint, HPI, review of systems, social,
family, and medical history.
Objective data
observable and measurable data that can be seen, heard, or felt by someone
other than the person experiencing them. found through physical examination,
diagnostic tests, and clinical observations
review of systems
physical examination of all body systems in a systematic manner as part of the
nursing assessment.
document relevant positive and negative findings in each body system.
it helps screen for any potential health problems beyond the patients primary
complaint.
Speciality populations: Pediatric exams
communication should be age appropriate, trust-building, and consider
developlment stages.
Speciality populations: Pregnancy
attention to maternal and fetal health, as well as agressing unique concerns
Page | 1
,Speciality populations: Geriatric
consider age related changes, comorbidities, and potential cognitive
impairments.
purpose of CAGE questionnaire
is a brief screening tool used to assess alcohol disorders and identify
individuals? who may need further evaluation
Scoring: "A yes" to two or more questions may indicate possible alcohol
problem.
CAGE Questions: C
Cut Down: "have you ever felt the need to cut down on your drinking?
CAGE Questions: A
Annoyed: "Have you ever been annoyed by your critism of your drinking?"
CAGE Questions: G
Guilty: "Have you ever felt guilty about your drinking?"
CAGE Questions: E
Eye-opener: Have you ever had a drink first thing in the morning to steady your
nerves or get rid of a hangover?"
Page | 2
,HITS Purpose
A screening tool used to assess domestic violence or intimate partner violence.
Screening: a "yes" to one or more questions may indicate potential partner
violence.
HITS Questions: H
Hurt: "Have you ever been physically hurt by someone you are close to?"
HITS Questions: I
Insult: Have you ever been insulted or made to feel bad about yourself by
someone you are close to?"
HITS Questions: T
Threaten: Have you ever been threatened with physical harm by someone you
are close to?
HITS Questions: S
Scream: Have you ever been screamed or curses at by someone you are close
to?"
PVS (Partner Violence Screening ) Tool purpose:
Page | 3
, 3 questions used to detect partner violence
1 positive response = positive screen
PVS Questions:
Have you been hit, kicked, punched, or otherwise hurt in the last year?
Do you feel safe in your current relationship?
Is there a partner from a past relationship that is making you feel unsafe now?
FICA tool purpose
used to assess a patient's spiritual, religious beleif and their impact on healthcare
descisions.
FICA components: F
Faith or beleif: Do you have spiritual beliefs to help cope with stress
FICA components: I
Importance: IS religion or spirituality important to you
FICA components: C
Community: Are you apart of a religious community
Page | 4