Final Exam Review NURS 309 UPDATED ACTUAL Questions
and CORRECT Answers
Objective data information that is seen, heard, felt, or smelled by an observer; signs
Subjective Data things a person tells you about that you cannot observe through your senses;
symptoms
Nursing Process: Assessment the process of gathering subjective and objective data
Nursing Process: Diagnosis Interpretation of data by identifying clusters of cues so as to make inferences
about a pts aliment
Nursing Process: Planning -establish priorities
-develop outcomes
-set timelines for outcomes
-identify interventions
-integrate evidence-based trends and research
-document plan of care
Nursing Process: Outcome Identification Identify expected outcomes related to patient
Nursing Process: Implementation perform the nursing actions identified in planning
Nursing Process: Evaluation - Progress toward outcomes
- Use ongoing assessment to revise diagnoses, outcomes, plan
- Review results to patient and family
Complete database a complete health history and full physical examination
Focused database used for a limited or short-term problem; concerns mainly one problem or one
body system
Follow-up database used in all settings to monitor progress of short-term or chronic health problems
Emergency database rapid collection of the database, often compiled concurrently with lifesaving
measures
magicoreligious perspective supernatural powers predominate in area of health and illness (voodoo,
witchcraft, faith healing)
biomedical perspective a viewpoint that emphasizes biological factors in the development of
physiological disorders
naturalistic perspective natural methods to implement medical care and healing
, 1st level priority Life threatening
ABCV (airway, breathing, circulation/cardiac, vital signs)
2nd level priority urgent, but only after 1 has been treated
acute mental status change, acute pain, untreated med problems, abnormal labs
3rd level priority Problems that are important to patient's health but can be addressed after more
urgent problems
evidence-based practice clinical decision making that integrates the best available research with clinical
expertise and patient characteristics and preferences
Health History a collection of subjective information that provides information about the patient's
health status
Mental Status Exam (MSE) A: appearance
B: behavior
C: cognition
T: thought process
How do we assess cognition? 4 unrelated words test
delirium an acutely disturbed state of mind that occurs in fever, intoxication, and other
disorders and is characterized by restlessness, illusions, and incoherence of
thought and speech.
Dementia a slowly progressive decline in mental abilities, including memory, thinking, and
judgment, that is often accompanied by personality changes
General Survey physical appearance, body structure, mobility, behavior
Skin Self Examination (ABCDE) A: asymmetry
B: border
C: color
D: diameter
E: elevation and enlargement
Bell's Palsy - temporary paralysis of the seventh cranial nerve that causes paralysis only on
the affected side of the face
- cannot wrinkle forehead, raise eyebrows, close eye, whistle, or show teeth
and CORRECT Answers
Objective data information that is seen, heard, felt, or smelled by an observer; signs
Subjective Data things a person tells you about that you cannot observe through your senses;
symptoms
Nursing Process: Assessment the process of gathering subjective and objective data
Nursing Process: Diagnosis Interpretation of data by identifying clusters of cues so as to make inferences
about a pts aliment
Nursing Process: Planning -establish priorities
-develop outcomes
-set timelines for outcomes
-identify interventions
-integrate evidence-based trends and research
-document plan of care
Nursing Process: Outcome Identification Identify expected outcomes related to patient
Nursing Process: Implementation perform the nursing actions identified in planning
Nursing Process: Evaluation - Progress toward outcomes
- Use ongoing assessment to revise diagnoses, outcomes, plan
- Review results to patient and family
Complete database a complete health history and full physical examination
Focused database used for a limited or short-term problem; concerns mainly one problem or one
body system
Follow-up database used in all settings to monitor progress of short-term or chronic health problems
Emergency database rapid collection of the database, often compiled concurrently with lifesaving
measures
magicoreligious perspective supernatural powers predominate in area of health and illness (voodoo,
witchcraft, faith healing)
biomedical perspective a viewpoint that emphasizes biological factors in the development of
physiological disorders
naturalistic perspective natural methods to implement medical care and healing
, 1st level priority Life threatening
ABCV (airway, breathing, circulation/cardiac, vital signs)
2nd level priority urgent, but only after 1 has been treated
acute mental status change, acute pain, untreated med problems, abnormal labs
3rd level priority Problems that are important to patient's health but can be addressed after more
urgent problems
evidence-based practice clinical decision making that integrates the best available research with clinical
expertise and patient characteristics and preferences
Health History a collection of subjective information that provides information about the patient's
health status
Mental Status Exam (MSE) A: appearance
B: behavior
C: cognition
T: thought process
How do we assess cognition? 4 unrelated words test
delirium an acutely disturbed state of mind that occurs in fever, intoxication, and other
disorders and is characterized by restlessness, illusions, and incoherence of
thought and speech.
Dementia a slowly progressive decline in mental abilities, including memory, thinking, and
judgment, that is often accompanied by personality changes
General Survey physical appearance, body structure, mobility, behavior
Skin Self Examination (ABCDE) A: asymmetry
B: border
C: color
D: diameter
E: elevation and enlargement
Bell's Palsy - temporary paralysis of the seventh cranial nerve that causes paralysis only on
the affected side of the face
- cannot wrinkle forehead, raise eyebrows, close eye, whistle, or show teeth
