NUR 315 Quiz 1 Questions and Correct Answers |
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What the patient tells you.
History.
History of present illness.
Reviews of systems. Ans: Subjective data
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What you see
Physical examination
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Laboratory results
Radiologic findings
Vital signs Ans: Objective data (SIGNS)
Assessment: gathering data
Grouping together pertinent data
Prioritizing your findings
ongoing process Ans: Nursing process: ADPIE (A)
Ability of an instrument or a test to give the same result over and over
again (scale weighing the book 5lbs every time) Ans: reliability
Extent to which something measures what it is supposed to measure
Ans: Validity
Testability to correctly identify patients with a disease Ans: Sensitivity
Opposite of sensitivity. Ability of a test to identify patients that do not
have the disease. Those who should be negative should be negative Ans:
Specificity
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Diagnosis: focuses on treatment of the actual or potential human
responses Ans: Nursing Process ADPIE (D)
Planning: establishing goals for each diagnosis
Short term goals/ long term goals
Identify interventions Ans: Nursing Process ADPIE (P)
Implementation: Put your plan into action
Modified as changes occur Ans: Nursing Process ADPIE (I)
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Evaluation: determine if the goals were met.
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How will you maintain successes.
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How will you address goals that were not met? Ans: Nursing Process
ADPIE (E)
Food, insects, medication, environmental factors, include reaction Ans:
Documentation of allergies:
Assess what patients consider alcohol
CAGE screening tools
-Have you ever felt the need to CUT DOWN on drinking?
-Felt ANNOYED by criticism of your drinking?
- Have you ever felt GUILTY about drinking?
-Have you ever taken a drink first thing in the morning (EYE-OPENER) to
steady your nerves or get rid of a hangover? Ans: Screening for alcohol
Prescription drug use
Ask about modes of consumption Ans: Screening for illicit drug use
-identifying data and source of the history