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