questions and verified answers (complete solutions)
GRADE A+!!
1. Types of Assessment
Answer: comprehensive, episodic or problem-focused, emergency
2. comprehensive assessment
Answer: (initial) results in baseline data for problem identification and care planning, time consuming,
complete, all aspects of preventive health/physical disease
3. episodic/problem-focused assessment
Answer: based on the patient's health issues, involves one or two body systems. smaller scope, but more in
depth
4. What is the nursing process?
Answer: systematic problem-solving approach to identifying and treating human responses to actual or
potential health diflculties. patient centered and focuses on problem solving and inhaling strengths. uses ADPIE
5. emergency assessment
Answer: involves life threatening or unstable situation, traumatic injury, uses ABCDE
6. ABCDE
, Answer: airway, breathing, circulation, disability, and exposure
7. ADPIE
Answer: assessment of patient, nursing diagnosis, planning care, implementing and then evaluating patients
status
8. implementation
Answer: collaboration with other team members, involvement of patient and family, actually doing the phase
9. evaluation
Answer: how ettective is nursing care and each phases attects the other
10. nursing diagnosis vs medical diagnosis
Answer: medical focuses on diagnosis and treatment of disease whereas nursing focuses on the human
response to actual or potential health problems
11. assessment
Answer: establish baseline, review history, physical assessment
12. diagnosis
Answer: clustering of data to make a judgement or statement about the patient's diflculties or condition
13. Nanda diagnosis for nursing
Answer: a clinical judgement about individual, family, or community responses to actual or potential health
diflculties/life processes. Provides the basis for selection of nursing interventions to achieve outcomes for which the nurse
is accountable
, 14. Normal range of blood pressure
Answer: 120/80
15. normal range of pulse
Answer: 60-100 bpm
16. scale of pulse strength
Answer: 0-4+
17. scale of 0 pulse
Answer: non palpable or absent
18. 1+ of pulse
Answer: weak, diminished, and barely palpable
19. 2+ of pulse
Answer: normal, expected
20. 3+ of pulse
Answer: Full, increased
21. 4+ of pulse
Answer: Bounding
22. normal oral temperature range
Answer: 97.7-99.5 F