NUR 216 EXAM 1 ||Verified Exam!!|| Most Recent Exam
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What is primary objective data? Give an example. -
Answer-Nurse reports seeing, feeling, smelling, or
hearing. (DO NOT taste).
Ex. "I can see redness and swelling of her right lower
extremity."
What is secondary objective data? Give an example. -
Answer-Anyone, other than the nurse, reports seeing,
feeling, smelling, or hearing. (DO NOT taste).
Ex. AP states, "Her urine smells odorous."
What is a comprehensive assessment? - Answer-Consists
of a complete nursing history and physical examination.
What is a focused assessment? - Answer-Based around
the patients immediate problems.
What is the nursing process? - Answer-Assessment
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Diagnosis
Planning
Implementation
Evaluation
(ADPIE)
What is the "A" in the nursing process? - Answer-
Assessment - gather information and review the patients
history
What is the "D" in the nursing process? - Answer-
Diagnose - identify problem list
What is the "P" in the nursing process? - Answer-Plan -
develop SMART goals, desired outcomes, and action
plans
What is the "I" in the nursing process? - Answer-
Implementation - perform nursing actions
What is the "E" in the nursing process? - Answer-Evaluate
- were desired outcomes and goals achieved?
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List 5 'Communication' skills nurses must implement at all
times. - Answer--Eye Contact
-Eye Level
-Personal Space
-Active Listening
-LISTEN to them!!!
List 4 'Cognitive' skills you must implement in the
assessment process. - Answer--Critical Thinking Skills
-Inductive & Deductive Reasoning Skills
-Clinical Decision Making Skills
-Problem Solving Skills
What are 'Psychomotor' skills? - Answer-Skills needed to
perform the 4 techniques of physical assessment.
What are 'Interpersonal/Affective' skills? - Answer-Affective
skills needed to develop caring, therapeutic nurse-patient
relationships.
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List 4 'Ethical' skills. - Answer--Responsible & accountable
for practice
-Patient advocate
-Respect patients' rights
-Assure confidentiality
What are the 2 types of interviews? - Answer-Directive or
Non-directive
What is an assessment? - Answer--A data collection
process
-A continuous process
-A method to establish a baseline
What is primary subjective data? Give an example. -
Answer-Client reports feelings/thoughts
Ex. "I have a headache"
What is secondary subjective data? Give an example. -
Answer-Anyone, other than the client, reports
feelings/thoughts.
Ex. Spouse states, "She complained of pain in her
abdomen this morning."