NUR 3066 EXAM 1 CH 1-10
QUESTIONS AND ANNSWERS
(GRADED A)
American Nurses ANA 4 broad goals - ANSWER-1. promote health
2. prevent illness
3. treat human responses
health assessment tracks - ANSWER-patient improvement
is continuous
Health Assessment includes - ANSWER-Health history; physical assessment
Additional necessary factors assessed
Psychological; sociocultural; spiritual; economic; lifestyle
nursing process begins with - ANSWER-a complete and accurate health assessment
ADPIE - Nursing Process - ANSWER-Assessment
Diagnosis
Planning
Implementation
Evaluation
Nontherapeutic Communication Techniques - ANSWER-false reassurance,
sympathy, distractions, etc
preinteraction phase - ANSWER-compiling existing data; preparing for patient
interview from existing medical records
beginning phase - ANSWER-introduction; state purpose for interview
working phase of interview - ANSWER--Data-gathering phase
-Verbal skills include questions to patient and your responses to what is said
closing phase - ANSWER-summarizing, stating most important two to three
problems or patterns
Quality Assurance - ANSWER-The maintenance of a desired level of quality in a
service or product, agency reviewing
patient medical records can be used in - ANSWER-civil or criminal court
eMAR - ANSWER-electronic medication administration record
electronic patient medical records increases - ANSWER-safety
, batch charting - ANSWER-Waiting until the end of the shift to record events on
several patients NOT GOOD
inspection - ANSWER-observing patient visually for general appearance or specific
details
palpation - ANSWER-clinical touching of specific body areas to assess
characteristics
percussion - ANSWER-tapping on a surface to determine the difference in the
density of the underlying structure
Auscultation - ANSWER-using a stethoscope to assess movement of air or fluid
within specific body systems
deep palpation should not be performed on - ANSWER-enlarged spleen
inflamed appendix
contact transmission of hep to pt is most common form of transmission because -
ANSWER-microorganisms from one pt is spread to another pt
general survey begins during - ANSWER-interview phase of health assessment
vital signs establishes a - ANSWER-baseline bitch
sinus arythmia - ANSWER-when you note when heart rate increases in inspiration
and decreases with expiration.
Hypertention risk factors - ANSWER-family history
high cholesterol
high triglycerides
obesity
smoking/alcohol
renal disease
stress
gate control theory of pain - ANSWER-body responds to pain by either:
opening a neural gate to allow pain to be produced
or
creating a blocking effect at the synaptic junction to stop pain
Steps in pain transmission - ANSWER-1. gate opens due to continued painful
stimulus
2. pain passes from PNS to CNS
3. pain passes from spine to limbic system, cerebral cortex
4. stimulus is identified as pain, passes through efferent pathways: reaction created
Nociception - ANSWER-most common clinical interpretation of pain
Four Steps of Nociception - ANSWER-1. Transduction
QUESTIONS AND ANNSWERS
(GRADED A)
American Nurses ANA 4 broad goals - ANSWER-1. promote health
2. prevent illness
3. treat human responses
health assessment tracks - ANSWER-patient improvement
is continuous
Health Assessment includes - ANSWER-Health history; physical assessment
Additional necessary factors assessed
Psychological; sociocultural; spiritual; economic; lifestyle
nursing process begins with - ANSWER-a complete and accurate health assessment
ADPIE - Nursing Process - ANSWER-Assessment
Diagnosis
Planning
Implementation
Evaluation
Nontherapeutic Communication Techniques - ANSWER-false reassurance,
sympathy, distractions, etc
preinteraction phase - ANSWER-compiling existing data; preparing for patient
interview from existing medical records
beginning phase - ANSWER-introduction; state purpose for interview
working phase of interview - ANSWER--Data-gathering phase
-Verbal skills include questions to patient and your responses to what is said
closing phase - ANSWER-summarizing, stating most important two to three
problems or patterns
Quality Assurance - ANSWER-The maintenance of a desired level of quality in a
service or product, agency reviewing
patient medical records can be used in - ANSWER-civil or criminal court
eMAR - ANSWER-electronic medication administration record
electronic patient medical records increases - ANSWER-safety
, batch charting - ANSWER-Waiting until the end of the shift to record events on
several patients NOT GOOD
inspection - ANSWER-observing patient visually for general appearance or specific
details
palpation - ANSWER-clinical touching of specific body areas to assess
characteristics
percussion - ANSWER-tapping on a surface to determine the difference in the
density of the underlying structure
Auscultation - ANSWER-using a stethoscope to assess movement of air or fluid
within specific body systems
deep palpation should not be performed on - ANSWER-enlarged spleen
inflamed appendix
contact transmission of hep to pt is most common form of transmission because -
ANSWER-microorganisms from one pt is spread to another pt
general survey begins during - ANSWER-interview phase of health assessment
vital signs establishes a - ANSWER-baseline bitch
sinus arythmia - ANSWER-when you note when heart rate increases in inspiration
and decreases with expiration.
Hypertention risk factors - ANSWER-family history
high cholesterol
high triglycerides
obesity
smoking/alcohol
renal disease
stress
gate control theory of pain - ANSWER-body responds to pain by either:
opening a neural gate to allow pain to be produced
or
creating a blocking effect at the synaptic junction to stop pain
Steps in pain transmission - ANSWER-1. gate opens due to continued painful
stimulus
2. pain passes from PNS to CNS
3. pain passes from spine to limbic system, cerebral cortex
4. stimulus is identified as pain, passes through efferent pathways: reaction created
Nociception - ANSWER-most common clinical interpretation of pain
Four Steps of Nociception - ANSWER-1. Transduction
