ANSWERS 100% ACCURATE
5 steps of the nursing process - ANSWER-1. Assessment
2. Diagnosis
3. Planning
4. Implementation
5. Evaluation
Priority Setting (the levels) - ANSWER-First-Level: life threatening- Airway,
Breathing, Circulation
Second-Level: next in urgency- Infection risk
Third-Level: Important but can wait- medical knowledge
Evidence-based Practice - ANSWER-Integration of research evidence, clinical
expertise, clinical knowledge and patient value preferences
Four types of patient data - ANSWER-1. Complete Database- whole health history
(paperwork)
2. Focused Database- problem centered
3. Follow-up Database- check back up
4. Emergency Database- Urgent collection of info
Holistic Health Care - ANSWER-Care that promotes physical, emotional, social,
intellectual, and spiritual well-being
Social Determinants of Health - ANSWER-Factors that influence the health of
individuals and groups-- Environment, Economic stability, Education
AIDET? - ANSWER-Acknowledge, Introduce, Duration, Explain, Thankyou
SBAR? - ANSWER-Communicating w health professionals
Situation, Background, Assessment, Recommendation
IPPA? - ANSWER-Examination technique-
inspection, percussion, palpation, auscultation
Health History Sequence - ANSWER-1. Biographic data
2. Reason for seeking care
3. Present health or history of present illness
4. Past history
5. Medication reconciliation
6. Family history
7. Review of systems
8. Functional assessment or activities of daily living (ADLs)
, Modified left lateral recumbent position - ANSWER-Body alignment position of
resident lying on their side in bed. Pillow between knees.
Prone position - ANSWER-Lying on abdomen, facing downward (head may be
turned to one side)
Supine position - ANSWER-Lying flat on back, facing upward
Dorsal recumbent position - ANSWER-Patient is lying on the back, face up, with the
knees bent
Diagnostic reasoning - ANSWER-the process of analyzing health data and drawing
conclusions to identify diagnoses
Abductive Reasoning
Deductive reasoning
Inductive reasoning - ANSWER--thinking to determine the best explanation w best
info at hand
-draw on general principles from physiology and pathology
-use sign and symptoms as a guide
Childhood Illnesses - ANSWER-Measles, mumps, rubella, chickenpox, pertussis,
and strepthroat.
Past History - ANSWER-Childhood illnesses
Accidents or injuries
Allergies
Serious or chronic illnesses
Hospitalizations
Current medications
Operations
Obstetric history
Immunizations
Last exam date
HEEADSSS assessment - ANSWER-Home environment
Education/employment
Eating
Activities
Drugs
Sexuality
Suicide/depression
Safety from injury and violence
Braden Risk Assessment Scale - ANSWER-Tool used by nurses to measure risk for
pressure ulcers in patients. Score range 6-23. Low indicates higher risk for pressure
ulcer. *18 is cut off score for onset of pressure ulcer risk.*
Includes: *sensory perception, moisture, activity, mobility, nutrition, and friction and
shear*