RNSG 1413 Exam 2 UPDATED ACTUAL Questions and
CORRECT Answers
, Nursing Process (ANA Definition) the diagnosis and treatment of human responses to actual and potential health
needs or problems
Elements of the nursing process assessment
diagnosis
planning
Implementation of interventions
Evaluation
Assessment Phase collect data about patient's health concerns: chief complaint, health history, review
medical record, physical exam
Directed questions closed ended, leading questions to elicit specific information
Nondirected questions open ended questions to elicit broad information; you will get information you may
not have considered; more useful for eliciting info form the client's point of view
The patient centered interview courtesy - greet, assure of confidentiality
comfort - address pain, discomfort
connection - eye contact, caring attitude
confirmation - clarify uncertainties
Subjective assessment data perceivable only by the person experiencing the symptoms; can only be known
through patient's statements; feelings, beliefs, and perceptions; cannot be observed
Objective assessment data observed or measureable; can be verified
SAMPLE (Assessment data) Sign/symptom
Allergies
Medications
Past Medical History
Last oral intake
Events leading to illness or injury
OPQRST (Assessment of Pain) Onset
Presentation
Quality
Radiation
Severity
Time
NANDA Nursing Diagnosis a clinical judgment concerning a human health response to health conditions/life
processes, or a vulnerability for that response by an individual, family, or community
CORRECT Answers
, Nursing Process (ANA Definition) the diagnosis and treatment of human responses to actual and potential health
needs or problems
Elements of the nursing process assessment
diagnosis
planning
Implementation of interventions
Evaluation
Assessment Phase collect data about patient's health concerns: chief complaint, health history, review
medical record, physical exam
Directed questions closed ended, leading questions to elicit specific information
Nondirected questions open ended questions to elicit broad information; you will get information you may
not have considered; more useful for eliciting info form the client's point of view
The patient centered interview courtesy - greet, assure of confidentiality
comfort - address pain, discomfort
connection - eye contact, caring attitude
confirmation - clarify uncertainties
Subjective assessment data perceivable only by the person experiencing the symptoms; can only be known
through patient's statements; feelings, beliefs, and perceptions; cannot be observed
Objective assessment data observed or measureable; can be verified
SAMPLE (Assessment data) Sign/symptom
Allergies
Medications
Past Medical History
Last oral intake
Events leading to illness or injury
OPQRST (Assessment of Pain) Onset
Presentation
Quality
Radiation
Severity
Time
NANDA Nursing Diagnosis a clinical judgment concerning a human health response to health conditions/life
processes, or a vulnerability for that response by an individual, family, or community
