nursing 210 Exam 1 Questions With Correct Answers

nursing 210 Exam 1 Questions With Correct
Answers


Maslow's Hierarchy of Needs - CORRECT ANSWER✔✔-physiological,
| | | | | | |



safety, love/belonging, esteem, self-actualization
| | |




Nursing Process: Assessment - CORRECT ANSWER✔✔-ongoing
| | | | | |



collection of essential data | | |




variety of sources & methods used
| | | | |




determines health status | |




consider: patient characteristics(age/gender/religion)
| |




4 types of assessment - CORRECT
| | | | | |



ANSWER✔✔-1)comprehensive/complete
2)focused/episodic
3)time lapsed-follow up
| |




4)emergency


step 1 of health assessment - CORRECT ANSWER✔✔-collection of
| | | | | | | | |



data➡
health history, interview, physical exam, lab tests
| | | | | |

,types of data: subjective & objective
| | | | |




primary source of data - CORRECT ANSWER✔✔-patient
| | | | | |




secondary source of data - CORRECT ANSWER✔✔-family members,
| | | | | | | |



significant others, medical records, diagnostic procedures, and nursing
| | | | | | | |



literature


step 2 of health assessment - CORRECT ANSWER✔✔-Evaluation of
| | | | | | | | |



Data➡review any relevance, contradictions, gaps | | | |




present data➡ organized, legal, precise
| | | |




step 3 of health assessment - CORRECT ANSWER✔✔-Comparison of
| | | | | | | | |



Data➡patient's "normal!", standards, your own experience | | | | |




ANA Professional standards of data collection - CORRECT ANSWER✔✔-
| | | | | | | |



do shit right fam!
| | |




collection involves everyone, using appropriate techniques➡relevant
| | | | | |



data documented
|




health history - CORRECT ANSWER✔✔-1st step in health assessment:
| | | | | | | | |



collection of data | |




record of subjective data
| | |

,includes:patient profile➡demographic/biological data(family history,
| | | |



culture, level of development)
| | |




description of current health status➡reason for coming in etc
| | | | | | | |




health history INTERVIEW - CORRECT ANSWER✔✔-therapeutic
| | | | | |



communication techniques facilitate data gathering | | | |




open-ended short ?s, don't ask why, move from general to
| | | | | | | | | |



specific➡COLDSPA


COLDSPA - CORRECT ANSWER✔✔-C-character➡describe
| | |



sign/symptom!
|




O- onset➡when did it begin?
| | | |




L- location➡where?
|




D-duration➡how long does it last? | | | |




S- severity ➡ how bad ?
| | | | |




P-pattern➡what makes it better/worse? | | |




A- Associated factors➡ other signs/symptoms at same time?
| | | | | | |




phase 1 of health history interview - CORRECT ANSWER✔✔-preparatory
| | | | | | | |



phase
|




determine need for translator, therapeutic env., time interview
| | | | | | |

, consider anxiety levels, pain levels
| | | |




phase 2 of health history interview - CORRECT ANSWER✔✔-
| | | | | | | |



introductory phase |




explain HIPAA, introduce self, prepare patient
| | | | |




phase 3 of health history interview - CORRECT ANSWER✔✔-working
| | | | | | | | |



phase-body of interview | |




observe verbal& non verbal cues, use therapeutic techniques
| | | | | | |




phase 4 of health history interview - CORRECT
| | | | | | | |



ANSWER✔✔-summary/closing/termination


"is there anything else you would like to mention?"
| | | | | | | |




summarize& validate(recap) |




discuss plan
|




General Survey - CORRECT ANSWER✔✔-study of the whole person
| | | | | | | |




general health state and any obvious physical characteristics
| | | | | | |