EXAM QUESTIONS AND
ANSWERS | 100% PASS
Types of Assessment - ANSWER ✔✔comprehensive, episodic or
problem-focused, emergency
comprehensive assessment - ANSWER ✔✔(initial) results in baseline
data for problem identification and care planning, time consuming,
complete, all aspects of preventive health/physical disease
,episodic/problem-focused assessment - ANSWER ✔✔based on the
patient's health issues, involves one or two body systems. smaller
scope, but more in depth
What is the nursing process? - ANSWER ✔✔systematic problem-
solving approach to identifying and treating human responses to actual
or potential health difficulties. patient centered and focuses on problem
solving and inhaling strengths. uses ADPIE
emergency assessment - ANSWER ✔✔involves life threatening or
unstable situation, traumatic injury, uses ABCDE
ABCDE - ANSWER ✔✔airway, breathing, circulation, disability, and
exposure
ADPIE - ANSWER ✔✔assessment of patient, nursing diagnosis,
planning care, implementing and then evaluating patients status
implementation - ANSWER ✔✔collaboration with other team
members, involvement of patient and family, actually doing the phase
evaluation - ANSWER ✔✔how effective is nursing care and each
phases affects the other
, nursing diagnosis vs medical diagnosis - ANSWER ✔✔medical
focuses on diagnosis and treatment of disease whereas nursing focuses
on the human response to actual or potential health problems
assessment - ANSWER ✔✔establish baseline, review history,
physical assessment
diagnosis - ANSWER ✔✔clustering of data to make a judgement or
statement about the patient's difficulties or condition
Nanda diagnosis for nursing - ANSWER ✔✔a clinical judgement
about individual, family, or community responses to actual or potential
health difficulties/life processes. Provides the basis for selection of
nursing interventions to achieve outcomes for which the nurse is
accountable
Normal range of blood pressure - ANSWER ✔✔120/80
normal range of pulse - ANSWER ✔✔60-100 bpm
scale of pulse strength - ANSWER ✔✔0-4+
scale of 0 pulse - ANSWER ✔✔non palpable or absent
1+ of pulse - ANSWER ✔✔weak, diminished, and barely palpable
2+ of pulse - ANSWER ✔✔normal, expected
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