NUR 2092 Exam 1 Health Assessment
1. What are the steps in the Nursing Process?
a. Assessment- collection of data from multiple sources (physical exam, health
history, review records)
b. Diagnosis- cluster data that seems to be associated, validate info, look for gaps in
info, interpret data and identify problems
c. Outcome identification- Identify expected outcomes set a SMART goal
d. Planning- establish priorities, document plan of care, set time frames for meeting
goals
e. Implementation- provide teaching and health promotion, use evidence based
interventions
f. Evaluation- evaluate individuals condition and compare actual outcomes to
expected outcomes, and possibly modify plan
2. What is subjective Data?
a. What the patient says about him or herself.
3. What is objective Data?
a. What we observe when inspecting and assessing the patient
4. What is a SMART goal?
a. Specific
b. Measurable
c. Attainable
d. Relevant
e. Time-Bound
5. What is evidence based clinical decision making?
a. Review of research and literature, providers clinical expertise, patients
preferences and values
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6. What are the two parts to communicating?
a. Sending- verbal and nonverbal
b. Receiving- interpretation based on past experiences, culture, and self-concept;
physical and emotional state.
7. What is the key with communication?
a. Is the receiver receiving the information the way you want it to come across?
8. How do you prepare for an interview?
a. Privacy
b. No interuptions
c. Physical environment
i. Temperature
ii. Noise level
iii. Light level
iv. Distance (4-5 ft)
v. No distractions
vi. Seating
d. Limit note taking
9. What is a closed ended question?
a. A question that allows only a yes or no answer.
10. When is a closed ended question used?
a. To gain specific information
11. What is an opened ended question?
a. A question that allows for a narrative answer.
12. When is an opened ended question used?
a. To hear the pts feelings and opinions
b. To develop rapport