AHA Exam 1 (ABSOLUTE CHSOS SET) FINAL QUESTIONS AND ANSWERS 2024

AHA Exam 1 (ABSOLUTE CHSOS SET) FINAL QUESTIONS AND ANSWERS 2024 What steps go into preparing for a health assessment? - CORRECT ANSWER-Review client's record · Aka review the patient's chart Review client's status with other healthcare team members · Aka validate the data provided to you during bedside change-of-shift report · Getting a 2nd opinion/ back up Educate clients about their diagnoses and tests performed · Aka develop a plan for the day on or after your first encounter with the patient What is the goal of a review of systems (ROS)? - CORRECT ANSWER-Differential diagnosis · Correct diagnosis out of all confounding diagnosis What is a differential diagnosis? - CORRECT ANSWER-the correct diagnosis out of all confounding diagnosis True or false, vital signs are objective data? - CORRECT ANSWER-true objective and critically important! What is done during the analysis phase of the nursing process? - CORRECT ANSWERCluster the data Do we see cluster cues that point us in the direction of a differential diagnosis? o Identify abnormal data and strengths. o Draw inferences and identify problems. o Propose possible nursing diagnoses. ______ related to ______ as evidenced by ______ o Check for defining characteristics of those diagnoses. o Confirm or rule out nursing diagnoses. o Document conclusions What is included in an initial comprehensive assessment? - CORRECT ANSWERCollection of subjective data about the client's perception of health of all body parts or systems past medical history family history lifestyle and health practices What is included in an ongoing or partial assessment? - CORRECT ANSWER-Data collection that occurs after the comprehensive database is established. A good way to frame this is a follow-up visit What is included in a focused/ problem oriented assessment? - CORRECT ANSWERThorough assessment of a particular client problem, which does not cover areas not related to the problem. ie RUQ = push on gallbladder for rebound tenderness assessment What is included in an emergency assessment? - CORRECT ANSWER-Very rapid assessment performed in life-threatening situations. · Example: Airway assessment with 30% TBSA burns What is the pre-introductory phase and what are the phases of the interview following the pre-introductory phase? - CORRECT ANSWER-In the preintroductory phase = the nurse reviews the medical record which may reveal the client's past health history and reason for seeking healthcare before meeting with the client to assist with conducting the interview