Hondros Nursing 200, Exam 1 Top-Tier Solutions with Guaranteed Academic Success, Certified and Validated

Noticing - Answer Indicate when a situation is normal, abnormal or has changed. Get an initial grasp on the situation Application to thinking noticing - Answer Collect: Subjective & objective data VS, Complaints, self-described symptoms. What nurse notices, such as rashes, swelling, bruising, etc Identifying signs and symptoms - Answer Noticing Gathering Complete and Accurate Data - Answer Noticing Assessing Systematically and Comprehensively - Answer Noticing Predicting (and Managing) Potential Complications - Answer Noticing Identifying Assumptions - Answer Noticing 5 concepts of critical thinking - Answer Standards Attitudes Competencies Experience Specific Knowledge Base Nursing Process - Answer The nursing process is a variation of scientific reasoning that involves five steps: assessment, nursing diagnosis, planning, implementation, and evaluation.Assess (collection verification of data and analysis of data) Diagnose, Plan, Implement, Evaluate cue - Answer obtain information that you obtain through sense. (Lies still with arms along side: tense. States has not turned in some time. Reports pain a 7 and on scale of 0-10) 2 | P a g e Sources of Data - Answer Patient, family and significant other, health care team, medical records, other records and scientific literature An initial patient-centered interview involves - Answer (1) setting the stage, (2) gathering information about the patient's problems and setting an agenda, (3) collecting the assessment or a nursing health history, and (4) terminating the interview. A nurse assesses a patient who comes to the pulmonary clinic. "I see that it's been over 6 months since you've been here, but your appointment was for every 2 months. Tell me about that. Also I see from your last visit that the doctor recommended routine exercise. Can you tell me how successful you've been in following his plan?" The nurse's assessment covers which of Gordon's functional health patterns? - Answer Health perception-health management pattern The nurse observes a patient walking down the hall with a shuffling gait. When the patient returns to bed, the nurse checks the strength in both of the patient's legs. The nurse applies the information gained to suspect that the patient has a mobility problem. This conclusion is an example of: - Answer Clinical inference. A 72-year-old male patient comes to the health clinic for an annual follow-up. The nurse enters the patient's room and notices him to be diaphoretic, holding his chest and breathing with difficulty. The nurse immediately checks the patient's heart rate and blood pressure and asks him, "Tell me where your pain is." Which of the following assessment approaches does this scenario describe? - Answer A problem-oriented approach The nurse asks a patient, "Describe for me a typical night's sleep. What do you do to fall asleep? Do you have difficulty falling or staying asleep? This series of questions would likely occur during which phase of a patient-centered interview? - Answer Working phase A nurse is assigned to a 42-year-old mother of 4 who weighs 136.2 kg (300 lbs), has diabetes, and works part time in the kitchen of a restaurant. The patient is facing surgery for gallbladder disease. Which of the following approaches demonstrates the nurse's cultural competence in assessing the patient's health care problems? - Answer "You have four children; do you have any concerns about going home and caring for them?" A nurse is checking a patient's intravenous line and, while doing so, notices how the patient bathes himself and then sits on the side of the bed independently to put on a new gown. This observation is an example of assessing: - Answer Patient's level of function. 3 | P a g e A patient who visits the surgery clinic 4 weeks after a traumatic amputation of his right leg tells the nurse practitioner that he is worried about his ability to continue to support his family. He tells the nurse he feels that he has let his family down after having an auto accident that led to the loss of his left leg. The nurse listens and then asks the patient, "How do you see yourself now?" On the basis of Gordon's functional health patterns, which pattern does the nurse assess - Answer Self-perception-self-concept pattern During a visit to the clinic, a patient tells the nurse that he has been having headaches on and off for a week. The headaches sometimes make him feel nauseated. Which of the following responses by the nurse is an example of probing? - Answer Tell me what makes your headaches begin. Steps of NOTICING - Answer Identifying Assumptions Predicting (and Managing) Potential Complications Assessing Systematically and Comprehensively Gathering Complete and Accurate Data Identifying signs and symptoms SPICES tool - Answer a framework for assessing older adults that focuses on six common "marker conditions": sleep problems, problems with eating and feeding, incontinence, confusion, evidence of falls, and skin breakdown. These conditions provide a snapshot of a patient's overall health and the quality of care. Noticing-Identifying signs and symptoms - Answer Ability to identify signs and symptoms indicating a situation is different, changed or not of normal state. Noticing-Gathering complete and accurate data - Answer When assessing a situation it is important to gather complete and accurate data. The data is used as the basis for identifying problems, issues and concerns, solving problems and making decisions. Noticing-Assessing systematically and comprehensively - Answer Nurses use a systematic method such as body systems, a head to toe approach or focused assessment so no areas are forgotten. Noticing-Predicting and managing potential complications - Answer Nurses must look at the big picture to predict potential complications that may exist for individual patients 4 | P a g e Noticing-identifying assumptions - Answer Taking something for granted or hastily arriving at a conclusion without supporting evidence. Interpreting-clustering related information - Answer Grouping together information with a common theme to form the basis for problem identification. Interpreting-recognizing inconsistencies - Answer In reviewing data, nurses are cognizant of any inconsistencies that may indicate additional problems that may not be readily apparent....