Nursing 125 - Exam 1 Study Guide with Questions and Answers

The nursing process is a sequential method of problem solving that nurses use, and includes which steps? Assessment, treatment, planning, evaluation, discharge, follow-up Admission, assessment, diagnosis, treatment, discharge planning Admission, diagnosis, treatment, evaluation, discharge planning 4. Assessment, diagnosis, outcome identification, planning, implementation, evaluation A visiting nurse is making an initial home visit for a patient who has many chronic medical problems. Which type of data base is most appropriate to collect in this setting? An episodic data base because of the continuing, complex medical problems of this patient An emergency data base because of the need to rapidly collect information and make accurate diagnoses 3. A complete health data base because of the nurse's primary responsibility for monitoring the patient's health A follow-up data base to evaluate changes at appropriate intervals A patient is brought by ambulance to the emergency department with multiple traumas received in an automobile accident. He is alert and cooperative, but his injuries are quite severe. How would the nurse proceed with the data collection? 1. Simultaneously ask history questions while performing the examination and initiating life-saving measures. Collect history information first, then perform the physical examination and institute life-saving measures. Collect all information on the history form, including social support patterns, strengths, and coping patterns. Perform life-saving measures and not ask any history questions until he is transferred to the intensive care unit. A 42-year-old Asian patient is being seen at the clinic for an initial examination. The nurse knows that it is important to include cultural information in his health assessment to: make accurate disease diagnoses. 2. provide culturally sensitive and appropriate care. provide cultural health rights for the individual. identify the cause of his illness. The nurse has implemented several planned interventions to address the nursing diagnosis of acute pain. Which would be the next appropriate action? Establish priorities. Identify expected outcomes. 3. Evaluate the individual's condition and compare actual outcomes with expected outcomes. Interpret data and then identify clusters of cues and make inferences. Put the following patient situations in order according to level of priority. A = first-level priority problem B = second-level priority problem C = third-level priority problem A = A teenager who was stung by a bee during a soccer match and is having trouble breathing B = An older adult with urinary tract infection and is showing sign of confusion and agitation C = A patient recently diagnosed with type 2 diabetes and does not know how to check blood glucose level