Detailed Answers 2025.
John visits his general physician on Monday because he was feeling sick over the
weekend. When he is called back from the waiting room, the nurse on staff takes his
temperature, heart rate, and blood pressure. She then asks John a series of questions
about how he's been feeling lately. - ANSWER- Assessment
The nurse looks over John's symptoms and notes that his heart-rate is higher than
average and his blood pressure is elevated. She also considers that he has
experienced fatigue and shortness of breath before when his cholesterol levels were
very high. The nurse determines that John is experiencing Hyperlipidemia, also known
as having high levels of fat within the blood. - ANSWER- Diagnosis
John returns on Tuesday for a follow-up visit. The nurse sits down with him in a closed
room and explains his cholesterol levels and high blood pressure. She suggests that
John be put on medication to help lower these numbers and recommends he exercise
at least twice a week. - ANSWER- Planning
John is prescribed the medication and takes it as recommended. One week later, he
has a day where he feels especially sick and calls the doctor's office. The nurse
explains that the medication could cause nausea as a side-effect and advises John to
drink Ginger-Ale and avoid any foods that generally upset his stomach. - ANSWER-
Implementation
When John returns, the nurse asks him a series of questions about how he's been
feeling. John replies that he has been having an easier time breathing and feels
significantly less tired since exercising and taking the medication. The nurse marks
"Patient's Condition Improved" on his official medical records and congratulates John on
his well being. - ANSWER- Evaluation
Nurses and patients work together as partners to - ANSWER- Promote health, restore
health, prevent disease/illness, facilitate coping with altered functioning
Nursing assessments focus on the patients ___ to health problems - ANSWER-
response
Collecting, validating, & communicating of patient data - ANSWER- Assessment
Analyzing patient data to identify patient strengths and problems - ANSWER-
Diagnosing
Specifying patient outcomes and related nursing interventions - ANSWER- Planning
, Carrying out the plan of care - ANSWER- Implementing
Determine to what extent patient achieved outcomes - ANSWER- Evaluating
Assessing systematically & comprehensively to identify nursing & medical concerns -
ANSWER- Critical thinking linked to Assessment
Distinguishing normal from abnormal findings & identifying the risks for abnormal
findings - ANSWER- Critical thinking linked to assessment
Database includes all the pertinent info. collected by the nurse and other healthcare
professionals - ANSWER- Assessment
Performed shortly after admittance to the hospital, establish a complete database for
problem identification and care planning - ANSWER- Initial Comprehensive
Four types of Nursing Assessment - ANSWER- Initial comprehensive, Focused
assessment, Emergency, and time lapsed
May be performed during initial assessment or as a routine ongoing data collection -
ANSWER- Focused assessment
Gather data about a specific problem, new or overlooked, Performed by the nurse to
collect data about the specific problem - ANSWER- Focused assessment
Life threatening problems - ANSWER- Emergency assessment
Appraisal of health status, identification of health problems, establishment of a database
for nursing intervention - ANSWER- Purpose of a nursing physical assessment
Purposeful, prioritized, complete, systematic, factual and accurate, relevant, recorded in
a standard manner - ANSWER- Characteristics of Nursing Assessment
Patient, family & significant others, patient record, medical hx, etc.. - ANSWER-
Sources of data
Info perceived only by the affected person - ANSWER- Subjective
Data that can be seen, heard, or felt by someone other than person experiencing them -
ANSWER- Objective
Characteristics of data - ANSWER- purposeful, complete, factual and accurate, relevant