RNSG 1125 EXAM QUESTIONS AND ANSWERS A+
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Assessment
Noticing and recognizing cue
diagnose
Analysis prioritizing hypothesis interpretation
Plan
Generate solutions
Implement
to take steps to fulfill or put into practice
Evaluate
Evaluate outcomes
Patient center interview
Happens during nursing history
Periodic assessment
conducted during ongoing contact with patients
Physical examination
physician's objective assessment of the patient, using auscultation, palpation,
percussion, and visualization
Subjective data
things a person tells you about that you cannot observe through your senses; symptoms
Objective data
information that is seen, heard, felt, or smelled by an observer; signs
OLD CARTS stands for
Pneumonic to help pursue the seven attributes of a symptom:
O: onset
L: location
D: duration/frequency/etc
C: Character
A: Aggravating factors/alleviating factors
R: Radiation
T: Timing
S: Severity
orientation phase
when the nurse and the patient meet and get to know each other name, age and date of
birth.
working phase
when the nurse and the patient work together to solve problems and accomplish goals
includes review of system and health history
Health History
a collection of subjective information that provides information about the patient's health
status
, termination phase
The final, integral phase of the nurse-patient relationship. Review findings. opportunity
to interject additional prominent information. Concluded with acknowledgment of patient
participation describe the next steps.
data interpretation and analysis
-Recognize significant data (compare data to standards)
-Recognize patterns or clusters
-Identify strengths & problems
-Reach conclusion
Inaccurate inferences
conclusions based on the nurse's personal preferences, past experiences,
generalizations, or outdated and inaccurate health care information
comprehensive assessment
health history and complete physical examination, usually conducted when a patient
first enters a health care setting; provides a baseline for comparing later assessment
focused assessment
assessment conducted to assess a specific problem; focuses on pertinent history and
body regions
Steps of physical assessment
1. Inspection
2. Palpation
3. Percussion
4. Auscultation
diagnostic error
the result of a delay in diagnosis, failure to employ indicated tests, use of outmoded
tests, or failure to act on results of monitoring or testing
Treatment errors
occur in the performance of an operation, procedure, or test; in the administration of a
treatment; in the dose or method of administering a drug; or in avoidable delay in
treatment or in responding to an abnormal test result
preventable errors
failure to provide prophylactic treatment and inadequate monitoring or follow up of
treatment
communication error
lack of communication or a lack of clarity in communication
active error
type of incident that is non-compliant with procedure, or making a mistake such as not
assuring the correct identification of the patient before administering the medication
latent error
condition involves problems within the system; may lie dormant within the system for a
long time; pose the greatest threat to safety in a complex system
adverse event
Unintended harm by an act of commission or omission rather than as a result of disease
process
Near miss event
GRADED. Buy Quality Materials!
Assessment
Noticing and recognizing cue
diagnose
Analysis prioritizing hypothesis interpretation
Plan
Generate solutions
Implement
to take steps to fulfill or put into practice
Evaluate
Evaluate outcomes
Patient center interview
Happens during nursing history
Periodic assessment
conducted during ongoing contact with patients
Physical examination
physician's objective assessment of the patient, using auscultation, palpation,
percussion, and visualization
Subjective data
things a person tells you about that you cannot observe through your senses; symptoms
Objective data
information that is seen, heard, felt, or smelled by an observer; signs
OLD CARTS stands for
Pneumonic to help pursue the seven attributes of a symptom:
O: onset
L: location
D: duration/frequency/etc
C: Character
A: Aggravating factors/alleviating factors
R: Radiation
T: Timing
S: Severity
orientation phase
when the nurse and the patient meet and get to know each other name, age and date of
birth.
working phase
when the nurse and the patient work together to solve problems and accomplish goals
includes review of system and health history
Health History
a collection of subjective information that provides information about the patient's health
status
, termination phase
The final, integral phase of the nurse-patient relationship. Review findings. opportunity
to interject additional prominent information. Concluded with acknowledgment of patient
participation describe the next steps.
data interpretation and analysis
-Recognize significant data (compare data to standards)
-Recognize patterns or clusters
-Identify strengths & problems
-Reach conclusion
Inaccurate inferences
conclusions based on the nurse's personal preferences, past experiences,
generalizations, or outdated and inaccurate health care information
comprehensive assessment
health history and complete physical examination, usually conducted when a patient
first enters a health care setting; provides a baseline for comparing later assessment
focused assessment
assessment conducted to assess a specific problem; focuses on pertinent history and
body regions
Steps of physical assessment
1. Inspection
2. Palpation
3. Percussion
4. Auscultation
diagnostic error
the result of a delay in diagnosis, failure to employ indicated tests, use of outmoded
tests, or failure to act on results of monitoring or testing
Treatment errors
occur in the performance of an operation, procedure, or test; in the administration of a
treatment; in the dose or method of administering a drug; or in avoidable delay in
treatment or in responding to an abnormal test result
preventable errors
failure to provide prophylactic treatment and inadequate monitoring or follow up of
treatment
communication error
lack of communication or a lack of clarity in communication
active error
type of incident that is non-compliant with procedure, or making a mistake such as not
assuring the correct identification of the patient before administering the medication
latent error
condition involves problems within the system; may lie dormant within the system for a
long time; pose the greatest threat to safety in a complex system
adverse event
Unintended harm by an act of commission or omission rather than as a result of disease
process
Near miss event
