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NUR 216 - EXAM 1
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(Modules 1-3) Already
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Passed A+ Questions and
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Answers
, What is an assessment? - ANSWER -A data collection process
-A continuous process
-A method to establish a baseline
What is primary subjective data? Give an example. - ANSWER Client reports
feelings/thoughts
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Ex. "I have a headache"
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What is secondary subjective data? Give an example. - ANSWER Anyone, other
than the client, reports feelings/thoughts.
Ex. Spouse states, "She complained of pain in her abdomen this morning."
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What is primary objective data? Give an example. - ANSWER Nurse reports seeing,
feeling, smelling, or hearing. (DO NOT taste).
Ex. "I can see redness and swelling of her right lower extremity."
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What is secondary objective data? Give an example. - ANSWER Anyone, other than
the nurse, reports seeing, feeling, smelling, or hearing. (DO NOT taste).
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Ex. AP states, "Her urine smells odorous."
What is a comprehensive assessment? - ANSWER Consists of a complete nursing
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history and physical examination.
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What is a focused assessment? - ANSWER Based around the patients immediate
problems.
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What is the nursing process? - ANSWER Assessment
Diagnosis
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Planning
Implementation
Evaluation
(ADPIE)
What is the "A" in the nursing process? - ANSWER Assessment - gather information
and review the patients history
What is the "D" in the nursing process? - ANSWER Diagnose - identify problem list