1
Hondros Nursing 200, Exam 1
R
"The nursing process is _____" - ANS dynamic
DELEGATION*
HE
*PRIORITIZATION AND DELEGATION* - ANS *PRIORITIZATION AND
IG
*STEPS OF THE NURSING PROCESS* - ANS 1. assessment
H
2. diagnosis
G
3. planning
4. implementation
IN
5. evaluation
Y
1st method of data collection - ANS Interiew patient, health history. Patient
L
is your primary source
F
2nd method of data collection -
subjective and objective)
ANS Physical examination ( guided by
3 part nursing diagnosis (diagnosis) - ANS P:problem; ex impaired physical
mobility
, 2
E: etiology/ related factor; ex incisional pain
S: symptom or defining characteristics; ex evidence by restricted turning and
positioning
R
5 concepts of critical thinking - ANS Standards Attitudes Competencies
E
Experience Specific Knowledge Base
H
5 RIGHTS OF DELEGATIONS: - ANS 1. person
G
2. tasks
I
3. circumstances
H
4. communication/direction
G
5. supervision/evaluation
N
A 72-year-old male patient comes to the health clinic for an annual follow-up. The
I
nurse enters the patient's room and notices him to be diaphoretic, holding his
Y
chest and breathing with difficulty. The nurse immediately checks the patient's
L
heart rate and blood pressure and asks him, "Tell me where your pain is." Which
F
of the following assessment approaches does this scenario describe? - ANS
A problem-oriented approach
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
, 3
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? - ANS Health perception-health management pattern
R
A nurse is assigned to a 42-year-old mother of 4 who weighs 136.2 kg (300 lbs),
E
has diabetes, and works part time in the kitchen of a restaurant. The patient is
H
facing surgery for gallbladder disease. Which of the following approaches
demonstrates the nurse's cultural competence in assessing the patient's health
G
care problems? - ANS "You have four children; do you have any concerns
I
about going home and caring for them?"
GH
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
N
put on a new gown. This observation is an example of assessing: - ANS
I
Patient's level of function.
LY
A patient who visits the surgery clinic 4 weeks after a traumatic amputation of his
F
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 -
ANS Self-perception-self-concept pattern
, 4
Acting Ethically - ANS Doing the right thing.
Advanced begginer nurse - ANS Shows acceptable performance, has
R
gained prior experience in actual nursing situations. Looks for support through
E
their peers and supervisors but not constantly
H
Advocacy - ANS Nurses and patients alike view this action ass the last line
G
of defense on behalf of the patient.
H
Advocacy Examples: -
I ANS Sharing with family members the details of a
G
conversation you had with their loved one previously in the day.
Listening carefully to help family members carry out their wishes, and work with
N
the hospital to do what you can to help that happen.
I
Communication with the family about their loved ones surgery schedule., course
Y
of events, and expected finish time.
L
Working to get prescriptions filled before a homeless person leaves the hospital.
F
An initial patient-centered interview involves - ANS (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.
Hondros Nursing 200, Exam 1
R
"The nursing process is _____" - ANS dynamic
DELEGATION*
HE
*PRIORITIZATION AND DELEGATION* - ANS *PRIORITIZATION AND
IG
*STEPS OF THE NURSING PROCESS* - ANS 1. assessment
H
2. diagnosis
G
3. planning
4. implementation
IN
5. evaluation
Y
1st method of data collection - ANS Interiew patient, health history. Patient
L
is your primary source
F
2nd method of data collection -
subjective and objective)
ANS Physical examination ( guided by
3 part nursing diagnosis (diagnosis) - ANS P:problem; ex impaired physical
mobility
, 2
E: etiology/ related factor; ex incisional pain
S: symptom or defining characteristics; ex evidence by restricted turning and
positioning
R
5 concepts of critical thinking - ANS Standards Attitudes Competencies
E
Experience Specific Knowledge Base
H
5 RIGHTS OF DELEGATIONS: - ANS 1. person
G
2. tasks
I
3. circumstances
H
4. communication/direction
G
5. supervision/evaluation
N
A 72-year-old male patient comes to the health clinic for an annual follow-up. The
I
nurse enters the patient's room and notices him to be diaphoretic, holding his
Y
chest and breathing with difficulty. The nurse immediately checks the patient's
L
heart rate and blood pressure and asks him, "Tell me where your pain is." Which
F
of the following assessment approaches does this scenario describe? - ANS
A problem-oriented approach
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
, 3
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? - ANS Health perception-health management pattern
R
A nurse is assigned to a 42-year-old mother of 4 who weighs 136.2 kg (300 lbs),
E
has diabetes, and works part time in the kitchen of a restaurant. The patient is
H
facing surgery for gallbladder disease. Which of the following approaches
demonstrates the nurse's cultural competence in assessing the patient's health
G
care problems? - ANS "You have four children; do you have any concerns
I
about going home and caring for them?"
GH
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
N
put on a new gown. This observation is an example of assessing: - ANS
I
Patient's level of function.
LY
A patient who visits the surgery clinic 4 weeks after a traumatic amputation of his
F
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 -
ANS Self-perception-self-concept pattern
, 4
Acting Ethically - ANS Doing the right thing.
Advanced begginer nurse - ANS Shows acceptable performance, has
R
gained prior experience in actual nursing situations. Looks for support through
E
their peers and supervisors but not constantly
H
Advocacy - ANS Nurses and patients alike view this action ass the last line
G
of defense on behalf of the patient.
H
Advocacy Examples: -
I ANS Sharing with family members the details of a
G
conversation you had with their loved one previously in the day.
Listening carefully to help family members carry out their wishes, and work with
N
the hospital to do what you can to help that happen.
I
Communication with the family about their loved ones surgery schedule., course
Y
of events, and expected finish time.
L
Working to get prescriptions filled before a homeless person leaves the hospital.
F
An initial patient-centered interview involves - ANS (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.
