NURS 3100 Exam #1
What are the 5 phases of the nursing process? - ANS-1. Assessment
2. Diagnosis
3. Planning
4. Implementation
5. Evaluation
Assessment - ANS-Collecting subjective and objective data
1st and most critical phase of nursing
Diagnosis - ANS-analyzing data to make a nursing judgement
Planning - ANS-determining outcome criteria and developing a plan
Implementation - ANS-carrying out the plan
Evaluation - ANS-assessing and revising the plan as necessary
What are the four basic types of assessments? - ANS-Initial comprehensive assessment,
ongoing or partial assessment, focused or problem oriented assessment and emergency
assessment
Initial Comprehensive (complete) - ANS-subjective and objective data
Ongoing (partial) - ANS-mini overview as a follow-up
Focused (problem oriented) - ANS-specific concern
Emergency (rapid) - ANS-immediate and prompt
How do you prepare for the health assessment? - ANS-1. Review client's records
2. Review client's status with other health care team members
3. Educate yourself about clients diagnosis and tests performed
4. Reflect on your own feelings regarding the client's information
5. Obtain and organize needed materials
What are the 4 major steps in the assessment phase? - ANS-1. Collection of Subjective Data
2. Collection of Objective Data
3. Validation of assessment Data
4. Documentation of Data
, What is COLDSPA? - ANS-Character
Onset
Location
Duration
Severity
Pattern
Associated factors
Culture - ANS-the customary beliefs, social forms, and material traits of a racial, religious, or
social group
What are characteristics of what makes a culture? - ANS-Set of shared attitudes, values, goals,
and practices
Sterotyping - ANS-a widely held but fixed and oversimplified image or idea of a particular type
of person or thing
Ethnocentrism - ANS-evaluation of other cultures according to preconceptions originating in the
standards and customs of one's own culture
Culture broker versus interpreter - ANS-Culture broken is the act of bridging, linking, or
mediating between groups or persons of different cultural backgrounds for the purpose of
reducing conflict or producing change
Interpreter is a person who interprets, especially one who translates speech oral
What is the purpose of the history and physical exam? - ANS-1. Review past history of pain
2. Review lifestyle and health habits to determine how the pain interferes with the client's life
3. Assess physical aspects for signs of violence/abuse
What are the components of general survey? - ANS-Physical characteristics, body functions,
appearance, behavior, measurements, results of laboratory testing
What should you prioritize when collecting the client database? - ANS-The assessment is the
most critical phase of nursing
Subjective - ANS-things the patient tells you how they feel. It comes from the patient
Objective - ANS-vital sings, stuff you can measure. Comes from your observations,
measurements
Therapeutic communication - ANS-face-to-face process of interacting that focuses on
advancing the physical and emotional well-being of a patient. Providing support and information
What are the 5 phases of the nursing process? - ANS-1. Assessment
2. Diagnosis
3. Planning
4. Implementation
5. Evaluation
Assessment - ANS-Collecting subjective and objective data
1st and most critical phase of nursing
Diagnosis - ANS-analyzing data to make a nursing judgement
Planning - ANS-determining outcome criteria and developing a plan
Implementation - ANS-carrying out the plan
Evaluation - ANS-assessing and revising the plan as necessary
What are the four basic types of assessments? - ANS-Initial comprehensive assessment,
ongoing or partial assessment, focused or problem oriented assessment and emergency
assessment
Initial Comprehensive (complete) - ANS-subjective and objective data
Ongoing (partial) - ANS-mini overview as a follow-up
Focused (problem oriented) - ANS-specific concern
Emergency (rapid) - ANS-immediate and prompt
How do you prepare for the health assessment? - ANS-1. Review client's records
2. Review client's status with other health care team members
3. Educate yourself about clients diagnosis and tests performed
4. Reflect on your own feelings regarding the client's information
5. Obtain and organize needed materials
What are the 4 major steps in the assessment phase? - ANS-1. Collection of Subjective Data
2. Collection of Objective Data
3. Validation of assessment Data
4. Documentation of Data
, What is COLDSPA? - ANS-Character
Onset
Location
Duration
Severity
Pattern
Associated factors
Culture - ANS-the customary beliefs, social forms, and material traits of a racial, religious, or
social group
What are characteristics of what makes a culture? - ANS-Set of shared attitudes, values, goals,
and practices
Sterotyping - ANS-a widely held but fixed and oversimplified image or idea of a particular type
of person or thing
Ethnocentrism - ANS-evaluation of other cultures according to preconceptions originating in the
standards and customs of one's own culture
Culture broker versus interpreter - ANS-Culture broken is the act of bridging, linking, or
mediating between groups or persons of different cultural backgrounds for the purpose of
reducing conflict or producing change
Interpreter is a person who interprets, especially one who translates speech oral
What is the purpose of the history and physical exam? - ANS-1. Review past history of pain
2. Review lifestyle and health habits to determine how the pain interferes with the client's life
3. Assess physical aspects for signs of violence/abuse
What are the components of general survey? - ANS-Physical characteristics, body functions,
appearance, behavior, measurements, results of laboratory testing
What should you prioritize when collecting the client database? - ANS-The assessment is the
most critical phase of nursing
Subjective - ANS-things the patient tells you how they feel. It comes from the patient
Objective - ANS-vital sings, stuff you can measure. Comes from your observations,
measurements
Therapeutic communication - ANS-face-to-face process of interacting that focuses on
advancing the physical and emotional well-being of a patient. Providing support and information
