NURS 245: Exam 1 |29 Verified Questions and Answers
The patient complains of inability to catch their breath and is turning blue (cyanotic)
around the lips. - -What is ABCs (airway, breathing, circulation). Life threatening signs.
-The patient expresses a 2/10 pain scale... But the RN notices the patient grimacing,
guarding, and not able to ambulate. These are examples of ... - -Nonverbal cues for pain
-In the middle of conducting a health history on a patient who has a laceration on their
hand, the patient asks for pain modification. The nurse will... - -What is administer pain
medication?
-What the RN will do if the patient presents with severe injuries and the nurse needs to
collect data. - -Conduct a physical assessment at the same time as conducting health
history/providing subjective data
-When the nurse is assessing for sensory and cognition deficits, lifestyle, factors, health,
history, etc. - -what is the older adult assessment?
-What is ADLs? - -the ability of an older adult to feed themselves, bathe, and ambulate
from one part of the home to the other
-Why is a functional assessment performed? - -to determine if patent needs help with
ADLs and to promote health and prevent injury
-When does the nurse perform a mental status assessment? - -when they notice a new
onset of a change in a patients affect and behavior
-five steps of nursing process in order... - -Assessment, Diagnosis, Planning,
Implementation, Evaluation
-What is holistic practice? - -the practice of taking all aspects of a patients lifestyle into
consideration when conducting an assessment
- physical, emotional, social, economic, cultural, spiritual, etc.)
-What is the purpose of the mini cog (mini cognition assessment)? - -patient had a sudden
change in mental status and needs to identify if there is an emergent situation
-difference between subjective and objective data? - -when a person says they are feeling
pain versus when the nurse observes vital signs indicative of pain
- assessment phase in nursing process
-How to set up proper environment when conducting an interview with an older adult? - -
Turn of TV, minimize distractions, take frequent breaks, allows patient to respond at their
own rate
The patient complains of inability to catch their breath and is turning blue (cyanotic)
around the lips. - -What is ABCs (airway, breathing, circulation). Life threatening signs.
-The patient expresses a 2/10 pain scale... But the RN notices the patient grimacing,
guarding, and not able to ambulate. These are examples of ... - -Nonverbal cues for pain
-In the middle of conducting a health history on a patient who has a laceration on their
hand, the patient asks for pain modification. The nurse will... - -What is administer pain
medication?
-What the RN will do if the patient presents with severe injuries and the nurse needs to
collect data. - -Conduct a physical assessment at the same time as conducting health
history/providing subjective data
-When the nurse is assessing for sensory and cognition deficits, lifestyle, factors, health,
history, etc. - -what is the older adult assessment?
-What is ADLs? - -the ability of an older adult to feed themselves, bathe, and ambulate
from one part of the home to the other
-Why is a functional assessment performed? - -to determine if patent needs help with
ADLs and to promote health and prevent injury
-When does the nurse perform a mental status assessment? - -when they notice a new
onset of a change in a patients affect and behavior
-five steps of nursing process in order... - -Assessment, Diagnosis, Planning,
Implementation, Evaluation
-What is holistic practice? - -the practice of taking all aspects of a patients lifestyle into
consideration when conducting an assessment
- physical, emotional, social, economic, cultural, spiritual, etc.)
-What is the purpose of the mini cog (mini cognition assessment)? - -patient had a sudden
change in mental status and needs to identify if there is an emergent situation
-difference between subjective and objective data? - -when a person says they are feeling
pain versus when the nurse observes vital signs indicative of pain
- assessment phase in nursing process
-How to set up proper environment when conducting an interview with an older adult? - -
Turn of TV, minimize distractions, take frequent breaks, allows patient to respond at their
own rate
