HONDROS NURSING 200, EXAM 1 WITH
VERIFIED SOLUTIONS
Noticing j- jcorrect janswers j-Indicate jwhen ja jsituation jis jnormal, jabnormal jor jhas
jchanged. jGet jan jinitial jgrasp jon jthe jsituation
Application jto jthinking jnoticing j- jcorrect janswers j-Collect: jSubjective j& jobjective jdata
VS, jComplaints, jself-described jsymptoms. jWhat jnurse jnotices, jsuch jas jrashes,
jswelling, jbruising, jetc
Identifying jsigns jand jsymptoms j- jcorrect janswers j-Noticing
Gathering jComplete jand jAccurate jData j- jcorrect janswers j-Noticing
Assessing jSystematically jand jComprehensively j- jcorrect janswers j-Noticing
,Predicting j(and jManaging) jPotential jComplications j- jcorrect janswers j-Noticing
Identifying jAssumptions j- jcorrect janswers j-Noticing
5 jconcepts jof jcritical jthinking j- jcorrect janswers j-Standards jAttitudes jCompetencies
jExperience jSpecific jKnowledge jBase
Nursing jProcess j- jcorrect janswers j-The jnursing jprocess jis ja jvariation jof jscientific
jreasoning jthat jinvolves jfive jsteps: jassessment, jnursing jdiagnosis, jplanning,
jimplementation, jand jevaluation.Assess j(collection jverification jof jdata jand janalysis jof
jdata) jDiagnose, jPlan, jImplement, jEvaluate
cue j- jcorrect janswers j-obtain jinformation jthat jyou jobtain jthrough jsense. j(Lies jstill
jwith jarms jalong jside: jtense. jStates jhas jnot jturned jin jsome jtime. jReports jpain ja j7
jand jon jscale jof j0-10)
Sources jof jData j- jcorrect janswers j-Patient, jfamily jand jsignificant jother, jhealth jcare
jteam, jmedical jrecords, jother jrecords jand jscientific jliterature
An jinitial jpatient-centered jinterview jinvolves j- jcorrect janswers j-(1) jsetting jthe jstage,
j(2) jgathering jinformation jabout jthe jpatient's jproblems jand jsetting jan jagenda, j(3)
jcollecting jthe jassessment jor ja jnursing jhealth jhistory, jand j(4) jterminating jthe
jinterview.
A jnurse jassesses ja jpatient jwho jcomes jto jthe jpulmonary jclinic. j"I jsee jthat jit's jbeen
jover j6 jmonths jsince jyou've jbeen jhere, jbut jyour jappointment jwas jfor jevery j2
jmonths. jTell jme jabout jthat. jAlso jI jsee jfrom jyour jlast jvisit jthat jthe jdoctor
jrecommended jroutine jexercise. jCan jyou jtell jme jhow jsuccessful jyou've jbeen jin
jfollowing jhis jplan?" jThe jnurse's jassessment jcovers jwhich jof jGordon's jfunctional
jhealth jpatterns? j- jcorrect janswers j-Health jperception-health jmanagement jpattern
The jnurse jobserves ja jpatient jwalking jdown jthe jhall jwith ja jshuffling jgait. jWhen jthe
jpatient jreturns jto jbed, jthe jnurse jchecks jthe jstrength jin jboth jof jthe jpatient's jlegs.
jThe jnurse japplies jthe jinformation jgained jto jsuspect jthat jthe jpatient jhas ja jmobility
jproblem. jThis jconclusion jis jan jexample jof: j- jcorrect janswers j-Clinical jinference.
A j72-year-old jmale jpatient jcomes jto jthe jhealth jclinic jfor jan jannual jfollow-up. jThe
jnurse jenters jthe jpatient's jroom jand jnotices jhim jto jbe jdiaphoretic, jholding jhis jchest
jand jbreathing jwith jdifficulty. jThe jnurse jimmediately jchecks jthe jpatient's jheart jrate
jand jblood jpressure jand jasks jhim, j"Tell jme jwhere jyour jpain jis." jWhich jof jthe
jfollowing jassessment japproaches jdoes jthis jscenario jdescribe? j- jcorrect janswers j-A
jproblem-oriented japproach
The jnurse jasks ja jpatient, j"Describe jfor jme ja jtypical jnight's jsleep. jWhat jdo jyou jdo jto
jfall jasleep? jDo jyou jhave jdifficulty jfalling jor jstaying jasleep? jThis jseries jof jquestions
, jwould jlikely joccur jduring jwhich jphase jof ja jpatient-centered jinterview? j- jcorrect
janswers j-Working jphase
A jnurse jis jassigned jto ja j42-year-old jmother jof j4 jwho jweighs j136.2 jkg j(300 jlbs), jhas
jdiabetes, jand jworks jpart jtime jin jthe jkitchen jof ja jrestaurant. jThe jpatient jis jfacing
jsurgery jfor jgallbladder jdisease. jWhich jof jthe jfollowing japproaches jdemonstrates jthe
jnurse's jcultural jcompetence jin jassessing jthe jpatient's jhealth jcare jproblems? j-
jcorrect janswers j-"You jhave jfour jchildren; jdo jyou jhave jany jconcerns jabout jgoing
jhome jand jcaring jfor jthem?"
A jnurse jis jchecking ja jpatient's jintravenous jline jand, jwhile jdoing jso, jnotices jhow jthe
jpatient jbathes jhimself jand jthen jsits jon jthe jside jof jthe jbed jindependently jto jput jon ja
jnew jgown. jThis jobservation jis jan jexample jof jassessing: j- jcorrect janswers j-Patient's
jlevel jof jfunction.
A jpatient jwho jvisits jthe jsurgery jclinic j4 jweeks jafter ja jtraumatic jamputation jof jhis
jright jleg jtells jthe jnurse jpractitioner jthat jhe jis jworried jabout jhis jability jto jcontinue jto
jsupport jhis jfamily. jHe jtells jthe jnurse jhe jfeels jthat jhe jhas jlet jhis jfamily jdown jafter
jhaving jan jauto jaccident jthat jled jto jthe jloss jof jhis jleft jleg. jThe jnurse jlistens jand
jthen jasks jthe jpatient, j"How jdo jyou jsee jyourself jnow?" jOn jthe jbasis jof jGordon's
jfunctional jhealth jpatterns, jwhich jpattern jdoes jthe jnurse jassess j- jcorrect janswers j-
Self-perception-self-concept jpattern
During ja jvisit jto jthe jclinic, ja jpatient jtells jthe jnurse jthat jhe jhas jbeen jhaving
jheadaches jon jand joff jfor ja jweek. jThe jheadaches jsometimes jmake jhim jfeel
jnauseated. jWhich jof jthe jfollowing jresponses jby jthe jnurse jis jan jexample jof jprobing?
j- jcorrect janswers j-Tell jme jwhat jmakes jyour jheadaches jbegin.
Steps jof jNOTICING j- jcorrect janswers j-Identifying jAssumptions
Predicting j(and jManaging) jPotential jComplications
Assessing jSystematically jand jComprehensively
Gathering jComplete jand jAccurate jData
Identifying jsigns jand jsymptoms
SPICES jtool j- jcorrect janswers j-a jframework jfor jassessing jolder jadults jthat jfocuses
jon jsix jcommon j"marker jconditions": jsleep jproblems, jproblems jwith jeating jand
jfeeding, jincontinence, jconfusion, jevidence jof jfalls, jand jskin jbreakdown. jThese
jconditions jprovide ja jsnapshot jof ja jpatient's joverall jhealth jand jthe jquality jof jcare.
Noticing-Identifying jsigns jand jsymptoms j- jcorrect janswers j-Ability jto jidentify jsigns
jand jsymptoms jindicating ja jsituation jis jdifferent, jchanged jor jnot jof jnormal jstate.
Noticing-Gathering jcomplete jand jaccurate jdata j- jcorrect janswers j-When jassessing ja
jsituation jit jis jimportant jto jgather jcomplete jand jaccurate jdata. jThe jdata jis jused jas
jthe jbasis jfor jidentifying jproblems, jissues jand jconcerns, jsolving jproblems jand
jmaking jdecisions.
VERIFIED SOLUTIONS
Noticing j- jcorrect janswers j-Indicate jwhen ja jsituation jis jnormal, jabnormal jor jhas
jchanged. jGet jan jinitial jgrasp jon jthe jsituation
Application jto jthinking jnoticing j- jcorrect janswers j-Collect: jSubjective j& jobjective jdata
VS, jComplaints, jself-described jsymptoms. jWhat jnurse jnotices, jsuch jas jrashes,
jswelling, jbruising, jetc
Identifying jsigns jand jsymptoms j- jcorrect janswers j-Noticing
Gathering jComplete jand jAccurate jData j- jcorrect janswers j-Noticing
Assessing jSystematically jand jComprehensively j- jcorrect janswers j-Noticing
,Predicting j(and jManaging) jPotential jComplications j- jcorrect janswers j-Noticing
Identifying jAssumptions j- jcorrect janswers j-Noticing
5 jconcepts jof jcritical jthinking j- jcorrect janswers j-Standards jAttitudes jCompetencies
jExperience jSpecific jKnowledge jBase
Nursing jProcess j- jcorrect janswers j-The jnursing jprocess jis ja jvariation jof jscientific
jreasoning jthat jinvolves jfive jsteps: jassessment, jnursing jdiagnosis, jplanning,
jimplementation, jand jevaluation.Assess j(collection jverification jof jdata jand janalysis jof
jdata) jDiagnose, jPlan, jImplement, jEvaluate
cue j- jcorrect janswers j-obtain jinformation jthat jyou jobtain jthrough jsense. j(Lies jstill
jwith jarms jalong jside: jtense. jStates jhas jnot jturned jin jsome jtime. jReports jpain ja j7
jand jon jscale jof j0-10)
Sources jof jData j- jcorrect janswers j-Patient, jfamily jand jsignificant jother, jhealth jcare
jteam, jmedical jrecords, jother jrecords jand jscientific jliterature
An jinitial jpatient-centered jinterview jinvolves j- jcorrect janswers j-(1) jsetting jthe jstage,
j(2) jgathering jinformation jabout jthe jpatient's jproblems jand jsetting jan jagenda, j(3)
jcollecting jthe jassessment jor ja jnursing jhealth jhistory, jand j(4) jterminating jthe
jinterview.
A jnurse jassesses ja jpatient jwho jcomes jto jthe jpulmonary jclinic. j"I jsee jthat jit's jbeen
jover j6 jmonths jsince jyou've jbeen jhere, jbut jyour jappointment jwas jfor jevery j2
jmonths. jTell jme jabout jthat. jAlso jI jsee jfrom jyour jlast jvisit jthat jthe jdoctor
jrecommended jroutine jexercise. jCan jyou jtell jme jhow jsuccessful jyou've jbeen jin
jfollowing jhis jplan?" jThe jnurse's jassessment jcovers jwhich jof jGordon's jfunctional
jhealth jpatterns? j- jcorrect janswers j-Health jperception-health jmanagement jpattern
The jnurse jobserves ja jpatient jwalking jdown jthe jhall jwith ja jshuffling jgait. jWhen jthe
jpatient jreturns jto jbed, jthe jnurse jchecks jthe jstrength jin jboth jof jthe jpatient's jlegs.
jThe jnurse japplies jthe jinformation jgained jto jsuspect jthat jthe jpatient jhas ja jmobility
jproblem. jThis jconclusion jis jan jexample jof: j- jcorrect janswers j-Clinical jinference.
A j72-year-old jmale jpatient jcomes jto jthe jhealth jclinic jfor jan jannual jfollow-up. jThe
jnurse jenters jthe jpatient's jroom jand jnotices jhim jto jbe jdiaphoretic, jholding jhis jchest
jand jbreathing jwith jdifficulty. jThe jnurse jimmediately jchecks jthe jpatient's jheart jrate
jand jblood jpressure jand jasks jhim, j"Tell jme jwhere jyour jpain jis." jWhich jof jthe
jfollowing jassessment japproaches jdoes jthis jscenario jdescribe? j- jcorrect janswers j-A
jproblem-oriented japproach
The jnurse jasks ja jpatient, j"Describe jfor jme ja jtypical jnight's jsleep. jWhat jdo jyou jdo jto
jfall jasleep? jDo jyou jhave jdifficulty jfalling jor jstaying jasleep? jThis jseries jof jquestions
, jwould jlikely joccur jduring jwhich jphase jof ja jpatient-centered jinterview? j- jcorrect
janswers j-Working jphase
A jnurse jis jassigned jto ja j42-year-old jmother jof j4 jwho jweighs j136.2 jkg j(300 jlbs), jhas
jdiabetes, jand jworks jpart jtime jin jthe jkitchen jof ja jrestaurant. jThe jpatient jis jfacing
jsurgery jfor jgallbladder jdisease. jWhich jof jthe jfollowing japproaches jdemonstrates jthe
jnurse's jcultural jcompetence jin jassessing jthe jpatient's jhealth jcare jproblems? j-
jcorrect janswers j-"You jhave jfour jchildren; jdo jyou jhave jany jconcerns jabout jgoing
jhome jand jcaring jfor jthem?"
A jnurse jis jchecking ja jpatient's jintravenous jline jand, jwhile jdoing jso, jnotices jhow jthe
jpatient jbathes jhimself jand jthen jsits jon jthe jside jof jthe jbed jindependently jto jput jon ja
jnew jgown. jThis jobservation jis jan jexample jof jassessing: j- jcorrect janswers j-Patient's
jlevel jof jfunction.
A jpatient jwho jvisits jthe jsurgery jclinic j4 jweeks jafter ja jtraumatic jamputation jof jhis
jright jleg jtells jthe jnurse jpractitioner jthat jhe jis jworried jabout jhis jability jto jcontinue jto
jsupport jhis jfamily. jHe jtells jthe jnurse jhe jfeels jthat jhe jhas jlet jhis jfamily jdown jafter
jhaving jan jauto jaccident jthat jled jto jthe jloss jof jhis jleft jleg. jThe jnurse jlistens jand
jthen jasks jthe jpatient, j"How jdo jyou jsee jyourself jnow?" jOn jthe jbasis jof jGordon's
jfunctional jhealth jpatterns, jwhich jpattern jdoes jthe jnurse jassess j- jcorrect janswers j-
Self-perception-self-concept jpattern
During ja jvisit jto jthe jclinic, ja jpatient jtells jthe jnurse jthat jhe jhas jbeen jhaving
jheadaches jon jand joff jfor ja jweek. jThe jheadaches jsometimes jmake jhim jfeel
jnauseated. jWhich jof jthe jfollowing jresponses jby jthe jnurse jis jan jexample jof jprobing?
j- jcorrect janswers j-Tell jme jwhat jmakes jyour jheadaches jbegin.
Steps jof jNOTICING j- jcorrect janswers j-Identifying jAssumptions
Predicting j(and jManaging) jPotential jComplications
Assessing jSystematically jand jComprehensively
Gathering jComplete jand jAccurate jData
Identifying jsigns jand jsymptoms
SPICES jtool j- jcorrect janswers j-a jframework jfor jassessing jolder jadults jthat jfocuses
jon jsix jcommon j"marker jconditions": jsleep jproblems, jproblems jwith jeating jand
jfeeding, jincontinence, jconfusion, jevidence jof jfalls, jand jskin jbreakdown. jThese
jconditions jprovide ja jsnapshot jof ja jpatient's joverall jhealth jand jthe jquality jof jcare.
Noticing-Identifying jsigns jand jsymptoms j- jcorrect janswers j-Ability jto jidentify jsigns
jand jsymptoms jindicating ja jsituation jis jdifferent, jchanged jor jnot jof jnormal jstate.
Noticing-Gathering jcomplete jand jaccurate jdata j- jcorrect janswers j-When jassessing ja
jsituation jit jis jimportant jto jgather jcomplete jand jaccurate jdata. jThe jdata jis jused jas
jthe jbasis jfor jidentifying jproblems, jissues jand jconcerns, jsolving jproblems jand
jmaking jdecisions.
