Download NSG 207 Exam I 2025: Nursing Process, Assessment, and Developmental Considerations and more Exams Nursing in PDF only on Docsity!
NSG 207 EXAM I 2025 VERIFIED STUDY
QUESTIONS AND ANSWERS GRADED A+
What are the 5 steps of the nursing process
- Assessment
- Diagnosis
- Planning
- Implementation
- Evaluation
What are the Assessment (interviewing) steps
- First and most critical
- Collecting subjective and objective data
- Validating data
- Documenting
Diagnosis
- Analyzing data to make clinical judgement
- Concerns are identified and prioritized
- Cluster cues
Planning
- Generating solutions
- Devolving plan
- Determine what outcomes need to be met first
Implementation
- Taking action
- Prioritizing and implementing interventions
- Carrying out plan
Evaluation
- Assessing what outcomes have been met
- Revising if needed
Purpose of Nursing health assessment
- To collect holistic subjective data and objective data to determine overall functioning
What type of data is collected during an assessment?
- Physiological
- Psychological
- Social
Comprehensive health assessment
- Consists of health history and physical examination
Ongoing or partial assessment
- Consists of data collection after comprehensive database
- Involves a mini overview of the client's body systems and holistic health patterns as a follow-up on health status
- Requires frequent assessment, looking for changes from baseline data
Focused or problem-oriented assessment
- Does not replace comprehensive assessment
- Focuses on specific health concern
- Involves thorough assessment of a particular client problem
Emergency assessment
- Rapid assessment performed in life-threatening situations
- Provides prompt treatment
- ABCs to assess individual
- Determines the status of clients' life-sustaining physical function
When using the nursing process always address
- History of present health concerns
- Personal health history
- Family history
- Lifestyle and health practices
You can prepare for an assessment by?
- Reviewing the clients medical record
How to avoid judgement?
- Always take the time to reflect and examine your own feelings to avoid basis and judgment
Subjective data
- Sensations or symptoms
- Feelings, perception, beliefs, values,
- Includes biographical info, health concerns, personal history, family history, health and lifestyle, and review of systems
Objective data
- Things that are directly observed
- Include physical characteristics, body functions, appearance, behavior, measurements, and laboratory testing
- Lifestyle and health practices,
- Developmental level
Working Phase #
- Requires listening, observing, and identifying problems and goals
Summary and closing phase
- Summarizes information obtained, validates problems, and goals with the client, and discussing possible plans to resolve the problem
Nonverbal communications to avoid
- Excessive or insufficient eye contact
- Distraction and distance
- Standing
Verbal communications to avoid
- Biased or leading questions
- Rushing through the interview
- Reading the questions
Open ended questions
- Feelings and perceptions,
- Use the words how, or what,
- More than one-word responses
Close ended questions
- obtain facts and focus on specific information
- Uses one or two words
- Helps clarify and retain more accurate information
- Usually answered with yes or no
Laundry list
- Provides a list of words
- Describing symptoms, conditions, or feelings
Dealing with a anxious Client
- Use simple, organized, information
- Explain role and purpose
- Use concise questions
- Don't rush
- Decrease external stimuli
What acronym can be used for obtaining history of present health concerns?
COLDSPA (symptoms, signs, health concern)
COLDSPA
Character: Signs or symptoms
Onset: When did it begin?
Location: Where is it?
Duration: How long does it last?
Severity: How bad is it? (Scale 1-10)
Pattern: What makes it better or worse?
Associated factors: What other symptoms occur with it?
What acronym can be used for pain analysis?
PQRST
Provocative: What provokes or relives the pain?
Quality: Character of pain?
Radiates: Is pain localized or spread to other areas?
Severity: How bad is the pain? (Scale 1-10)
Timing: When does pain occur, and how long does it last?
Genogram
- used for a structural assessment
- Used to organize in illustrate the client's family history
- Female client is marked with a circle
- Male client is marked with a square
- An X represents deceased
- A/W stands for alive and well
6 Steps to make a clinical judgement
- Identify abnormal cues and supportive cues
- Cluster cues
- Draw inferences to propose or hypothesize clinical judgments
3 aspects of change for development
- Physical growth
- Differentiation
- Maturation
What population is most at risk for developmental changes?
Pediatric populations
Prenatal risks
- Absence of or inadequate prenatal care
- Congenital conditions
- Exposure to illicit drugs or alcohol
-Exposure to environmental toxins
Birth risks
- Premature birth
- Low birth weight
- Birth trauma
- Maternal infection
- Anoxia (absence of oxygen)
Individual risks
- Ill health
- Malnutrition
- Physical or mental disabilities
- Cognitive impairments
Family risks
- Low parental education
- Poor health of family members
- Large family size
Situational risks
- Acute life stress
- Acute mental or physical health crisis
- Acute school or social problems
Developmental assessment
- Occurs throughout the lifespan
- Helps with early identification of developmental problems
Social determinants of health risks:
Development for adults and older adults
- Continue monitoring for age appropriate changes in physical function
- Focus is on functional function
- Screening tools asses functional activity's, stress, coping and others
Principals of Intervention for development
- Early identification
- Specific interventions are dependent on the category and type of developmental delay as well as age of patient
- Management always requires interdisciplinary collaboration (nursing, medicine, physical therapy, consulting)
EHR
- Accurate and timely documentation
- Major means of communication
- Legal document
- Evidence of providers actions
What is SBAR?
- Provides framework for communication between members of a health care team
SBAR
Situation: a concise statement of the problem
Background: brief information related to the situation
Assessment: analysis and consideration of options, what you found and think
Recommendation: action requested or recommended, what you want
Enculturation
- When a person learns norms, values, and behaviors from another culture
Acculturation
- Acquiring new attitudes, roles, customs, or behaviors
Assimilation
- Process by which a person gives up his or hers original identity and develops a new cultural
Biculturalism
- Dual pattern of identification
Healthy People 2030
- incorporates the Social Determinants of Health
- Designed to guide national health promotion and disease prevention efforts to improve the health of the nation.
PRAPARE
- Valuable screening tool to assist in the identification of at-risk patients and guide intervention based on responses to social determinants of health questions
