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NUR |/ 216 |/- |/EXAM |/ 1 |/(Modules |/1-3)
|/QUESTIONS |/WITH |/ANSWERS
What |/is |/an |/assessment? |/- |/CORRECT |/ANSWERS |/✔✔-A |/data |/collection |/process -A |/continuous |/process -A |/method |/to |/establish |/a |/baseline What |/is |/primary |/subjective |/data? |/Give |/an |/example. |/- |/CORRECT |/ANSWERS |/✔✔Client |/reports |/feelings/thoughts Ex. |/"I |/have |/a |/headache" What |/is |/secondary |/subjective |/data? |/Give |/an |/example. |/- |/CORRECT |/ANSWERS |/✔✔Anyone, |/other |/than |/the |/client, |/reports |/feelings/thoughts. |/ Ex. |/Spouse |/states, |/"She |/complained |/of |/pain |/in |/her |/abdomen |/this |/morning." What |/is |/primary |/objective |/data? |/Give |/an |/example. |/- |/CORRECT |/ANSWERS |/✔✔Nurse |/reports |/seeing, |/feeling, |/smelling, |/or |/hearing. |/(DO |/NOT |/taste). |/ Ex. |/"I |/can |/see |/redness |/and |/swelling |/of |/her |/right |/lower |/extremity."
What |/is |/secondary |/objective |/data? |/Give |/an |/example. |/- |/CORRECT |/ANSWERS |/✔✔Anyone, |/other |/than |/the |/nurse, |/reports |/seeing, |/feeling, |/smelling, |/or |/hearing. |/(DO |/NOT |/taste). |/ Ex. |/AP |/states, |/"Her |/urine |/smells |/odorous." What |/is |/a |/comprehensive |/assessment? |/- |/CORRECT |/ANSWERS |/✔✔Consists |/of |/a |/complete |/nursing |/history |/and |/physical |/examination. What |/is |/a |/focused |/assessment? |/- |/CORRECT |/ANSWERS |/✔✔Based |/around |/the |/patients |/immediate |/problems. What |/is |/the |/nursing |/process? |/- |/CORRECT |/ANSWERS |/✔✔Assessment Diagnosis Planning Implementation Evaluation (ADPIE) What |/is |/the |/"A" |/in |/the |/nursing |/process? |/- |/CORRECT |/ANSWERS |/✔✔Assessment |/- |/gather |/information |/and |/review |/the |/patients |/history
-Inductive |/& |/Deductive |/Reasoning |/Skills -Clinical |/Decision |/Making |/Skills |/ -Problem |/Solving |/Skills What |/are |/'Psychomotor' |/skills? |/- |/CORRECT |/ANSWERS |/✔✔Skills |/needed |/to |/perform |/the |/ 4 |/techniques |/of |/physical |/assessment. What |/are |/'Interpersonal/Affective' |/skills? |/- |/CORRECT |/ANSWERS |/✔✔Affective |/skills |/needed |/to |/develop |/caring, |/therapeutic |/nurse- patient |/relationships. List |/ 4 |/'Ethical' |/skills. |/- |/CORRECT |/ANSWERS |/✔✔-Responsible |/& |/accountable |/for |/practice |/ -Patient |/advocate |/ -Respect |/patients' |/rights |/ -Assure |/confidentiality What |/are |/the |/ 2 |/types |/of |/interviews? |/- |/CORRECT |/ANSWERS |/✔✔Directive |/or |/Non-directive What |/is |/an |/open |/ended |/question? |/Give |/an |/example. |/- |/CORRECT |/ANSWERS |/✔✔A |/question |/that |/requires |/more |/than |/a |/"yes" |/or |/"no" |/answer. |/
Ex. |/"What |/does |/the |/pain |/in |/your |/foot |/feel |/like?" What |/is |/a |/close |/ended |/question? |/Give |/an |/example. |/- |/CORRECT |/ANSWERS |/✔✔A |/question |/that |/requires |/a |/"yes" |/or |/"no" |/answer. |/ Ex. |/"Do |/you |/have |/a |/headache?" What |/is |/the |/'Introductory |/Phase' |/of |/the |/interview |/process? |/- |/CORRECT |/ANSWERS |/✔✔-Introduce |/self -Put |/patient |/at |/ease -Explain |/purpose |/of |/interview |/ -Explain |/time |/frame What |/is |/the |/'Working |/Phase' |/of |/the |/interview |/process? |/- |/CORRECT |/ANSWERS |/✔✔-Data |/collection, |/structured |/ -Longest |/phase What |/is |/the |/'Termination |/Phase' |/of |/the |/interview |/process? |/- |/CORRECT |/ANSWERS |/✔✔-End |/of |/interview |/ -Summarize |/and |/restate |/findings Observation |/- |/CORRECT |/ANSWERS |/✔✔-Use |/your |/senses |/ -Look |/at |/patient |/and |/environment
What |/is |/the |/dorsal |/aspect |/of |/your |/hand |/used |/to |/palpate? |/- |/CORRECT |/ANSWERS |/✔✔Best |/for |/temperature What |/is |/the |/ulnar |/surface |/of |/your |/hand |/used |/to |/palpate? |/- |/CORRECT |/ANSWERS |/✔✔Best |/for |/vibrations What |/are |/your |/fingertips |/used |/to |/palpate? |/- |/CORRECT |/ANSWERS |/✔✔Best |/for |/fine |/sensations What |/is |/Percussion? |/- |/CORRECT |/ANSWERS |/✔✔Tapping |/the |/person's |/skin |/with |/short, |/sharp |/strokes |/to |/assess |/density, |/size/shape, |/tenderness, |/& |/deep |/reflexes |/of |/underlying |/structures; |/Direct |/(immediate), |/indirect |/(mediate), |/fist/blunt. What |/is |/Auscultation? |/- |/CORRECT |/ANSWERS |/✔✔Listening |/through |/a |/stethoscope |/to |/hear |/heart |/sounds, |/lung |/sounds, |/bowel |/sounds, |/and |/vascular |/sounds. What |/side |/of |/the |/stethoscope |/would |/you |/use |/if |/you |/wanted |/to |/hear |/low |/pitched |/sounds? |/- |/CORRECT |/ANSWERS |/✔✔Bell What |/side |/of |/the |/stethoscope |/would |/you |/use |/if |/you |/wanted |/to |/hear |/high |/pitched |/sounds? |/- |/CORRECT |/ANSWERS |/✔✔Diaphragm
What |/is |/'Primary' |/or |/'Top' |/Priority |/data? |/- |/CORRECT |/ANSWERS |/✔✔Life-threatening |/problems What |/is |/'Secondary' |/Priority |/data? |/- |/CORRECT |/ANSWERS |/✔✔Require |/prompt |/attention |/to |/prevent |/further |/progression |/or |/deterioration. What |/is |/'Tertiary' |/Priority |/data? |/- |/CORRECT |/ANSWERS |/✔✔Important, |/but |/do |/not |/require |/immediate |/attention. List |/ 6 |/components |/of |/the |/Health |/History. |/- |/CORRECT |/ANSWERS |/✔✔- Biographical |/Data -Current |/Health |/Status -Past |/Health |/History |/ -Family |/History |/ -Review |/of |/Systems |/ -Psychosocial |/History What |/is |/a |/'General |/Survey'? |/- |/CORRECT |/ANSWERS |/✔✔Begins |/the |/moment |/you |/first |/encounter |/a |/patient. |/Includes |/Physical |/Appearance, |/Behavior, |/Body |/Structure, |/and |/Mobility. What |/ 6 |/characteristics |/do |/you |/assess |/when |/looking |/at |/a |/patients |/'Physical |/Appearance'? |/- |/CORRECT |/ANSWERS |/✔✔-Age |/
-Foot |/placement |/ -Range |/of |/Motion |/ -Base How |/do |/you |/obtain |/a |/proper |/weight? |/- |/CORRECT |/ANSWERS |/✔✔Instruct |/the |/patient |/to |/remove |/any |/heavy |/clothing |/and |/to |/record |/their |/weight |/at |/the |/same |/time |/and |/on |/the |/same |/scale |/device |/everyday. How |/do |/you |/obtain |/a |/proper |/height? |/- |/CORRECT |/ANSWERS |/✔✔Instruct |/the |/patient |/remove |/their |/shoes |/and |/to |/stand |/straight, |/with |/their |/feet |/shoulder |/width |/apart. What |/is |/BMI? |/- |/CORRECT |/ANSWERS |/✔✔Body |/Mass |/Index; |/indicator |/of |/obesity |/or |/malnutrition. What |/is |/the |/BMI |/formula? |/- |/CORRECT |/ANSWERS |/✔✔Weight(lbs)/Height(in)^2x BMI |/Table |/- |/CORRECT |/ANSWERS |/✔✔Underweight |/<18. Normal |/Weight |/18.5-24. Overweight |/25-29. Obese |/>
What |/is |/the |/normal |/temperature |/range? |/- |/CORRECT |/ANSWERS |/✔✔96.8-100.4 |/(F) 36-38 |/(C) What |/is |/considered |/a |/treatable |/fever? |/- |/CORRECT |/ANSWERS |/✔✔102. |/(F) 39 |/(C) What |/tools |/do |/you |/need |/to |/measure |/a |/temperature? |/- |/CORRECT |/ANSWERS |/✔✔Thermometer What |/different |/locations |/can |/you |/obtain |/a |/temperature |/on |/a |/patient? |/- |/CORRECT |/ANSWERS |/✔✔-Temporal |/ -Tympanic |/ -Oral -Axillary |/ -Rectal List |/ 3 |/factors |/that |/can |/increase |/your |/temperature. |/- |/CORRECT |/ANSWERS |/✔✔-Infection |/ -Hormones -Exercise
-Popliteal |/ -Posterior |/Tibial |/ -Dorsalis |/Pedis List |/ 3 |/factors |/that |/can |/increase |/your |/heart |/rate. |/- |/CORRECT |/ANSWERS |/✔✔-Stress -Pain -Exercise List |/ 3 |/factors |/that |/can |/decrease |/your |/heart |/rate. |/- |/CORRECT |/ANSWERS |/✔✔-Being |/a |/runner -Beta |/Blockers |/ -Sedating |/Medications What |/is |/the |/normal |/oxygen |/range? |/- |/CORRECT |/ANSWERS |/✔✔95- |/% What |/tools |/do |/you |/need |/to |/measure |/oxygen |/saturation's? |/- |/CORRECT |/ANSWERS |/✔✔Pulse |/Oximeter What |/different |/locations |/can |/you |/obtain |/an |/oxygen |/saturation? |/- |/CORRECT |/ANSWERS |/✔✔-Forehead -Ear
-Finger -Toe List |/ 3 |/factors |/that |/can |/decrease |/your |/oxygen |/saturation. |/- |/CORRECT |/ANSWERS |/✔✔-Asthma |/ -COPD -Emphysema What |/is |/the |/normal |/respiration |/range? |/- |/CORRECT |/ANSWERS |/✔✔12- 20 |/breaths |/per |/minute What |/is |/measured |/when |/obtaining |/respirations? |/- |/CORRECT |/ANSWERS |/✔✔-Rate -Depth |/ -Rhythm List |/ 3 |/factors |/that |/can |/increase |/your |/respiration |/rate. |/- |/CORRECT |/ANSWERS |/✔✔-Pain -Asthma -COPD List |/ 2 |/factors |/that |/can |/decrease |/your |/respiration |/rate. |/- |/CORRECT |/ANSWERS |/✔✔-Opioids
-Anemia -Hemorrhage List |/ 3 |/factors |/that |/can |/increase |/your |/Blood |/Pressure. |/- |/CORRECT |/ANSWERS |/✔✔-Preeclampsia -Obesity |/ -Increased |/Salt List |/ 3 |/factors |/that |/would |/cause |/you |/to |/NOT |/be |/able |/to |/do |/an |/arm |/blood |/pressure. |/- |/CORRECT |/ANSWERS |/✔✔-Mastectomy |/ -Amputation |/ -Ports |/(PICC, |/Fistula, |/etc) Pain |/in |/the |/subjective |/perspective. |/- |/CORRECT |/ANSWERS |/✔✔"The |/pain |/in |/my |/back |/is |/an |/8/10." Pain |/in |/the |/objective |/perspective. |/- |/CORRECT |/ANSWERS |/✔✔"Her |/grimacing |/expression |/may |/indicate |/she |/is |/in |/pain."
