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NURS 220 quiz 1
| Question | Answer |
|---|---|
| What is the nursing process? | Assessment, Diagnosis, Planning, Implementation, Evaluation |
| What is the collection of subjective and objective data? | Assessment |
| What is the analysis of subjective and objective data to make a professional judgement? | Diagnosis |
| What is developing a plan of nursing care and outcome criteria? | Planning |
| What is carrying out the plan of care? | Implementation |
| What is assessing whether outcome criteria has been met and revising the plan of care if necessary? | Evaluation |
| Sensations or symptoms that can be verified only by the client? | Subjective data |
| Findings directly observed or indirectly observed through measurements | Objective data |
| Physiologic complications that nurses monitor to detect their onset or changes in status | Collaborative problem |
| Problem that requires the attention or assistance of other health care professionals | Referral problem |
| What is the result of a nursing assessment? | Diagnosis |
| Assessment that takes place when comprehensive database exists for client seeks health care for a specific health concern | Focused or Problem-Oriented |
| Collection of subjective data about clients perspective of health of all body parts/systems, past health history, family history, and lifestyle | Initial Comprehensive Assessment |
| Mini overview of body systems and holistic health patters as a follow up. Brief reassessment of normal body systems | Ongoing or Partial Assessment |
| Follow up/re-assessment of the health status for any changes in baseline; mini-overview | Ongoing/Partial Assessment |
| Assess a specific health concern | Focused/Problem-Oriented |
| Rapid Assessment in a life-threatening situation, ABCs | Emergency Assessment |
| Complete head to toe physical exam to collect baseline. | Initial Comprehensive |
| What are the three phases of the interview? | Introductory, working and summary / closing phase |
| Data collected in physical assessment | Objective |
| Data verified by client | Subjective |
| I have a sore throat | Subjective |
| Throat swab and sent to lab | Objective |
| Pain | Subjective |
| Vitals | Objective |
| Describes sever right-sided headache | Subjective |
| Reddened, raised indurated area on deltoid area of left arm | Objective |
| Pattern of request for pain medication every 2hours | Objective |
| Pale, clammy and diaphoretic | Objective |
| What are three types of diagnoses? | Wellness, Risk , Actual |
| Diagnosis worded Readiness for enhanced....... | Wellness |
| Risk for + diagnostic label + r/t etiology | Risk Nursing Diagnosis |
| NANDA label(for problem)( + r/t + etiology + AMB (as manifested by) + defining characteristics | Actual Nursing Diagnosis |
| Diagnosis where pt doesn't have problem but can attain a higher level of health. Opportunity to increase desired level of functioning | Wellness Nursing Diagnosis |
| Actual diagnosis will occur if if nurse doesn't intervene, related factors mandatory | Risk Diagnosis |
| What theorist developed the psychosocial stages? | Erik H Erickson |
| When assessing adults what ares is most likely to yield delays or unresolved problems? | Psychosocial domain of development |
| How do you identify stage of development? | behavior |
| What does the Glasgow Coma Scale Measure? | eye opening, appropriateness of verbal and motor responses |
| Organized system of beliefs concerning cause , nature and purpose of the universe | Religion |
| Unique life experiences and personal effort to search for meaning and purpose in life | Spirituality |
| What are the systems that vital signs measure? | Cardiovascular, Immune system, Respiratory, Neurological, Peripheral vascular |
| What order do you measure vitals? | Temp, Pulse , Respiration, then B/P |
| What characteristics do you measure with pulse? | rate, rhythm, amplitude, elasticity |
| What do you note with respirations? | rate, rhythm, depth |
| What does pulse pressure measure? | Stroke volume |
| What is the fifth vital? | Pain |
| WHat does COLDSPA stand for? | character, onset, location, duration, severity, pattern, associated factors |
| 3 most common types of skin cancer? | melanoma, basal cell carcinoma, squamous cell carcinoma |
| What is mnemonic for skin cancer? | ABCDE |
| What does skin cancer mnemonic stand for? | assymetry, border, color, diameter, elevation |
| Where is most common pressure ulcer? | coccyx |
| Which skin cancer is most common with intermittent exposure? | melanoma, BCC |
| Which is most common for overall amount of exposure? | Squamous cell carcinoma |
| What theorist developed the psychosocial stages? | Erik H Erickson |
| When assessing adults what ares is most likely to yield delays or unresolved problems? | Psychosocial domain of development |
| How do you identify stage of development? | behavior |
| What does the Glasgow Coma Scale Measure? | eye opening, appropriateness of verbal and motor responses |
| Organized system of beliefs concerning cause , nature and purpose of the universe | Religion |
| Unique life experiences and personal effort to search for meaning and purpose in life | Spirituality |
| What are the systems that vital signs measure? | Cardiovascular, Immune system, Respiratory, Neurological, Peripheral vascular |
| What order do you measure vitals? | Temp, Pulse , Respiration, then B/P |
| What characteristics do you measure with pulse? | rate, rhythm, amplitude, elasticity |
| What do you note with respirations? | rate, rhythm, depth |
| What does pulse pressure measure? | Stroke volume |
| What is the fifth vital? | Pain |
| WHat does COLDSPA stand for? | character, onset, location, duration, severity, pattern, associated factors |
| 3 most common types of skin cancer? | melanoma, basal cell carcinoma, squamous cell carcinoma |
| What is mnemonic for skin cancer? | ABCDE |
| What does skin cancer mnemonic stand for? | assymetry, border, color, diameter, elevation |
| Where is most common pressure ulcer? | coccyx |
| Which skin cancer is most common with intermittent exposure? | melanoma, BCC |
| Which is most common for overall amount of exposure? | Squamous cell carcinoma |
Created by:
shoopergirl