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Nursing 230 Test 2 Questions with Complete Solutions
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Nursing 230 Test 2 Questions with Complete Solutions
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Nursing 230 Test 2 Questions with Complete SolutionsWhat does ADPIE stand for? Correct Answer-Assessment, Diagnosis, Planning, Implementation, Evaluation
What do you do for A in ADPIE? Correct Answer-collection of date, objective and subjective data, interview, health history, physical exam, lab results
What do you do for D in ADPIE? Correct Answer-nursing diagnosis, 3 different kinds of nursing diagnosis actual (3 parts), risk diagnosis (2 parts) and wellness diagnosis (1 part)
What do you do for P in ADPIE? Correct Answer-Priorities (Maslow's and ABCs), determine goals (short and long-term) SMART, interventions
What do you do for I in ADPIE? Correct Answer-Direct and indirect (direct is performed through interaction with patient & indirect is an action preformed away from patient but on behalf of the patient) and always reassess the patient before you implement
What do you do for E in ADPIE? Correct Answer-collect data to determine if your goals were met, document, assess how the client feels.
A patient-centered care is what? (starts with H and one other thing) Correct Answer-holistic and individualized for that specific patient Information about the patient comes from? and which is the best source?
Correct Answer-the patient (this is the best source), family members, other members of health care (hand off report), medical record information
true or false: it is important to establish a nurse patient relationship. Correct Answer-True
What is a cue? Correct Answer-information that you obtain through use of senses
What is subjective data? Correct Answer-what the patient says
What is objective data? Correct Answer-what you observe
What are some interviewing techniques? Correct Answer-observation
open-ended questions (no close ended questions) leading questions
backchanneling (reinforce your interest in what a patient has to say through the use of good eye contact and listening skills "go on" or "uh huh")
probing (getting someone to talk more, asking more questions) direct close-ended questions (yes or no) What should you avoid when caring for a patient who has a different cultural background then you? Correct Answer-avoid stereotyping
What are some of the components that make of nursing health history? Correct Answer-biographical information (Age, address, occupation, working status, marital status, type of insurance), chief concern or reason for seeking care, present illness or health concerns (PQRSTU), health history (allergies, use of alcohol, tobacco), family history, psychosocial history, spiritual health, review of systems (bedside assessment)
What does the National Council of State Boards of Nursing do? Correct Answer-they administer the NCLEX exam
What are the different types of nursing diagnoses? Correct Answer-
problem focused, related factors, risk for nursing diagnosis, health promotion
What is a data cluster? Correct Answer-a set of cues, the signs or symptoms gathered during assessment
When you select the nursing diagnosis what should you consider with your patients? Correct Answer-consider the patient's cultural diversity, including values, beliefs, health practices, ethnicity, and gender.
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