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NUR 216 - EXAM 1 (Modules 1-3)
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NUR 216 - EXAM 1 (Modules 1-3)
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NUR 216 - EXAM 1 (Modules 1-3)
What is an assessment? - --A data collection process
-A continuous process
-A method to establish a baseline
-What is primary subjective data? Give an example. - -Client reports
feelings/thoughts
Ex. "I have a headache"
-What is secondary subjective data? Give an example. - -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. - -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. - -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? - -Consists of a complete nursing
history and physical examination.
-What is a focused assessment? - -Based around the patients immediate
problems.
-What is the nursing process? - -Assessment
Diagnosis
Planning
Implementation
Evaluation
(ADPIE)
-What is the "A" in the nursing process? - -Assessment - gather information
and review the patients history
-What is the "D" in the nursing process? - -Diagnose - identify problem list
-What is the "P" in the nursing process? - -Plan - develop SMART goals,
desired outcomes, and action plans
, -What is the "I" in the nursing process? - -Implementation - perform nursing
actions
-What is the "E" in the nursing process? - -Evaluate - were desired outcomes
and goals achieved?
-List 5 'Communication' skills nurses must implement at all times. - --Eye
Contact
-Eye Level
-Personal Space
-Active Listening
-LISTEN to them!!!
-List 4 'Cognitive' skills you must implement in the assessment process. - --
Critical Thinking Skills
-Inductive & Deductive Reasoning Skills
-Clinical Decision Making Skills
-Problem Solving Skills
-What are 'Psychomotor' skills? - -Skills needed to perform the 4 techniques
of physical assessment.
-What are 'Interpersonal/Affective' skills? - -Affective skills needed to
develop caring, therapeutic nurse-patient relationships.
-List 4 'Ethical' skills. - --Responsible & accountable for practice
-Patient advocate
-Respect patients' rights
-Assure confidentiality
-What are the 2 types of interviews? - -Directive or Non-directive
-What is an open ended question? Give an example. - -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. - -A question that
requires a "yes" or "no" answer.
Ex. "Do you have a headache?"
-What is the 'Introductory Phase' of the interview process? - --Introduce self
-Put patient at ease
-Explain purpose of interview
-Explain time frame
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