Exam (elaborations)
Nurs 123 Midterm Detailed Questions And Expert Answers
- Course
- NURSING 123
- Institution
- University Of Michigan
Nurs 123 Midterm Detailed Questions And Expert Answers
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Nurs 123 Midterm Detailed Questions AndExpert Answers
How are medical diagnosis and nursing diagnosis similar and different - ANS
Similar:
-they both have similar end goals which is to help the patient and are also
concerned with the heath problems
Different:
-Medical diagnosis focus on the disease and specific organs involved
-Nursing diagnosis focus on the patients reaction/response to health concerns
First Level Priority - ANS life-threatening, emergencies, need immediate attention
(ex. establishing an airway)
Second Level Priority - ANS concerned with intervention of problems (ex. acute
pain, mental status)
Third Level Priority - ANS Important health issues but can be addressed at a later
time (ex. social isolation)
4 Factors of Evidence-Informed Practice - ANS 1. Evidence from research and
evidence- informed theories (ex. reading current studies about the accuracy of
auscultating bowel sounds)
,2. Physical examination and assessment of patient (ex. auscultating bowels sounds
on a patient)
3. Clinical Expertise (ex. using the experience as a nurse to know that auscultating
bowel sounds are not accurate)
4. Patient preferences and values (ex. patient's religious values conflict with their
course of treatment)
The concept of health has expanded in the past 40 years. Which phrase is the
narrowest description of health
a) the absence of disease
b) incorporating sociological and environmental aspects of health
c) changing behaviours and lifestyles
d) prevention of disease - ANS a) the absence of disease
Which is the most complete description of a database?
a) subjective and objective data gathered by a health practitioner from a patient
b) objective data obtained from a patient through inspection, percussion,
palpation, and auscultation
c) a summary of a patient's record, including lab studies
d) subjective and objective data gathered from a patient plus the results of any
diagnostic studies completed - ANS d) subjective and objective data gathered from
a patient plus the results of any diagnostic studies completed
,Nursing diagnosis, based on assessment of a number of factors, give nurses a
common language with which to communicate nursing findings. The best
description of a nursing diagnosis is:
a) an evaluation of the etiology of a disease
b) a pattern of coping
c) a concise description of actual or potential health problems or of wellness
strengths
d) the patient's perception of and satisfaction with his or her own health status -
ANS c) a concise description of actual or potential health problems or of wellness
strengths
episodic database
a) including a complete health history and full physical examination
b) concerning mainly one problem
c) evaluation of a previously identified problem
d) rapid collection of data in conjunction with lifesaving measures - ANS c)
evaluation of a previously identified problem
Evidence-informed nursing practice is described as...
a) combining clinical expertise with the use of nursing research to provide the best
care for patients while considering the individual patient's values and
circumstances
b) appraising and looking at the implications of one or two articles as they relate to
the culture and ethnicity of the patient
, c) completing a literature search to find relevant articles that utilize nursing
research so as to encourage nurses to use good practices
d) finding value-based resources to justify nursing actions when working with
patients of diverse cultural backgrounds - ANS a) combining clinical expertise with
the use of nursing research to provide the best care for patients while considering
the individual patient's values and circumstances
List eight item of information that should be communicated to the patient
concerning the terms or expectations of the interview - ANS - name and
expectation of role
-purpose
-duration
-expectations of nurse and patient
-identify others in the room
-confidentiality
-time and place of interview
-cost
Discuss special considerations when interviewing an older adult. - ANS -address
them by their last name (Mr/Mrs)
-break up the interview into many visits
-know that the interview will take more time
-avoid hurrying them
-face them directly so that your mouth is visible
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