NUR 216 Exam 1
comprehensive assessment - Answer- An assessment that includes a complete health history and physical assessment; Usually brand new patients
focused assessment - Answer- assessment conducted to assess a specific problem; focuses on pertinent history and body regions
HIPAA - ...
NUR 216 Exam 1
comprehensive assessment - Answer- An assessment that includes a complete
health history and physical assessment; Usually brand new patients
focused assessment - Answer- assessment conducted to assess a specific problem;
focuses on pertinent history and body regions
HIPAA - Answer- Health Insurance Portability and Accountability Act
The nursing process - Answer- Assessment
Diagnosis
Planning
Implementation
Evaluation
Assessment (ADPIE) - Answer- Data collection (objective/subjective)
Ballpottement: Size/Shape of free floating objects
- Always palpate tender areas last
Percussion - Answer- tapping on a surface to determine the difference in the density
of the underlying structure
Ausculation - Answer- listening to sounds within the body
Bell - Answer- low pitched sounds
(mummers)
Diaphragm - Answer- high pitched sounds
(bowel and lung sounds)
What should we do before leaving the patients room? - Answer- Patients safety
Bed to lowest position
Side Rails
Call button and personal belongings in reach
Contextual awareness - Answer- Understanding the status of the client and the
events that led to their interaction
Analyzing assumptions - Answer- Evaluating the client's clinical situation
Exploring alternatives - Answer- The use of holistic approaches for treating the whole
person
(physical health, lifestyle choices, culture, living environment, life experiences)
Reflecting and deciding - Answer- Reflect on the client's goals and decide on the
intervention with client input
Steps for communicating with members of the health care team - Answer- 1.Identify
the member by name and title
2.Provide info regarding the current situation
3.Provide info regarding the background situation
4.Give the most recent set of vital signs
5.Provide suggestions that may be helpful to the situation
6.Repeat the orders back that are given to you by the provider
Nonmaleficence - Answer- Do no harm
Beneficence - Answer- Promote good
Autonomy - Answer- the right to make own choice
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