ExamI1:INSGI316/INSG316I(NewI2024/I
2025IUpdate)IHealthIAssessmentI|IGuideI
withIQsIandIAsI|I100%ICorrect|IGradeIAI
(VerifiedIAnswers)-IGCU
QUESTION
PQRST
Answer:
provocative/palliative,Iquality,Iregion/radiation,Iseverity,Itiming
QUESTION
IdentifyIchangesIthatIoccurIwhenIaIclient'sIpainIisIpoorlyIcontrolled.
Answer:
CardiacIchanges:Itachycardia,IelevatedIBP,IincreasedImyocardialIoxygenIdemand,Iincre
asedIcardiacIinput
PulmonaryIchanges:Ihypoventilation,Ihypoxia,IdecreasedIcough,Iatelectasis
GIIchanges:Inausea,Ivomiting,Iileus
RenalIchanges:Ioliguria,IurinaryIretention
MusculoskeletalIchanges:Ispasm,IjointIstiffness
EndocrineIchanges:IincreasedIadrenergicIactivity
CNSIchanges:Ifear,Ianxiety,Ifatigue
ImmuneIchanges:IimpairedIcellularIimmunity,IimpairedIwoundIhealing
PoorlyIcontrolledIchronicIpain:Idepression,Iisolation,IlimitedImobilityIandIfunction,Icon
fusion,IfamilyIdistress,IdiminishedIqualityIofIlife
QUESTION
,whatIinformationIisIimportantIforItheInurseItoIknowIwhenIprovidingIcareIforIpeopleIfr
omIdiverseIbackgrounds
Answer:
culturalIcompetence
QUESTION
whichIinterventionsIwillItheInurseIdoItoIobtainIobjectiveIdata
Answer:
conductIphysicalIexam,IreviewIlabIreports,IsummonIpreviousImedIrecords
QUESTION
whenIwouldIaInurseIestablishIaIcompleteIdatabaseIofIaIpatient
Answer:
duringIinitialIhomeIvisit,IinIprimaryIhealthIsetting,IcommunityIhealthIcareIsetting
QUESTION
ACEIunit
Answer:
focusesIonIpreventingIfunctionalIdeclineIinIolderIadultsIduringIhospitalization
QUESTION
TUGItest
,Answer:
timedIupIandIgoItest;IquantifiesIfunctionalImobility;IgoingIoutsideIaloneIsafely,Iwalkin
gI10Ift,Iturn,IwalkIbackItoIchairIandIsitIdown,
QUESTION
ADL
Answer:
activitiesIofIdailyIliving;Iwalking,Idressing,IusingIstairs,Ieating,Ifeeding,Igrooming,Itoil
eting
QUESTION
IADLs
Answer:
instrumentalIactivitiesIofIdailyIliving;Ishopping,ImealIcooking,Icleaning,Ilaundry,Imana
gingIfinances,Icounting,Ihousekeeping,ItakingImeds,IusingItransportation
QUESTION
MiniIMentalIStateIExam
Answer:
ConcentratesIonlyIonIcognitiveIfunctioning,InotIonImoodIorIthoughtIprocesses
QUESTION
, MontrealICognitiveIAssessmentI(MoCA)
Answer:
MildIcognitiveIdysfunction;IAttentionIandIconcentration,IexecutiveIfunctions,Imemory,I
language,IvisuoconstructionalIskills,IconceptualIthinkingIcalculationsIandIorientation
QUESTION
AADLs
Answer:
AdvancedIActivitiesIofIDailyILiving;IactivitiesIperformedIinItheIcommunity-
IsocialIorIrecreational,IactivitiesIperformedIwithinItheIfamily
QUESTION
KatzIIndexIofIADL
Answer:
-AssessmentIforIevaluationIofIactivitiesIofIdailyIliving
-
Focus:IassessmentIofIlevelIofIindependenceIfunctioningIandItypeIofIassistanceIrequired
IinIsixIareasIofIADL:I1)IbathingI2)IdressingI3)ItoiletingI4)ItransferringI5)IcontinenceI6
)Ifeeding
QUESTION
syncope
Answer:
lossIofIconsciousnessIorIfaintingIdueItoIweakness
