NUR101 HEALTH ASSESSMENT EXAM QUESTIONS & VERIFIED ANSWERS GRADE A+
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Course
Health assessment
Institution
Health Assessment
NUR101 HEALTH ASSESSMENT EXAM QUESTIONS &
VERIFIED ANSWERS GRADE A+ Q: Nursing process
Answer:
five-step systematic method for giving patient care; involves assessing,
(analysis) diagnosing,planning, implementing, and evaluating
• assess pt to determine need for nursing care
• determine ...
NUR101 HEALTH ASSESSMENT EXAM QUESTIONS &
VERIFIED ANSWERS GRADE A+
Q: Nursing process
Answer:
five-step systematic method for giving patient care; involves assessing,
(analysis) diagnosing,planning, implementing, and evaluating
• assess pt to determine need for nursing care
• determine nursing diagnoses for actual and potential health problems and
needs
• identify expected outcomes and place care
• implement the care
• evaluate the results
Answer:
Subjective & Objective
Systematically collecting, validating and communicating pt data
Q: Diagnosis (analysis)
Answer:
Nursing diagnosis
,Clearly identify pt strengths and actual and potential health problems and needs
Q: Planning
Answer:
Goals — "SMART; specific, measurable, attainable, realistic, time based (pt-
centered)" Develop a holistic plan of individualized care that specifies the
desired pt goals and related outcomes and the nursing interventions most likely
to assist the pt to meet those expected outcomes
Q: Implementation/intervention
Answer:
Execute the plan of care
Q: Evaluation
Answer:
Pt response
Evaluate effectiveness of plan of care in terms of pt goal achievement
Q: Purpose of nursing observation, interview, and physical assessment
Answer:
Appraisal of health status Identification of health problems
Establishment of a database for nursing interventions
Q: How to obtain nursing history using effective interviewing techniques
,Answer:
All interviews should begin with an explanation of the purpose of the interview
Open-ended questions or comments—prevents simple yes or no answers
Closed question or comment—answered by one or two words, yes or no; used to
gather specific information from a pt to focus on a particular area
Validating question or comment—overusing validating questions or comments
can lead to a pt thinking the nurse is not listening
Clarifying questions or comments—allows nurse to gain understanding of pts
comment; can prevent misconceptions that could lead to identification of an
inappropriate diagnosis or pt problem
Reflective question or comment—encourages pt to elaborate
Sequencing question or comment—places events in chronological order or to
investigate possible cause-and-effect relationship btw events
Directing question or comment—going back to a topic brought up earlier in
interview or to introduce new aspect of current topic
Q: Prioritizing assessments and collecting data systematically
Answer:
ABCs (or ABCDE): airway, breathing, circulation, disability, exposure Pt needs—
emergent or not
Maslows Hierarchy of needs
Q: 4 Phases of nursing interview
Answer:
Study preparatory, introduction, working, and termination phase
Q: Study preparatory
Answer:
, Pre-interaction, collects background info in the chart
interview, proper client centered discussion, therapeutic communication
techniques
Q: Termination phase
Answer:
Closing, summarize, clarify, validate, answer questions, set follow-up
appointments
Q: Common problem encountered in data collection
Answer:
Inappropriate organization of the database
Omission of pertinent data
Inclusion of irrelevant or duplicate data, erroneous or misinterpreted data Failure
to establish rapport and partnership
Recording an interpretation of data rather than observed behavior Failure to
update database
Q: When data needs to be validated
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