NUR3029 - Health Assessment - Exam 1 - NSU –
Patten questions with correct answers
Kaposi Sarcoma Correct Answer-malignant vascular tumor (HHV8 in
homosexual men) Advanced AIDS
Widely disseminated lesions involving skin, mucous membranes, and
visceral organs
Subjective data Correct Answer-What patient says about himself or
herself during history taking
Objective data Correct Answer-Observed when inspecting, percussing,
palpating, and auscultating patient during physical examination
Database Correct Answer-Formed from these elements, plus patient's
record and laboratory studies
Assessment
Diagnosis
Outcome identification
Planning
Implementation
Evaluation Correct Answer-Steps of the Nursing Process (6)
Assessment Correct Answer-Collection of data from multiple sources;
The collection of data about an individual's health state
,Diagnosis Correct Answer-1. Interpretation of data by identifying
clusters of cues so as to make inferences.
2. Compare clusters of cues with definitions and defining characteristics.
3.Validation of inferences based on findings.
4. Identify related factors. Document the diagnosis
Outcome Identification Correct Answer-1. Identify expected outcomes
related to patient individualization.
2. Ensure outcomes are realistic and measurable
3. Specify short-term and long-term goal measurement criteria
Planning Correct Answer-1. Establish priorities based on meeting
identified patient care goals.
2. Develop outcomes and set time frames for meeting proposed
outcomes.
3. Identify relevant interventions and utilize interdisciplinary health care
team members in the care planning process for the patient.
4. Document plan of care.
Implementation Correct Answer-1. Determine patient readiness and
involve patient(s) in health care process.
2. Review planned interventions with interdisciplinary health care team
members to facilitate collaborative effort.
3. Utilize principles of delegation, being mindful of supervision and
evaluation.
, 4. Counsel person and significant others.
5.Refer for continuing care.
6.Document care provided.
Evaluation Correct Answer-1. Refer to established outcomes.
2. Evaluate individual's condition and compare actual outcomes with
expected outcomes.
3.Summarize results of evaluation.
4.Identify reasons for failure to achieve expected outcomes.
5.Take corrective action to modify plan of care.
6. Document evaluation in plan of care.
First-level priority Correct Answer-Emergent, life threatening, and
immediate
Second-level priority Correct Answer-Next in urgency, requiring
attention so as to avoid further deterioration
Third-level priority Correct Answer-Important to patient's health but can
be addressed after more urgent problems are addressed
Collaborative problems Correct Answer-Approach to treatment involves
multiple disciplines
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