Nur 514 - Exam 1 Study Questions and Correct Answers the Latest Update
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Course
Nur 514
Institution
Nur 514
What are the 5 steps of the nursing process & an example of each?
Assessment - Collecting subjective & objective data from the patient
Diagnosis -Data is collected & analyzed in order to make a nursing judgment
Planning - Nurse decides the best plan while considering data
Implementation -...
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✓ Data analyzed and by definition of NANDA "a clinical judgment concerning a human
response to health conditions/life processes, or vulnerability for that response by an
individual, family, group or community." It serves as a basis for nursing interventions w/
achievable outcomes by nursing staff
✓ Example: Pt came back from surgery → "Risk for infection r/t new incision & increased
WBC from possible inflammation"
What is the health belief model? When would we use it?
✓ The health belief model is based on 3 concepts:
✓ the existence of sufficient motivation
✓ the belief that one is susceptible or vulnerable to a serious problem
✓ the belief that change following a health recommendation would be beneficial to the
individual at a level of acceptable cost.
✓ This model would be used to analyze health promotion and disease prevention.
What are some examples of subjective data?
✓ Anything patient states
✓ Does not involve measured, numeric data
✓ Examples: sensations/symptoms, feelings, perceptions, desires, preferences, beliefs, ideas,
values, personal information
What are the 3 phases of the interview? Define them.
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✓ Pre Introductory:
✓ Review medical record
✓ Introductory:
✓ Nurse introduces themselves
✓ Explain purpose of the interview, what type of questions will be asked, and why they will
be taking notes
✓ Nurses makes sure pt is comfortable and ensures their privacy
✓ Working phase:
✓ Nurse listens to patients comments on biographical data, reasons for seeking care, history
of present health concern, past health history, family history, review of body systems for
current health problems, lifestyle & health practices
✓ Nurse & patient together determine pt problem & goal
✓ Summary & Closing:
✓ Nurse summarizes information obtained during working phase & validates pt problems
and goals
✓ They discuss possible plans to resolve the problem
✓ Nurse asks if there are any other questions or concerns
Give examples of nonverbal communication & what to avoid when interviewing a patient
✓ Nonverbal communication pertains to anything & everything that is not communicated
directly using your voice to speak
✓ Examples: silence, stands (hands folded over chest), body language (standing vs. sitting,
too much eye contact vs. not enough)
✓ Nurse interviewer should avoid silence & having an aggressive stance/body language,
maintain an appropriate amount of eye contact
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