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Exam (elaborations)

Nursing 261 Midterm Exam Questions With All Verified Solutions.

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  • NSG 261
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  • NSG 261

What are the different types of health assessments, and when would each be performed - Answer Comprehensive assessment- Detailed history and physical examination performed at the onset of care in a primary care, admission to hospital, or long-term facility Problem-based/focused assessment- In...

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  • September 16, 2024
  • 14
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NSG 261
  • NSG 261
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COCOSOLUTIONS
Nursing 261 Midterm Exam Questions
With All Verified Solutions.
What are the different types of health assessments, and when would each be performed - Answer
Comprehensive assessment- Detailed history and physical examination performed at the onset of care in
a primary care, admission to hospital, or long-term facility



Problem-based/focused assessment- Involves a detailed history and examination that are limited to a
specific problem or complaint. Used in a walk-in clinic or emergency department but may occur in other
outpatient settings



Episodic/follow-up assessment- Done when patient is following up with health care provider for previous
problem



Shift assessment- When individuals are hospitalized, nurses do assessments each shift to identify
changes in condition



Screening assessment/examination- short exam focused on disease detection and may be performed in a
health care providers office or health fair



what are the purposes of a nursing health assessment - Answer being able to effectively plan a patient-
centered care plan



what are the steps in clinical judgement process - Answer noticing: recognizing that a situation is or is
not consistent with what nurses anticipate or expect to see based on the situation



interpreting: the nurse uses patterns of reasoning to gain an understanding of the situation



responding: taking appropriate actions and interventions once an understanding is obtained

, reflecting: a nurse uses what has been learned in clinical experiences for future encounters



What are the factors in symptom analysis? - Answer OLD CARTS: Onset (When did symptoms begin?),
Location ( Where are the symptoms?), Duration (How long do the symptoms last?), Characteristics
(Describe the characteristics of the symptoms.) , Aggravating/Alleviating Factors (What affects the
symptoms?), Related Symptoms (Are other symptoms present?), Treatment (Describe self treatment
before seeking care.), Severity (Severity of the symptoms)



How does the nurse assess pain? - Answer -Nurses must trust patients self-reports of pain, even when
it appears to be incongruent with their nonverbal behavior and personal beliefs.

-Ask the patient whether they have any pain from chronic illnesses and ask if they take any medications
for the pain.

-Follow through with OLD CARTS questions.



compare health promotion and health protection - Answer Health promotion is any behavior that helps
to increase well-being and improve human health potential.



Health Protection is behavior that actively avoids illness, detects illness early, and maintains functioning
within its constraints.



describe differences between a screening assessment and a follow up assessment - Answer a screening
assessment is a short examination focusing on disease detection (glucose screening, blood pressure
screening, cholesterol screening, colorectal screening)



a follow up assessment is done when a patient is following up with a healthcare provider about a
previously identified problem



what is a comprehensive assessment - Answer involves a detailed history, physical examination
provided at the onset of care. (primary care, admission to hospital, long-term care facility)



what is problem-based/focused assessment - Answer involves a history and examination limited to a
specific problem or complaint

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