NSG 3133 Physical Assessment Exam 1 Questions with
Verified Solutions
health history - correct Answers ✔✔ -a collection of subjective data that provides information about the patient's
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current health status
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physical examination - correct Answers ✔✔ -a collection of objective data using a series of techniques
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nursing process - correct Answers ✔✔ -1- assessment
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2- diagnosis
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3- planning
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4- implementation
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5- evaluation
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plan of care - correct Answers ✔✔ -1- collect health history
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2- perform physical examination
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3- document data
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4- analyze interpret data
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5- develop treatment
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signs - correct Answers ✔✔ -objective data observed, felt, heard, or measured
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symptoms - correct Answers ✔✔ -subjective data perceived and reported by client
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assessment - correct Answers ✔✔ -when the nurse collects pertinent data and information relative to the health care
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consumer's health
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diagnosis - correct Answers ✔✔ -when the nurse analyze the assessment data to determine actual or potential
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diagnosis, problems, or issues
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planning - correct Answers ✔✔ -when the nurse develops a plan that prescribes strategies to attain expected,
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measurable outcomes
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implementation - correct Answers ✔✔ -when the nurse carries out identified plan; coordinates care delivery
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evaluation - correct Answers ✔✔ -when the nurse assess progress toward attainment of goals and outcomes
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establish baseline - correct Answers ✔✔ -why is documentation of data important?
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comprehensive - correct Answers ✔✔ -health assessment involving a detailed history and physical examination at the
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onset of care
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- health promotion
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- disease prevention
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- assessment for problems associated with known risk factors
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problem based - correct Answers ✔✔ -health assessment limited to a specific problem or complaint
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- commonly used in walk-in clinic or emergency
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episodic - correct Answers ✔✔ -health assessment following up with previously identified problem
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- ongoing condition
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- regular visits to the clinic
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shift - correct Answers ✔✔ -health assessment done each shift by nurse to determine changes from baseline
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, screening - correct Answers ✔✔ -health assessment focused on disease detection
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- health fair or provider's office
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primary - correct Answers ✔✔ -health promotion preventing disease from developing through promoting health
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lifestyle
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secondary - correct Answers ✔✔ -health promotion screening efforts to promote early detection of disease
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tertiary - correct Answers ✔✔ -health promotion minimizing severity and disability from disease through appropriate
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therapy for chronic disease
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clinical judgment - correct Answers ✔✔ -an interpretation or conclusion about a patient's needs, concerns, or health
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problems and/or the decision to take action (or not), use or modify standard approaches, or improvise new ones
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as deemed appropriate by the patient's response.
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organize - correct Answers ✔✔ -after collecting and documenting data, nurses _____ or cluster them so the problems
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appear more clearly
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-body system format
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-conceptual format LI
pregnancy - correct Answers ✔✔ -special emphasis on data that may impact _____ outcomes
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techniques to enhance - correct Answers ✔✔ -______ __ ______the interview:
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- active listening
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- facilitation
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- clarification
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- reflection
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- confrontation
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- interpretation
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- summarization
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behaviors that interfere - correct Answers ✔✔ -_______ ____ ________ with the interview:
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- using medical terminology
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- expressing value judgments
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- interruptions
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- being authoritarian or paternalistic
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- using "why" questions
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onset - correct Answers ✔✔ -when did symptoms start? OLDCARTS
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location - correct Answers ✔✔ -where are symptoms taking place? OLDCARTS
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duration - correct Answers ✔✔ -how long does symptoms last? OLDCARTS
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characteristics - correct Answers ✔✔ -description of symptoms. OLDCARTS
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aggravating factors - correct Answers ✔✔ -what makes symptoms worse? OLDCARTS
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related - correct Answers ✔✔ -are other symptoms present? OLDCARTS
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treatment - correct Answers ✔✔ -what factors alleviate the symptoms? OLDCARTS
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severity - correct Answers ✔✔ -describe the intensity of symptoms. OLDCARTS
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psychosocial status - correct Answers ✔✔ -a variety of topics including:
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- personal status
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- mental health
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- personal habits
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- family/social relationships
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- diet/nutrition
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