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NSG 351 TEST 1! Questions well answered graded A+
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NSG 351 TEST 1! Questions well answered graded A+
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NSG 351 TEST 1! Questions wellanswered graded A+
What is the collection of data about an individual's health state? - correct answer ✔✔assessment
What is the first step in the nursing process? - correct answer ✔✔assessment
Each interaction with the patient involves... - correct answer ✔✔assessment
What is the point of entry in an ongoing process? - correct answer ✔✔assessment
What are the steps of the nursing process? - correct answer ✔✔assessment, diagnosis, planning,
implementation, and evaluation
What is included in the subjective data? - correct answer ✔✔what the patient says and the interview
and health history
What is included in the objective data? - correct answer ✔✔what the health professional observes,
using your senses (eyes, ears, noses, and hands), and diagnostic data
How do we obtain information? - correct answer ✔✔health history and general survey
The health history = - correct answer ✔✔SUBJECTIVE
What are the two types of health histories? - correct answer ✔✔complete and episodic
What is the included in the general survey? - correct answer ✔✔nurse physical assessment and what
you observe (normal vs. abnormal)
,How do we prepare for the physical examination? - correct answer ✔✔environment, equipment, and
standard precautions
Standard precautions include: - correct answer ✔✔hand washing, and protecting self, patient,
equipment, and environment
What do you ask during your first impression? - correct answer ✔✔What do you note about this person?
and
Can you assess just by watching?
The general survey is always a part of every.... - correct answer ✔✔focused assessment
What begins your interaction with the client? - correct answer ✔✔the general survey
What is included in the general survey? (7) - correct answer ✔✔physical appearance, body structure,
mobility, behavior, height and weight, and vital signs
The physical exam involves the use of... - correct answer ✔✔senses
Physical exam includes what four procedures? - correct answer ✔✔inspection, palpation, percussion,
and auscultation
What is used for examination of the abdomen? - correct answer ✔✔inspection, auscultation, percussion,
and palpation
Inspection: - correct answer ✔✔concentrated watching
What is included in inspection? - correct answer ✔✔sense of sight, hearing, and smell
What is palpation? - correct answer ✔✔sense of touch
,When doing palpation, what do we start with? - correct answer ✔✔light palpation
When doing palpation, what do we end with? - correct answer ✔✔deep and bi-manual palpation
What are the two types of percussion? - correct answer ✔✔direct and indirect
What are the sounds we hear during percussion? - correct answer ✔✔resonance, hyper-resonance,
tympany, dullness, and flatness
What is auscultation? - correct answer ✔✔assisted listening
What do we use the diaphragm for? - correct answer ✔✔high pitched sounds; breath, bowel, and
normal heart sounds
What do we use the bell for? - correct answer ✔✔for soft, low-pitched sounds and extra heart sounds
The nursing diagnosis is... - correct answer ✔✔NANDA approved
The nursing plan of care is based on... - correct answer ✔✔your concerns you have identified
What is the purpose of the health history? - correct answer ✔✔to gather data
What are the reasons for seeking care? - correct answer ✔✔symptoms and signs
What are symptoms? - correct answer ✔✔subjective sensations
What are signs? - correct answer ✔✔objective abnormalities
How do we see signs? - correct answer ✔✔they are detectable on physical exams or in lab reports
, What should we do when conducting the interview? - correct answer ✔✔prepare in advance, greet
patient and visitors, assess the room, use formal names, and avoid assumptions
What should ask in the interview? - correct answer ✔✔"Is there anything else?"
What are the techniques of conducting an interview? - correct answer ✔✔guided questioning,
reflection, reassurance, silence, empathy, and clarification
What does OLDCART mean? - correct answer ✔✔O: onset
L: location
D: duration
C: characteristic symptoms
A: associated manifestations
R: relieving factors
T: treatment
What does PQRST(U) mean? - correct answer ✔✔P: provocative or palliative
Q: quality or quantity
R: region or radiation
S: severity scale
T: timing
U: understand patient's perception
What are pertinent negatives? - correct answer ✔✔additional symptoms that point you in one direction
or the other
What does pertinent negative mean? - correct answer ✔✔the answer to the question is really important
and you should document having asked it EVEN if the patient says they do not have that symptom
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