NSG 312 WEEK 1 PPTX INTERVIEW/ INTRO TO ASSESSMENT QUESTIONS WITH VERIFIED SOLUTIONS LATEST UPDATE 2026

NSG 312 WEEK 1 PPTX INTERVIEW/ INTRO TO ASSESSMENT QUESTIONS WITH VERIFIED SOLUTIONS LATEST UPDATE 2026 Assessment is the point of entry - Answers Assessment is the point of entry in an ongoing process What forms the "database" in assessment? - Answers Subjective data + objective data + patient's record + laboratory studies Purpose of the "database" - Answers Information from the "database" allows the nurse to make a clinical judgment or diagnosis about the patient's health state Key to effective assessment - Answers Organization of assessment based on complete factually based data Definition of subjective data - Answers Subjective data consist of information provided by what the patient tells you Subjective data synonym - Answers Subjective = Spoken or Said Definition of objective data - Answers Objective data includes information obtained by the health care provider through assessment and medical records Objective data synonym - Answers Objective = Observed BP 90/60 type of data - Answers Objective (Observed by provider) EMR entry by RN-Dyspnea noted with exertion type of data - Answers Objective (Observed) "I passed out" type of data - Answers Subjective (Patient said) "My heart is racing" type of data - Answers Subjective (Patient said) Hgb 6.0 g/dl; Hct 15 type of data - Answers Objective (Lab value) "I have blood in my stool" type of data - Answers Subjective (Patient said) How nurses use assessment skills - Answers Nurses use assessment skills to organize nursing priorities First step in setting priorities - Answers Assign high priority to first-level priority problems such as airway, breathing, and circulation Second step in setting priorities - Answers Next attend to second-level priority problems Second-level priority problems examples - Answers Mental status changes, acute pain, infection risk, abnormal laboratory values, elimination problems Third step in setting priorities - Answers Address third-level priority problems Third-level priority problems examples - Answers Lack of knowledge, mobility problems, family coping First-level priority problems - Answers Airway, Breathing, Circulation (ABC) Airway priority goal - Answers Goal is a patent airway Airway interventions if not patent - Answers Intubate or trach Breathing priority requirements - Answers Adequate respirations, sufficient RR, bilateral breath sounds, good air entry Breathing intervention if insufficient - Answers Breathe for them → BVM or vent Circulation priority signs of adequacy - Answers Good pulses, brisk capillary refill, warm skin, appropriate color Circulation intervention if insufficient - Answers Fluids or pressors Priority: 48-year-old male with chest pain - Answers Highest priority (potential ABC threat) Priority: 19-year-old female with frequent headaches and stable vital signs - Answers Lowest priority (non-urgent) Priority: 68-year-old male with ground-level fall (GLF) - Answers Medium priority (possible injury) Essential concepts for quality assessment (list 4) - Answers Therapeutic Communication, Cultural Competence, Awareness of Social Determinants of Health, Awareness of role of Genetics + Epigenetics Complete total health assessment purpose - Answers Describes current and past health state and forms baseline to measure all future changes Focused or problem-centered assessment - Answers Collect "mini" database, smaller scope and more focused than complete database Follow-up assessment purpose - Answers Status of all identified problems should be evaluated at regular and appropriate intervals Emergency assessment - Answers Rapid collection of data often compiled concurrently with lifesaving measures Comprehensive health assessments must include holistic model - Answers Interdependent functioning of mind, body, and spirit to maintain optimal health Social Determinants of Health factors - Answers Environment, access to health care, community, education & economic stability Impact of Social Determinants of Health - Answers Impact of potential barriers Importance of cultural awareness (3 points) - Answers Increased understanding of cultural diversity by being self-aware and knowledgeable about one's own culture; Awareness is an interactive and ongoing process; Performing cultural self-assessment is integral to becoming culturally competent Cultural Awareness definition - Answers Recognize your own culture before you can work with to understand a different culture Cultural Knowledge & Skills - Answers Learn about other cultures & obtain needed skills through your clinical experience Cultural Humility - Answers See values in other beliefs First step for culturally competent care to Asian American patient - Answers Assess the nurse's heritage-based cultural values, beliefs, attitudes, and practices Best response to Muslim female patient uncomfortable with male providers - Answers "I know that for many patients, modesty is very important. I want to respect your beliefs; is there some way I can make you more comfortable?"