Nurs 114 Exam 1 Questions With Correct Detailed Answers 100% Pass

subjective data - correct answers what the patient tells you objective data - correct answers what you can see COLDSPA - correct answers Character Onset Location Duration Severity Pattern Associated factors ADPIE - correct answers Assessment Diagnosis Planning Implementation Evaluation Bell of stethoscope - correct answers low pitched sounds heart Diaphragm of stethoscope - correct answers High-pitched sounds (lung, bowel) assesing - correct answers collection, validation, and communication of patient data (history, physical assessment) diagnosis - correct answers clearly identify PT strengths and health problems (interpret/ analyze PT data) planning - correct answers developing a holistic plan of a PT care that has specific goals and outcomes and the nurse interventions that are going to help the patient reach goals Implentation - correct answers execute the care plan evaluate - correct answers measure the effectiveness of care plan Empathy - correct answers the ability to understand the feelings and situations of patients Sympathy - correct answers feelings of pity and sorrow for someone else's misfortune, compassion biased question - correct answers a question that encourages a particular response Example of Biased Question - correct answers You don't smoke, do you? Closed questions - correct answers can usually be answered with yes or no. open-ended questions - correct answers Allow patient to have a wide range of responses validating question - correct answers serves to validate what the nurse has heard or observed Example of validating question - correct answers At home, you have been taking both a water pill and a blood pressure pill every day. Did you take them today? clarifying questions - correct answers allows nurse to gain understanding of PT comment Example of clarifying questions - correct answers Is this the first health problem you have had? reflective question - correct answers encourage patient to elaborate on thoughts and feelings, repeating what the person said Example of reflective question - correct answers Pt: : I've been really upset about my blood pressure and have to take these pills. Nurse: You've been upset...? Sequencing questions - correct answers places events in chronological order to figure out a possible cause- effect Example of sequencing questions - correct answers PT: I don't feel like myself anymore since I've been taking my blood pressure medicine. I'm tired and don't have any energy. Nurse: Your tiredness began after you started taking your medicine? Directing questions - correct answers retracting to information brought up earlier Example of directing question - correct answers You mentioned earlier... verbal communication - correct answers exchange of info using words, including written and spoken nonverbal communication - correct answers Body language (touch, eye contact, facial expression, silence, grooming) Interviewing Traps - correct answers False assurance Failure to perceive PT as human being Failure to listen interrupting Professional Jargon (Myocardial Infection vs Heart attack) talking too much, the PT should do the most talking Elder Abuse & Neglect - correct answers failure to provide for basic needs, food, hygiene, physical abuse, etc. 5 types of elder abuse - correct answers 1. Emotional/psychosocial 2. Neglect 3. Physical 4. Financial 5. Sexual signs of medical abuse - correct answers caregiver repeatedly asking for unnecessary procedures sign of medical neglect - correct answers Delay of healthcare signs of neglect in elderly - correct answers malnutrition untreated bedsores, poor hygiene unattended health problems unsafe living conditions Glasgow Coma Scale - correct answers used to assess level of consciousness Glasgow Coma Scale score of 10 or lower - correct answers Needs emergency attention Glasgow Coma Scale of 7 or lower - correct answers in a coma Character (COLDSPA) - correct answers Describe the pain (dull, sharp, stabbing) Onset (COLDSPA) - correct answers When did the pain begin? Location (COLDSPA) - correct answers Point to area of pain Duration (COLDSPA) - correct answers How long it last? Severity (COLDSPA) - correct answers How bad the pain is Pattern (COLDSPA) - correct answers When does the pain occur? Associated Factors (COLDSPA) - correct answers Is pain associated with any other symptoms Four Quadrants of the abdomen - correct answers RUQ, LUQ RLQ LLQ RUQ organs - correct answers liver, gallbladder, duodenum, right kidney RLQ organs - correct answers appendix, cecum, ascending colon, right ovary/tube LUQ organs - correct answers stomach, spleen, pancreas LLQ organs - correct answers LT ovary, LT ureter lineas alba - correct answers the midline of the abdomen forms a white line pyrosis - correct answers indigestion, heartburn emesis - correct answers vomiting anorexia - correct answers loss of appetite Order of assessment for abdomen - correct answers Inspection Auscultation Palpation Percussion Auscultation of abdomen - correct answers the diaphragm of the stethoscope is used Auscultation of vascular sounds - correct answers use bell to for bruits venous hum - correct answers Using bell, listen over umbilical area cholecystitis - correct answers inflammation of the gallbladder Order of lymph nodes palpation - correct answers Preauricular Postauricular Occipital Tonsillar Submandibular Submental Superfical Cervical Posterior Cervical Deep Cervical Supraclavicular Preauricular - correct answers in front of the ear Postauricular - correct answers behind the ear Occipital lymph nodes - correct answers base of skull Tonsillar - correct answers angle of mandible Submandibular - correct answers on the medial border of the mandible Submental lymph node - correct answers A few centimeters behind the tip of the mandible Superficial cervical lymph node - correct answers superficial to the sternomastoid Posterior Cervical Lymph Node - correct answers Along the edge of the Trapezius Muscle