ANSWERS
1. Types of Assessment: comprehensive, episodic or problem-focused, emergency
2. comprehensive assessment: (initial) results in baseline data for problem
identification and care planning, time consuming, complete, all aspects of preventive
health/physical disease
3. episodic/problem-focused assessment: based on the patient's health issues,
involves one or two body systems. smaller scope, but more in depth
4. What is the nursing process?: systematic problem-solving approach to identifying
and treating human responses to actual or potential health diflculties. patient centered and
focuses on problem solving and inhaling strengths. uses ADPIE
5. emergency assessment: involves life threatening or unstable situation, traumatic injury,
uses ABCDE
6. ABCDE: airway, breathing, circulation, disability, and exposure
7. ADPIE: assessment of patient, nursing diagnosis, planning care, implementing and then
evaluating patients status
8. implementation: collaboration with other team members, involvement of patient and family,
actually doing the phase
9. evaluation: how ettective is nursing care and each phases attects the other
10. nursing diagnosis vs medical diagnosis: medical focuses on diagnosis
and treatment of disease whereas nursing focuses on the human response to actual or
potential health problems
11. assessment: establish baseline, review history, physical assessment
12. diagnosis: clustering of data to make a judgement or statement about the patient's
diflculties or condition
13. Nanda diagnosis for nursing: a clinical judgement about individual, family, or
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, NURS 6001 EXAM 1 WITH CORRECT QUESTIONS AND
ANSWERS
community respons-es to actual or potential health diflculties/life processes. Provides the basis for
selection of nursing interventions to achieve outcomes for which the nurse is accountable
14. Normal range of blood pressure: 120/80
15. normal range of pulse: 60-100 bpm
16. scale of pulse strength: 0-4+
17. scale of 0 pulse: non palpable or absent
18. 1+ of pulse: weak, diminished, and barely palpable
19. 2+ of pulse: normal, expected
20. 3+ of pulse: Full, increased
21. 4+ of pulse: Bounding
22. normal oral temperature range: 97.7-99.5 F
23. normal range for Temporal range: 98.7-100.5 F
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