NURS 226 exam #1 Questions and Correct
Answers
subjective data
what the person says about himself or herself during history taking
objective data
Observed when inspecting, percussing, palpating, and auscultating patient during physical
examination
-BP, vitals, temp, rash, etc
novice nurse
task oriented
focus on rules and direction form telling style leader
proficient nurse
significant amount of experience (2-3+ yrs)
expert nurse
make decisions at an advanced level of intuition and analytical ability
nursing process
Assessment
Diagnosis
Planning
,Implementation
Evaluation
elements of the assessment
review of clinical record
interview
health history
physical exam
functional assessment
cultural and spiritual assessment
consultation
review of the literature
direct source
info coming from the patient himself
-can be subjective or objective
indirect source
info from family members, health record etc
1st level priority
Emergent, life threatening, and immediate
-airway, breathing, cardiac, "gas exchange"
2nd level priority
requires attention such as abnormal labs, medication etc
, 3rd level priority
patient education
patient outcomes must be SMART. what does the acronym mean?
specific
measurable
attainable
relevant
time-bound
complete total health database
-includes complete health history and full physical examination
-describes current and past health state and forms baseline to measure all future changes
-yields first diagnoses
episodic or problem-centered database
-for limited or short-term problems
-collect "mini" database, smaller scope and more focused than complete database
-concerns mainly one problem, one cue complex, or one body system
-history and examination follow direction of presenting concern
follow-up database
-status of all identified problems should be evaluated at regular and appropriate intervals
-note changes that have occurred
Answers
subjective data
what the person says about himself or herself during history taking
objective data
Observed when inspecting, percussing, palpating, and auscultating patient during physical
examination
-BP, vitals, temp, rash, etc
novice nurse
task oriented
focus on rules and direction form telling style leader
proficient nurse
significant amount of experience (2-3+ yrs)
expert nurse
make decisions at an advanced level of intuition and analytical ability
nursing process
Assessment
Diagnosis
Planning
,Implementation
Evaluation
elements of the assessment
review of clinical record
interview
health history
physical exam
functional assessment
cultural and spiritual assessment
consultation
review of the literature
direct source
info coming from the patient himself
-can be subjective or objective
indirect source
info from family members, health record etc
1st level priority
Emergent, life threatening, and immediate
-airway, breathing, cardiac, "gas exchange"
2nd level priority
requires attention such as abnormal labs, medication etc
, 3rd level priority
patient education
patient outcomes must be SMART. what does the acronym mean?
specific
measurable
attainable
relevant
time-bound
complete total health database
-includes complete health history and full physical examination
-describes current and past health state and forms baseline to measure all future changes
-yields first diagnoses
episodic or problem-centered database
-for limited or short-term problems
-collect "mini" database, smaller scope and more focused than complete database
-concerns mainly one problem, one cue complex, or one body system
-history and examination follow direction of presenting concern
follow-up database
-status of all identified problems should be evaluated at regular and appropriate intervals
-note changes that have occurred
