NR 302 Ch.1 Evidence Based Practice
Exam With Complete Solutions
Assessment - ANSWER collection of subjective and objective data about
patients health
Subjective data - ANSWER Info provided by patient
Objective data - ANSWER info obtained by me
database - ANSWER totality of info available about the patient= subjective and
objective data, medical record and lab studies
diagnostic reasoning - ANSWER process of analyzing health data and drawing
conclusions to identify diagnoses
4 components of diagnostic reasoning - ANSWER attending to cues= pieces of
info, signs, symptoms, lab data
formulating hypothesis= explanation for a cue
gathering data
evaluating hypothesis= final diagnosis
Nursing process 6 phases - ANSWER ADOPIE
Assessment
Diagnosis
Outcome identification
Planning
Implementation
Evaluation
Novice nurses usually adhere to what for their performance - ANSWER Rules
and task oriented because of no experience
,Proficient nurses understands patient situations because - ANSWER They see
them as a whole rather than a list of tasks, attends to an assessment data
pattern and acts w.o consciously labeling it.
Expert nurses processes how - ANSWER With intuitive grasp of clinical
situations and zeroes on accurate solution
What is first level priority problem and an example - ANSWER emergent, life
threatening and immediate
Ex: est an airway or supporting breathing
Second level priority and example - ANSWER Next in urgency, requiring prompt
intervention to prevent further deterioration
Ex: mental status change, acute pain, or abnormal lab values
Third level priority and example - ANSWER Important to the patients health but
can be addressed after more urgent problems.
Ex: lack of knowledge or family coping
Collaborative problems - ANSWER Physiologic conditions in which approach to
treatment involves multiple disciplines
Evidence based practice - ANSWER systemic approach ti practice that uses
best evidence from clinicians experience and patients preferences and values to
make decisions about care and treatment
What are 4 types of database - ANSWER Complete database
Focused database
Followup database
Emergency database
complete database - ANSWER Complete health history and full physical
examination
focused database - ANSWER Problem centered, used for limited or short term
problem. More targeted than complete database
follow up database - ANSWER evaluates status of any identified problem at
regular intervals to follow up on short term or chronic health problems
emergency database - ANSWER calls for rapid collection of crucial data, often
occurs while performing life saving measures
, Holistic health model - ANSWER Assesses the whole person because it views
the mind, body, and spirit as interdependent and functioning as a whole within
the environment. Health depends on all these factors working together.
Health promotion and disease prevention - ANSWER Involve changing peoples
unhealthy behaviors through a set of positive accts
Health assessment should consider what when dealing with different people? -
ANSWER cultural beliefs and practices
After completing an initial assessment of a patient, the nurse has charted that
his respirations are eupneic and his pulse is 58 beats per minute. These types of
data would be:
a.
Objective.
b.
Reflective.
c.
Subjective.
d.
Introspective. - ANSWER A. objective
Objective data are what the health professional observes by inspecting,
percussing, palpating, and auscultating during the physical examination.
Subjective data is what the person says about him or herself during history
taking. The terms reflective and introspective are not used to describe data.
A patient tells the nurse that he is very nervous, is nauseated, and "feels hot."
These types of data would be:
a.
Objective.
b.
Reflective.
Exam With Complete Solutions
Assessment - ANSWER collection of subjective and objective data about
patients health
Subjective data - ANSWER Info provided by patient
Objective data - ANSWER info obtained by me
database - ANSWER totality of info available about the patient= subjective and
objective data, medical record and lab studies
diagnostic reasoning - ANSWER process of analyzing health data and drawing
conclusions to identify diagnoses
4 components of diagnostic reasoning - ANSWER attending to cues= pieces of
info, signs, symptoms, lab data
formulating hypothesis= explanation for a cue
gathering data
evaluating hypothesis= final diagnosis
Nursing process 6 phases - ANSWER ADOPIE
Assessment
Diagnosis
Outcome identification
Planning
Implementation
Evaluation
Novice nurses usually adhere to what for their performance - ANSWER Rules
and task oriented because of no experience
,Proficient nurses understands patient situations because - ANSWER They see
them as a whole rather than a list of tasks, attends to an assessment data
pattern and acts w.o consciously labeling it.
Expert nurses processes how - ANSWER With intuitive grasp of clinical
situations and zeroes on accurate solution
What is first level priority problem and an example - ANSWER emergent, life
threatening and immediate
Ex: est an airway or supporting breathing
Second level priority and example - ANSWER Next in urgency, requiring prompt
intervention to prevent further deterioration
Ex: mental status change, acute pain, or abnormal lab values
Third level priority and example - ANSWER Important to the patients health but
can be addressed after more urgent problems.
Ex: lack of knowledge or family coping
Collaborative problems - ANSWER Physiologic conditions in which approach to
treatment involves multiple disciplines
Evidence based practice - ANSWER systemic approach ti practice that uses
best evidence from clinicians experience and patients preferences and values to
make decisions about care and treatment
What are 4 types of database - ANSWER Complete database
Focused database
Followup database
Emergency database
complete database - ANSWER Complete health history and full physical
examination
focused database - ANSWER Problem centered, used for limited or short term
problem. More targeted than complete database
follow up database - ANSWER evaluates status of any identified problem at
regular intervals to follow up on short term or chronic health problems
emergency database - ANSWER calls for rapid collection of crucial data, often
occurs while performing life saving measures
, Holistic health model - ANSWER Assesses the whole person because it views
the mind, body, and spirit as interdependent and functioning as a whole within
the environment. Health depends on all these factors working together.
Health promotion and disease prevention - ANSWER Involve changing peoples
unhealthy behaviors through a set of positive accts
Health assessment should consider what when dealing with different people? -
ANSWER cultural beliefs and practices
After completing an initial assessment of a patient, the nurse has charted that
his respirations are eupneic and his pulse is 58 beats per minute. These types of
data would be:
a.
Objective.
b.
Reflective.
c.
Subjective.
d.
Introspective. - ANSWER A. objective
Objective data are what the health professional observes by inspecting,
percussing, palpating, and auscultating during the physical examination.
Subjective data is what the person says about him or herself during history
taking. The terms reflective and introspective are not used to describe data.
A patient tells the nurse that he is very nervous, is nauseated, and "feels hot."
These types of data would be:
a.
Objective.
b.
Reflective.
