HONDROS NUR 200 EXAMS 1 QUESTIONS AND
ANSWERS SET A+
✔✔5 steps in noticing - ✔✔1. Identifying signs and systems
2. Gathering complete and accurate data
3. Assessing systemically and comprehensively
4. Predicting and managing potential complications
5. Identifying assumptions
✔✔Patient cues - ✔✔A sign--something you see with the patient
(smell of stool, feel sweaty skin, patient yelling for help)
✔✔Inference - ✔✔A conclusion reached based on the cue given
Cue is shuffling gait, so the inference would be fall risk
Cue is wheezing, so the inference would be airway compromised
Cue is warm skin, so inference would be a fever
✔✔The nurse sees a large hematoma on the patients abdomen.
Cue or inference? - ✔✔Cue
✔✔The nurse interprets that the patient suffered trauma to the site (bruise).
Cue or inference? - ✔✔Inference
✔✔Who is the primary source for receiving data? - ✔✔The patient
✔✔Who is the secondary source for data? - ✔✔Family/caregivers
Medical records
Other healthcare professionals
, ✔✔4 C's for effective communication - ✔✔Comfort
Courteous
Connection
Confirmation
✔✔3 phases of the interview - ✔✔1. Orientation and setting an agenda
2. Working phase
3. Termination phase
✔✔Orientation and setting an agenda - ✔✔Introduce self and explain the agenda
Focus on patient goals--not your personal agenda
✔✔Working phase - ✔✔Collecting data-gather relevant information
Start with open ended questions
Have patient describe symptoms. (describe how you feel when you get dizzy)
✔✔Termination Phase - ✔✔When the interview is ending
Summarize discussion and check for accuracy
"I just have 2 more questions"
✔✔How does an experience nurse think differently from a novice nurse? - ✔✔The
experiences nurse recognizes patterns and subtle difference between patients
✔✔Which thinking skill requires the nurse to respond to the information regarding a
change in vital signs - ✔✔Identifying signs and symptoms
✔✔What are the two steps in the nursing assessment? - ✔✔Collection of information
(interview)
Interpretation and validation
✔✔What is the S in SPICES - ✔✔Sleep disorders
✔✔What is the P in SPICES - ✔✔Problems with eating/feeding
✔✔What is the I in SPICES - ✔✔Incontinence
✔✔What is the C in SPICES - ✔✔Confusion
✔✔What is the E in SPICES - ✔✔Evidence of falls
✔✔What is the second S in SPICES - ✔✔Skin breakdown
✔✔Nursing Process: Assessment - ✔✔Gather information about the patient's condition
ANSWERS SET A+
✔✔5 steps in noticing - ✔✔1. Identifying signs and systems
2. Gathering complete and accurate data
3. Assessing systemically and comprehensively
4. Predicting and managing potential complications
5. Identifying assumptions
✔✔Patient cues - ✔✔A sign--something you see with the patient
(smell of stool, feel sweaty skin, patient yelling for help)
✔✔Inference - ✔✔A conclusion reached based on the cue given
Cue is shuffling gait, so the inference would be fall risk
Cue is wheezing, so the inference would be airway compromised
Cue is warm skin, so inference would be a fever
✔✔The nurse sees a large hematoma on the patients abdomen.
Cue or inference? - ✔✔Cue
✔✔The nurse interprets that the patient suffered trauma to the site (bruise).
Cue or inference? - ✔✔Inference
✔✔Who is the primary source for receiving data? - ✔✔The patient
✔✔Who is the secondary source for data? - ✔✔Family/caregivers
Medical records
Other healthcare professionals
, ✔✔4 C's for effective communication - ✔✔Comfort
Courteous
Connection
Confirmation
✔✔3 phases of the interview - ✔✔1. Orientation and setting an agenda
2. Working phase
3. Termination phase
✔✔Orientation and setting an agenda - ✔✔Introduce self and explain the agenda
Focus on patient goals--not your personal agenda
✔✔Working phase - ✔✔Collecting data-gather relevant information
Start with open ended questions
Have patient describe symptoms. (describe how you feel when you get dizzy)
✔✔Termination Phase - ✔✔When the interview is ending
Summarize discussion and check for accuracy
"I just have 2 more questions"
✔✔How does an experience nurse think differently from a novice nurse? - ✔✔The
experiences nurse recognizes patterns and subtle difference between patients
✔✔Which thinking skill requires the nurse to respond to the information regarding a
change in vital signs - ✔✔Identifying signs and symptoms
✔✔What are the two steps in the nursing assessment? - ✔✔Collection of information
(interview)
Interpretation and validation
✔✔What is the S in SPICES - ✔✔Sleep disorders
✔✔What is the P in SPICES - ✔✔Problems with eating/feeding
✔✔What is the I in SPICES - ✔✔Incontinence
✔✔What is the C in SPICES - ✔✔Confusion
✔✔What is the E in SPICES - ✔✔Evidence of falls
✔✔What is the second S in SPICES - ✔✔Skin breakdown
✔✔Nursing Process: Assessment - ✔✔Gather information about the patient's condition
