NUR 305 EXAM 1 UPDATED ACTUAL QUESTIONS AND CORRECT ANSWERS

NUR 305 EXAM 1 UPDATED ACTUAL QUESTIONS AND
CORRECT ANSWERS

Question:
1. What is assessment in the nursing process?
Answer:
Nursing process that involves: Assessment Diagnosis Planning Implementation Evaluation




Question:
2. Assessment (AD- PIE)
Answer:
The collection of data about an individuals state of health

Question:
3. Diagnosis (ADPIE)
Answer:
Analyzing data to make and prioritize professional clinical judgements

Question:
4. Step 1 for Analyzing Data to Make Clinical Judgements
Answer:
Identify abnormal cues and supportive cues

Question:
5. Step 2 for Analyzing Data to Make Clinical Judgements
Answer:
Cluster cues

Question:
6. Step 3 for Analyzing Data to Make Clinical Judgements
Answer:
Draw inferences to propose of hypothesize clinical judgements

,Question:
7. Step 4 for Analyzing Data to Make Clinical Judgements
Answer:
Identify possible client concerns

Question:
8. Step 5 for Analyzing Data to Make Clinical Judgements
Answer:
Validate client concerns

Question:
9. Step 6 for Analyzing Data to Make Clinical Judgements
Answer:
Document clinical judgements

Question:
10. Plan/Outcome (ADPIE)
Answer:
Determining outcome criteria and developing a plan

Question:
11. implementation (ADPIE)
Answer:
Carrying out the plan

Question:
12. Evaluation (ADPIE)
Answer:
Assessing whether outcome criteria have been met and revising the plan as necessary

Question:
13. Purpose of Health Assessment
Answer:
Collect data to determine the patients overall level of functioning in order to make professional clinical
judgements

Question:
14. Initial Comprehensive Assessment
Answer:
Collection of subjective data (what the patient states) about health of all body parts or systems, past
medical history , family health history, and health and lifestyle practices, as well as objective data gathered
by doing a step-by-step physical

Question:
15. ongoing or partial health assessment

,Answer:
Occurs after the comprehensive database is established. Consists of a mini overview of clients body as a
follow up assessment. Any problems initially assessed will be reassessed. Frequency depends on acuity of
client.

Question:
16. Focused/Problem-Oriented Assessment
Answer:
consists of a thorough assessment of a particular client problem and does not cover areas not related to the
problem. Only happens when a comprehensive database is already established.

Question:
17. emergency assessment
Answer:
type of rapid focused assessment conducted when addressing a life-threatening or unstable situation.
Life-sustaining measures are taken such as ABCs (evaluation of airway, breathing, and circulation)

Question:
18. Types of data
Answer:
subjective (what the patient tells you) and objective (what you can see while observing)

Question:
19. Steps of Health Assessment
Answer:
1. Collection of subjective data
2. Collection of objective data
3. Validation of data
4. Documentation of data

Question:
20. Preparing for the assessment
Answer:
Review the client's record:
-Biographical data
-chronic diseases
-medications
-allergies

Question:
21. Phases of the Interview
Answer:
pre-introduction, introduction, working, summary and closing

Question:
22. preintroductory phase

, Answer:
The nurse reviews the medical record before meeting with the client

Question:
23. introductory phase
Answer:
after introducing themself, the nurse explains the purpose of the interview, discusses the types of questions
that will be asked, explains the reason for taking notes, and assures the client that confidential information
will remain confidential.

Question:
24. working phase
Answer:
The nurse gathers essential information from the client, including biographical data, health concerns, and
lifestyle. By listening and using critical thinking, the nurse interprets and validates the client's responses.
Together, they identify problems and set goals, using either a flexible or structured approach based on
available time and needed information.

Question:
25. summary and closing phase
Answer:
nurse summarizes information obtained during the working phase and validates problems and goals with
the client. Also discusses possible plans to resolve the problem with the client.

Question:
26. Communication During the interview
Answer:
Nonverbalappearance demeanor facial expression attitude silence listening verbalopen-ended questions
close-ended questions laundry list rephrasing well-placed phrases inferring providing information

Question:
27. components of health assessment
Answer:
health history and physical examination

Question:
28. Health history components
Answer:
-biographic data (name, age, gender, relationship status, ethnic origin, occupation, language)
-reason for seeking care
-history of present illness
-personal past medical history
-family health history-genogram
-review of systems with health promotion activities
-functional assessment