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Assessment - correct answerscollection of subjective and objective data about patients health
Subjective data - correct answersInfo provided by patient
Objective data - correct answersinfo obtained by me
database - correct answerstotality of info available about the patient= subjective and objective data,
medical record and lab studies
diagnostic reasoning - correct answersprocess of analyzing health data and drawing conclusions to
identify diagnoses
4 components of diagnostic reasoning - correct answersattending 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 - correct answersADOPIE
Assessment
Diagnosis
Outcome identification
Planning
Implementation
Evaluation
Novice nurses usually adhere to what for their performance - correct answersRules and task oriented
because of no experience
Proficient nurses understands patient situations because - correct answersThey 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 - correct answersWith intuitive grasp of clinical situations and zeroes on
accurate solution
What is first level priority problem and an example - correct answersemergent, life threatening and
immediate
Ex: est an airway or supporting breathing
,Second level priority and example - correct answersNext in urgency, requiring prompt intervention to
prevent further deterioration
Ex: mental status change, acute pain, or abnormal lab values
Third level priority and example - correct answersImportant to the patients health but can be addressed
after more urgent problems.
Ex: lack of knowledge or family coping
Collaborative problems - correct answersPhysiologic conditions in which approach to treatment involves
multiple disciplines
Evidence based practice - correct answerssystemic 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 - correct answersComplete database
Focused database
Followup database
Emergency database
complete database - correct answersComplete health history and full physical examination
focused database - correct answersProblem centered, used for limited or short term problem. More
targeted than complete database
follow up database - correct answersevaluates status of any identified problem at regular intervals to
follow up on short term or chronic health problems
emergency database - correct answerscalls for rapid collection of crucial data, often occurs while
performing life saving measures
Holistic health model - correct answersAssesses 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 - correct answersInvolve changing peoples unhealthy
behaviors through a set of positive accts
Health assessment should consider what when dealing with different people? - correct answerscultural
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. - correct answersA. 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.
c.
Subjective.
d.
Introspective. - correct answersC
Subjective data are what the person says about him or herself during history taking. Objective data are
what the health professional observes by inspecting, percussing, palpating, and auscultating during the
physical examination. The terms reflective and introspective are not used to describe data.
The patient's record, laboratory studies, objective data, and subjective data combine to form the:
a.
Data base.
b.