NRSG 2220: Exam 1 Questions With Complete Solutions
The ___ is the best source for defining their pain and their verbal
and non-verbal expression of pain needs to be believed.
patient
T or F: Pain threshold is the same for everyone.
false
duration of pain: rapid in onset, varies in intensity and duration,
protective in nature
acute pain
duration of pain: may be limited, intermittent, or persistent, lasts
beyond normal healing period, periods of remission or
exacerbation are common
chronic pain
type of pain:
- diffused or scattered
- originates from structures such as tendons, ligaments, bones,
blood vessels, nerves
- results from strong pressure on a bone or tissue damage, such
as that experiences during a sprain, leading to deep arching
discomfort
somatic pain
,Assessment is a ___ and ___ collection, analysis, validation, and
communication of patient data.
systematic, continuous
The database enables the nurse to partner with patients to
develop and comprehensive and effective ___ __.
care plan
___ can be integrated in an assessment and it is important as a
nurse to detect it and determine if the source is credible or not.
(Example - elderly female patient gave me wrong date of birth
than the date of birth said on electronic record, medications were
not given bc of that, ended up finding out that handwriting was
sloppy and desk receptionist entered it into computer wrong,
despite her age she was correct)
Bias
T or F: A nursing assessment should be purposeful, prioritized,
complete, systematic, factual, accurate, relevant, and recorded in
a standard manner.
true
The ___ assessment is performed shortly after the patient is
admitted to a health care facility or service. The purpose of this
assessment is to establish a complete database for problem
identification and care planning.
initial
, In a ___ assessment, the nurse gathers data about a specific
problem that has already been identified. It may be done during
the initial assessment if the patient's health problems surface, but
it is routinely part of ongoing data collection. Another purpose is
to identify new or overlooked problems.
focused
___ ___ assessments are short, focused, prioritized assessments
you do to gain the most important information you need to have
first. They are important because they can "flag" existing
problems and risks.
Quick priority
When a patient presents with a physiologic or psychological
crisis, the nurse performs an ___ assessment to identify life-
threatening problems. Candidates for such assessments include a
long-term care facility resident who begins choking in the dining
room, a bleeding patient brought to the emergency department
with a stab wound, an unresponsive patient in the rehabilitation
unit, and a factory worker threatening violence.
emergency
The ___-___ assessment is scheduled to compare a patient's
current status to the baseline data obtained earlier. The purpose
is to reassess the health status of the patient and make any
necessary revisions in the care plan. This assessment can be
comprehensive or focused.
time-lapsed
The primary source of information is the ___.
The ___ is the best source for defining their pain and their verbal
and non-verbal expression of pain needs to be believed.
patient
T or F: Pain threshold is the same for everyone.
false
duration of pain: rapid in onset, varies in intensity and duration,
protective in nature
acute pain
duration of pain: may be limited, intermittent, or persistent, lasts
beyond normal healing period, periods of remission or
exacerbation are common
chronic pain
type of pain:
- diffused or scattered
- originates from structures such as tendons, ligaments, bones,
blood vessels, nerves
- results from strong pressure on a bone or tissue damage, such
as that experiences during a sprain, leading to deep arching
discomfort
somatic pain
,Assessment is a ___ and ___ collection, analysis, validation, and
communication of patient data.
systematic, continuous
The database enables the nurse to partner with patients to
develop and comprehensive and effective ___ __.
care plan
___ can be integrated in an assessment and it is important as a
nurse to detect it and determine if the source is credible or not.
(Example - elderly female patient gave me wrong date of birth
than the date of birth said on electronic record, medications were
not given bc of that, ended up finding out that handwriting was
sloppy and desk receptionist entered it into computer wrong,
despite her age she was correct)
Bias
T or F: A nursing assessment should be purposeful, prioritized,
complete, systematic, factual, accurate, relevant, and recorded in
a standard manner.
true
The ___ assessment is performed shortly after the patient is
admitted to a health care facility or service. The purpose of this
assessment is to establish a complete database for problem
identification and care planning.
initial
, In a ___ assessment, the nurse gathers data about a specific
problem that has already been identified. It may be done during
the initial assessment if the patient's health problems surface, but
it is routinely part of ongoing data collection. Another purpose is
to identify new or overlooked problems.
focused
___ ___ assessments are short, focused, prioritized assessments
you do to gain the most important information you need to have
first. They are important because they can "flag" existing
problems and risks.
Quick priority
When a patient presents with a physiologic or psychological
crisis, the nurse performs an ___ assessment to identify life-
threatening problems. Candidates for such assessments include a
long-term care facility resident who begins choking in the dining
room, a bleeding patient brought to the emergency department
with a stab wound, an unresponsive patient in the rehabilitation
unit, and a factory worker threatening violence.
emergency
The ___-___ assessment is scheduled to compare a patient's
current status to the baseline data obtained earlier. The purpose
is to reassess the health status of the patient and make any
necessary revisions in the care plan. This assessment can be
comprehensive or focused.
time-lapsed
The primary source of information is the ___.
