NUR 200 Exam 1 UPDATED ACTUAL Questions and CORRECT Answers
Indicate when a situation is normal, abnormal or has
Noticing
changed. Get an initial grasp on the situation
Collect: Subjective & objective data
Application to thinking noticing VS, Complaints, self-described symptoms. What nurse no-
tices, such as rashes, swelling, bruising, etc
Identifying signs and symptoms Noticing
Gathering Complete and Accurate Data Noticing
Assessing Systematically and Comprehensively Noticing
Predicting (and Managing) Potential Complications Noticing
Identifying Assumptions Noticing
Standards Attitudes Competencies Experience Specific
5 concepts of critical thinking
Knowledge Base
The nursing process is a variation of scientific reasoning
that involves five steps: assessment, nursing diagnosis,
planning, implementation, and evaluation.Assess (collec-
tion verification of data and analysis of data) Diagnose,
Plan, Implement, Evaluate
Nursing Process
obtain information that you obtain through sense. (Lies
cue still with arms along side: tense. States has not turned in
some time. Reports pain a 7 and on scale of 0-10)
Patient, family and significant other, health care team,
Sources of Data
medical records, other records and scientific literature
An initial patient-centered interview involves
,(1) setting the stage, (2) gathering information about the
patient's problems and setting an agenda, (3) collecting
the assessment or a nursing health history, and (4) termi-
nating the interview.
A nurse assesses a patient who comes to the pulmonary
clinic. "I see that it's been over 6 months since you've
been here, but your appointment was for every 2 months.
Tell me about that. Also I see from your last visit that the
Health perception-health management pattern
doctor recommended routine exercise. Can you tell me
how successful you've been in following his plan?" The
nurse's assessment covers which of Gordon's functional
health patterns?
The nurse observes a patient walking down the hall with a
shuffling gait. When the patient returns to bed, the nurse
checks the strength in both of the patient's legs. The nurse Clinical inference.
applies the information gained to suspect that the patient
has a mobility problem. This conclusion is an example of:
A 72-year-old male patient comes to the health clinic for
an annual follow-up. The nurse enters the patient's room
and notices him to be diaphoretic, holding his chest and
breathing with diflculty. The nurse immediately checks A problem-oriented approach
the patient's heart rate and blood pressure and asks him,
"Tell me where your pain is." Which of the following as-
sessment approaches does this scenario describe?
The nurse asks a patient, "Describe for me a typical night's
sleep. What do you do to fall asleep? Do you have diflculty
falling or staying asleep? This series of questions would Working phase
likely occur during which phase of a patient-centered
interview?
, A nurse is assigned to a 42-year-old mother of 4 who
weighs 136.2 kg (300 lbs), has diabetes, and works part
time in the kitchen of a restaurant. The patient is facing "You have four children; do you have any concerns about
surgery for gallbladder disease. Which of the following going home and caring for them?"
approaches demonstrates the nurse's cultural compe-
tence in assessing the patient's health care problems?
A nurse is checking a patient's intravenous line and, while
doing so, notices how the patient bathes himself and then
Patient's level of function.
sits on the side of the bed independently to put on a new
gown. This observation is an example of assessing:
A patient who visits the surgery clinic 4 weeks after a
traumatic amputation of his right leg tells the nurse prac-
titioner that he is worried about his ability to continue to
support his family. He tells the nurse he feels that he has
let his family down after having an auto accident that led to Self-perception-self-concept pattern
the loss of his left leg. The nurse listens and then asks the
patient, "How do you see yourself now?" On the basis of
Gordon's functional health patterns, which pattern does
the nurse assess
During a visit to the clinic, a patient tells the nurse that he
has been having headaches on and off for a week. The
headaches sometimes make him feel nauseated. Which Tell me what makes your headaches begin.
of the following responses by the nurse is an example of
probing?
Identifying Assumptions
Predicting (and Managing) Potential Complications
Steps of NOTICING Assessing Systematically and Comprehensively
Gathering Complete and Accurate Data
Identifying signs and symptoms
SPICES tool
Indicate when a situation is normal, abnormal or has
Noticing
changed. Get an initial grasp on the situation
Collect: Subjective & objective data
Application to thinking noticing VS, Complaints, self-described symptoms. What nurse no-
tices, such as rashes, swelling, bruising, etc
Identifying signs and symptoms Noticing
Gathering Complete and Accurate Data Noticing
Assessing Systematically and Comprehensively Noticing
Predicting (and Managing) Potential Complications Noticing
Identifying Assumptions Noticing
Standards Attitudes Competencies Experience Specific
5 concepts of critical thinking
Knowledge Base
The nursing process is a variation of scientific reasoning
that involves five steps: assessment, nursing diagnosis,
planning, implementation, and evaluation.Assess (collec-
tion verification of data and analysis of data) Diagnose,
Plan, Implement, Evaluate
Nursing Process
obtain information that you obtain through sense. (Lies
cue still with arms along side: tense. States has not turned in
some time. Reports pain a 7 and on scale of 0-10)
Patient, family and significant other, health care team,
Sources of Data
medical records, other records and scientific literature
An initial patient-centered interview involves
,(1) setting the stage, (2) gathering information about the
patient's problems and setting an agenda, (3) collecting
the assessment or a nursing health history, and (4) termi-
nating the interview.
A nurse assesses a patient who comes to the pulmonary
clinic. "I see that it's been over 6 months since you've
been here, but your appointment was for every 2 months.
Tell me about that. Also I see from your last visit that the
Health perception-health management pattern
doctor recommended routine exercise. Can you tell me
how successful you've been in following his plan?" The
nurse's assessment covers which of Gordon's functional
health patterns?
The nurse observes a patient walking down the hall with a
shuffling gait. When the patient returns to bed, the nurse
checks the strength in both of the patient's legs. The nurse Clinical inference.
applies the information gained to suspect that the patient
has a mobility problem. This conclusion is an example of:
A 72-year-old male patient comes to the health clinic for
an annual follow-up. The nurse enters the patient's room
and notices him to be diaphoretic, holding his chest and
breathing with diflculty. The nurse immediately checks A problem-oriented approach
the patient's heart rate and blood pressure and asks him,
"Tell me where your pain is." Which of the following as-
sessment approaches does this scenario describe?
The nurse asks a patient, "Describe for me a typical night's
sleep. What do you do to fall asleep? Do you have diflculty
falling or staying asleep? This series of questions would Working phase
likely occur during which phase of a patient-centered
interview?
, A nurse is assigned to a 42-year-old mother of 4 who
weighs 136.2 kg (300 lbs), has diabetes, and works part
time in the kitchen of a restaurant. The patient is facing "You have four children; do you have any concerns about
surgery for gallbladder disease. Which of the following going home and caring for them?"
approaches demonstrates the nurse's cultural compe-
tence in assessing the patient's health care problems?
A nurse is checking a patient's intravenous line and, while
doing so, notices how the patient bathes himself and then
Patient's level of function.
sits on the side of the bed independently to put on a new
gown. This observation is an example of assessing:
A patient who visits the surgery clinic 4 weeks after a
traumatic amputation of his right leg tells the nurse prac-
titioner that he is worried about his ability to continue to
support his family. He tells the nurse he feels that he has
let his family down after having an auto accident that led to Self-perception-self-concept pattern
the loss of his left leg. The nurse listens and then asks the
patient, "How do you see yourself now?" On the basis of
Gordon's functional health patterns, which pattern does
the nurse assess
During a visit to the clinic, a patient tells the nurse that he
has been having headaches on and off for a week. The
headaches sometimes make him feel nauseated. Which Tell me what makes your headaches begin.
of the following responses by the nurse is an example of
probing?
Identifying Assumptions
Predicting (and Managing) Potential Complications
Steps of NOTICING Assessing Systematically and Comprehensively
Gathering Complete and Accurate Data
Identifying signs and symptoms
SPICES tool
