Questions and Answers | Newest
Complete Study Guide
Noticing - Correct Answer-Indicate when a situation is normal, abnormal or has
changed. Get an initial grasp on the situation
Application to thinking noticing - Correct Answer-Collect: Subjective & objective data
VS, Complaints, self-described symptoms. What nurse notices, such as rashes, swelling,
bruising, etc
Identifying signs and symptoms - Correct Answer-Noticing
Gathering Complete and Accurate Data - Correct Answer-Noticing
Assessing Systematically and Comprehensively - Correct Answer-Noticing
Predicting (and Managing) Potential Complications - Correct Answer-Noticing
Identifying Assumptions - Correct Answer-Noticing
5 concepts of critical thinking - Correct Answer-Standards Attitudes Competencies
Experience Specific Knowledge Base
Nursing Process - Correct Answer-The nursing process is a variation of scientific
reasoning that involves five steps: assessment, nursing diagnosis, planning,
implementation, and evaluation.Assess (collection verification of data and analysis of
data) Diagnose, Plan, Implement, Evaluate
cue - Correct Answer-obtain information that you obtain through sense. (Lies still with
arms along side: tense. States has not turned in some time. Reports pain a 7 and on scale
of 0-10)
Sources of Data - Correct Answer-Patient, family and significant other, health care team,
medical records, other records and scientific literature
An initial patient-centered interview involves - Correct Answer-(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) terminating 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 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? - Correct Answer-
Health perception-health management pattern
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 applies the information gained to suspect that the patient has a mobility problem.
This conclusion is an example of: - Correct Answer-Clinical inference.
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 difficulty. The nurse immediately checks the patient's heart rate and
blood pressure and asks him, "Tell me where your pain is." Which of the following
assessment approaches does this scenario describe? - Correct Answer-A problem-
oriented approach
The nurse asks a patient, "Describe for me a typical night's sleep. What do you do to fall
asleep? Do you have difficulty falling or staying asleep? This series of questions would
likely occur during which phase of a patient-centered interview? - Correct Answer-
Working phase
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
surgery for gallbladder disease. Which of the following approaches demonstrates the
nurse's cultural competence in assessing the patient's health care problems? - Correct
Answer-"You have four children; do you have any concerns about going home and
caring for them?"
A nurse is checking a patient's intravenous line and, while doing so, notices how the
patient bathes himself and then sits on the side of the bed independently to put on a
new gown. This observation is an example of assessing: - Correct Answer-Patient's level
of function.
A patient who visits the surgery clinic 4 weeks after a traumatic amputation of his right
leg tells the nurse practitioner 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 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