NUR 220 test 1questions and correct answers pass guaranteed

______________ priority level: emergent, life-threatening and immediate a) first b) second c) third d) collaborative - correct answers a) first ______________ priority level: Problems needing prompt interventions to forestall further deterioration a) first b) second c) third d) collaborative - correct answers b) second ______________ priority level: Important to patient health but can be addressed after urgent matters taken care of a) first b) second c) third d) collaborative - correct answers c) third ______________ priority level: Treatment involves multiple disciplines a) first b) second c) third d) collaborative - correct answers d) collaborative nursing _________: • Take data from assessment and you analyze it and form a patient problem - correct answers diagnosis nursing _____________: Compare clinical findings with normal and abnormal variation and developmental events - correct answers diagnosis which level do you make hypothesis a) assessment b) diagnosis c) planning d) eval e) implementation - correct answers b) diagnosis which level do you identify data clusters a) assessment b) diagnosis c) planning d) eval e) implementation - correct answers b) diagnosis which level do you document plan of care a) assessment b) diagnosis c) planning d) eval e) implementation - correct answers c) planning what are the 3 types of intervention - correct answers independent dependent Collaborative ____________: - A systematic approach to practice that uses evidence in combination with the nurse's experience and physical examination as well as patient preferences to make the best decisions on care and treatment - correct answers evidence based practice __________: - Balance of a person is a complex, interrelated phenomenon a) illness b) health - correct answers health __________: - Loss of a person's balance a) illness b) health - correct answers a) illness __________: - has the greatest influence on health status - correct answers poverty __________: - A learned/socially transmitted orientation and way of life of a group of people. Includes beliefs, values, customs and norms a)Ethnocentrism b) culture c)Ethnic Groups d)Racial Groups - correct answers b) culture ______________: Classifications based on shared traits such as skin tone, facial features, body build inherited from biological ancestors. a)Ethnocentrism b) culture c)Ethnic Groups d)Racial Groups - correct answers d)Racial Groups _______________: Sharing of a unique national or regional origin and social culture and linguistic heritage. In the US, there are five: Caucasian, African-American, Hispanics, Asian/Pacific Islander and Native Americans a)Ethnocentrism b) culture c)Ethnic Groups d)Racial Groups - correct answers c)Ethnic Groups ____________: When an individual or group of people perceive their own cultural group and values, beliefs, norms and customs to be superior to all others a)Ethnocentrism b) culture c)Ethnic Groups d)Racial Groups - correct answers a)Ethnocentrism ____________: a) biomedical b) - Naturalistic c)- Healing and culture d) - Magicoreligious - correct answers ____________:Views the body as a machine a) biomedical b) - Naturalistic c)- Healing and culture d) - Magicoreligious - correct answers a) biomedical ____________: Endorses germ theory a) biomedical b) - Naturalistic c)- Healing and culture d) - Magicoreligious - correct answers a) biomedical ____________: Forces of nature must be kept in balance a) biomedical b) - Naturalistic c)- Healing and culture d) - Magicoreligious - correct answers b) - Naturalistic ____________:Yin and yang, hot and cold a) biomedical b) - Naturalistic c)- Healing and culture d) - Magicoreligious - correct answers b) - Naturalistic ____________:Examples include voodoo, witchcraft, and faith healing a) biomedical b) - Naturalistic c)- Healing and culture d) - Magicoreligious - correct answers d) - Magicoreligious _____________: Supernatural powers predominate in area of health and illness a) biomedical b) - Naturalistic c)- Healing and culture d) - Magicoreligious - correct answers d) - Magicoreligious ___________: In addition to seeking help from health care providers, patients may also seek help from folk or religious healers a) biomedical b) - Naturalistic c)- Healing and culture d) - Magicoreligious - correct answers c)- Healing and culture locations for temperature (4) - correct answers 1. Rectal (rectum) 2. oral (under tongue) 3. axillary (armpit) 4. tympanic membrane temp location closest to core temp and most accurate - correct answers rectal ____________: how strong or weak the pulse is - correct answers amplitude ______________: less than 50 beats/min a) brachycardia b) tachycardia - correct answers a) brachycardia _____________: over 100 beats/min a) brachycardia b) tachycardia - correct answers b) tachycardia __________: heart rate varies is high during inspiration and lower during expiration - correct answers sinus arrhythmia sinus arrhythmia is common in what ages - correct answers children and young adults _________: is the maximum pressure felt on the artery during left ventricular contraction a) diastolic b) systolic - correct answers b) systolic _________: is the elastic recoil or resting pressure that blood exerts constantly between each contraction a) diastolic b) systolic - correct answers a) diastolic folic acid is important for _____________ - correct answers pregnant women tympanic membrane temperature is common use for what age - correct answers children, babies ratio for respirations to heartbeat - correct answers 1:4 Appropriate cuff size: Cuff width should be _______ to _________ the circumference of the limb - correct answers 1/3 to ½ chain of infection - correct answers - Transmission - Portal of Entry - Host susceptibility - Infectious agent - Reservoir - Portal of Exit _____________: is the best way to reduce the number of microbes on them in most situations. - correct answers hand washing when should u wash hands? (8) - correct answers υ When they are visibly dirty υ BEFORE and AFTER direct patient contact υ Before applying sterile gloves and inserting an INVASIVE device υ After contact with body fluids or excretions υ After contact with wound dressings υ When moving from a contaminated site on the body to a non-contaminated site υ After contact with inanimate objects υ After removing gloves (sterile or exam) __________: person is alert and oriented to person, place and time - correct answers level of consciousness sources of data (6) - correct answers - Patient/ client - Family - Health care team members (doctor, PT, dietitian) - Medical records - Other records - Literature review methods of data collection (4) - correct answers - Interview - Nursing health history - Physical examination - Diagnostic and laboratory data ___________: 0 to 1½ ft. This is used for physical assessment a) social distance b) public distance c) intimate zone d) personal distance - correct answers c) intimate zone _________: 1 ½ to 4 feet. This too is used for physical assessment a) social distance b) public distance c) intimate zone d) personal distance - correct answers d) personal distance _________: 4 to 12 feet. Interviewing is at this distance as well as impersonal business transactions a) social distance b) public distance c) intimate zone d) personal distance - correct answers a) social distance ___________: 12+ feet. Extremely impersonal a) social distance b) public distance c) intimate zone d) personal distance - correct answers b) public distance what are the 3 phases of interview, in order - correct answers orientation working termination What information is needed How long will it take What is expected of patient Confidentiality of information asked during ___________ phase: a) working b) terminal c) orientation - correct answers c) orientation establish rapport happens during ___________ phase a) working b) terminal c) orientation - correct answers orientation GETTING INFORMATION NECESSARY Use good skills-open ended questions and language the patient understands during __________ phase: a) working b) terminal c) orientation - correct answers a) working ____________: begins in opening phase may be done by nurse or client making sure you have correct information this is for the ___________ phase: a) working b) terminal c) orientation - correct answers b) terminal ____________ diagnosis: Concentrates on symptoms and the progression of disease a) nursing b) medical - correct answers b) medical diagnosis __________ diagnosis: Focuses on the functional health patterns, responses to changes in health status and alterations in lifestyle a) nursing b) medical - correct answers a) nursing the nursing __________________ is used to develop the plan of nursing care and formulating nursing interventions - correct answers health history