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RNFA EXAM SCRIPT REVIEW ACTUAL TEST WITH FULL SOLUTION VIEW AHEAD.pdf

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RNFA EXAM SCRIPT REVIEW ACTUAL TEST WITH FULL SOLUTION VIEW AHEAD.pdf

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NURSING PROCESS QUESTIONS AND
ANSWERS VERIFIED SOLUTIONS


◉ Nursing Process. Answer: critical thinking five-step process


Involves looking at the whole patient at all times
Personalizes the patient
It provides a "road map" that ensures good nursing care & improves
patient outcomes


◉ Five steps of nursing process. Answer: assess
diagnose
plan
implement
evaluate


◉ nursing assessment. Answer: collection of information from a
primary source (patient) and secondary sources (family, friends,
health professionals, medical record)
the interpretation and validation of data to ensure a complete database


◉ What are the two stages of assessment?. Answer: collection and
verification of data

,analysis of data


◉ What is a cue?. Answer: information that you obtain through use of
the senses


EX: lies with arms flat on chest; tense
states has not turned for some time
reports pain a 7 on a scale of 0-10


◉ What is an inference?. Answer: your judgment or interpretation of
these cues


EX: pain is severe; pain limits patient's ability to move and reposition
self


◉ What are the two types of data?. Answer: subjective
objective


◉ subjective data. Answer: patient's verbal descriptions of their health
problems


ex: Mr. Lawson's self-report of pain at the area where his incision
slightly separated

, ◉ objective data. Answer: observations or measurements of a patient's
health status


ex: vital signs; describing an observed behavior; condition of a
surgical wound


◉ Sources of data. Answer: patient (interview, observation, physical
examination)
family and significant others
health care team
medical records
scientific literature (EBP)
nurse's experience


◉ Who/what is the best source of information?. Answer: THE
PATIENT


◉ What are the 4 effective communication skills during patient
assessment?. Answer: courtesy
comfort
connection
confirmation


◉ open-ended questions. Answer: prompts patients to describe a
situation in more than one or two words

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