Exam 1: NUR101/ NUR 101(Latest 2024/ 2025 Update) Health Assessment | Guide with Questions and Verified Answers| 100% Correct| Grade A – Fortis

Exam 1: NUR101/ NUR 101(Latest 2024/ 2025 Update) Health Assessment | Guide with Questions and Verified Answers| 100% Correct| Grade A – Fortis Q: Nursing process five-step systematic method for giving patient care; involves assessing, (analysis) diagnosing, planning, implementing, and evaluating (1) assess pt to determine need for nursing care (2) determine nursing diagnoses for actual and potential health problems and needs (3) identify expected outcomes and place care (4) implement the care (5) evaluate the results Q: ADPIE of nursing process Answer: Assessing, (Analysis) Diagnosis, Planning, Implementation, Evaluation Q: Assessment Answer: Subjective & Objective Systematically collecting, validating and communicating pt data Q: Diagnosis (analysis) Answer: Nursing diagnosis Clearly identify pt strengths and actual and potential health problems and needs Q: Planning Answer: Goals — "SMART; specific, measurable, attainable, realistic, time based (pt-centered)" Develop a holistic plan of individualized care that specifies the desired pt goals and related outcomes and the nursing interventions most likely to assist the pt to meet those expected outcomes Q: Implementation/intervention Answer: Execute the plan of care Q: Evaluation Answer: Pt response Evaluate effectiveness of plan of care in terms of pt goal achievement Q: Purpose of nursing observation, interview, and physical assessment Answer: Appraisal of health status Identification of health problems Establishment of a database for nursing interventions Q: How to obtain nursing history using effective interviewing techniques Answer: All interviews should begin with an explanation of the purpose of the interview Open-ended questions or comments—prevents simple yes or no answers Closed question or comment—answered by one or two words, yes or no; used to gather specific information from a pt to focus on a particular area Validating question or comment—overusing validating questions or comments can lead to a pt thinking the nurse is not listening Clarifying questions or comments—allows nurse to gain understanding of pts comment; can prevent misconceptions that could lead to identification of an inappropriate diagnosis or pt problem Reflective question or comment—encourages pt to elaborate Sequencing question or comment—places events in chronological order or to investigate possible cause-and-effect relationship btw events Directing question or comment—going back to a topic brought up earlier in interview or to introduce new aspect of current topic Q: Prioritizing assessments and collecting data systematically Answer: ABCs (or ABCDE): airway, breathing, circulation, disability, exposure Pt needs—emergent or not Maslows Hierarchy of needs Q: 4 Phases of nursing interview Answer: Study preparatory, introduction, working, and termination phase Q: Study preparatory Pre-interaction, collects background info in the chart