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Exam (elaborations)

Nurs-117 Exam 1 Questions and Answers

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Communication - - exchange of information ideas or thoughts- transmission of feelings or a social or personal interaction- basic component of human interaction 4. The nurse needs to validate which of the following statements pertaining to an assigned client?A. The client has a hard, raised, red lesion on his right hand.B. A weight of 185 lbs. is recorded in the chartC. The client reported an infected toeD. The client's blood pressure is 124/70. It was 118/68 yesterday. - C. The client reported an infected toe Verbal Communication - - vocabulary, meaning, pace of speech- tone & volume- clarity & brevity- timing & relevance Nonverbal Communication - - use of silence- eye contact- personal appearance- use of touch- personal energy True or False:Open-ended questions are used to stimulate answers that provide information - true Therapeutic communication - Verbal and nonverbal communication techniques that encourage patients to express their feelings and to achieve a positive relationship. Environmental factors affecting client communication - Limited privacy- Loss of space, share a BR,fear of catching. something, private areas for conferences with clientNoise/sensory overload- Psychosis (ICU)Pace of activities- Perceptions that staff are too busy, may hesitate to ask for help Superior/Subordinate patterns - - One party has power over the other- Can be supportive or antagonistic- How are boundaries established?- It's important to clarify what is really being communicated rather than misinterpreting ADPIE - 1. Assessment2. Diagnosis3. Planning / Outcomes4. Implementation / Interventions5. Evaluation Objective data - - Signs- data is observed and measurable. - felt, seen, heard or smelled by the nurse Subjective data - - Signs - data is observed and measurable. - felt, seen, heard or smelled by the nurse Subjective or Objective? "My shoulder is really sore when I raise my hand" - subjective

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Nurs-117 Exam


Nurs-117 Exam 1 Questions and
Answers
Communication - - exchange of information ideas or thoughts- transmission of feelings or
a social or personal interaction- basic component of human interaction


4. The nurse needs to validate which of the following statements pertaining to an
assigned client?A. The client has a hard, raised, red lesion on his right hand.B. A weight
of 185 lbs. is recorded in the chartC. The client reported an infected toeD. The client's
blood pressure is 124/70. It was 118/68 yesterday. - C. The client reported an infected toe


Verbal Communication - - vocabulary, meaning, pace of speech- tone & volume- clarity
& brevity- timing & relevance


Nonverbal Communication - - use of silence- eye contact- personal appearance- use of
touch- personal energy


True or False:Open-ended questions are used to stimulate answers that provide
information - true


Therapeutic communication - Verbal and nonverbal communication techniques that
encourage patients to express their feelings and to achieve a positive relationship.


Environmental factors affecting client communication - Limited privacy- Loss of space,
share a BR,fear of catching. something, private areas for conferences with client
Noise/sensory overload- Psychosis (ICU)Pace of activities- Perceptions that staff are too
busy, may hesitate to ask for help




Nurs-117 Exam

, Nurs-117 Exam


Superior/Subordinate patterns - - One party has power over the other- Can be supportive
or antagonistic- How are boundaries established?- It's important to clarify what is really
being communicated rather than misinterpreting


ADPIE - 1. Assessment2. Diagnosis3. Planning / Outcomes4. Implementation /
Interventions5. Evaluation


Objective data - - Signs- data is observed and measurable.
- felt, seen, heard or smelled by the nurse


Subjective data - - Signs
- data is observed and measurable.
- felt, seen, heard or smelled by the nurse


Subjective or Objective?
"My shoulder is really sore when I raise my hand" - subjective


Subjective or Objective?Grimacing observed when client brushes her hair - objective


Subjective or Objective?
Patient will not bear weight on right foot - objective


Subjective or Objective?
Fruity odor noted when patient exhales - objective


Subjective or Objective?


Nurs-117 Exam

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