LPN-BSN Transitions Exam 1
Questions & Answers16
Late adulthood can be divided into four major subgroups: - ANSWERS-65 to 74 years of age: the
young old
75 to 84 years of age: the middle old
85 to 99 years of age: the old old
100 years of age or older: the elite old
are a major cause of accidents and death the older-adult population. among - ANSWERS-mo
Motor vehicle crashes
a broad term used for a syndrome that involves a slowly progressive cognitive decline,
sometimes referred to as chronic confusion. - ANSWERS-Dementia
There are many types of dementia, the most the common being - ANSWERS-Alzheimer's
disease. Multi-infarct dementia, the second most common dementia, results from a vascular
disor- der.
is characterized by the patient's inattentiveness, disorganized thinking, and altered level of
consciousness (either hypoalert or hyperalert). - ANSWERS-Delirium
Brief, serves a biologic purpose in that it acts as a warning signal by activating the sympathetic
nervous system and causing various physiologic responses. - ANSWERS-acute pain
(normal (also called persistent pain) is often defined as cessing) pain that lasts or recurs for an
indefinite period, usually for more than 3 months. The onset is gradual, and the character and
quality of the pain often change over time. - ANSWERS-Chronic pain
,information that you obtain through use of the senses. - ANSWERS-cue
is your judgment or interpretation of these cues (Figure 16-3). For example, a patient crying is a
cue that possibly implies fear, pain, or sadness. You ask the patient about any concerns and
make known any nonverbal expressions that you notice in an effort to direct the patient to
share his or her feelings. - ANSWERS-inference
of assessment data is the comparison of data with another source to determine data accuracy. -
ANSWERS-Validation
An initial patient-centered interview involves: - ANSWERS-(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.
includes active listening prompts such as "all right," "go on," or "uh-huh." These indicate that
you have heard what patient says, are interested in hearing the full story, and are encourag- ing
the patient to give more details. - ANSWERS-back channeling,
As a patient tells his or her story, encourage a full description without trying to control the
direction the story takes. This requires you to probe with further open-ended statements such
as "Is there anything else you can tell me?" or "What else is bothering you?" - ANSWERS-
Probing.
is the identification of a disease condition based on a specific evaluation of physical signs and
symptoms, a patient's medical history, and the results of diagnostic tests and procedures. -
ANSWERS-medical diagnosis
, a clinical judgment con- tian cerning a human response to health conditions/life processes, or
Vulnerability for that response by an individual, family, or community that is a nurse license and
competent to treat - ANSWERS-nursing diagnosis
is an actual or potential physiological complication that nurses monitor to detect the onset of
changes in a patient's health status - ANSWERS-collaborative problem
is a set of cues, the signs or symptoms gathered during assess- ment. Each cue is an objective or
subjective sign, symptom, or risk factor that, when analyzed with other cues, begins to lead to
diagnostic conclusions. - ANSWERS-Data clusters.
is the name of the nursing diagnosis as approved by NANDA-I (see Box 17-2). It describes the
essence of a patient's response to health conditions in as few words as possible. - ANSWERS-
Nursing Diagnosti/ diagnostic label
is a broad statement that describes a desired change in a patient's condition, perceptions, or
behavior. Mr. Lawson has the diag- nosis of Readiness for Enhanced Knowledge. A goal of care
for this diagnosis includes, "Patient will understand postoperative risks." - ANSWERS-goal
the measurable change (patient behavior, physical state, or perception) that must be achieved
to reach a goal. - ANSWERS-expected outcome
actions that a nurse initiates without supervision or direc- others. Examples include positioning
patients to prevent pressure ulcer formation, instructing patients in side effects of medica-
tions, or providing skin care to an ostomy site. - ANSWERS-Nurse-initiated interventions are the
independent nursing inter- ventions
actions that require an order from a health care provider. - ANSWERS-Health care provider-
initiated interventions are dependent nurs- ing interventions,
Questions & Answers16
Late adulthood can be divided into four major subgroups: - ANSWERS-65 to 74 years of age: the
young old
75 to 84 years of age: the middle old
85 to 99 years of age: the old old
100 years of age or older: the elite old
are a major cause of accidents and death the older-adult population. among - ANSWERS-mo
Motor vehicle crashes
a broad term used for a syndrome that involves a slowly progressive cognitive decline,
sometimes referred to as chronic confusion. - ANSWERS-Dementia
There are many types of dementia, the most the common being - ANSWERS-Alzheimer's
disease. Multi-infarct dementia, the second most common dementia, results from a vascular
disor- der.
is characterized by the patient's inattentiveness, disorganized thinking, and altered level of
consciousness (either hypoalert or hyperalert). - ANSWERS-Delirium
Brief, serves a biologic purpose in that it acts as a warning signal by activating the sympathetic
nervous system and causing various physiologic responses. - ANSWERS-acute pain
(normal (also called persistent pain) is often defined as cessing) pain that lasts or recurs for an
indefinite period, usually for more than 3 months. The onset is gradual, and the character and
quality of the pain often change over time. - ANSWERS-Chronic pain
,information that you obtain through use of the senses. - ANSWERS-cue
is your judgment or interpretation of these cues (Figure 16-3). For example, a patient crying is a
cue that possibly implies fear, pain, or sadness. You ask the patient about any concerns and
make known any nonverbal expressions that you notice in an effort to direct the patient to
share his or her feelings. - ANSWERS-inference
of assessment data is the comparison of data with another source to determine data accuracy. -
ANSWERS-Validation
An initial patient-centered interview involves: - ANSWERS-(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.
includes active listening prompts such as "all right," "go on," or "uh-huh." These indicate that
you have heard what patient says, are interested in hearing the full story, and are encourag- ing
the patient to give more details. - ANSWERS-back channeling,
As a patient tells his or her story, encourage a full description without trying to control the
direction the story takes. This requires you to probe with further open-ended statements such
as "Is there anything else you can tell me?" or "What else is bothering you?" - ANSWERS-
Probing.
is the identification of a disease condition based on a specific evaluation of physical signs and
symptoms, a patient's medical history, and the results of diagnostic tests and procedures. -
ANSWERS-medical diagnosis
, a clinical judgment con- tian cerning a human response to health conditions/life processes, or
Vulnerability for that response by an individual, family, or community that is a nurse license and
competent to treat - ANSWERS-nursing diagnosis
is an actual or potential physiological complication that nurses monitor to detect the onset of
changes in a patient's health status - ANSWERS-collaborative problem
is a set of cues, the signs or symptoms gathered during assess- ment. Each cue is an objective or
subjective sign, symptom, or risk factor that, when analyzed with other cues, begins to lead to
diagnostic conclusions. - ANSWERS-Data clusters.
is the name of the nursing diagnosis as approved by NANDA-I (see Box 17-2). It describes the
essence of a patient's response to health conditions in as few words as possible. - ANSWERS-
Nursing Diagnosti/ diagnostic label
is a broad statement that describes a desired change in a patient's condition, perceptions, or
behavior. Mr. Lawson has the diag- nosis of Readiness for Enhanced Knowledge. A goal of care
for this diagnosis includes, "Patient will understand postoperative risks." - ANSWERS-goal
the measurable change (patient behavior, physical state, or perception) that must be achieved
to reach a goal. - ANSWERS-expected outcome
actions that a nurse initiates without supervision or direc- others. Examples include positioning
patients to prevent pressure ulcer formation, instructing patients in side effects of medica-
tions, or providing skin care to an ostomy site. - ANSWERS-Nurse-initiated interventions are the
independent nursing inter- ventions
actions that require an order from a health care provider. - ANSWERS-Health care provider-
initiated interventions are dependent nurs- ing interventions,
