N524 assessment 1 questions with answers

N524 assessment 1 questions || || || ||




with answers || ||




clinical judgement steps - CORRECT
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ANSWER(S)✔✔Recognize cues (assessment): The || || || ||



filtering of information from different sources (i.e., signs,
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symptoms, health history, environment).
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Analyze cues (analysis): The linking of recognized cues
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to the client's clinical presentation and establishing
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probable client needs, concerns, and problems.
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Prioritize hypotheses (analysis): Establishing priorities of
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care based on the client's health problems (i.e.,
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environmental factors, risk assessment, urgency, || || || ||



signs/symptoms, diagnostic tests, lab values).
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Generate solutions (planning): Identifying expected
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outcomes and related nursing interventions to ensure a
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client's needs are met.
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Take actions (implementation): To implement appropriate
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interventions based on nursing knowledge, priorities of
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,care, and planned outcomes to promote, maintain, or
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restore a client's health.
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Evaluate outcomes (evaluation): To evaluate a client's
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response to nursing interventions and reach a nursing
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judgment regarding the extent to which outcomes have
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been met.
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nursing process - CORRECT ANSWER(S)✔✔Assessment
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Diagnosis
Planning
Implementation
Evaluation


5 activities needed to preform a systematic assessment -
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CORRECT ANSWER(S)✔✔Collect data || ||




Verify data ||




Organize data ||




Identify Patterns ||




Report and record data
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What is important data? - CORRECT
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ANSWER(S)✔✔Name
Age

,Gender
Admitting dx ||




Medical/surgical hx ||




Chronic illness ||




Advanced directives ||




Lab data/ diagnostic tests
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Medications
Allergies
Support services ||




Psychosocial/Cultural assessment ||




What is clinical reasoning? - CORRECT
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ANSWER(S)✔✔The thinking process by which a nurse || || || || || || ||



reaches a clinical judgement
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Considers nursing knowledge, client situations, and
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prioritization of client problems and concerns, while
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utilizing evidence-based practice
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What is critical thinking? - CORRECT ANSWER(S)✔✔The
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skill of learning to analyze and interpret data to solve a
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problem to achieve a desired outcome.
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, Includes questioning, analysis, synthesis, interpretation,
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inference, inductive and deductive reasoning, intuition,
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application, and creativity. || ||




Individual factors that impact clinical situations -
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CORRECT ANSWER(S)✔✔•Nursing factors (i.e.,
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knowledge, skills, specialty) || ||




•Nurse characteristics (i.e., attitudes, prior experience,
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level of experience)
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•Cognitive load (i.e., demands on the nurse, stress,
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problem-solving, memory). ||




Environmental factors that impact clinical situations -
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CORRECT ANSWER(S)✔✔•Setting, situation, and
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environment (i.e., safety considerations, equipment,
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surroundings)
•Client observation (i.e., age, symptoms of health
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alteration)


•Resources (i.e., staffing, supplies, beds, care partners)
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•Health records (i.e., history, labs, diagnostic tests, I&O,
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medications, treatments) ||