NURSING 310 EXAM 1 STUDY GUIDE
First-level priority problems - Answers - are those that are emergent, life threatening,
and immediate, such as establishing an airway or supporting breathing
Second-level priority problems - Answers - those that are next in urgency requiring your
prompt intervention to forestall further deterioration. (mental status change, acute pain,
acute urinary elimination problem, untreated medical problems, abnormal lab test
results
Third-level priority problems - Answers - those that are important to the patient's health
but can be addressed after more urgent health problems are addressed. (Knowledge
deficit, altered family processes, and low self esteem)
The Nursing Process - Answers - assessment, diagnosis, outcome identification,
planning, implementation, evaluation
Subjective data - Answers - what the person says about himself or herself during history
taking
objective data - Answers - what the health professional observes by inspecting,
palpating, percussing, and auscultating during the physical examination
collaborative problems - Answers - actual or potential health problem that may occur
from complications of disease, diagnostic studies, or the treatment regimen; the nurse
works together with other members of the health care team toward its resolution
Complete (Total Health) Database - Answers - Includes complete health history and full
physical examination
Describes current and past health state and forms baseline to measure all future
changes
Yields first diagnoses
focused/problem centered database - Answers - database is used for a limited or short-
term problem. It is smaller in scope and more targeted than the complete database. It
focused on one are of the body rather than the full thing.
Follow-up database - Answers - evaluates the status of any identified problem at regular
intervals to follow up on short term or chronic health problems.
Emergency database - Answers - rapid collection of the database, often compiled
concurrently with lifesaving measures
, An interview is the first part of data collection and allows the nurse to? - Answers - Make
contact with the client.
Sending - Answers - saying what one means to say, with agreement between verbal
and nonverbal messages
Receiving - Answers - the initial step in the listening process where hearing and
listening connect
Internal factors - Answers - Those specific to you, the examiner. Liking others, empathy,
the ability to listen, self- awareness
external factors - Answers - Preparing the physical setting. (Ensure privacy, refuse
interruptions, and check the physical environment.)
introduction - Answers - Keep introduction short and formal. Introduce yourself and state
your role in the agency. No need to build a rapport and use last names unless its a child
or an adolescent.
The working phase - Answers - the data-gathering phase, includes two question types:
open and closed. Include your ability to form questions.
open-ended questions - Answers - ask for narrative information. It states a the topic to
be discussed but only in general terms. It is unbiased. It encourages them to respond in
paragraphs.
closed or direct questions - Answers - asks for specific information, usually illicit a short
1 or 2 word answer, limits the patient's answer, use to fill in details after open ended
questions
Closing the Interview - Answers - an abrupt or awkward closing can destroy rapport and
leave the person with a negative impression
this is a good time to give your summary
- it should include positive health aspects, any health problem that have been identified
any plans for action and explanation thanks for the time and cooperation
Communicating with an infant - Answers - use nonverbal communication, be comforting,
keep parent in view, allow infant to sit on parents lap.
-Face them directly, use gentle handling, and a quiet calm voice.
Communicating with the toddler - Answers - -They communicate with one to two words
with limited vocabulary.
-They are wondering why so there for provide an simple explanation of what you want
and label their emotions.
-Give them one direction at a time, keeping it simple, and provide warnings before
transitions when possible.
First-level priority problems - Answers - are those that are emergent, life threatening,
and immediate, such as establishing an airway or supporting breathing
Second-level priority problems - Answers - those that are next in urgency requiring your
prompt intervention to forestall further deterioration. (mental status change, acute pain,
acute urinary elimination problem, untreated medical problems, abnormal lab test
results
Third-level priority problems - Answers - those that are important to the patient's health
but can be addressed after more urgent health problems are addressed. (Knowledge
deficit, altered family processes, and low self esteem)
The Nursing Process - Answers - assessment, diagnosis, outcome identification,
planning, implementation, evaluation
Subjective data - Answers - what the person says about himself or herself during history
taking
objective data - Answers - what the health professional observes by inspecting,
palpating, percussing, and auscultating during the physical examination
collaborative problems - Answers - actual or potential health problem that may occur
from complications of disease, diagnostic studies, or the treatment regimen; the nurse
works together with other members of the health care team toward its resolution
Complete (Total Health) Database - Answers - Includes complete health history and full
physical examination
Describes current and past health state and forms baseline to measure all future
changes
Yields first diagnoses
focused/problem centered database - Answers - database is used for a limited or short-
term problem. It is smaller in scope and more targeted than the complete database. It
focused on one are of the body rather than the full thing.
Follow-up database - Answers - evaluates the status of any identified problem at regular
intervals to follow up on short term or chronic health problems.
Emergency database - Answers - rapid collection of the database, often compiled
concurrently with lifesaving measures
, An interview is the first part of data collection and allows the nurse to? - Answers - Make
contact with the client.
Sending - Answers - saying what one means to say, with agreement between verbal
and nonverbal messages
Receiving - Answers - the initial step in the listening process where hearing and
listening connect
Internal factors - Answers - Those specific to you, the examiner. Liking others, empathy,
the ability to listen, self- awareness
external factors - Answers - Preparing the physical setting. (Ensure privacy, refuse
interruptions, and check the physical environment.)
introduction - Answers - Keep introduction short and formal. Introduce yourself and state
your role in the agency. No need to build a rapport and use last names unless its a child
or an adolescent.
The working phase - Answers - the data-gathering phase, includes two question types:
open and closed. Include your ability to form questions.
open-ended questions - Answers - ask for narrative information. It states a the topic to
be discussed but only in general terms. It is unbiased. It encourages them to respond in
paragraphs.
closed or direct questions - Answers - asks for specific information, usually illicit a short
1 or 2 word answer, limits the patient's answer, use to fill in details after open ended
questions
Closing the Interview - Answers - an abrupt or awkward closing can destroy rapport and
leave the person with a negative impression
this is a good time to give your summary
- it should include positive health aspects, any health problem that have been identified
any plans for action and explanation thanks for the time and cooperation
Communicating with an infant - Answers - use nonverbal communication, be comforting,
keep parent in view, allow infant to sit on parents lap.
-Face them directly, use gentle handling, and a quiet calm voice.
Communicating with the toddler - Answers - -They communicate with one to two words
with limited vocabulary.
-They are wondering why so there for provide an simple explanation of what you want
and label their emotions.
-Give them one direction at a time, keeping it simple, and provide warnings before
transitions when possible.
