Nurb 3060 Final Exam UPDATED
QUESTIONS AND CORRECT ANSWERS
What is the first step in the nursing process? - CORRECT ANSWER assessment
How do nurses collect data about a patient's health? - CORRECT ANSWER In a systematic,
ongoing process
What sources are used to collect patient health history or data? - CORRECT ANSWER - patient
- patient's family
- other healthcare providers
- environment
Assessment - CORRECT ANSWER collection of data
Initial Assessment - CORRECT ANSWER large and detailed
Subjective Data - CORRECT ANSWER - things that comes out the the patient's mouth
- sensations or symptoms, feeling, perceptions, desires, preferences, beliefs, ideas, values, and
personal information that are reported by the patient and verified by the patient
What are the major areas of subjective data? - CORRECT ANSWER - biographical info
- history of illness and personal health
- past and current behavior
- family history
Objective Data - CORRECT ANSWER - data directly or indirectly observed
- patient did not say this information
Major Sources of Objective Data? - CORRECT ANSWER - physical assessment
,- patient's record
- measurements
- testing result
What are the four types of assessments? - CORRECT ANSWER - initial comprehensive
- ongoing or partial
- focused or problem oriented assessment
- emergency assessment
Initial Comprehensive Assessment - CORRECT ANSWER Subjective data about the client's
perception of illness, past history, family history, lifestyle and health practices
Ongoing or Partial Assessment - CORRECT ANSWER - Occurs after the comprehensive
assessment
- Looking for a baseline
- Occurs when the patient is on the floor
Focused or Problem Oriented Assessment - CORRECT ANSWER Thorough assessment of a
particular client problem and does not cover areas not related to the problem
Emergency Assessment - CORRECT ANSWER rapid assessment performed in life-threatening
situations
Steps of the Health Assessment - CORRECT ANSWER - steps will overlap
1. collection of subjective data
2. collection of objective data
3. validation of objective data
4. documentation of data
Purpose of the interview - CORRECT ANSWER - establish rapport and a trusting relationship
- gathers information about the developmental. psychological, physiologic, sociocultural, and spiritual
needs of the client
,What are the four phases of the interview? - CORRECT ANSWER 1. pre-introductory
2. introductory
3. working
4. summary/closing
Pre Introductory Assessment - CORRECT ANSWER - occurs before the initial meeting
- receiving health history or receiving data from a previous healthcare provider
Introductory Assessment - CORRECT ANSWER - initial meeting/assessment
- explain that you are taking notes, assure confidentiality, eye level with the patient
.- if the patient is in pain, treat the pain first
- full attention is on the patient
Working Assessment - CORRECT ANSWER - nuts and bolts
- where you collect the data and assess the body
- listen, observe, and think critically
- verbal and non-verbal clues
Summary/Closing Assessment - CORRECT ANSWER validation of information, goal setting,
discussion of care, rules, asks for any concerns and question
Nonverbal Communication - CORRECT ANSWER communication that relies on appearance,
demeanor, facial expression, attitude, silence, and listening
Types of Verbal Communication - CORRECT ANSWER - open ended questions
- laundry list
- closed ended questions
- rephrasing
- well-placed phrases
- inference and providing information
, Which one is better: open or closed ended questions? - CORRECT ANSWER open
What are key words one can use to ask open ended questions? - CORRECT ANSWER - how
- what
- describe
Closed Ended Questions - CORRECT ANSWER - used to hone in information
- specific answers are given
Laundry List - CORRECT ANSWER used to obtain a characterization of the patient's
symptoms or pain
Examples of a Laundry List - CORRECT ANSWER does the pain feel stabbing or aching or
does it come and go or does it hurt more when you are active
What is used to encourage the patient to keep talking? - CORRECT ANSWER well placed
phrases
Inferring - CORRECT ANSWER verbalizing the implied
Nonverbal communication techniques to avoid - CORRECT ANSWER - excessive or
insufficient eye contact
- distraction and distance
- standing
Verbal Communication tips to avoid - CORRECT ANSWER - biased or leading questions
- rushing
- reading the questions
Complete Health History - CORRECT ANSWER - provides foundation for identifying
problems
QUESTIONS AND CORRECT ANSWERS
What is the first step in the nursing process? - CORRECT ANSWER assessment
How do nurses collect data about a patient's health? - CORRECT ANSWER In a systematic,
ongoing process
What sources are used to collect patient health history or data? - CORRECT ANSWER - patient
- patient's family
- other healthcare providers
- environment
Assessment - CORRECT ANSWER collection of data
Initial Assessment - CORRECT ANSWER large and detailed
Subjective Data - CORRECT ANSWER - things that comes out the the patient's mouth
- sensations or symptoms, feeling, perceptions, desires, preferences, beliefs, ideas, values, and
personal information that are reported by the patient and verified by the patient
What are the major areas of subjective data? - CORRECT ANSWER - biographical info
- history of illness and personal health
- past and current behavior
- family history
Objective Data - CORRECT ANSWER - data directly or indirectly observed
- patient did not say this information
Major Sources of Objective Data? - CORRECT ANSWER - physical assessment
,- patient's record
- measurements
- testing result
What are the four types of assessments? - CORRECT ANSWER - initial comprehensive
- ongoing or partial
- focused or problem oriented assessment
- emergency assessment
Initial Comprehensive Assessment - CORRECT ANSWER Subjective data about the client's
perception of illness, past history, family history, lifestyle and health practices
Ongoing or Partial Assessment - CORRECT ANSWER - Occurs after the comprehensive
assessment
- Looking for a baseline
- Occurs when the patient is on the floor
Focused or Problem Oriented Assessment - CORRECT ANSWER Thorough assessment of a
particular client problem and does not cover areas not related to the problem
Emergency Assessment - CORRECT ANSWER rapid assessment performed in life-threatening
situations
Steps of the Health Assessment - CORRECT ANSWER - steps will overlap
1. collection of subjective data
2. collection of objective data
3. validation of objective data
4. documentation of data
Purpose of the interview - CORRECT ANSWER - establish rapport and a trusting relationship
- gathers information about the developmental. psychological, physiologic, sociocultural, and spiritual
needs of the client
,What are the four phases of the interview? - CORRECT ANSWER 1. pre-introductory
2. introductory
3. working
4. summary/closing
Pre Introductory Assessment - CORRECT ANSWER - occurs before the initial meeting
- receiving health history or receiving data from a previous healthcare provider
Introductory Assessment - CORRECT ANSWER - initial meeting/assessment
- explain that you are taking notes, assure confidentiality, eye level with the patient
.- if the patient is in pain, treat the pain first
- full attention is on the patient
Working Assessment - CORRECT ANSWER - nuts and bolts
- where you collect the data and assess the body
- listen, observe, and think critically
- verbal and non-verbal clues
Summary/Closing Assessment - CORRECT ANSWER validation of information, goal setting,
discussion of care, rules, asks for any concerns and question
Nonverbal Communication - CORRECT ANSWER communication that relies on appearance,
demeanor, facial expression, attitude, silence, and listening
Types of Verbal Communication - CORRECT ANSWER - open ended questions
- laundry list
- closed ended questions
- rephrasing
- well-placed phrases
- inference and providing information
, Which one is better: open or closed ended questions? - CORRECT ANSWER open
What are key words one can use to ask open ended questions? - CORRECT ANSWER - how
- what
- describe
Closed Ended Questions - CORRECT ANSWER - used to hone in information
- specific answers are given
Laundry List - CORRECT ANSWER used to obtain a characterization of the patient's
symptoms or pain
Examples of a Laundry List - CORRECT ANSWER does the pain feel stabbing or aching or
does it come and go or does it hurt more when you are active
What is used to encourage the patient to keep talking? - CORRECT ANSWER well placed
phrases
Inferring - CORRECT ANSWER verbalizing the implied
Nonverbal communication techniques to avoid - CORRECT ANSWER - excessive or
insufficient eye contact
- distraction and distance
- standing
Verbal Communication tips to avoid - CORRECT ANSWER - biased or leading questions
- rushing
- reading the questions
Complete Health History - CORRECT ANSWER - provides foundation for identifying
problems
