QUESTIONS AND ANSWERS 100 PERCENT
CORRECT PRACTICE SOLUTION PREMIUM
REVIEW
⩥ Traditional approaches to Patient Assessment include:
Answer: - include a complete evaluation of patient history
- comprehensive physical exam of all body systems
⩥ Progressive care clinicians must balance:
Answer: -need to gather data
-prioritizing and providing care
⩥ Collection of assessment data is obtained in:
Answer: -phased or staged manner
-consistent with pt care priorities
⩥ What is the crucial element to developing competence in assessing
progressive care patients?
Answer: -consistent and systematic approach
,⩥ Discuss the importance of a consistent and systematic approach to
assessment of progressive care pt and families?
Answer: - helps avoid missing subtle signs or details that identify
actual or potential problem
-indicate a pt's changing status
⩥ Assessments should first focus on (2):
Answer: -patient (focal point of practitioner's attention)
-technology (augments info obtained from direct
assessment)
⩥ What are the TWO standard approaches to assessing patients?
Answer: -head-to-toe approach
-body systems approach
⩥ Most progressive care nurses use a (2):
Answer: -combination systems approach
-applied in a top-to-bottom manner
⩥ Assessment of the progressive care patient begins (2)
Answer: -moment nurse aware of pending admission/transfer
-continues until transitioning to next phase of care
,⩥ The pre-arrival assessment helps the nurse (3):
Answer: -paint an initial picture
- to anticipate physiologic and psychological needs
-determine appropriate resources needed
⩥ The information received in the prearrival phase is crucial because
(2):
Answer: -allows nurse to adequately prepare environment
-meet specialized needs of pt/family
⩥ When should the arrival quick check assessment be obtained?
Answer: -immediately upon arrival to the unit
⩥ What assessment acronym is used in the arrival quick check
assessment?
Answer: _"ABCDE"
⩥ Define what the letters in the assessment acronym, "ABCDE"
represent.
Answer: A = Airway
B = Breathing
C = Circulation, Cerebral Perfusion and Chief Complaint
, D = Drugs and Diagnostic tests
E = Equipment
⩥ The FOCUS of the quick check assessment is a quick overview of the:
Answer: -adequacy of ventilation and perfusion
-to ensure early intervention for life threatening
situations
-(obtaining a quick overview of the key life-sustaining
systems)
⩥ Why is the arrival quick check is ESSENTIAL because:
Answer: -validates that basic cardiac and respiratory function is
sufficient
⩥ When is a comprehensive assessment done?
Answer: As soon as possible
⩥ The timing of the comprehensive assessment is dictated by:
Answer: -degree of physiologic stability
-emergent treatment needs