1. What is an assessment? -A data collection process
-A continuous process
-A method to establish a baseline
2. What is primary subjective data? Give an Client reports feelings/thoughts
example. Ex. "I have a headache"
3. What is secondary subjective data? Give an Anyone, other than the client, reports feel-
example. ings/thoughts.
Ex. Spouse states, "She complained of pain
in her abdomen this morning."
4. What is primary objective data? Give an ex- Nurse reports seeing, feeling, smelling, or
ample. hearing. (DO NOT taste).
Ex. "I can see redness and swelling of her
right lower extremity."
5. What is secondary objective data? Give an Anyone, other than the nurse, reports see-
example. ing, feeling, smelling, or hearing. (DO NOT
taste).
Ex. AP states, "Her urine smells odorous."
6. What is a comprehensive assessment? Consists of a complete nursing history and
physical examination.
7. What is a focused assessment? Based around the patients immediate
problems.
8. What is the nursing process? Assessment
Diagnosis
Planning
Implementation
, NUR 216 - EXAM 1 (Modules 1-3) Test Questions and Answers Rated A
Evaluation
(ADPIE)
9. What is the "A" in the nursing process? Assessment - gather information and re-
view the patients history
10. What is the "D" in the nursing process? Diagnose - identify problem list
11. What is the "P" in the nursing process? Plan - develop SMART goals, desired out-
comes, and action plans
12. What is the "I" in the nursing process? Implementation - perform nursing actions
13. What is the "E" in the nursing process? Evaluate - were desired outcomes and
goals achieved?
14. List 5 'Communication' skills nurses must -Eye Contact
implement at all times. -Eye Level
-Personal Space
-Active Listening
-LISTEN to them!!!
15. List 4 'Cognitive' skills you must implement -Critical Thinking Skills
in the assessment process. -Inductive & Deductive Reasoning Skills
-Clinical Decision Making Skills
-Problem Solving Skills
16. What are 'Psychomotor' skills? Skills needed to perform the 4 techniques
of physical assessment.
17. What are 'Interpersonal/Affective' skills? Attective skills needed to develop caring,
therapeutic nurse-patient relationships.
18. List 4 'Ethical' skills.