Nurs 133 exam 1 Questions and
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What does the term "assessment" mean in terms of the nursing process?
✓ A systematic method of collecting and analyzing data for the purpose of planning
patient-centered care
Data collected during a health assessment is compared to ideal state of health based on.....
✓ age
✓ gender
✓ culture
✓ ethnicity
✓ physical status
✓ psychological status
✓ socioeconomic status
What is one approach developed by the
ANA to develop a plan of care?
✓ ANA standards of practice
What does ADPIE stand for in the nursing process?
✓ A - Assessment
✓ D - Diagnosis
✓ P - Planning
✓ I - Implementation
✓ E - Evaluation
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Assessment? (standards of practice)
✓ Collecting pertinent data and info relative to patient's health/situation
Diagnosis? (standards of practice)
✓ Analyzing assessment data to determines actual or potential diagnosis, problems, or
issues
Planning? (standards of practice)
✓ RN develops a plan that prescribes strategies to attain expected/measurable outcomes
Implementation? (standards of practice)
✓ Identified plan is implemented
Evaluation? (standards of practice)
✓ reassess or evaluate to ensure the desired outcome has been met
What are the components of a health assessment?
✓ Health History, Physical Examination, Documentation of Data
What does the info collected during a health history & the extent of examination depend on?
✓ The setting, situation, patient needs, and nurse experience
Health history?
✓ consists of data collected during an interview which includes information obtained by the
health history assessment about the patient's history relevent to the patient's visit
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What are components of a health history?
✓ biographic data, reason for seeking care, history of present illness, present health status,
current medication, past health history as well as surgeries, family history, personal and
psychosocial history, review of systems
What is biographic data?
✓ name, gender, address, telephone, email, birth date, birthplace, race/ethnicity, religion,
marital status, occupation, contact person, source of data
Can biographic data change?
✓ Yes, it remains updated as data changes and with patient visits
Signs versus symptoms?
✓ Signs are objective evidence observed, felt, heard, or measured; such as any result from
clinical tests
✓ Symptoms are subjective pieces of data taken from the patient; such as pain
What does subjective data mean?
✓ Subjective data is the primary source of data because it comes from the patient
What is secondary source data?
✓ Data given by another individual such as a family member/ guardian
Signs are objective or subjective data?
✓ objective data
What is clinical manifestation?
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✓ Describes the presenting of signs and symptoms experienceed by the patient
How many steps are in the nursing process?
✓ 6
ANA stands for?
✓ American Nurses Association
Is patient history subjective or objective data?
✓ Subjective
Is examination data from the patient assessment subjective or objective?
✓ objective
Data = ____________ and _____________
✓ signs and symptoms
Every interaction is part of the ________________ _______________
✓ nursing process
What are the types of assessments?
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