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NDSU Nursing 251 Exam 1 Questions With
Correct Answers
Assessment - answer✔-Systemic collection and verification of data
-Gives the nurse necessary information about risk factors so care can be individualized
-data is analyzed to develop a nursing diagnosis
- data must be documented in a retrievable form
Purpose of Assessment - answer✔to establish baseline data about the client
Assessment Components - answer✔Observation
Interview
Examination
Medical records
(OIEM)
4 Steps in an Interview - answer✔1. Pre-interaction phase- look at chart, talk to previous nurse
2. Orientation phase- develop trust, get to know the patient
3. Working phase- working with the patient to improve health, discuss interventions, make
goals
4. Termination phase- end the relationship, introduce them to the next nurse
Maslow's Hierarchy of Needs - answer✔physiological needs
safety/security
love/belonging
self-esteem
self-actualization
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11/16/2024 10:16 AM
Subjective Data - answer✔Symptoms or overt cues that include the patient's feelings,
perceptions, concerns and statements about his/her health problems
-supplied by the patient
-not always feasible to validate or confirm through other sources
-Data obtained through the interview and is best recorded as quotes
Objective Data - answer✔signs that are observable and measurable that are obtained through
both standard assessment techniques and diagnostic tests
Sources of Data - answer✔-client
-family and significant others
-medical redords
-health care team members
-literature review
-nurse's experience
-other records
Health History - answer✔-Biological
-Expectations
-Family History
-Past medical history
-Present medical history
-Environmental
-Spiritual
-Review of systems (ROS)
-Psychological
-Reasons for seeking care
Concept Care Map - answer✔diagram of patient problems and nursing strategies to eliminate
those problems
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