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Nursing 108 midterm with complete solutions graded A+ passed

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Nursing 108 midterm with complete
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what are the 2 types of community health nurses - correct answer ✔✔1) public health nurse

2) home health nurse/clinic nurse



what do public health nurses do? - correct answer ✔✔promote/protect the health of a specific
population or the community as a whole



what do home health/clinic nurses do? - correct answer ✔✔focus on prevention, health
restoration, health maintenance and palliative care



what kind of patients did community health nurses first begin to work with? - correct answer
✔✔-TB patients in 1905

-later began to work with children to promote hygiene and nutrition



what is the British North American Act? (1867) - correct answer ✔✔stated that the federal gov't
funds quarantine and marine hospitals but the provinces are in charge of everything else.
Organized health care was provided at the local level through public welfare and charities.



what is the Medical Care Insurance Act? (1968) - correct answer ✔✔universal insurance for
hospital and medical services



what is critical thinking? - correct answer ✔✔ability to focus purposeful thinking to get required
results in specific situations.

,why is critical thinking important to nursing? - correct answer ✔✔it produces a positive
patient/family outcome, helps with patient safety and patient/family satisfaction



name some things that foster critical thinking - correct answer ✔✔empathy, courage, humility,
curiosity etc.



what are the 7 critical thinking skills? - correct answer ✔✔1) use of precise language

2) perceiving; recognizing differences

3) believing and knowing; don't jump to conclusions

4) clarifying; ask questions

5) comparing; notice similarities and differences

6) judging and evaluating; providing evidence

7) reasoning; distinguish b/w relevant vs irrelevant info



what are the 5 ways of acquiring nursing knowledge? - correct answer ✔✔tradition, authority,
trial and error, personal experience, and role modelling



what is the nursing problem solving process? - correct answer ✔✔a systemic, problem solving
approach to identify, prevent and treat actual or potential health problems and promote
wellness. It's a 'thinking and doing' approach= a way of organizing your thoughts, then creating
an action for it.



what are some benefits of the nursing problem solving process? - correct answer ✔✔promotes
collaboration, is efficient, increases client participation, promotes individualized care, promotes
continuing care and increases job satisfaction



what are the 5 steps of the nursing problem solving process cycle? - correct answer ✔✔1)
assessment

2) nursing diagnosis

,3) planning of care

4) implementation of care

5) evaluation



what is nursing assessment? - correct answer ✔✔-the first phase of the cycle, it's the process of
collecting data where the focus is on the client, family or community health status.

-can be subjective or objective data, primary or secondary sources, comprehensive vs focus
assessment



what is subjective data? provide an example. - correct answer ✔✔what the PATIENT/family tells
you; including their thought, beliefs, feelings and perceptions of health

ex:patient states they are in pain



what is objective data? provide an example. - correct answer ✔✔what YOU observe or the
information gathered based on your assessment.

ex: you find the BP to be 120/80



what is primary source? - correct answer ✔✔information by the patient, can be subjective or
objective...can be their BP you read or them telling you they hurt



what is secondary source? - correct answer ✔✔all other sources of information...can include
other doctors, reading charts etc.



what is comprehensive assessment? - correct answer ✔✔a way of assessing and gathering ALL
data. Have to keep an open mind to avoid pre-diagnosing



what is focused assessment? - correct answer ✔✔a way of gathering and assessing SPECIFIC
data. ex: if a patient claims they hurt their elbow, focus the assessment around their elbow.

, what are the 3 methods of assessment? - correct answer ✔✔1) interview=planned/structured
communication

2) observation='how do they look?' 'what are they doing?'

3) physical examination=comprehensive 'head to toe' vs focused on particular body part.



what is the acronym used for documentation? - correct answer ✔✔SOAP

subjective data, objective data, assessment, plan



what is the importance of a nursing diagnosis? - correct answer ✔✔it offers individualized care,
describes an independent area of nursing practice, promotes communication within teams and
it helps to determine assessment and evaluation parameters.

-it also focuses on the client's needs for nursing care rather than just medical care



what is a nursing diagnosis problem? - correct answer ✔✔a statement of an actual or potential
health problem that nurses can identify and prescribe primary intervention for. It includes
inference, problem solving and clinical decision making.



define health - correct answer ✔✔it has many different definitions but in a nursing view it
means quality of life and well being. It's a state of complete physical, mental and social well
being and not just the absence of disease.



define discourse - correct answer ✔✔a patterned system of conversations (texts, dialogue,
messages) that can be identified in communication and located in social structures. It plays a
role in determining what is valued in society and it receives attention and resources



what are the 3 discourses on health? - correct answer ✔✔medical model, systems view, and
social determinants



what is the medical model of health? - correct answer ✔✔it is the absence of disease

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