NURS 230 EXAM 1 with verified answers
graded A+ updated
AIDET - correct answer ✔✔acknowledge (show enthusiasm, make eye contact, smile, 10/5 rule)
introduce (job title, certification, years of experience, number of procedures)
duration (how long you will be there, if any delays will occur)
explanation (explain what and why, what to expect, what the next steps are)
thank you (thank them for their time)
AIDET - correct answer ✔✔known for "studor group" work
includes 5 fundamentals of communication/service
evidence/based tool
shown to reduce patient anxiety
initial introduction assessment - correct answer ✔✔Check Patient Identification
AIDET, Patient Privacy, Hand Hygiene
General Survey
Pain (obtain pain rating - follow up with COLDSPA)
COLDSPA - correct answer ✔✔C: Character (what does your pain feel like)
O: Onset (when did it start)
L: Location (where? does it radiate or spread?)
D: Duration (how long has it lasted? does it recur)
S: Severity (on a scale of 0-10)
P: Pattern (continuous or intermittent)
,A: Associated Factors (what makes it better? worse? what were you doing)
General Health Survey - correct answer ✔✔Observe:
skin color
dress
hygiene
posture and gait
physical development
body build
apparent age
gender
level of consciousness
facial expressions
speech
vital signs - correct answer ✔✔the hands-on examination begins with vital signs
provide data that reflect overall status of body systems
- cardiovascular
-neurological
-peripheral vascular (pulses)
-respiratory
-pain
Health Assessment- Subjective - correct answer ✔✔general survey question - check armband
history of health concerns
personal - medications
, family history
lifestyle and health practices
Health Assessment - Objective - correct answer ✔✔preparing client
equipment : stethoscope, thermometer, disposable cover, pulse ox, second hand watch
Order of Vital Signs - correct answer ✔✔temperature
pulse
respirations
blood pressure
pain
Temperature - correct answer ✔✔balances heat production from metabolism, exercise, food
digestion, external factors
can occur with her loss from radiation; evaporation of sweat; convection; conduction
Temperature Variations - correct answer ✔✔diurnal cycle
ovulation/menstruation
strenuous exercise
age
stress
exposure to heat or cold
illness
Tympanic Temperature - correct answer ✔✔98.0-100.9 degrees
graded A+ updated
AIDET - correct answer ✔✔acknowledge (show enthusiasm, make eye contact, smile, 10/5 rule)
introduce (job title, certification, years of experience, number of procedures)
duration (how long you will be there, if any delays will occur)
explanation (explain what and why, what to expect, what the next steps are)
thank you (thank them for their time)
AIDET - correct answer ✔✔known for "studor group" work
includes 5 fundamentals of communication/service
evidence/based tool
shown to reduce patient anxiety
initial introduction assessment - correct answer ✔✔Check Patient Identification
AIDET, Patient Privacy, Hand Hygiene
General Survey
Pain (obtain pain rating - follow up with COLDSPA)
COLDSPA - correct answer ✔✔C: Character (what does your pain feel like)
O: Onset (when did it start)
L: Location (where? does it radiate or spread?)
D: Duration (how long has it lasted? does it recur)
S: Severity (on a scale of 0-10)
P: Pattern (continuous or intermittent)
,A: Associated Factors (what makes it better? worse? what were you doing)
General Health Survey - correct answer ✔✔Observe:
skin color
dress
hygiene
posture and gait
physical development
body build
apparent age
gender
level of consciousness
facial expressions
speech
vital signs - correct answer ✔✔the hands-on examination begins with vital signs
provide data that reflect overall status of body systems
- cardiovascular
-neurological
-peripheral vascular (pulses)
-respiratory
-pain
Health Assessment- Subjective - correct answer ✔✔general survey question - check armband
history of health concerns
personal - medications
, family history
lifestyle and health practices
Health Assessment - Objective - correct answer ✔✔preparing client
equipment : stethoscope, thermometer, disposable cover, pulse ox, second hand watch
Order of Vital Signs - correct answer ✔✔temperature
pulse
respirations
blood pressure
pain
Temperature - correct answer ✔✔balances heat production from metabolism, exercise, food
digestion, external factors
can occur with her loss from radiation; evaporation of sweat; convection; conduction
Temperature Variations - correct answer ✔✔diurnal cycle
ovulation/menstruation
strenuous exercise
age
stress
exposure to heat or cold
illness
Tympanic Temperature - correct answer ✔✔98.0-100.9 degrees
