NURS 503 Exam 1 complete Latest
Actual set with Questions and
correct/verified Answers
Explain EBP - ANSWER-Evidence Based Practice
The "practice of nursing in which the; nurse makes clinical decisions on the basis of the available, current
research evidence, their own clinical expertise, and the needs and preferences of the patient".
Evidence-Based Nursing Practice is more likely to result in desired patient outcomes regardless of
settings and geographical locations.
What are the 5 steps of EBP - ANSWER-1. Ask
2. Acquire
3. Appraise
4. Apply
5. Audit
What is a health assessment? - ANSWER-Systematic appraisal of factors that are relevant to patient's
health.
Provides foundation for quality nursing care and interventions.
Collection of data about a patient's health state
Why is conducting a health assessment important - ANSWER-For accurate diagnosis and treatment.
Helps identify the strength of the patients (our clients) in functional care.
Identify patient's need.
Evaluate patient's response to treatment(s).
Patient's entire plan of care is based on data collected by nurses
Tell me the two major categories of data collected in a health assessment. - ANSWER-Subjective data and
Objective data
Explain subjective data - ANSWER-Information from the patient's point of view ("symptoms"), including
feelings, perceptions, and concerns obtained through interviews.
What is patient states:
Direct responses from patient or representative.
Contains:
- Biographical data
- Source of history
- Reason for Seeking
- Care / Chief
- complaint
- History or present illness
- Past medical history
- Medication Reconciliation
- Family History
- Review of Systems (ROS)
- Functional Assessment of Activities of Daily Living (ADL)
- Any question, asked of the patient
,Explain Objective data - ANSWER-Observable and measurable data ("signs") obtained through
observation, physical examination, and laboratory and diagnostic testing.
What are the variables that would effect how much information you ask of the patient? - ANSWER-
Depending on:
- Client's need
- Type of healthcare setting
- Nurses role in the setting
What are the two data sources for pt information - ANSWER-Primary and Secondary
Who is the primary source of data? - ANSWER-The pt. themselves. if the pt is under 18, the parent is also
included here.
Who would be included in the secondary source of data? - ANSWER-Family members, friends, other
health care providers, and medical records
Explain the priority levels in nursing care. - ANSWER-- First-Level Priority Problems: Emergent, life
threatening, and immediate, such as establishing an airway or supporting breathing.
- Second-Level Priority Problems: Urgency (requiring your prompt intervention to prevent complication),
such as mental status change, acute pain, acute urinary elimination problems, untreated medical
problems, abnormal laboratory values, risks of infection, or risk to safety or security.
- Third-level priority problems are those that are important to the patient's health but can be attended
to after more urgent health problems are addressed. Interventions to treat these problems are long
term, and the response to treatment is expected to take more time. These problems may require a
collaborative effort between the patient and health care professionals.
What are some elements of Health Assessment - ANSWER-Observation
Interview
Review of Health History
Physical Examination
Laboratory and Diagnostic Data
Symptoms Analysis
What questions would you use to ascertain a patient's perception of health? - ANSWER-How do you
define health?
How do you view your situation now?
What are your concerns?
What do you think will happen in the future?
What are your health goals?
What do you expect from us as nurses, physicians, or other health care providers?
What are the guidelines to cultural care? - ANSWER-R = Realize that you must know and understand your
heritage and that of your patient.
E = Examine the patient within the context of his/her cultural health and illness practices.
S = Select questions that are not complex.
P = Pace questions throughout the assessment.
E = Encourage patient to discuss the meanings of health and illness with you.
C = Check for patient's understanding/acceptance of recommendations.
T = Touch patient within cultural boundaries of their heritage.
What is acculturation? - ANSWER-the blending of two or more cultures
What is assimilation? - ANSWER-process of becoming part of another culture
What is biculturalism? - ANSWER-dual pattern of identification and often of divided loyalty
What are ADLs? - ANSWER-activities of daily living including Bathing, Dressing, Toileting, Eating, Walking
What are IADLs? - ANSWER-Instrumental activities of daily living include meal preparation,
housekeeping, financial management, and transportation.
, What is the CNL role in Health Assessments? - ANSWER-- Other health leaders (collaborators) to target
high-risk conditions specific to specific communities.
- To coordinate, delegate, and supervise the care provided by healthcare team
- Begin process of risk reduction by referring to "Guide to Clinical Preventative Services" and Healthy
People 2030
What are some CNL roles - ANSWER-The Clinical Nurse Leaders (CNLs) are:
- Clinicians
- Educators
- Systems analysts / Risk Anticipators
- Collaborators
- Protectors of patient's autonomy
- Information, Team, & Outcome managers
- Client advocate
Systems analyst / risk anticipator
- Lifelong learner
- Protect Patient's Autonomy
- Ensure patients/families have information and understanding to facilitate informed decisions
- Evaluate the treatment plan with consideration of cultural background
- Facilitate communication between interprofessional team and patient/family
What are the phases of an interview? - ANSWER-First Phase: Introducing the interview
Second Phase: The working phase Longest Data-gathering
Third Phase: Closing of interview
What happens during the working phase of an interview? - ANSWER-Subjective data collected during the
working phase include:
- Biographical data
Reasons for seeking care: Chief concern: CC
- History of present health concern: HPI
- Health History: Personal & Past
- Family history
Lifestyle and health practices and developmental level (pediatrics)
- Review of body systems for current health problems
What happens when you want to close the interview? - ANSWER-Summarize the information obtained
during the working phase.
Validate problems and goals with the patient.
Identify & discuss possible plans to resolve the patient's presented medical concerns.
An abrupt or awkward closing can leave negative feelings and impede trust.
To ease into closing you may ask if there are anything else the patient would like for you to do.
Leave them in a comfortable state.
What would be included in biophysical data? - ANSWER-Name (USE PATIENT'S INITIALS ONLY)
Age
DOB (ONLY FOR CORRELATIONW/ AGE; DO NOT RECORD)
Address & Phone Numbers (DO NOT RECORD)
Birthplace (RECORD COUNTRY ONLY - NOT STATE, CITY, OR TOWN)
Gender Identification
Marital Status
Race
Actual set with Questions and
correct/verified Answers
Explain EBP - ANSWER-Evidence Based Practice
The "practice of nursing in which the; nurse makes clinical decisions on the basis of the available, current
research evidence, their own clinical expertise, and the needs and preferences of the patient".
Evidence-Based Nursing Practice is more likely to result in desired patient outcomes regardless of
settings and geographical locations.
What are the 5 steps of EBP - ANSWER-1. Ask
2. Acquire
3. Appraise
4. Apply
5. Audit
What is a health assessment? - ANSWER-Systematic appraisal of factors that are relevant to patient's
health.
Provides foundation for quality nursing care and interventions.
Collection of data about a patient's health state
Why is conducting a health assessment important - ANSWER-For accurate diagnosis and treatment.
Helps identify the strength of the patients (our clients) in functional care.
Identify patient's need.
Evaluate patient's response to treatment(s).
Patient's entire plan of care is based on data collected by nurses
Tell me the two major categories of data collected in a health assessment. - ANSWER-Subjective data and
Objective data
Explain subjective data - ANSWER-Information from the patient's point of view ("symptoms"), including
feelings, perceptions, and concerns obtained through interviews.
What is patient states:
Direct responses from patient or representative.
Contains:
- Biographical data
- Source of history
- Reason for Seeking
- Care / Chief
- complaint
- History or present illness
- Past medical history
- Medication Reconciliation
- Family History
- Review of Systems (ROS)
- Functional Assessment of Activities of Daily Living (ADL)
- Any question, asked of the patient
,Explain Objective data - ANSWER-Observable and measurable data ("signs") obtained through
observation, physical examination, and laboratory and diagnostic testing.
What are the variables that would effect how much information you ask of the patient? - ANSWER-
Depending on:
- Client's need
- Type of healthcare setting
- Nurses role in the setting
What are the two data sources for pt information - ANSWER-Primary and Secondary
Who is the primary source of data? - ANSWER-The pt. themselves. if the pt is under 18, the parent is also
included here.
Who would be included in the secondary source of data? - ANSWER-Family members, friends, other
health care providers, and medical records
Explain the priority levels in nursing care. - ANSWER-- First-Level Priority Problems: Emergent, life
threatening, and immediate, such as establishing an airway or supporting breathing.
- Second-Level Priority Problems: Urgency (requiring your prompt intervention to prevent complication),
such as mental status change, acute pain, acute urinary elimination problems, untreated medical
problems, abnormal laboratory values, risks of infection, or risk to safety or security.
- Third-level priority problems are those that are important to the patient's health but can be attended
to after more urgent health problems are addressed. Interventions to treat these problems are long
term, and the response to treatment is expected to take more time. These problems may require a
collaborative effort between the patient and health care professionals.
What are some elements of Health Assessment - ANSWER-Observation
Interview
Review of Health History
Physical Examination
Laboratory and Diagnostic Data
Symptoms Analysis
What questions would you use to ascertain a patient's perception of health? - ANSWER-How do you
define health?
How do you view your situation now?
What are your concerns?
What do you think will happen in the future?
What are your health goals?
What do you expect from us as nurses, physicians, or other health care providers?
What are the guidelines to cultural care? - ANSWER-R = Realize that you must know and understand your
heritage and that of your patient.
E = Examine the patient within the context of his/her cultural health and illness practices.
S = Select questions that are not complex.
P = Pace questions throughout the assessment.
E = Encourage patient to discuss the meanings of health and illness with you.
C = Check for patient's understanding/acceptance of recommendations.
T = Touch patient within cultural boundaries of their heritage.
What is acculturation? - ANSWER-the blending of two or more cultures
What is assimilation? - ANSWER-process of becoming part of another culture
What is biculturalism? - ANSWER-dual pattern of identification and often of divided loyalty
What are ADLs? - ANSWER-activities of daily living including Bathing, Dressing, Toileting, Eating, Walking
What are IADLs? - ANSWER-Instrumental activities of daily living include meal preparation,
housekeeping, financial management, and transportation.
, What is the CNL role in Health Assessments? - ANSWER-- Other health leaders (collaborators) to target
high-risk conditions specific to specific communities.
- To coordinate, delegate, and supervise the care provided by healthcare team
- Begin process of risk reduction by referring to "Guide to Clinical Preventative Services" and Healthy
People 2030
What are some CNL roles - ANSWER-The Clinical Nurse Leaders (CNLs) are:
- Clinicians
- Educators
- Systems analysts / Risk Anticipators
- Collaborators
- Protectors of patient's autonomy
- Information, Team, & Outcome managers
- Client advocate
Systems analyst / risk anticipator
- Lifelong learner
- Protect Patient's Autonomy
- Ensure patients/families have information and understanding to facilitate informed decisions
- Evaluate the treatment plan with consideration of cultural background
- Facilitate communication between interprofessional team and patient/family
What are the phases of an interview? - ANSWER-First Phase: Introducing the interview
Second Phase: The working phase Longest Data-gathering
Third Phase: Closing of interview
What happens during the working phase of an interview? - ANSWER-Subjective data collected during the
working phase include:
- Biographical data
Reasons for seeking care: Chief concern: CC
- History of present health concern: HPI
- Health History: Personal & Past
- Family history
Lifestyle and health practices and developmental level (pediatrics)
- Review of body systems for current health problems
What happens when you want to close the interview? - ANSWER-Summarize the information obtained
during the working phase.
Validate problems and goals with the patient.
Identify & discuss possible plans to resolve the patient's presented medical concerns.
An abrupt or awkward closing can leave negative feelings and impede trust.
To ease into closing you may ask if there are anything else the patient would like for you to do.
Leave them in a comfortable state.
What would be included in biophysical data? - ANSWER-Name (USE PATIENT'S INITIALS ONLY)
Age
DOB (ONLY FOR CORRELATIONW/ AGE; DO NOT RECORD)
Address & Phone Numbers (DO NOT RECORD)
Birthplace (RECORD COUNTRY ONLY - NOT STATE, CITY, OR TOWN)
Gender Identification
Marital Status
Race
