Nursing Concepts Exam 2 study guide
Questions and Actual Answers Graded A+.
initial assessment - Answer the assessment done shortly after a patient is admitted to a
healthcare facility/service?
history or physical exam - Answer example of an initial assessment?
focused assessment - Answer assessment where the nurse gathers data about a specific
problem that has already been identified?
what is wrong right at the moment. - Answer example of a focused assessment?
emergency assessment - Answer assessment where a patient presents with a physiologic or
psychologic crisis. the nurse performs this to identify life threatening problems?
gunshot, unresponsive, choking - Answer example of an emergency assessment?
time lapsed assessment - Answer assessment that is scheduled to compare a patients current
status to the baseline data obtained earlier?
Most patients in residential settings and those receiving nursing care over longer periods of
time, such as homebound patients with visiting nurses - Answer example of a time lapsed
assessment?
smoking - Answer example of assessment of community and special populations?
1. preparing for data collection
2. collect data
3. identifying cues and making inferences
4. validating data
5. clustering related data and identifying patterns
6. reporting and recording data - Answer list the 6 components to the assessment process:
,-when there is a change in the patient
-and before and after a procedure - Answer when and how often should a nurse assess their
patient?
subjective data, from patient or family - Answer explain what the method of collecting data:
listening looks like:
using 5 senses to get data - Answer explain what the method of collecting data: observing
looks like:
get overall health history, ask everything - Answer explain what the method of collecting data:
interviewing looks like:
physical exam, objective data - Answer explain what the method of collecting data: examining
looks like:
1. identify cues
2. make inferences about cues
3. validate cues and inferences - Answer what are 3 steps to data validation?
the purpose of validating is to keep data as free from error, bias, and misinterpretation as
possible - Answer why is validation important?
subjective data - Answer information perceived only by the affected person?
-pain experience
-feeling dizzy
-feeling anxious
-tummy hurting - Answer give 4 ex of subjective data you may obtain from a patient:
objective data - Answer observable and measurable data that can be seen, heard, or told by
someone other than the person experiencing them?
, -seen, hear, felt - Answer give 4 examples of objective data that you might obtain from a
patient:
1. high anxiety
2. pain
3. language difficulty
4. previous negative experience with nurses/health care delivery system
5. unrealistic expectations of health care professionals - Answer name 5 variables that can
negatively influence a health history interview:
1. specific objective- (greeting before doing anything)
2. comfortable environment
3. give the patient privacy and confidentiality versus focusing on the task solely - Answer what
are 3 things you can do as a nurse to establish rapport with your patients?
1. listen actively
2. be patient if person has memory block
3. avoid the impulse to interrupt
4. pause in conversation - Answer describe 4 ways to listen well to your patient during an
interview:
1. ask about main problems first
2. focus questions to gain specification info about s/s
3. dont use leading questions like "you dont smoke do you?"
4. do not use exploratory statement "tell more about sleep patterns"
5. use communication technique that enhance ability to think critically - Answer list 5 ways to
ask questions to your patient during an interview:
1. relating a list of suspected problems/diagnoses
2. ruling out similar problems/diagnoses
3. naming actual and potential problems/diagnoses and clarifying what's causing/contributing
to them
4. retraining risk factors that must be managed
Questions and Actual Answers Graded A+.
initial assessment - Answer the assessment done shortly after a patient is admitted to a
healthcare facility/service?
history or physical exam - Answer example of an initial assessment?
focused assessment - Answer assessment where the nurse gathers data about a specific
problem that has already been identified?
what is wrong right at the moment. - Answer example of a focused assessment?
emergency assessment - Answer assessment where a patient presents with a physiologic or
psychologic crisis. the nurse performs this to identify life threatening problems?
gunshot, unresponsive, choking - Answer example of an emergency assessment?
time lapsed assessment - Answer assessment that is scheduled to compare a patients current
status to the baseline data obtained earlier?
Most patients in residential settings and those receiving nursing care over longer periods of
time, such as homebound patients with visiting nurses - Answer example of a time lapsed
assessment?
smoking - Answer example of assessment of community and special populations?
1. preparing for data collection
2. collect data
3. identifying cues and making inferences
4. validating data
5. clustering related data and identifying patterns
6. reporting and recording data - Answer list the 6 components to the assessment process:
,-when there is a change in the patient
-and before and after a procedure - Answer when and how often should a nurse assess their
patient?
subjective data, from patient or family - Answer explain what the method of collecting data:
listening looks like:
using 5 senses to get data - Answer explain what the method of collecting data: observing
looks like:
get overall health history, ask everything - Answer explain what the method of collecting data:
interviewing looks like:
physical exam, objective data - Answer explain what the method of collecting data: examining
looks like:
1. identify cues
2. make inferences about cues
3. validate cues and inferences - Answer what are 3 steps to data validation?
the purpose of validating is to keep data as free from error, bias, and misinterpretation as
possible - Answer why is validation important?
subjective data - Answer information perceived only by the affected person?
-pain experience
-feeling dizzy
-feeling anxious
-tummy hurting - Answer give 4 ex of subjective data you may obtain from a patient:
objective data - Answer observable and measurable data that can be seen, heard, or told by
someone other than the person experiencing them?
, -seen, hear, felt - Answer give 4 examples of objective data that you might obtain from a
patient:
1. high anxiety
2. pain
3. language difficulty
4. previous negative experience with nurses/health care delivery system
5. unrealistic expectations of health care professionals - Answer name 5 variables that can
negatively influence a health history interview:
1. specific objective- (greeting before doing anything)
2. comfortable environment
3. give the patient privacy and confidentiality versus focusing on the task solely - Answer what
are 3 things you can do as a nurse to establish rapport with your patients?
1. listen actively
2. be patient if person has memory block
3. avoid the impulse to interrupt
4. pause in conversation - Answer describe 4 ways to listen well to your patient during an
interview:
1. ask about main problems first
2. focus questions to gain specification info about s/s
3. dont use leading questions like "you dont smoke do you?"
4. do not use exploratory statement "tell more about sleep patterns"
5. use communication technique that enhance ability to think critically - Answer list 5 ways to
ask questions to your patient during an interview:
1. relating a list of suspected problems/diagnoses
2. ruling out similar problems/diagnoses
3. naming actual and potential problems/diagnoses and clarifying what's causing/contributing
to them
4. retraining risk factors that must be managed
