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Types of Assessment - correct answer ✔✔comprehensive, episodic or problem-focused,
emergency
comprehensive assessment - correct answer ✔✔(initial) results in baseline data for problem
identification and care planning, time consuming, complete, all aspects of preventive
health/physical disease
episodic/problem-focused assessment - correct answer ✔✔based on the patient's health
issues, involves one or two body systems. smaller scope, but more in depth
What is the nursing process? - correct answer ✔✔systematic problem-solving approach to
identifying and treating human responses to actual or potential health difficulties. patient
centered and focuses on problem solving and inhaling strengths. uses ADPIE
emergency assessment - correct answer ✔✔involves life threatening or unstable situation,
traumatic injury, uses ABCDE
ADPIE - correct answer ✔✔assessment of patient, nursing diagnosis, planning care,
implementing and then evaluating patients status
ABCDE - correct answer ✔✔airway, breathing, circulation, disability, and exposure
implementation - correct answer ✔✔collaboration with other team members, involvement of
patient and family, actually doing the phase
, evaluation - correct answer ✔✔how effective is nursing care and each phases affects the other
nursing diagnosis vs medical diagnosis - correct answer ✔✔medical focuses on diagnosis and
treatment of disease whereas nursing focuses on the human response to actual or potential
health problems
assessment - correct answer ✔✔establish baseline, review history, physical assessment
diagnosis - correct answer ✔✔clustering of data to make a judgement or statement about the
patient's difficulties or condition
Nanda diagnosis for nursing - correct answer ✔✔a clinical judgement about individual, family,
or community responses to actual or potential health difficulties/life processes. Provides the
basis for selection of nursing interventions to achieve outcomes for which the nurse is
accountable
Normal range of blood pressure - correct answer ✔✔120/80
normal range of pulse - correct answer ✔✔60-100 bpm
scale of pulse strength - correct answer ✔✔0-4+
scale of 0 pulse - correct answer ✔✔non palpable or absent
1+ of pulse - correct answer ✔✔weak, diminished, and barely palpable
2+ of pulse - correct answer ✔✔normal, expected