____________ nursing practice considers a client, the family
and the community. Correct Answer Holistic
_____________ contains highly concrete specific concepts and
propositions Correct Answer theory
-pnea Correct Answer breathing
(MDS) minimum data set Correct Answer for resident
assessment. must be completed within 4 days of admission and
updated every 3 months.
10 components of nursing history Correct Answer
biographical data, chief complaint, history of present illness,
client perception of health status, past health history, social
history, medications, complementary alternatives modalities,
review of body systems.
3 levels of communication Correct Answer intrapersonal:
internal dialogue
interpersonal: two or more individuals
group: several people
4 parts of the NANDA-I nursing diagnosis Correct Answer 1.
Diagnostic label- symbolizes a pattern of assoc cues
2. definition- distinguishes the label from similar nursing DX
3. defining characteristics- recognize indications when
organized into groups
,4. related or risk factors- description clinical cues, conditions,
assoc with the problem.
5 factors that affect body temp Correct Answer developmental
level, circadian rhythm, environmental temps, gender, emotions,
stress, stimulation of the sympathetic nervous system, increased
production of epinepherine/norepinepherine.
5 key characteristics of therapeutic relationships Correct
Answer Empathy,Respect, genuineness, concreteness,
confrontation.
5 skills/attitudes that reflect critical thinking Correct Answer
objectively gather info on a problem or issue
recognizing need for more info
recognizing gaps in one's own knowledge
listen carefully, reading thoughtfully
separating important/ unimportant data
organizing or grouping info in meaningful ways
5 types of nursing diagnosis Correct Answer 1. actual nursing
diagnosis
2. risk (potential) nursing diagnosis
3. possible nursing diagnosis
4. syndrome nursing diagnosis
5. wellness nursing diagnosis
6 ethical principles Correct Answer autonomy-an individuals
right to choose
nonmaleficence-is the duty to do no harm
beneficence-the duty to do no harm
,fidelity-the obligation to keep promises made
veracity-the duty to tell the truth
justice-is fairness and equal treatment
A collaborative problem is a ______________________
problem Correct Answer potential
A defendant claiming the right not to incriminate himself under
the 5th amendment Correct Answer constitutional, statutory,
case law
A fentanyl analgesic patch must be changed every _____ hours.
Correct Answer 72
A medical assessment focuses on Correct Answer disease and
pathology
A medical diagnosis describes a _______________, illness, or
injury Correct Answer disease
A nurse having her License revoked by the state board of
nursing is Correct Answer administrative law
a nursing assessment is Correct Answer holistic and focuses
on client responses to disease, pathology and other stressors
A quality of 1+ is Correct Answer very weak pulse,
2+-4+ indicate progressively stronger pulse
A set of interrelated concepts is a Correct Answer model
, Abdominal Exam Correct Answer I-Inspection
A-Auscultation
P-percussion
P-palpation
abnormal assessment finding related to the external eye Correct
Answer crusting, swelling, pterygium, ectropion, entropion,
ptosis
abstract reasoning Correct Answer is the ability to think an
adaptable flexible manner, using generalizations and
abstractions.
according to statistics, males compose what % Correct Answer
5-6%
According to the ANA, nursing is the diagnosis and treatment
of: Correct Answer human responses to actual and potential
health problems
Acute Correct Answer short duration gradually resolves as the
injured tissue heals
adult normal range Pulse Correct Answer 60-100 Bpm
after completing data collection process of clients health history
interview, nurse should take 1st Correct Answer summarize
the highlights of the interview and permit the client to add or
clarify information