NRSG 2220 Exam 1 questions with |\ |\ |\ |\ |\ |\
answers
Assessment is a ___ and ___ collection, analysis, validation, and |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
communication of patient data. |\ |\ |\
systematic, continuous |\
The database enables the nurse to partner with patients to
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
develop and comprehensive and effective ___ __.
|\ |\ |\ |\ |\ |\
care plan |\
___ can be integrated in an assessment and it is important as a
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
nurse to detect it and determine if the source is credible or not.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
(Example - elderly female patient gave me wrong date of birth
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
than the date of birth said on electronic record, medications were
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
not given bc of that, ended up finding out that handwriting was
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
sloppy and desk receptionist entered it into computer wrong,
|\ |\ |\ |\ |\ |\ |\ |\ |\
despite her age she was correct)
|\ |\ |\ |\ |\
Bias
,T or F: A nursing assessment should be purposeful, prioritized,
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
complete, systematic, factual, accurate, relevant, and recorded in
|\ |\ |\ |\ |\ |\ |\
a standard manner.
|\ |\ |\
true
The ___ assessment is performed shortly after the patient is
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
admitted to a health care facility or service. The purpose of this
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
assessment is to establish a complete database for problem |\ |\ |\ |\ |\ |\ |\ |\ |\
identification and care planning. |\ |\ |\
initial
In a ___ assessment, the nurse gathers data about a specific
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
problem that has already been identified. It may be done during
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
the initial assessment if the patient's health problems surface,
|\ |\ |\ |\ |\ |\ |\ |\ |\
but it is routinely part of ongoing data collection. Another
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
purpose is to identify new or overlooked problems. |\ |\ |\ |\ |\ |\ |\
focused
___ ___ assessments are short, focused, prioritized assessments
|\ |\ |\ |\ |\ |\ |\ |\
you do to gain the most important information you need to have
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
first. They are important because they can "flag" existing
|\ |\ |\ |\ |\ |\ |\ |\ |\
problems and risks. |\ |\
Quick priority |\
,When a patient presents with a physiologic or psychological
|\ |\ |\ |\ |\ |\ |\ |\ |\
crisis, the nurse performs an ___ assessment to identify life-
|\ |\ |\ |\ |\ |\ |\ |\ |\
threatening problems. Candidates for such assessments include a
|\ |\ |\ |\ |\ |\ |\
long-term care facility resident who begins choking in the dining
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
room, a bleeding patient brought to the emergency department
|\ |\ |\ |\ |\ |\ |\ |\ |\
with a stab wound, an unresponsive patient in the rehabilitation
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
unit, and a factory worker threatening violence.
|\ |\ |\ |\ |\ |\
emergency
The ___-___ assessment is scheduled to compare a patient's
|\ |\ |\ |\ |\ |\ |\ |\ |\
current status to the baseline data obtained earlier. The purpose
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
is to reassess the health status of the patient and make any
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
necessary revisions in the care plan. This assessment can be
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
comprehensive or focused. |\ |\
time-lapsed
The primary source of information is the ___.
|\ |\ |\ |\ |\ |\ |\
patient
observable and measurable data that can be seen, heard, or felt
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
by someone other than the person experiencing them
|\ |\ |\ |\ |\ |\ |\
objective data |\
, examples of objective data |\ |\ |\
elevated temperature, skin moisture, vomiting
|\ |\ |\ |\
information perceived only by the affected person |\ |\ |\ |\ |\ |\
subjective data |\
examples of subjective data |\ |\ |\
pain experience, feeling dizzy, feeling anxious
|\ |\ |\ |\ |\
What are some other sources of data besides the patient when
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
completing an assessment? |\ |\
family, significant others, patient record, medical history, physical
|\ |\ |\ |\ |\ |\ |\
examination, progress notes, consultations, reports of laboratory
|\ |\ |\ |\ |\ |\ |\ |\
and other diagnostic studies, reports of therapies by other health
|\ |\ |\ |\ |\ |\ |\ |\ |\
care professionals, nursing and other health care literature
|\ |\ |\ |\ |\ |\ |\ |\
T or F: Sources of data can be anywhere that you think you can
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
get it. |\
true
answers
Assessment is a ___ and ___ collection, analysis, validation, and |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
communication of patient data. |\ |\ |\
systematic, continuous |\
The database enables the nurse to partner with patients to
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
develop and comprehensive and effective ___ __.
|\ |\ |\ |\ |\ |\
care plan |\
___ can be integrated in an assessment and it is important as a
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
nurse to detect it and determine if the source is credible or not.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
(Example - elderly female patient gave me wrong date of birth
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
than the date of birth said on electronic record, medications were
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
not given bc of that, ended up finding out that handwriting was
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
sloppy and desk receptionist entered it into computer wrong,
|\ |\ |\ |\ |\ |\ |\ |\ |\
despite her age she was correct)
|\ |\ |\ |\ |\
Bias
,T or F: A nursing assessment should be purposeful, prioritized,
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
complete, systematic, factual, accurate, relevant, and recorded in
|\ |\ |\ |\ |\ |\ |\
a standard manner.
|\ |\ |\
true
The ___ assessment is performed shortly after the patient is
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
admitted to a health care facility or service. The purpose of this
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
assessment is to establish a complete database for problem |\ |\ |\ |\ |\ |\ |\ |\ |\
identification and care planning. |\ |\ |\
initial
In a ___ assessment, the nurse gathers data about a specific
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
problem that has already been identified. It may be done during
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
the initial assessment if the patient's health problems surface,
|\ |\ |\ |\ |\ |\ |\ |\ |\
but it is routinely part of ongoing data collection. Another
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
purpose is to identify new or overlooked problems. |\ |\ |\ |\ |\ |\ |\
focused
___ ___ assessments are short, focused, prioritized assessments
|\ |\ |\ |\ |\ |\ |\ |\
you do to gain the most important information you need to have
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
first. They are important because they can "flag" existing
|\ |\ |\ |\ |\ |\ |\ |\ |\
problems and risks. |\ |\
Quick priority |\
,When a patient presents with a physiologic or psychological
|\ |\ |\ |\ |\ |\ |\ |\ |\
crisis, the nurse performs an ___ assessment to identify life-
|\ |\ |\ |\ |\ |\ |\ |\ |\
threatening problems. Candidates for such assessments include a
|\ |\ |\ |\ |\ |\ |\
long-term care facility resident who begins choking in the dining
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
room, a bleeding patient brought to the emergency department
|\ |\ |\ |\ |\ |\ |\ |\ |\
with a stab wound, an unresponsive patient in the rehabilitation
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
unit, and a factory worker threatening violence.
|\ |\ |\ |\ |\ |\
emergency
The ___-___ assessment is scheduled to compare a patient's
|\ |\ |\ |\ |\ |\ |\ |\ |\
current status to the baseline data obtained earlier. The purpose
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
is to reassess the health status of the patient and make any
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
necessary revisions in the care plan. This assessment can be
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
comprehensive or focused. |\ |\
time-lapsed
The primary source of information is the ___.
|\ |\ |\ |\ |\ |\ |\
patient
observable and measurable data that can be seen, heard, or felt
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
by someone other than the person experiencing them
|\ |\ |\ |\ |\ |\ |\
objective data |\
, examples of objective data |\ |\ |\
elevated temperature, skin moisture, vomiting
|\ |\ |\ |\
information perceived only by the affected person |\ |\ |\ |\ |\ |\
subjective data |\
examples of subjective data |\ |\ |\
pain experience, feeling dizzy, feeling anxious
|\ |\ |\ |\ |\
What are some other sources of data besides the patient when
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
completing an assessment? |\ |\
family, significant others, patient record, medical history, physical
|\ |\ |\ |\ |\ |\ |\
examination, progress notes, consultations, reports of laboratory
|\ |\ |\ |\ |\ |\ |\ |\
and other diagnostic studies, reports of therapies by other health
|\ |\ |\ |\ |\ |\ |\ |\ |\
care professionals, nursing and other health care literature
|\ |\ |\ |\ |\ |\ |\ |\
T or F: Sources of data can be anywhere that you think you can
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
get it. |\
true
