Final Exam for NSG 333 LATEST UPDATE WITH SOLUTIONS

Final Exam for NSG 333 LATEST UPDATE
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WITH SOLUTIONS |\




Components of a health assessment |\ |\ |\ |\




1. Health history
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2. Performing a physical examination
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3. Document Data
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4. Analyze and interpret data
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5. Develop plan of care
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Signs
objective data observed, felt, heard, or measured. i.e. rash,
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enlarged lymph nodes, and swelling of an extremity
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Symptoms
subjective data perceived and reported by the patient. I.e. pain,
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itching, nausea
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Standards of Nursing Practice ADOPIE
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1) Assessment: RN collects pertinent data and information
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relative to the situation
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,2) Diagnosis: RN analyzes the assessment data to determine
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actual or potential diagnoses, problems, or issues
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3) Outcome identification: RN identifies expected outcomes for
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for plan
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4) Planning: RN develops a plan that describes strategies to
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attain expected, measurable outcomes
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5) Implementation: RN implements plan
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6) Evaluation: RN evaluates progress toward attainment of goals
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and outcomes|\




1) Comprehensive assessment:
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2) Problem-based/focused assessment:
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3) Episodic/follow-up assessment:
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4) Shift assessment:
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5) Screening assessment/ examination:
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1) detailed history and physical examination performed at the
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onset of care on; admission to care facility
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2) limited to a specific problem or complaint; ER/ urgent care
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3) following up with a health care provider for a previously
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identified problem; Primary care |\ |\ |\

,4) when individuals are hospitalized, identify changes to baseline;
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Hospital
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5) short examination focused on disease detection; Clinic/ Health
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fair




How Nurses make judgments
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Noticing, interpreting, Responding, Reflecting
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Health promotion |\




behavior motivated by the desire to increase wellbeing and
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actualize human health potential |\ |\ |\




Health protection |\




behavior motivated by the desire to actively avoid illness, detect
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it early, or maintain functioning within its constraints
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Levels of Health promotion
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1) Primary: Protection to prevent (immunization, exercise,
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pollution control) |\




2) Secondary: Early detection of disease (Screening,
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mammogram)
3) Tertiary: minimize severity and disability (Rehab)
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, Phases of an interview:
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1) Introduction
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2) Discussion
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3) Summary
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1) Greeting, introducing self; establishing purpose; describing the
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purpose and process of interview
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2) Patient-centered discussion; various communication skills and
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techniques to collect data |\ |\ |\




3) Summarize data; Allow patient to clarify data; Create a shared
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understanding of the problems; plan for next steps
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Techniques that enhance the interview
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1) Active listening
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2) Facilitation
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3) Clarification: to obtain more information from vague statement
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4) Reflection: restating phrase of patient in form of question
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5) Confrontation
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6) Interpretation
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7) Summarization
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Behaviors that interfere with interview
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