HEALTH ASSESSMENT (NUR 104) FINAL EXAM questions with answers

HEALTH ASSESSMENT (NUR 104) FINAL |\ |\ |\ |\ |\




EXAM questions with answers |\ |\ |\




Holistic Care - CORRECT ANSWERS ✔✔health care that takes into
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account the whole person interacting in the environment
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Steps of the Nursing Process - CORRECT ANSWERS ✔✔1.
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Assessment
2. Diagnosis
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3. Planning
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4. Implementation
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5. Evaluation
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Types of Assessments - CORRECT ANSWERS ✔✔o Initial
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Comprehensive
o Ongoing or Partial
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o Emergency
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Preparing for Assessment - CORRECT ANSWERS ✔✔o Review
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client's record (learn basic info.)
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o Review client's status with other health care team members
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o Reflect on own personal biases
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o Educate about client's diagnosis and tests performed
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,Steps in Data Analysis - CORRECT ANSWERS ✔✔1. Identify
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abnormalities
2. Cluster data
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3. Draw inferences
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4. Propose nursing diagnoses
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5. Check defining characteristics
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6. Confirm or rule out diagnoses
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7. Document
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Data Clustering - CORRECT ANSWERS ✔✔occurs when related
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cues are grouped together, also assists in identification of
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nursing diagnosis |\




The nurse is completing an admission database entry and must
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include priority nursing diagnoses for the plan of care. Which
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statement describes a nursing diagnosis? |\ |\ |\ |\




a. The collection of subjective and objective data
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b. A clinical judgment about client responses to health difficulties
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- CORRECT ANSWERS ✔✔b; A clinical judgment about client
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responses to health difficulties |\ |\ |\




A nurse is caring for three clients whose care involves complex
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situations and multiple responsibilities. What is the key to
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resolving problems for this nurse? - CORRECT ANSWERS
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✔✔Critical Thinking |\

, After a health assessment the nurse determines that a client
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would benefit from health promotion interventions. Which item
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should the nurse refer to when determining the best actions for
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the client?|\




a. Healthy People 2020
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b. the client's past medical history - CORRECT ANSWERS ✔✔a;
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Healthy People 2020 |\ |\




Phases of an Interview - CORRECT ANSWERS ✔✔o Preparatory
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o introductory
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o working
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o termination
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Working Phase - CORRECT ANSWERS ✔✔The nurse then listens,
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observes cues, and uses critical thinking skills to interpret and
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validate information received from the client. The nurse and
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client collaborate to identify the client's problems and goals.
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Types of Nonverbal Communication - CORRECT ANSWERS ✔✔o
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Appearance
o Demeanor
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o Facial Expression
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o Attitude
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o Silence
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o Listening
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