NUR 216 - EXAM 1
What is an assessment? Correct answers -A data collection
process
-A continuous
process
-A method to establish a
baseline
What is primary subjective data? Give an example. Correct answers
Client reports
feelings/
thoughts
Ex. "I have a
headache"
What is secondary subjective data? Give an example. Correct answers
Anyone,
than the other
client, reports
feelings/thoughts.
Ex. Spouse states, "She complained of pain in her abdomen this
morning."
What is primary objective data? Give an example. Correct answers
Nurse reports
seeing, feeling, smelling, or hearing. (DO NOT
taste).
Ex. "I can see redness and swelling of her right lower
extremity."
What is secondary objective data? Give an example. Correct answers
Anyone,
than the other
nurse, reports seeing, feeling, smelling, or hearing. (DO
NOTAP
Ex. taste).
states, "Her urine smells
odorous."
What is a comprehensive assessment? Correct answers Consists of a
complete
history nursing
and physical
examination.
What is a focused assessment? Correct answers Based around the patients
problem
immediate
s.
What is the nursing process? Correct answers
Assessment
Diagnosi
s
Plannin
g
Implementati
on
Evaluatio
(ADPIE)
n
What is the "A" in the nursing process? Correct answers Assessment
- gather
information and review the patients
history
What is the "D" in the nursing process? Correct answers Diagnose - identify
problem list
What is the "P" in the nursing process? Correct answers Plan - develop
SMART goals,
desired outcomes, and action
plans
, What is the "I" in the nursing process? Correct answers Implementation
- perform
nursing
actions
What is the "E" in the nursing process? Correct answers Evaluate -
were desired
outcomes and goals
achieved?
List 5 'Communication' skills nurses must implement at all times. Correct
answers -Eye
Contac
t-Eye
Level
-Personal
Space
-Active
Listening
-LISTEN to
them!!!
List 4 'Cognitive' skills you must implement in the assessment process.
Correct answers
-Critical Thinking
Skills
-Inductive & Deductive Reasoning
Skills
-Clinical Decision Making
Skills
-Problem Solving
Skills
What are 'Psychomotor' skills? Correct answers Skills needed to
perform theof
techniques 4 physical
assessment.
What are 'Interpersonal/Affective' skills? Correct answers Affective skills
needed to
develop caring, therapeutic nurse-patient
relationships.
List 4 'Ethical' skills. Correct answers -Responsible & accountable
for practice
-Patient
advocate
-Respect patients'
rights
-Assure
confidentiality
What are the 2 types of interviews? Correct answers Directive or
Non-directive
What is an open ended question? Give an example. Correct answers A
question more
requires that than a "yes" or "no"
answer.
Ex. "What does the pain in your foot feel
like?"
What is a close ended question? Give an example. Correct answers A
question athat
requires "yes" or "no"
Ex. "Do you have a
answer.
headache?"
What is the 'Introductory Phase' of the interview process? Correct answers
-Introduce
sel
f-Put patient at
ease
-Explain purpose of
interview
-Explain time
frame
What is an assessment? Correct answers -A data collection
process
-A continuous
process
-A method to establish a
baseline
What is primary subjective data? Give an example. Correct answers
Client reports
feelings/
thoughts
Ex. "I have a
headache"
What is secondary subjective data? Give an example. Correct answers
Anyone,
than the other
client, reports
feelings/thoughts.
Ex. Spouse states, "She complained of pain in her abdomen this
morning."
What is primary objective data? Give an example. Correct answers
Nurse reports
seeing, feeling, smelling, or hearing. (DO NOT
taste).
Ex. "I can see redness and swelling of her right lower
extremity."
What is secondary objective data? Give an example. Correct answers
Anyone,
than the other
nurse, reports seeing, feeling, smelling, or hearing. (DO
NOTAP
Ex. taste).
states, "Her urine smells
odorous."
What is a comprehensive assessment? Correct answers Consists of a
complete
history nursing
and physical
examination.
What is a focused assessment? Correct answers Based around the patients
problem
immediate
s.
What is the nursing process? Correct answers
Assessment
Diagnosi
s
Plannin
g
Implementati
on
Evaluatio
(ADPIE)
n
What is the "A" in the nursing process? Correct answers Assessment
- gather
information and review the patients
history
What is the "D" in the nursing process? Correct answers Diagnose - identify
problem list
What is the "P" in the nursing process? Correct answers Plan - develop
SMART goals,
desired outcomes, and action
plans
, What is the "I" in the nursing process? Correct answers Implementation
- perform
nursing
actions
What is the "E" in the nursing process? Correct answers Evaluate -
were desired
outcomes and goals
achieved?
List 5 'Communication' skills nurses must implement at all times. Correct
answers -Eye
Contac
t-Eye
Level
-Personal
Space
-Active
Listening
-LISTEN to
them!!!
List 4 'Cognitive' skills you must implement in the assessment process.
Correct answers
-Critical Thinking
Skills
-Inductive & Deductive Reasoning
Skills
-Clinical Decision Making
Skills
-Problem Solving
Skills
What are 'Psychomotor' skills? Correct answers Skills needed to
perform theof
techniques 4 physical
assessment.
What are 'Interpersonal/Affective' skills? Correct answers Affective skills
needed to
develop caring, therapeutic nurse-patient
relationships.
List 4 'Ethical' skills. Correct answers -Responsible & accountable
for practice
-Patient
advocate
-Respect patients'
rights
-Assure
confidentiality
What are the 2 types of interviews? Correct answers Directive or
Non-directive
What is an open ended question? Give an example. Correct answers A
question more
requires that than a "yes" or "no"
answer.
Ex. "What does the pain in your foot feel
like?"
What is a close ended question? Give an example. Correct answers A
question athat
requires "yes" or "no"
Ex. "Do you have a
answer.
headache?"
What is the 'Introductory Phase' of the interview process? Correct answers
-Introduce
sel
f-Put patient at
ease
-Explain purpose of
interview
-Explain time
frame
