NSG 316 Exam 1 Guide Questions
Correct Answers New Update
When does the general survey begin? - Answer- ✔✔The moment you first encounter
the person
What does the general survey focus on/ consider? - Answer- ✔✔physical appearance,
body structure, mobility, behavior
PBMB
is PBMB subjective or objective? why? - Answer- ✔✔Objective, because you are
observing them and they are not verbally telling you.
What do you look for in physical appearance? - Answer- ✔✔age- appears to be stated
age
sex- appropriate developmental stage for age
LOC- alert/ orients & responds to Questions
Skin color- appropriate for genetic background
facial features- symmetric
no signs of acute distress
What do you look for in Body Structure? - Answer- ✔✔-stature- height in normal rage for
age and heritage
-nutrition- even body weight distribution
-symmetry- body is bilateral
-posture- stands comfortably and appropriate for age
-position- sits comfortable in chair
-body build/ contour: arms span equals height
-Obvious deformities- congenital or squired defects
What to look for in Mobility? - Answer- ✔✔- gait
-foot placement- agitate, smooth walking, well balanced
-no involuntary movements
What to look for in behavior? - Answer- ✔✔-facial expression- and sign of pain /
distress, expressions are appropriate tot he situation
-mood & affect- comfortable and cooperative with examiner
-speech- even tased, clear, articulate, communicates in the same language as the
interviewee's
- dress- appropriate for climate, clean
-perosnal hygiene- well groomed and clean
,What is subjective data? - Answer- ✔✔Data that only the subject or "patient" can feel
and will tell you. during taking of history
IS subjective data signs or symptoms? - Answer- ✔✔symptoms
What is objective data? - Answer- ✔✔What you observe and can measure when
inspecting, percussing, palpating, and ausculating during the physical
Is objective data the signs or symptoms? - Answer- ✔✔signs
What is a data base? - Answer- ✔✔subjective + objective + patient records + lab
studies
What is the Complete total health database - Answer- ✔✔complete health history + full
physical exam
current + past health state for a base line
What is the Episodic or problem centered database - Answer- ✔✔"mini" database
one body system/ one probable/ one cue complex
hx and exam followed after
for short term/ limited problems
What is a follow-up database? - Answer- ✔✔"after the fact"
status of the problem being evaluated at a regular or appropriate time
is problem getting better or worse
id coping strategies
What is Emergency database? - Answer- ✔✔Fast collection of data
usually only for lifesaving measures
rapid and comprehensive
- what did you take? How long ago? Who much?
Nursing process - Answer- ✔✔assessment, diagnosis, outcome identification, planning,
implementation, evaluation
Assessment: - Answer- ✔✔review of record, interview, health hx, physical exam,
functional exam, cultural/ spiritual exam, consultation, review of literature
Diagnosis - Answer- ✔✔interpreting data, comparing clusters of cue to make inference,
validation on inference, identify related factors, document the diagnisis
Outcome identification? - Answer- ✔✔identifying the expected out acmes of the patent
(individualized)
ensuring realistic and measurable outcomes/goals
, short term and long term goal criteria
Planning - Answer- ✔✔establish goal based on patient care goal
identify relevant intervention
document the plan of care
Implementation - Answer- ✔✔determine patient readiness in health care process
review intervention in a collaborative effort
use delegation, mindfulness, supervision, and evaluation
counsel person
refer for contenting care
document the care that was provided
Evaluation - Answer- ✔✔evaluate individuals condition and compare with expected
outcoems
summarize
identify reasons for failure to achieve outcomes
document evaluation in plan of care
What is first level priority? - Answer- ✔✔Emergent, life threatening, and immediate
what is second level priority? - Answer- ✔✔Next in urgency, requiring attention so as to
avoid further deterioration
What is third level priority? - Answer- ✔✔Important to patient's health but can be
addressed after more urgent problems are addressed
evidence-based practice - Answer- ✔✔clinical decision making that integrates the best
available research with clinical expertise and patient characteristics and preferences
Why do you use age specific patient chats? - Answer- ✔✔- focus on major risk factors
for that age group based on lifestyle, health needs, and problems
- positive approach to health aassessment
What does HIPPA stand for and what did it implement? - Answer- ✔✔HEALTH
INSURANCE PORTABILITY AND ACCOUNTABILITY ACT
implemented patient confidentiality in written, verbal, or electronic communication
What type of informaition is protected under HIPPA? - Answer- ✔✔- any information
that can be linked back tit he patient
name, geographic, DOB, addmission, discharge, phone #'s. email, social, medical
history, ID #, DL #, any age over 89, full face photo, Health plan beneficiary number
Cultural sensitivity goals - Answer- ✔✔caregiver possesses basic knowledge and
understanding
Correct Answers New Update
When does the general survey begin? - Answer- ✔✔The moment you first encounter
the person
What does the general survey focus on/ consider? - Answer- ✔✔physical appearance,
body structure, mobility, behavior
PBMB
is PBMB subjective or objective? why? - Answer- ✔✔Objective, because you are
observing them and they are not verbally telling you.
What do you look for in physical appearance? - Answer- ✔✔age- appears to be stated
age
sex- appropriate developmental stage for age
LOC- alert/ orients & responds to Questions
Skin color- appropriate for genetic background
facial features- symmetric
no signs of acute distress
What do you look for in Body Structure? - Answer- ✔✔-stature- height in normal rage for
age and heritage
-nutrition- even body weight distribution
-symmetry- body is bilateral
-posture- stands comfortably and appropriate for age
-position- sits comfortable in chair
-body build/ contour: arms span equals height
-Obvious deformities- congenital or squired defects
What to look for in Mobility? - Answer- ✔✔- gait
-foot placement- agitate, smooth walking, well balanced
-no involuntary movements
What to look for in behavior? - Answer- ✔✔-facial expression- and sign of pain /
distress, expressions are appropriate tot he situation
-mood & affect- comfortable and cooperative with examiner
-speech- even tased, clear, articulate, communicates in the same language as the
interviewee's
- dress- appropriate for climate, clean
-perosnal hygiene- well groomed and clean
,What is subjective data? - Answer- ✔✔Data that only the subject or "patient" can feel
and will tell you. during taking of history
IS subjective data signs or symptoms? - Answer- ✔✔symptoms
What is objective data? - Answer- ✔✔What you observe and can measure when
inspecting, percussing, palpating, and ausculating during the physical
Is objective data the signs or symptoms? - Answer- ✔✔signs
What is a data base? - Answer- ✔✔subjective + objective + patient records + lab
studies
What is the Complete total health database - Answer- ✔✔complete health history + full
physical exam
current + past health state for a base line
What is the Episodic or problem centered database - Answer- ✔✔"mini" database
one body system/ one probable/ one cue complex
hx and exam followed after
for short term/ limited problems
What is a follow-up database? - Answer- ✔✔"after the fact"
status of the problem being evaluated at a regular or appropriate time
is problem getting better or worse
id coping strategies
What is Emergency database? - Answer- ✔✔Fast collection of data
usually only for lifesaving measures
rapid and comprehensive
- what did you take? How long ago? Who much?
Nursing process - Answer- ✔✔assessment, diagnosis, outcome identification, planning,
implementation, evaluation
Assessment: - Answer- ✔✔review of record, interview, health hx, physical exam,
functional exam, cultural/ spiritual exam, consultation, review of literature
Diagnosis - Answer- ✔✔interpreting data, comparing clusters of cue to make inference,
validation on inference, identify related factors, document the diagnisis
Outcome identification? - Answer- ✔✔identifying the expected out acmes of the patent
(individualized)
ensuring realistic and measurable outcomes/goals
, short term and long term goal criteria
Planning - Answer- ✔✔establish goal based on patient care goal
identify relevant intervention
document the plan of care
Implementation - Answer- ✔✔determine patient readiness in health care process
review intervention in a collaborative effort
use delegation, mindfulness, supervision, and evaluation
counsel person
refer for contenting care
document the care that was provided
Evaluation - Answer- ✔✔evaluate individuals condition and compare with expected
outcoems
summarize
identify reasons for failure to achieve outcomes
document evaluation in plan of care
What is first level priority? - Answer- ✔✔Emergent, life threatening, and immediate
what is second level priority? - Answer- ✔✔Next in urgency, requiring attention so as to
avoid further deterioration
What is third level priority? - Answer- ✔✔Important to patient's health but can be
addressed after more urgent problems are addressed
evidence-based practice - Answer- ✔✔clinical decision making that integrates the best
available research with clinical expertise and patient characteristics and preferences
Why do you use age specific patient chats? - Answer- ✔✔- focus on major risk factors
for that age group based on lifestyle, health needs, and problems
- positive approach to health aassessment
What does HIPPA stand for and what did it implement? - Answer- ✔✔HEALTH
INSURANCE PORTABILITY AND ACCOUNTABILITY ACT
implemented patient confidentiality in written, verbal, or electronic communication
What type of informaition is protected under HIPPA? - Answer- ✔✔- any information
that can be linked back tit he patient
name, geographic, DOB, addmission, discharge, phone #'s. email, social, medical
history, ID #, DL #, any age over 89, full face photo, Health plan beneficiary number
Cultural sensitivity goals - Answer- ✔✔caregiver possesses basic knowledge and
understanding
