Patient centered care exam 3 with
verified answers graded A+ updated
What is the first thing you do when you walk into a patients room? - correct answer ✔✔first
inspect the situation (general survey) and then assess, diagnosis, plan, implement, and evaluate
general survey - correct answer ✔✔summary of the impression of the client's overall health.
The nurse gathers this information from the FIRST encounter with the client and continues to
make observations throughout the assessment process
* the moment you walk in to begin your assessment, you begin with general survey
What is the hardest position to breath in? Why? - correct answer ✔✔lying down is the hardest
position to breath in because the lungs are working against gravity
What is the easiest position to breath in? - correct answer ✔✔Tripoding
tripoding - correct answer ✔✔term that describes when a patient sits or stands leaning forward
and supporting the upper body with hands on the knees or on another surface
What patients will you often find in the tripoding position? - correct answer ✔✔COPD patients
are in this position a lot (emphysema, asthma)
*patients in respiratory distress
Patient A is lying down and is having trouble breathing. Patient B is in the tripoding position and
is having trouble breathing. Which patient are you more concerned about? - correct answer
✔✔Patient B
-It is more critical if they are tripoding and short of breath *this is the easiest position for the
lungs to breath/expand so if they still cant breath its an issue
, Which of these 3 are accompanied by an elevated temperature: Bronchitis, pneumonia, asthma
- correct answer ✔✔Bronchitis and pneumonia have elevated temperature, where asthma does
not.
When assessing a patient be sure to assess.... - correct answer ✔✔Assess environment and
situation, physical and developmental, intellectual, spiritual, social, and emotional
data clusters - correct answer ✔✔*a set of signs or symptoms gathered during assessment that
you group together in a logical way.
-when three or more database elements occur together (cluster) in a significant way
When completing a nursing diagnosis... - correct answer ✔✔Safety first, then activity, and
finally pysco/social
Medical diagnosis: Bowl Obstruction
What would be some nursing diagnosis's? - correct answer ✔✔Acute pain, risk for infection,
impaired nutrition related to nausea and vomiting
Medical diagnosis: Anxiety and depression
What would be some nursing diagnosis's - correct answer ✔✔Risk for suicide, imbalanced
nutrition, self care deficit
Medical diagnosis: Pneumonia
What would be some nursing diagnosis's? - correct answer ✔✔Impaired gas exchange, activity
intolerance, impaired nutrition
Medical diagnosis: schizophrenia
verified answers graded A+ updated
What is the first thing you do when you walk into a patients room? - correct answer ✔✔first
inspect the situation (general survey) and then assess, diagnosis, plan, implement, and evaluate
general survey - correct answer ✔✔summary of the impression of the client's overall health.
The nurse gathers this information from the FIRST encounter with the client and continues to
make observations throughout the assessment process
* the moment you walk in to begin your assessment, you begin with general survey
What is the hardest position to breath in? Why? - correct answer ✔✔lying down is the hardest
position to breath in because the lungs are working against gravity
What is the easiest position to breath in? - correct answer ✔✔Tripoding
tripoding - correct answer ✔✔term that describes when a patient sits or stands leaning forward
and supporting the upper body with hands on the knees or on another surface
What patients will you often find in the tripoding position? - correct answer ✔✔COPD patients
are in this position a lot (emphysema, asthma)
*patients in respiratory distress
Patient A is lying down and is having trouble breathing. Patient B is in the tripoding position and
is having trouble breathing. Which patient are you more concerned about? - correct answer
✔✔Patient B
-It is more critical if they are tripoding and short of breath *this is the easiest position for the
lungs to breath/expand so if they still cant breath its an issue
, Which of these 3 are accompanied by an elevated temperature: Bronchitis, pneumonia, asthma
- correct answer ✔✔Bronchitis and pneumonia have elevated temperature, where asthma does
not.
When assessing a patient be sure to assess.... - correct answer ✔✔Assess environment and
situation, physical and developmental, intellectual, spiritual, social, and emotional
data clusters - correct answer ✔✔*a set of signs or symptoms gathered during assessment that
you group together in a logical way.
-when three or more database elements occur together (cluster) in a significant way
When completing a nursing diagnosis... - correct answer ✔✔Safety first, then activity, and
finally pysco/social
Medical diagnosis: Bowl Obstruction
What would be some nursing diagnosis's? - correct answer ✔✔Acute pain, risk for infection,
impaired nutrition related to nausea and vomiting
Medical diagnosis: Anxiety and depression
What would be some nursing diagnosis's - correct answer ✔✔Risk for suicide, imbalanced
nutrition, self care deficit
Medical diagnosis: Pneumonia
What would be some nursing diagnosis's? - correct answer ✔✔Impaired gas exchange, activity
intolerance, impaired nutrition
Medical diagnosis: schizophrenia
