NUR 207 Exam 1 with verified |! |! |! |! |! |!
detailed solutions |!
Steps of nursing process (ATI) - Correct answer ✔Assessment
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Diagnosis
Outcome identification |!
Planning
Implementation
Evaluation
subjective data - Correct answer ✔Subjective data; what the person says
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EX →" i feel pain in my leg"
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objective data - Correct answer ✔obtained through physical exam through
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palpation, inspection, auscultation etc. |! |! |!
Vital signs, weight, height
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EX →"Your blood pressure is 120/80, this is a good indication of good health"
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objective data is collected - Correct answer ✔COLLECTING DATA FROM
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THE INITIAL MEETING
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verbal communication - Correct answer ✔the words spoken, vocalized, and
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tone of voice (consciously controlled)
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,nonverbal communication - Correct answer ✔things that are not said or
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expressed in a different way (less consciously controlled)
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Body language, posture, gestures, facial expression, eye contact, foot tapping,
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touch, and where you sit |! |! |! |!
best approach to interviewing patients - Correct answer ✔open ended
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questions
ex of open ended questions - Correct answer ✔"what happens when you take
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this medication"
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closed or direct questions - Correct answer ✔"yes" or "no" answer. Sometimes
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a one worded answer.
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ex of closed question - Correct answer ✔"when is your birthday"
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patient led verbal responses - Correct answer ✔Facilitation
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Silence
Empathy
Clarification
Facilitation - Correct answer ✔"Would you tell me more about your
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symptoms?"
,Silence - Correct answer ✔not saying anything; silence can give a lot of
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information
Reflection - Correct answer ✔"Did I hear correctly that you have two boys
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and one girl?"
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Empathy - Correct answer ✔"I know this must be a difficult time for you"
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clarification - Correct answer ✔"What do you mean when you say you feel
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weird?"
Nurse led verbal responses - Correct answer ✔Confrontation
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Interpretation
Explanation
Summary
Confrontation - Correct answer ✔"It is preferable that you stay seated during |! |! |! |! |! |! |! |! |! |! |! |!
this part of the assessment."
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Interpretation - Correct answer ✔"So, I am hearing that most of your meals |! |! |! |! |! |! |! |! |! |! |! |! |!
come from fast-food restaurants."
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10 interview traps - Correct answer ✔Providing false assurance or
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reassurance
Giving unwanted advice|! |!
, Using authority |!
Using avoidance language
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Distancing
Using professional jargon
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Using leading or biased questions
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Talking too much |! |!
Interrupting
Using why questions
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1st level priority - Correct answer ✔life threat/ emergency
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Problems with airway, breathing, circulation (ABC)
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2nd level priority - Correct answer ✔need prompt intervention to further
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deterioration
Mental status changes, acute pain, infection risks, abnormal lab values, and
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elimination problems |!
3rd level priority - Correct answer ✔important but can be attended to later
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(usually takes more time for these) Lack of knowledge, mobility problems,
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and family coping
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ADLs - Correct answer ✔Activities of Daily Living
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ADLS include - Correct answer ✔Bathing
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detailed solutions |!
Steps of nursing process (ATI) - Correct answer ✔Assessment
|! |! |! |! |! |! |! |!
Diagnosis
Outcome identification |!
Planning
Implementation
Evaluation
subjective data - Correct answer ✔Subjective data; what the person says
|! |! |! |! |! |! |! |! |! |!
EX →" i feel pain in my leg"
|! |! |! |! |! |! |!
objective data - Correct answer ✔obtained through physical exam through
|! |! |! |! |! |! |! |! |! |!
palpation, inspection, auscultation etc. |! |! |!
Vital signs, weight, height
|! |! |!
EX →"Your blood pressure is 120/80, this is a good indication of good health"
|! |! |! |! |! |! |! |! |! |! |! |! |!
objective data is collected - Correct answer ✔COLLECTING DATA FROM
|! |! |! |! |! |! |! |! |! |!
THE INITIAL MEETING
|! |!
verbal communication - Correct answer ✔the words spoken, vocalized, and
|! |! |! |! |! |! |! |! |! |!
tone of voice (consciously controlled)
|! |! |! |!
,nonverbal communication - Correct answer ✔things that are not said or
|! |! |! |! |! |! |! |! |! |! |!
expressed in a different way (less consciously controlled)
|! |! |! |! |! |! |!
Body language, posture, gestures, facial expression, eye contact, foot tapping,
|! |! |! |! |! |! |! |! |! |!
touch, and where you sit |! |! |! |!
best approach to interviewing patients - Correct answer ✔open ended
|! |! |! |! |! |! |! |! |! |!
questions
ex of open ended questions - Correct answer ✔"what happens when you take
|! |! |! |! |! |! |! |! |! |! |! |! |!
this medication"
|!
closed or direct questions - Correct answer ✔"yes" or "no" answer. Sometimes
|! |! |! |! |! |! |! |! |! |! |! |!
a one worded answer.
|! |! |!
ex of closed question - Correct answer ✔"when is your birthday"
|! |! |! |! |! |! |! |! |! |!
patient led verbal responses - Correct answer ✔Facilitation
|! |! |! |! |! |! |! |!
Silence
Empathy
Clarification
Facilitation - Correct answer ✔"Would you tell me more about your
|! |! |! |! |! |! |! |! |! |! |!
symptoms?"
,Silence - Correct answer ✔not saying anything; silence can give a lot of
|! |! |! |! |! |! |! |! |! |! |! |! |!
information
Reflection - Correct answer ✔"Did I hear correctly that you have two boys
|! |! |! |! |! |! |! |! |! |! |! |! |!
and one girl?"
|! |!
Empathy - Correct answer ✔"I know this must be a difficult time for you"
|! |! |! |! |! |! |! |! |! |! |! |! |!
clarification - Correct answer ✔"What do you mean when you say you feel
|! |! |! |! |! |! |! |! |! |! |! |! |!
weird?"
Nurse led verbal responses - Correct answer ✔Confrontation
|! |! |! |! |! |! |!
Interpretation
Explanation
Summary
Confrontation - Correct answer ✔"It is preferable that you stay seated during |! |! |! |! |! |! |! |! |! |! |! |!
this part of the assessment."
|! |! |! |!
Interpretation - Correct answer ✔"So, I am hearing that most of your meals |! |! |! |! |! |! |! |! |! |! |! |! |!
come from fast-food restaurants."
|! |! |!
10 interview traps - Correct answer ✔Providing false assurance or
|! |! |! |! |! |! |! |! |! |!
reassurance
Giving unwanted advice|! |!
, Using authority |!
Using avoidance language
|! |!
Distancing
Using professional jargon
|! |!
Using leading or biased questions
|! |! |! |!
Talking too much |! |!
Interrupting
Using why questions
|! |!
1st level priority - Correct answer ✔life threat/ emergency
|! |! |! |! |! |! |! |!
Problems with airway, breathing, circulation (ABC)
|! |! |! |! |!
2nd level priority - Correct answer ✔need prompt intervention to further
|! |! |! |! |! |! |! |! |! |! |!
deterioration
Mental status changes, acute pain, infection risks, abnormal lab values, and
|! |! |! |! |! |! |! |! |! |! |!
elimination problems |!
3rd level priority - Correct answer ✔important but can be attended to later
|! |! |! |! |! |! |! |! |! |! |! |! |!
(usually takes more time for these) Lack of knowledge, mobility problems,
|! |! |! |! |! |! |! |! |! |! |!
and family coping
|! |!
ADLs - Correct answer ✔Activities of Daily Living
|! |! |! |! |! |! |!
ADLS include - Correct answer ✔Bathing
|! |! |! |! |!
