ASSIGNED TEXTBOOK READINGS/ASSIGNED
VIDS, COURSE, AND LAB CONTENT) QUESTIONS
WITH ACTUAL SOLUTIONS!!
Ch. 1 The Nurse's Role in Health Assessment Answer -
Purpose of Health Assessment Answer - Provider of care: care to individuals,
families, populations, communities
Manager of care: taking care of patient, population, community, and their
needs
Member of a profession: serve as an advocate for patients
Nursing Process Answer - 1. Assessment - gather complete and accurate data
from client through interview, physical exam, and observation to make
judgements
2. Diagnosis/Analysis - take info to make a judgement abt patient's condition,
including actual and potential problems
3. Outcomes Identification
4. Planning - use problem-solving and decision-making skills to prioritize
outcomes and goals, targeted nursing intervention/care plan
5. Implementation - perform clinical intervention, use clinical judgement to
monitor the client's progress towards achieving their goals
6. Evaluate - assess the effectiveness of goals and the need for interventions to
be adjusted - did we meet the goal? Is there anything to do differently?
,Clinical Judgement Model Answer - 1. Assessment
2. Analyze cues
3. Prioritize hypotheses
4. Generate solutions
5. Take action
6. Evaluate outcomes
Code of ethics Answer - autonomy, beneficence, justice, non-maleficence
Autonomy Answer - having self control
Beneficence Answer - helping others in a positive manner
Justice Answer - being open and fair
Non-maleficence Answer - avoiding hurt or harm to others
Primary prevention Answer - interventions designed to prevent the onset of
future incidence of a specific problem
ex. immunization, health diet
Secondary prevention Answer - an early prevention that decreases the
prevalence of a specific problem
ex. BP screenings, mammograms, scoliosis screenings
,Tertiary prevention Answer - treatment designed to improve the quality of life
and reduce the symptoms after a disease or disorder has developed. Does not
reduce incidence or prevalence
ex. mitigate risks associated w an existing condition
Nursing process relies on ___ Answer - evidence based thinking
Critical Thinking (7 step process) Answer - 1. Identify strengths and abnormal
data
2. Cluster data
3. Draw inferences
4. Propose nursing diagnoses
5. Check for defining characteristics
6. Confirm or remove nursing diagnosis
7. Document conclusions - in a progress note or SBAR (Situation background
Assessment and Recommendation)
Diagnostic reasoning Answer - the process of analyzing health data and
drawing conclusions to identify diagnoses
Clinical judgement Answer - nursing process +. critical thinking + diagnostic
reasoning
Emergency Assessment Answer - life threatening or unstable (A - airway, B -
breathing, C - circulation, D - disability/level of consciousness, E - exposure to
chemical); gather RELEVANT INFO only
, Comprehensive Assessment Answer - overall health history and physical
assessment; happens typically once a year
Focused Assessment Answer - focused on one issue/concern; can happen
frequently
Lifespan Variations Answer - care for ppl from the moment they're born til the
moment they die
Cultural Variations Answer - consider cultural background, beliefs
Culture Answer - Beliefs, customs, and traditions of a specific group of people.
Cultural Competence Answer - using our knowledge and asking individuals
about their preferences without judgement
Components of Health Assessment Answer - Demographics - age, gender, etc
Subjective cues - what the pt tells you
Objective cues - can be measured
SBAR - Situation, Background, Assessment, Recommendation
Functional Assessment Answer - focuses on functional patterns all humans
share
ex. sleep, vision, hearing, excretion, stress/coping, sexuality/reproduction,
values/beliefs