NUR 207 EXAM 1 QUESTIONS &
SOLUTIONS(RATED A+)
Steps of nursing process (ATI) - ANSWERAssessment
Diagnosis
Outcome identification
Planning
Implementation
Evaluation
subjective data - ANSWERSubjective data; what the person says
EX →" i feel pain in my leg"
objective data - ANSWERobtained 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 - ANSWERCOLLECTING DATA FROM THE INITIAL
MEETING
verbal communication - ANSWERthe words spoken, vocalized, and tone of voice
(consciously controlled)
nonverbal communication - ANSWERthings 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 - ANSWERopen ended questions
ex of open ended questions - ANSWER"what happens when you take this medication"
closed or direct questions - ANSWER"yes" or "no" answer. Sometimes a one worded
answer.
ex of closed question - ANSWER"when is your birthday"
patient led verbal responses - ANSWERFacilitation
Silence
Empathy
Clarification
Facilitation - ANSWER"Would you tell me more about your symptoms?"
,Silence - ANSWERnot saying anything; silence can give a lot of information
Reflection - ANSWER"Did I hear correctly that you have two boys and one girl?"
Empathy - ANSWER"I know this must be a difficult time for you"
clarification - ANSWER"What do you mean when you say you feel weird?"
Nurse led verbal responses - ANSWERConfrontation
Interpretation
Explanation
Summary
Confrontation - ANSWER"It is preferable that you stay seated during this part of the
assessment."
Interpretation - ANSWER"So, I am hearing that most of your meals come from fast-food
restaurants."
10 interview traps - ANSWERProviding 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 - ANSWERlife threat/ emergency
Problems with airway, breathing, circulation (ABC)
2nd level priority - ANSWERneed prompt intervention to further deterioration
Mental status changes, acute pain, infection risks, abnormal lab values, and elimination
problems
3rd level priority - ANSWERimportant but can be attended to later (usually takes more
time for these) Lack of knowledge, mobility problems, and family coping
ADLs - ANSWERActivities of Daily Living
ADLS include - ANSWERBathing
Dressing
Toileting
, Eating
Walking
ADLS for independent living - ANSWERHousekeeping
Shopping
Cooking
Laundry
Using the phone
Managing finances
Nutrition
Social relationships and resources
Self concept and coping
And home environment
normal BMI - ANSWERLevel of 19 or greater to less than 25
obesity class 1 - ANSWER25 to 29.9 kg/m2
obesity class 2 - ANSWER35 to 39.9 kg/m2
Extreme obesity class 3 - ANSWERGreater than or equal to 40 kg/m2
4 skills needed to perform a physical exam - ANSWERIPPA
IPPA - ANSWERInspection
Palpation
Percussion
Auscultation
inspection - ANSWERlooking at the body's appearance
palpation - ANSWERto examine by touch
percussion - ANSWERtapping on a surface to determine the difference in the density of
the underlying structure
Auscultation - ANSWERlistening
Order when assessing the abdomen - ANSWERInspection
Auscultation
Percussion
Palpation
complete health history - ANSWER-biographical data
-reason for seeking care
-present health
SOLUTIONS(RATED A+)
Steps of nursing process (ATI) - ANSWERAssessment
Diagnosis
Outcome identification
Planning
Implementation
Evaluation
subjective data - ANSWERSubjective data; what the person says
EX →" i feel pain in my leg"
objective data - ANSWERobtained 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 - ANSWERCOLLECTING DATA FROM THE INITIAL
MEETING
verbal communication - ANSWERthe words spoken, vocalized, and tone of voice
(consciously controlled)
nonverbal communication - ANSWERthings 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 - ANSWERopen ended questions
ex of open ended questions - ANSWER"what happens when you take this medication"
closed or direct questions - ANSWER"yes" or "no" answer. Sometimes a one worded
answer.
ex of closed question - ANSWER"when is your birthday"
patient led verbal responses - ANSWERFacilitation
Silence
Empathy
Clarification
Facilitation - ANSWER"Would you tell me more about your symptoms?"
,Silence - ANSWERnot saying anything; silence can give a lot of information
Reflection - ANSWER"Did I hear correctly that you have two boys and one girl?"
Empathy - ANSWER"I know this must be a difficult time for you"
clarification - ANSWER"What do you mean when you say you feel weird?"
Nurse led verbal responses - ANSWERConfrontation
Interpretation
Explanation
Summary
Confrontation - ANSWER"It is preferable that you stay seated during this part of the
assessment."
Interpretation - ANSWER"So, I am hearing that most of your meals come from fast-food
restaurants."
10 interview traps - ANSWERProviding 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 - ANSWERlife threat/ emergency
Problems with airway, breathing, circulation (ABC)
2nd level priority - ANSWERneed prompt intervention to further deterioration
Mental status changes, acute pain, infection risks, abnormal lab values, and elimination
problems
3rd level priority - ANSWERimportant but can be attended to later (usually takes more
time for these) Lack of knowledge, mobility problems, and family coping
ADLs - ANSWERActivities of Daily Living
ADLS include - ANSWERBathing
Dressing
Toileting
, Eating
Walking
ADLS for independent living - ANSWERHousekeeping
Shopping
Cooking
Laundry
Using the phone
Managing finances
Nutrition
Social relationships and resources
Self concept and coping
And home environment
normal BMI - ANSWERLevel of 19 or greater to less than 25
obesity class 1 - ANSWER25 to 29.9 kg/m2
obesity class 2 - ANSWER35 to 39.9 kg/m2
Extreme obesity class 3 - ANSWERGreater than or equal to 40 kg/m2
4 skills needed to perform a physical exam - ANSWERIPPA
IPPA - ANSWERInspection
Palpation
Percussion
Auscultation
inspection - ANSWERlooking at the body's appearance
palpation - ANSWERto examine by touch
percussion - ANSWERtapping on a surface to determine the difference in the density of
the underlying structure
Auscultation - ANSWERlistening
Order when assessing the abdomen - ANSWERInspection
Auscultation
Percussion
Palpation
complete health history - ANSWER-biographical data
-reason for seeking care
-present health
