Why do you want to interview before assess? Correct Answer-To build
rapport with patient
Why do you want to interview before assess? Correct Answer-To know
health history, risk factors, medications etc
Why do you want to interview before assess? Correct Answer-To know
what to focus on or assess
"Are you healthy?" is a good question for assessment (T/F) Correct
Answer-F
How do you assess systematically? and comprehensively? Correct
Answer-Head-to-toe
Knowing where to start and where to go
When assessing you should start with the most pressing issue (T/F)
Correct Answer-T
What is health? Correct Answer-A relative state in which a person is
able to live to his/her potential and includes the 7 facets
Health is the _____________ Correct Answer-sum of 7 facets
,What are the 7 facets? Correct Answer-Physical, Emotional, Social,
Culture, spiritual, environmental, developmental
What is health history? Correct Answer-the write up that follows the
interview and the nurses use this data to develop a problem list, and the
interview is the actual communication process.
What is the goal of health assessment? Correct Answer-development of
an individualized plan of care
Why does a nurse use nursing process? Correct Answer-to identify
patient problems; set a goal and develop an action plan; implement plan;
and evaluate the outcome
What are the nursing process steps? Correct Answer-ADPIE
Assessment
Diagnosis
Planning
Implementation
Evaluation
Assessment Correct Answer-collects info and synthesize info about pt
and situation
subjective and objective data during health assessment
,Diagnosis Correct Answer-what is most important? Identify the issue,
utilize clinical reasoning
Planning Correct Answer-the patient and nurse create short/long term
goals to alleviate the problem
Implementation (Clinical reasoning) Correct Answer-Identify abnormal
or positive findings
Cluster the findings
Interpret the findings
Intervention to initiate goals, this is where modifications can be made
Develop a plan agreeable to the patient
Evaluate Correct Answer-Did it work?
Continuing process to determine if the goals have been attained and if
not, intervene again and reevaluate
What is subjective data? Correct Answer-What you are told, pain,
symptoms, cannot verify
What is objective data? Correct Answer-What you observe
Signs
What is the clinical reasoning process? Correct Answer-A nurse
interacts with a patient, collects information, identifies abnormal
, findings, clusters findings, interprets findings, generates and tests
hypotheses, and determines optimal diagnosis and treatment based on
the information obtained while making sure the patient agrees.
OLD CAARTS Correct Answer-onset
location
duration
characteristics
aggravating factors
relieving factors
treatment
sensitivity
When you talk to patients, you should utilize yes & no questions (T?F)
Correct Answer-F - open ended