Nursing Fundamentals: Comprehensive Exam Preparation, Exams of Nursing

Download Nursing Fundamentals: Comprehensive Exam Preparation and more Exams Nursing in PDF only on Docsity! NR302 Final exam Subjective data - correct answer ✔✔what the person says about himself or herself during history taking Objective data - correct answer ✔✔What you observe by inspecting, percussing, palpating, and auscultating during physical examination Evidence-based practice - correct answer ✔✔Basing practice on the best available research evidence. First-level priority problem - correct answer ✔✔Emergent, life threatening, and immediate (ex. supporting breathing) ABS plus V or CPR (If.needed) A-Airway problems B-Breathing problems C-Cardiac/circulation problems V-Vital signs concerns (high fever) Second-level priority problem - correct answer ✔✔Next in urgency, requiring attention so as to avoid further deterioration (ex.acute pain, mental status change, risks of infections) Third-level priority - correct answer ✔✔Important to patient's health but can be addressed after more urgent problems are addressed (ex. family problems, lack of knowledge, rest, family coping, activity) Nursing process - correct answer ✔✔Five-step clinical decision-making approach ADPIE Assessment, diagnosis, planning, implementation, evaluation ADPIE - correct answer ✔✔Assessment, Diagnosis, Planning, Implementation, Evaluation A= assessment data D= nursing diagnosis P= plan I= implementation of care E= evaluation of care Amulets - correct answer ✔✔An object worn, especially around the neck, as a charm against evil or injury. "evil eye" or "evil spirit The glass blue eye hung in the home (Turkey) A seed with a red string placed on the crib (Mexican) Bangles may be worn for protection (Caribbean) Small packet placed on a crib or room of a baby (Japanese) Natural folk medicine - correct answer ✔✔remedies from the natural environment (ex. herbs, plants, minerals, and animal substances) to treat illnesses. Biculturalism - correct answer ✔✔occurs when an individual identifies equally with two or more cultures Assimilation - correct answer ✔✔Process by which people of one culture merge into and become part of another culture Cultural nursing assessment - correct answer ✔✔to examine a patient and provide appropriate care based around their cultural beliefs Health beliefs - correct answer ✔✔concepts about health individuals belief are true. Influenced by culture Religion and Spirituality Functional use of space/zones - correct answer ✔✔Intimate zone 0-1 1/2 ft. (breath odor) Personal distance 1 1/1/2 to 4 ft (physical assessment) Social distance 4 to 12ft (interview) Public distance 12+ ft Functional assessment - correct answer ✔✔Screens the safety of independent living, the need for home health services, and quality of life Effective therapeutic communication techniques - correct answer ✔✔ Developmental changes aging adult - correct answer ✔✔Bp increase HR increase Arrhythmias increase Cardiovascular disease pain/sensitivity Levels of consciousness - correct answer ✔✔Alert Lethargic (somnolent) Obtunded Stupor or Semi-Coma Coma Delirium SBAR - correct answer ✔✔Situation Background Assessment Recommendation Structured communication among the members of healthcare Most accurate documentation - correct answer ✔✔entries must be accurate Nurses must write only observations that they have seen, hear, smelled or felt. precise measurements and times Health history and objective data - correct answer ✔✔What is observed by inspecting, percussing, palpating and auscultating database Database - correct answer ✔✔An organized collection of information. communication methods with hearing impaired - correct answer ✔✔ask for the preferable way to communicate make sure hearing aids are being used properly consider a referral for a hearing test Interpreter Religion vs spirituality - correct answer ✔✔religion is behavior, dogma, organized system of beliefs concerning the cause, nature and purpose of the universe Spirituality is awareness of inner self, connectedness to higher being, nature, or purpose in life Health promotion model - correct answer ✔✔defines health as a positive, dynamic state, not merely the absence of disease directed at increasing a patient's level of well-being Techniques of physical assessment - correct answer ✔✔Inspection Palpation Percussion Auscultation diaphragm vs bell - correct answer ✔✔diaphragm - high pitched breath sounds (firm pressure) bell - soft, low pitched heart and vascular sounds (light pressure) Otoscope - correct answer ✔✔Instrument used to examine the ear funnels light into the ear canal and onto the tympanic membrane Nutritional assessment - correct answer ✔✔important to ask about diet and health history and to do a physical exam. Identify individuals who are malnourished or at risk of developing malnutrtion 24-hour recall - correct answer ✔✔easiest and most popular method for obtaining information about dietary intake A tool used to quantify the amount of food taken in over a 24-hour time period truth may be altered for a variety of reasons errors happen due to inability to remember