Exam 1: NUR101 / NUR 101(Latest
2024 / 2025 Update) Health Assessment | Guide with Questions and Verified Answers | 100% Correct | Grade A – Fortis
Question:
Nursing process
Answer:
five-step systematic method for giving patient care; involves assessing, (analysis) diagnosing, planning, implementing, and evaluating
(1) assess pt to determine need for nursing care (2) determine nursing diagnoses for actual and potential health problems and needs (3) identify expected outcomes and place care (4) implement the care (5) evaluate the results
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Question:
ADPIE of nursing process
Answer:
Assessing, (Analysis) Diagnosis, Planning, Implementation, Evaluation
Question:
Assessment
Answer:
Subjective & Objective Systematically collecting, validating and communicating pt data
Question:
Diagnosis (analysis)
Answer:
Nursing diagnosis Clearly identify pt strengths and actual and potential health problems and needs
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Question:
Planning
Answer:
Goals — "SMART; specific, measurable, attainable, realistic, time based (pt- centered)" Develop a holistic plan of individualized care that specifies the desired pt goals and related outcomes and the nursing interventions most likely to assist the pt to meet those expected outcomes
Question:
Implementation/intervention
Answer:
Execute the plan of care
Question:
Evaluation
Answer:
Pt response Evaluate effectiveness of plan of care in terms of pt goal achievement
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Question:
Purpose of nursing observation, interview, and physical assessment
Answer:
Appraisal of health status Identification of health problems Establishment of a database for nursing interventions
Question:
How to obtain nursing history using effective interviewing techniques
Answer:
All interviews should begin with an explanation of the purpose of the interview
Open-ended questions or comments—prevents simple yes or no answers
Closed question or comment—answered by one or two words, yes or no; used to gather specific information from a pt to focus on a particular area
Validating question or comment—overusing validating questions or comments can lead to a pt thinking the nurse is not listening
Clarifying questions or comments—allows nurse to gain understanding of pts comment; can prevent misconceptions that could lead to identification of an inappropriate diagnosis or pt problem
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