Nurs 314- Exam 1 Study Guide Questions with 100% Verified Correct Answers Name the steps to the Nursing Process, based on Jarvis - Correct Answer 1. Assessment
- Diagnosis
- Outcome ID
- Planning
- Implementing
- Evaluation
Identify components of Assessment - Correct Answer Collect data: Review the clinical record, health history, physical examination, functional/risk assessment, review of literature. Use evidence based assessment techniques, document relevant data Recognize difference between subjective and objective data, identify examples of each - Correct Answer Subjective data- what the person say about him/herself (pain) Objective data- what can be observed by healthcare professional by percussing, auscultating...Know types of interview questions - slide 11 Introduction to Communication... - Correct Answer Open-ended Closed-end Validating (confirming) Clarifying Reflective (This one is hard to do well as it is the repetition of words just spoken.) Sequencing Directing Recognize Therapeutic versus Non-therapeutic communication techniques. - Correct Answer Therapeutic communication includes nonverbal communication that allows patient to feel at ease (posture, active listening, equal status seating, etc.) and involves empathy.Non-therapeutic communication can involve excessive note taking, asking closed-ended questions, and leading questions. 1 / 3
Traps of interviewing - Correct Answer Providing false assurance Giving unwanted advice Using authority Using avoidance language Engaging in distancing (using "the" instead of "my"; using pass away) Using professional jargon Using leading or biased questions Talking too much Interrupting Using "Why" questions Components of a general survey - Correct Answer General survey gives overall impression of pt. @ first encounter Physical Appearance Body Structure Mobility Behavior Measurement Vital Signs When to assess VS - Correct Answer On admission to healthcare agency to gather baseline data Agency policy and procedures Changes in patient's condition Before and after surgery or invasive procedures Before and after surgical activity that may increase risk Before administering meds that affect cardiovascular or respiratory functioning Sources of heat loss, other factors affecting body temp - Correct Answer Vasodilation Diaphoresis (sweating profusely), evaporation Increased respiration Excretion of urine and feces 2 / 3
Location of pulse points and what is assessed for - Correct Answer Radial Ulnar Brachial Carotid Femoral Popliteal Posterior Tibial Dorsalis Pedis Factors affecting respiration - Correct Answer Respiration controlled by Medulla & Pons Age -respiratory rate decreases with age starting with newborns who have a RR of 30 - 60/min.Gender - men tend to have more diaphragmatic movements and women use more intercostal movement.Exercise- increases RR during exertion, decreases it at rest.Pathological conditions- will effect the rate, depth and movements of respiration.Alterations in fluid, electrolyte and acid balances such as acidosis and hyperventilation affect the PH balance that how the body's regulatory systems attempts to compensate through the respiratory center.Medications (narcotics) and trauma such as head injury can slow the RR down.Infection will speed up body metabolism causing fever and increase the RR.Pain and anxiety activate the sympathetic nervous system that increases the RR.Korotkoff sounds - which ones to record for bp reading - Correct Answer First K sound is systole No more K sounds mean diastole Pulse Pressure -definition, significance - Correct Answer The pulse pressure is the difference between the systolic and diastolic pressures and reflects the stroke volume Represents the force that the heart generates each time it contracts
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