Nursing 105 Exam Study Guide with Complete

Nursing 105 Exam Study Guide with Complete Solutions 2024 Health Assessment - Correct Answer the process used to evaluate the health status of a person(point of entry in an ongoing process Diagnostic reasoning - Correct Answer the process of analyzing health data and drawing conclusions to identify diagnoses hypothetico-deductive method - Correct Answer 1.attend to initially available cues (pieces of information).

2.formulate diagnostic hypotheses (tentative explanation of cues).

• gather relevant data.

4.evaluate each hypothesis with ongoing data collection.(serve as basis for ongoing investigation.) nursing process: ADPIE - Correct Answer five-step systematic method for giving patient care; involves assessing, diagnosing(outcome identification), planning, implementing, and evaluating evidence-based practice (EBP) - Correct Answer clinical decision making that integrates the best available research with clinical expertise and patient characteristics and preferences The nurse has a "hunch" that the patient's elevated blood pressure is due to pain level; however, the patient received blood pressure and pain medication 45 minutes ago. What should the nurse consider in regards to this hunch?

• Research supports that the pain and blood pressure medications will take 30 minutes to become

effective. The nurse should wait until the next prescribed time and reevaluate pain level.

• The nurse should consider consulting with the pain management team to evaluate the

effectiveness of the pain medication regimen.

• The nurse should disregard the hunch because hunches are not effective at incorporating

evidence-based practices.

• The nurse should administer pain medication based on the hunch. - Correct Answer The correct

answer is B. The nurse should trust the hunch; however, having another member of the team substantiate the hunch would be a collaborative approach and would provide additional reinforcement for the hunch. 1 / 3

Four database management systems - Correct Answer Complete total health database Episodic or problem-centered database Follow-up database Emergency database How many levels for Priority Problems? - Correct Answer 4 levels First-level priority - Correct Answer Emergent, life threatening, and immediate Second-level priority - Correct Answer Next in urgency, requiring attention so as to avoid further deterioration Third-level priority - Correct Answer Important to patient's health but can be addressed after more urgent problems are addressed.Collaborative problems - Correct Answer Approach to treatment involves multiple disciplines.

• A nurse working in the emergency department triage wants to apply principles of priority setting

with regard to an organizational framework for delivery of care.Based on your understanding of the principles of priority setting, what categories would be included in the framework? - Correct Answer 1.First-level priority—immediate airway issues—ABCs plus V

• Second-level priority—next in urgency requiring an intervention to prevent further deteriorations
• Third-level priority—those issues that must be addressed but may be done so at a later time,

indicating that they are not considered to be urgent but rather long-term problems Interview Purpose - Correct Answer 1. First meeting of your client and to gain an understanding;

• Allows for compilation of subjective data and objective data;

Successful Interview Characteristics - Correct Answer 1. Gather complete and accurate data about person's health state (including description and chronology of any symptoms.) 2.Establish trust (to foster acceptance and allow for data sharing.) Teach the person about their (individual)health state. 2 / 3

Build rapport (to continue therapeutic relationship.Discuss health promotion and disease prevention.) The Interview as a Contract - Correct Answer Location Explanation Purpose Time frame Participation Confidentiality Cost

Location:

(Interview) - Correct Answer Time and place with follow-up for physical exam

Explanation:

(Interview) - Correct Answer Introduction and delineation of role

Purpose:

(Interview) - Correct Answer Mutual goal is optimal health.

Time frame:

(Interview) - Correct Answer Length of time for process

Participation:

(Interview) - Correct Answer Expected participation and/or presence of others

Confidentiality:

(Interview) - Correct Answer Reasonable and/or limited as it applies to legal/ethical standards

Cost:

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