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NUR 216 EXAM 1 (100% CORRECT
ANSWERS)
Question : What is an assessment?
Correct answer: -A data collection process
-A continuous process -A method to establish a baseline
Question : What is primary subjective data? Give an example.
Correct answer: Client reports feelings/thoughts
Ex. "I have a headache"
Question : What is secondary subjective data? Give an example.
Correct answer: Anyone, other than the client, reports
feelings/thoughts.Ex. Spouse states, "She complained of pain in her abdomen this morning."
Question : What is primary objective data? Give an example.
Correct answer: Nurse reports seeing, feeling, smelling, or
hearing. (DO NOT taste).
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Ex. "I can see redness and swelling of her right lower extremity."
Question : What is secondary objective data? Give an example.
Correct answer: Anyone, other than the nurse, reports seeing,
feeling, smelling, or hearing. (DO NOT taste).Ex. AP states, "Her urine smells odorous."
Question : What is a comprehensive assessment?
Correct answer: Consists of a complete nursing history and
physical examination.
Question : What is a focused assessment?
Correct answer: Based around the patients immediate problems.
Question : What is the nursing process?
Correct answer: Assessment
Diagnosis Planning Implementation Evaluation
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(ADPIE)
Question : What is the "A" in the nursing process?
Correct answer: Assessment - gather information and review the
patients history
Question : What is the "D" in the nursing process?
Correct answer: Diagnose - identify problem list
Question : What is the "P" in the nursing process?
Correct answer: Plan - develop SMART goals, desired
outcomes, and action plans
Question : What is the "I" in the nursing process?
Correct answer: Implementation - perform nursing actions
Question : What is the "E" in the nursing process?
Correct answer: Evaluate - were desired outcomes and goals
achieved?
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Question : List 5 'Communication' skills nurses must implement
at all times.
Correct answer: -Eye Contact
-Eye Level -Personal Space -Active Listening -LISTEN to them!!!
Question : List 4 'Cognitive' skills you must implement in the
assessment process.
Correct answer: -Critical Thinking Skills
-Inductive & Deductive Reasoning Skills -Clinical Decision Making Skills -Problem Solving Skills
Question : What are 'Psychomotor' skills?
Correct answer: Skills needed to perform the 4 techniques of
physical assessment.