NSG 316 EXAM 1 TEST GRADED AT QUESTIONS AND ANSWERS LATEST UPDATE

NSG 316 EXAM 1 TEST GRADED
AT QUESTIONS AND ANSWERS
LATEST UPDATE
Complete total health database - CORRECT ANSW-Includes complete
health history and full physical examination
Describes current and past health state and forms baseline to measure all
future changes
Yields diagnoses
Episodic or problem-centered database - CORRECT ANSW-For limited or
short term problems
Smaller scope and more focused
Concerns mainly one problem, complex, or body system
History and examination follow direction of presenting concern
Follow up database - CORRECT ANSW-Status of all identified problems
should be evaluated at regular intervals
Note changes that have occured
Evaluate whether a problem is getting better or worse
Identify coping strategies being used
Emergency database - CORRECT ANSW-Rapid collection of data, often
compiled currently with lifesaving measures
Diagnosis must be rapid and comprehensive
Steps of the nursing process - CORRECT ANSW-Assessment, diagnosis,
outcome identification, planning, implementation, evaluation
Diagnosis - CORRECT ANSW-Interpretation of data by identifying clusters
of cues so as to make inferences
Outcome identifcation - CORRECT ANSW-Identify expected outcomes
related to patient individualization
Ensure outcomes are realistic and measurable
Specify short-term and long-term goals
Planning - CORRECT ANSW-Establish priorities based on meeting
identified patient goals
Identify relevant interventions and utilize health care team members
Implementation - CORRECT ANSW-Determine patient readiness and
involve patient in health care process
Counsel person and significant others
Refer for continuing care
Evaluation - CORRECT ANSW-Evaluate individual's condition and
compare actual outcomes with expected outcomes
Identify reasons for failure
Take corrective action to modify plan of care
First level priority - CORRECT ANSW-Emergent, life threatening, and
immediate
Secondary level priority - CORRECT ANSW-Requiring attention so as to
avoid further deterioration (i.e. mental status change, acute pain, acute
urinary problems, untreated medical conditions, abnormal lab values, risks
of infection, and risk of safety)
Third level priority - CORRECT ANSW-Important to patient's health but can
be addressed after more urgent problems are addressed
General overall health state - CORRECT ANSW-Present weight, fatigue,
weakness or malaise, fever, chills, sweats or night sweats
Hair - CORRECT ANSW-Recent loss, change in texture
Skin - CORRECT ANSW-History of skin disease, pigment or color change,
change in mole, excessive dryness or moisture, pruritus (itching),
excessive bruising, rash or lesion
Nails - CORRECT ANSW-Change in shape, color, or brittleness
Head - CORRECT ANSW-Any unusually frequent or severe headaches,
head injury, dizziness, or vertigo