








Study with the several resources on Docsity
Earn points by helping other students or get them with a premium plan
Prepare for your exams
Study with the several resources on Docsity
Earn points to download
Earn points by helping other students or get them with a premium plan
Community
Ask the community for help and clear up your study doubts
Discover the best universities in your country according to Docsity users
Free resources
Download our free guides on studying techniques, anxiety management strategies, and thesis advice from Docsity tutors
NRS 200 EXAM 1 with correct answers
Typology: Exams
1 / 14
This page cannot be seen from the preview
Don't miss anything!
cultural |competence |- |correct |answer |-the |ongoing |process |in |which |the |health |care |professional | continuously |strives |to |achieve |the |ability |and |availability |to |work |effectively |within |the |cultural | context |of |the |patient episodic/follow-up |assessment |- |correct |answer |-focuses |on |a |specific |problem |or |problems |for | which |a |patient |has |already |been |receiving |treatment biographic |data |- |correct |answer |-name, |address, |phone |number, |age, |birthdate, |gender, |marital | status, |race, |ethic |origin, |occupation, |primary |language basic |activities |of |daily |living |(BADLs) |- |correct |answer |-includes |skill |such |as |dressing, |toileting, | bathing, |eating, |and |ambulating instrumental |activités |of |daily |living |(IADLs) |- |correct |answer |-consists |of |skills |that |enable |the | patient |to |function |independently. |ex: |prep |of |meals, |shopping, |safe |use |of |meds, |management |of | finances Mini-Mental |State |Examination |(MMSE) |- |correct |answer |-a |commonly |used |assessment |tool |for | dementia. |It |screens |orientation, |registration, |short-term |memory, |and |attention/concentration. emotional |brain |(limbic |system) |- |correct |answer |-deals |with |fear, |anger, |sex |drive. | structures |in |the |brain |include |the |cingulate |gyrus, |hippocampus, |amygdala, |thalamus. Patient |Health |Questionnaire |(PHQ-9) |- |correct |answer |-a |complete |questionnaire |which |contains | nine |items |related |to |symptoms |of |depression NIAAA |- |correct |answer |-this |recommends |that |all |health |car |providers |screen |every |patient |for | alcohol |use |disorders.
interpersonal |violence |- |correct |answer |-a |human |rights |violation |that |can |have |negative |impacts | on |patients |mental |and |physical |health U.S. |Preventive |Services |Task |Force |(USPSTF) |- |correct |answer |-the |screening |of |adolescents |for | major |depressive |disorder |when |systems |are |in |place |to |ensure |accurate |diagnosis, |psychotherapy, | and |follow-up Alcohol |Use |Disorders |Identification |Test |(AUDIT) |- |correct |answer |-screening |of |all |adults |for | problems |with |alcohol major |depression |- |correct |answer |-a |person |has |been |in |a |depressed |mood, |lost |interest |or | pleasure, |anxious |or |"empty" |feeling, |worthlessness, |helplessness bipolar |disorder |- |correct |answer |-excessive |emotional |displays, |excitement, |euphoria, |hyperactivity |accompanied |by |elation, |impaired |ability |to |concentrate, |limitless |energy schizophrenia |- |correct |answer |-flat, |blunted, |bizarre |emotions. |jumbled |& |illogical |speech |and | impaired |reasoning. delirium |- |correct |answer |-cognitive |disorder |characterized |by |disturbance |of |consciousness |and |a | change |in |cognition |that |develops |over |a |short |period |of |time. tertiary |prevention |- |correct |answer |-this |level |of |prevention |encompasses |the |restoration |of |health |after |illness |or |disease |has |occurred electronic |health |record |(EHR) |- |correct |answer |-The |complete |database |that |includes |the |client's | current |and |past |health |state |which |forms |a |secondary |baseline |against |with |all |subsequent | changes |in |the |clients |health |status |are |evaluated. assessment |- |correct |answer |-the |first |step |of |the |nursing |process |that |requires |the |nurse |to |collect |and |analyze |information |about |the |whole |individual.
5 |- |correct |answer |-the |nursing |process |is |comprised |of |how |many |steps? planning |- |correct |answer |-this |step |of |the |nursing |process |involves |working |with |the |individual |as | a |co-partner |in |care |to |meet |the |needs |or |short- |and |long-term |goals |of |the |individual. secondary |prevention |- |correct |answer |-providing |clients |with |early |screenings |and |detection |of | disease |is |considered |with |level |of |prevention. subjective |data |- |correct |answer |-data |the |client |reports |to |the |healthcare |professional ADPIE |- |correct |answer |-the |mnemonic |used |for |the |nursing |process follow-up |assessment |- |correct |answer |-is |completed |to |check |on |the |status |of |a |client's |previously | identified |health |problem. implementation |- |correct |answer |-the |nursing |process |step |of |carrying |out |interventions objective |data |- |correct |answer |-data |the |nurse |can |observe, |can |be |felt, |heard, |or |measured |are | considered |as |this |type |of |data. primary |prevention |- |correct |answer |-level |of |prevention |that |focuses |on |improving |a |client's | overall |health |and |well-being. health |history |- |correct |answer |-includes |information |about |current |state |of |health |of |patient | medications |taken, |previous |illness, |family |history, |and |reviewed |symptoms. physical |examination |- |correct |answer |-inspection, |palpation, |percussion, |auscultation, |are |used. |As | well |as |height, |weight, |temp, |BP, |respiratory |rate |is |measured. documentation |of |data |- |correct |answer |-health |care |encounter |is |recorded |and |information |is | available |to |other |health |care |professionals |involved |in |care.
primary |prevention |- |correct |answer |-immunizations |is |an |example |of secondary |prevention |- |correct |answer |-screening |examinations |is |an |example |of tertiary |prevention |- |correct |answer |-diabetes |mellitus |management |would |be |an |example |of a |comprehensive |assessment |- |correct |answer |-A |52-year-old |male |patient |is |admitted |to |the | hospital |with |a |new |diagnosis |of |rectal |cancer. |The |nurse |conducts |which |types |of |assessment |on | his |admission. a. |a |comprehensive |assessment b. |a |problem-based |health |assessment c. |an |episodic |assessment d. |a |screening |assessment |for |colorectal |cancer organizing |the |data |collected |- |correct |answer |-After |collecting |data, |the |nurse |begins |data |analysis | with |which |activity? a. |documenting |information |from |the |history b. |organizing |the |data |collected c. |reporting |data |to |other |care |providers d. |recording |data |from |the |physical |examination ADPIE |(A) |- |correct |answer |-Assessment: |collecting |objective/subjective |data |about |the |client's |story ADPIE |(D) |- |correct |answer |-Diagnosis: |analyze |data |to |formulate |an |educated |professional | judgement |about |potential |or |actual |problem ADPIE |(P) |- |correct |answer |-Planning: |develop |a |plan, |strategize |to |attain |goals, |formulate |goals ADPIE |(I) |- |correct |answer |-Implementation: |follow |thru |& |carry |out |the |plans/interventions
what |does |the |AVPU |scale |measure? |- |correct |answer |-measures |a |clients |level |of |consciousness SBAR |tool |is |used |for |what |- |correct |answer |-communicating |with |other |healthcare |personnel, | sharing |information |or |ideas |of |a |patients |care Client |says |"I |couldn't |get |out |of |bed |this |morning; |my |legs |just |didn't |want |to |work." |Nurse |says |"your |legs |didn't |want |to |work?" |this |response |technique |is? |- |correct |answer |-Reflection This |technique |focuses |on |the |client's |verbal |and |nonverbals |- |correct |answer |-active |listening Nurse |says |"all |these |questions |can |be |overwhelming, |can't |they?" |what |techniques |is |the |nurse | using? |- |correct |answer |-restatement Nurse |says |"I |see |in |your |diet |diary |you |have |recorded |follows |your |low |cholesterol |diet, |but |your | lab |values |remain |very |elevated, |lets |talk |about |his" |what |technique |is |the |nurse |using? |- |correct | answer |-confrontation Client |states |whenever |he |eats |they |have |a |burning |gut. |Nurse |responses |"what |foods |do |you |think |are |causing |this" |what |technique |is |the |nurse |using? |- |correct |answer |-clarification "you |have |shared |with |me |that |for |the |past |two |weeks |you |are |feeling |more |anxious. |Do |you |think |this |could |be |related |to...?" the |nurse |is |using |what |kind |of |technique? |- |correct |answer |-interpretation when |the |nurse |says |"please |continue" |what |technique |is |she |using? |- |correct |answer |-summary inspection |- |correct |answer |-includes |vision |and |smell. |this |is |when |you |visually |examine | movement, |posture, |and |body |systems. auscultation |- |correct |answer |-listening |to |sounds |within |the |body, |commonly |with |the |use |of |a | stethoscope
palpation |- |correct |answer |-feeling |for |textures, |size, |shape, |consistency, |pulsation, |and |parts |of |the |body. |Used |to |identify |tender |or |painful |areas percussion |- |correct |answer |-used |to |evaluate |size, |borders, |consistency |of |internal |organs, |detect | tenderness, |determine |extent |of |fluid |in |a |body |cavity intensity |- |correct |answer |-the |loudness |of |a |sound |(soft, |medium, |or |loud) pitch |- |correct |answer |-the |frequency |or |number |of |sound |waves |generated |per |second. pitch |of |cardiac |sounds |- |correct |answer |-low pitch |of |breath |sounds |- |correct |answer |-high duration |- |correct |answer |-the |time |of |the |sound |of |vibrations |(short, |medium, |one) quality |- |correct |answer |-the |description |of |the |sounds ex: |hallow, |dull, |crackle supine |position |- |correct |answer |- supine |position |- |correct |answer |-this |is |the |most |commonly |relaxed |position |that |provides |easy | access |to |pulse |sites supine |position |- |correct |answer |-areas |assessed: |head, |neck, |anterior |thorax |& |lungs, |axilla, |heart, | abdomen, |extremities, |pulses sims |position |- |correct |answer |-
lithotomy |position |- |correct |answer |-area |assessed: |female |genitalia |& |genital |tract lateral |recumbent |positon |- |correct |answer |- lateral |recumbent |position |- |correct |answer |-this |position |assists |in |detecting |murmurs lateral |recumbent |position |- |correct |answer |-area |assessed: |heart sitting |position |- |correct |answer |- sitting |position |- |correct |answer |-this |position |provides |full |expansion |of |lungs |& |visualization |of | upper |body |parts sitting |position |- |correct |answer |-area |assessed: |posterior |& |anterior |thorax, |lungs, |upper | extremities thermometer |- |correct |answer |-used |to |detect |temperature stethoscope |- |correct |answer |-used |to |assess |sounds |produced |in |the |body sphygmomanometer |- |correct |answer |-contains |a |gauge, |enclosed |bladder |in |a |cuff, |and |a |pressure | bulb monofilament |- |correct |answer |-used |to |test |sensation |on |the |lower |extremities ophthalmoscope |- |correct |answer |-used |to |examine |internal |structures |of |the |eye otoscope |- |correct |answer |-used |to |inspect |the |external |auditory |canal |and |tympanic |membrane nasal |speculum |- |correct |answer |-spreads |opening |of |nares |to |inspect |internal |surfaces
tuning |fork |- |correct |answer |-used |for |auditory |screening |and |vibratory |sensation percussion |hammer |- |correct |answer |-used |to |test |deep |tendon |reflexes doppler |- |correct |answer |-amplifies |sound |difficult |to |hear |or |pulses |difficult |to |palpate goniometer |- |correct |answer |-measures |degree |of |flexion |or |extension calipers |for |skinfold |thickness |- |correct |answer |-Measures |the |thickness |of |subcutaneous |tissue audioscope |- |correct |answer |-basic |screening |for |hearing |acuity transilluminator |- |correct |answer |-differentiation |of |characteristics |of |tissue, |fluid, |or |air wood's |lamp |- |correct |answer |-used |to |detect |fungal |infections |of |the |skin |or |corneal |abrasions |of | the |eye stature |assessment |- |correct |answer |-making |sure |they |are |well |nourished body |symmetry |assessment |- |correct |answer |-are |the |right |& |left |sides |of |the |body |appear |similar | in |size? gait |assessment |- |correct |answer |-are |they |balanced |& |smooth |within |the |symmetrical |movement | of |all |extremities? delegation |- |correct |answer |-the |transfer |of |responsibility |for |the |performance |of |an |activity |to | another |person |while |retaining |responsibility |for |the |outcome. |if |used |appropriately, |can |result |in | safe |& |effective |care.
S.B.A.R |tool |- |correct |answer |-used |to |communication |info |for |a |goal |of |improving |quality |care, |can | be |handed |off |for |report |for |nurse |to |nurse sentinel |event |- |correct |answer |-an |unexpected |occurrence |involving |death |or |serious |physical |or | psychological |injury, |or |the |risk |thereof standards |of |care |in |the |NURSE |PRACTICE |ACT |- |correct |answer |-sources |that |a |nurse |follows |to | provide |safe |and |effective |care |to |clients newborns |vitals |- |correct |answer |-temp: |98.7-110. pulse: |80- respirations: |25- BP: |85/ toddlers |vitals |- |correct |answer |-temp: |98.7-100. pulse: |70- respirations: |20- BP: |89/ school |age |vitals |- |correct |answer |-temp: |98.2- pulse: |60- respirations: |15- BP: |95/ adolescent |vitals |- |correct |answer |-temp:96.4-99. pulse: |55- respirations: |12- BP: |102/
Clinical |Manifstations |- |correct |answer |-a |term |used |to |describe |the |presenting |signs |and |symptoms |experienced |by |a |patient