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NRS 200 EXAM 1 with correct answers
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
