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NSG 207 Exam I 2025: Nursing Process, Assessment, and Developmental Considerations, Exams of Nursing

A comprehensive overview of the nursing process, focusing on the five steps: assessment, diagnosis, planning, implementation, and evaluation. It delves into the different types of assessments, including comprehensive, ongoing, focused, and emergency assessments. The document also explores the importance of subjective and objective data collection, interviewing techniques, and the use of acronyms like coldspa and pqrst for pain analysis. Additionally, it covers developmental considerations across the lifespan, highlighting key developmental milestones and risk factors. The document concludes with a discussion of the importance of accurate documentation and communication within the healthcare team, emphasizing the use of sbar.

Typology: Exams

2024/2025

Available from 03/11/2025

LennieDavis
LennieDavis 🇺🇸

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NSG 207 EXAM I 2025 VERIFIED STUDY
QUESTIONS AND ANSWERS GRADED A+
What are the 5 steps of the nursing process
1. Assessment
2. Diagnosis
3. Planning
4. Implementation
5. Evaluation
What are the Assessment (interviewing) steps
- First and most critical
- Collecting subjective and objective data
- Validating data
- Documenting
Diagnosis
- Analyzing data to make clinical judgement
- Concerns are identified and prioritized
- Cluster cues
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Download NSG 207 Exam I 2025: Nursing Process, Assessment, and Developmental Considerations and more Exams Nursing in PDF only on Docsity!

NSG 207 EXAM I 2025 VERIFIED STUDY

QUESTIONS AND ANSWERS GRADED A+

What are the 5 steps of the nursing process

  1. Assessment
  2. Diagnosis
  3. Planning
  4. Implementation
  5. Evaluation

What are the Assessment (interviewing) steps

  • First and most critical
  • Collecting subjective and objective data
  • Validating data
  • Documenting

Diagnosis

  • Analyzing data to make clinical judgement
  • Concerns are identified and prioritized
  • Cluster cues

Planning

  • Generating solutions
  • Devolving plan
  • Determine what outcomes need to be met first

Implementation

  • Taking action
  • Prioritizing and implementing interventions
  • Carrying out plan

Evaluation

  • Assessing what outcomes have been met
  • Revising if needed

Purpose of Nursing health assessment

  • To collect holistic subjective data and objective data to determine overall functioning

What type of data is collected during an assessment?

  • Physiological
  • Psychological
  • Social

Comprehensive health assessment

  • Consists of health history and physical examination

Ongoing or partial assessment

  • Consists of data collection after comprehensive database
  • Involves a mini overview of the client's body systems and holistic health patterns as a follow-up on health status
  • Requires frequent assessment, looking for changes from baseline data

Focused or problem-oriented assessment

  • Does not replace comprehensive assessment
  • Focuses on specific health concern
  • Involves thorough assessment of a particular client problem

Emergency assessment

  • Rapid assessment performed in life-threatening situations
  • Provides prompt treatment
  • ABCs to assess individual
  • Determines the status of clients' life-sustaining physical function

When using the nursing process always address

  • History of present health concerns
  • Personal health history
  • Family history
  • Lifestyle and health practices

You can prepare for an assessment by?

  • Reviewing the clients medical record

How to avoid judgement?

  • Always take the time to reflect and examine your own feelings to avoid basis and judgment

Subjective data

  • Sensations or symptoms
  • Feelings, perception, beliefs, values,
  • Includes biographical info, health concerns, personal history, family history, health and lifestyle, and review of systems

Objective data

  • Things that are directly observed
  • Include physical characteristics, body functions, appearance, behavior, measurements, and laboratory testing
  • Lifestyle and health practices,
  • Developmental level

Working Phase #

  • Requires listening, observing, and identifying problems and goals

Summary and closing phase

  • Summarizes information obtained, validates problems, and goals with the client, and discussing possible plans to resolve the problem

Nonverbal communications to avoid

  • Excessive or insufficient eye contact
  • Distraction and distance
  • Standing

Verbal communications to avoid

  • Biased or leading questions
  • Rushing through the interview
  • Reading the questions

Open ended questions

  • Feelings and perceptions,
  • Use the words how, or what,
  • More than one-word responses

Close ended questions

  • obtain facts and focus on specific information
  • Uses one or two words
  • Helps clarify and retain more accurate information
  • Usually answered with yes or no

Laundry list

  • Provides a list of words
  • Describing symptoms, conditions, or feelings

Dealing with a anxious Client

  • Use simple, organized, information
  • Explain role and purpose
  • Use concise questions
  • Don't rush
  • Decrease external stimuli

What acronym can be used for obtaining history of present health concerns?

COLDSPA (symptoms, signs, health concern)

COLDSPA

Character: Signs or symptoms

Onset: When did it begin?

Location: Where is it?

Duration: How long does it last?

Severity: How bad is it? (Scale 1-10)

Pattern: What makes it better or worse?

Associated factors: What other symptoms occur with it?

What acronym can be used for pain analysis?

  • PQRST

PQRST

Provocative: What provokes or relives the pain?

Quality: Character of pain?

Radiates: Is pain localized or spread to other areas?

Severity: How bad is the pain? (Scale 1-10)

Timing: When does pain occur, and how long does it last?

Genogram

  • used for a structural assessment
  • Used to organize in illustrate the client's family history
  • Female client is marked with a circle
  • Male client is marked with a square
  • An X represents deceased
  • A/W stands for alive and well

6 Steps to make a clinical judgement

  1. Identify abnormal cues and supportive cues
  2. Cluster cues
  3. Draw inferences to propose or hypothesize clinical judgments

3 aspects of change for development

  • Physical growth
  • Differentiation
  • Maturation

What population is most at risk for developmental changes?

Pediatric populations

Prenatal risks

  • Absence of or inadequate prenatal care
  • Congenital conditions
  • Exposure to illicit drugs or alcohol

-Exposure to environmental toxins

Birth risks

  • Premature birth
  • Low birth weight
  • Birth trauma
  • Maternal infection
  • Anoxia (absence of oxygen)

Individual risks

  • Ill health
  • Malnutrition
  • Physical or mental disabilities
  • Cognitive impairments

Family risks

  • Low parental education
  • Poor health of family members
  • Large family size

Situational risks

  • Acute life stress
  • Acute mental or physical health crisis
  • Acute school or social problems

Developmental assessment

  • Occurs throughout the lifespan
  • Helps with early identification of developmental problems

Social determinants of health risks:

Development for adults and older adults

  • Continue monitoring for age appropriate changes in physical function
  • Focus is on functional function
  • Screening tools asses functional activity's, stress, coping and others

Principals of Intervention for development

  • Early identification
  • Specific interventions are dependent on the category and type of developmental delay as well as age of patient
  • Management always requires interdisciplinary collaboration (nursing, medicine, physical therapy, consulting)

EHR

  • Accurate and timely documentation
  • Major means of communication
  • Legal document
  • Evidence of providers actions

What is SBAR?

  • Provides framework for communication between members of a health care team

SBAR

Situation: a concise statement of the problem

Background: brief information related to the situation

Assessment: analysis and consideration of options, what you found and think

Recommendation: action requested or recommended, what you want

Enculturation

  • When a person learns norms, values, and behaviors from another culture

Acculturation

  • Acquiring new attitudes, roles, customs, or behaviors

Assimilation

  • Process by which a person gives up his or hers original identity and develops a new cultural

Biculturalism

  • Dual pattern of identification

Healthy People 2030

  • incorporates the Social Determinants of Health
  • Designed to guide national health promotion and disease prevention efforts to improve the health of the nation.

PRAPARE

  • Valuable screening tool to assist in the identification of at-risk patients and guide intervention based on responses to social determinants of health questions