203 final exam point questions chapter 1,2,3
when a client first enter the hospital for an elective surgical procedure, the nurse should perform an assessment termed
comprehensive
when planning a community program related to healthy people 2020, the critical first step involves
defining the community
what is paramount in health promotion
developing the nursing care plan working with the individual client
before finalizing a plan, it is important to
discuss the plan with the client
"how many steps can you climb before you get SOB" is what kind of question
elicits a graded response
the result of a nursing assessment is the
formulation of nursing diagnosis
what techniques encourage client disclosures while minimizing the risk for distorting the client's ideas or missing significant details?
offering multiple choices for answers using reflection asking a series of questions, one at a time
to prepare for the assessment of a client visiting a neighborhood health care clinic, the nurse should first
review the client's health care record
what does plan do?
specify which steps are needed next flow logically from identified diagnosis
what to say when a patient often repeats himself when expressing his concern about his problem
"i can understand why you feel the way you do" NURS, it is an emotional cue
when assisting a client with healthy promotion, what must the nurse also nurture?
a healthy environment
what is the foundation of nursing practice
assessment
how does an experienced nurse improve his or her efficiency and enhance the relevance and value of the data he or she collects?
by generating plans early
what is pivotal to determining how to move from each client problem to its goals?
clinical reasoning process
although the assessment phase of the nursing process precedes the other phases, the assessment phase is
continuous
in what area do nurses use formalized screening and assessment tools
skin breakdown
why is the nurse always reassessing the client for changes
to achieve the best results
an assessment of a client who already has a complete recorded database in the system and return to the health care agency with a specific health concern is referred to as
a focused or problem oriented assessment
while interviewing a new client, you notice that he is mirroring your position. what can this signify?
an increasing sense of connectedness
what are nurses able to detect through the health assessment
areas in need of health adjustments
before beginning a comprehensive health assessment of an adult client, the nurse should explain to the client that the purpose of the assessment is to
arrive at conclusions about the client's health
how does a nurse best facilitate the nursing health assessment
asking the appropriate questions
the nurse is preparing to meet a client in the clinic for the first time. after reviewing the client's record, the nurse should
avoid premature judgements about the client
while assessing a client, the nurse notes that the client is more quiet and subdued after a visit from her sister. the nurse would note this under what facet of the assessment process
emotional
staff are talking to the hospital educator and ask about "a governmental project that is meant to improve the health of people in the us". the educator bases her response on the knowledge of
healthy people 2030
after gaining client trust, gathering a detailed history, and finishing your portion of the physical examination. what is your next step in caring for this client?
identify the client's problems
as a nurse becomes more proficient and comfortable in his or her role, what increases?
knowledge base and expertise
your client tells you that his client chief complain is fatigue, when obtaining the client history, what additional information might you want to elicit to try and pinpoint the client's "real problem"?
more information regarding psychosocial issues
as the nurse caring for a client you have completed the collection of the subjective data. on what do you base your decision to do an entire head to toe physical assessment or a system specific assessment?
observable signs and symptoms
A medical examination differs from a comprehensive nursing examination in that the medical examination focuses primarily on the client's
physiological status
when interacting with a cien, what conveys the extent of interest, attention, acceptance, and understanding of the nurse?
posture eye contact tone of voice gestures
what is a useful interview technique for the student to use when drawing a blank?
summarization
what are parts of the preinterview of the nurse client interview
taking time for reflection taking notes setting goals for the interview
when constructing a nursing care plan, what should you reference?
therapy, diagnosis, patient education
during one of your clinical placements you encounter a client who becomes silent during the nursing interview. what would be appropriate for your to do?
watch the client closely for nonverbal cues appear attentive give brief encouragement to the client
is "tell me about your pain" an open ended question?
ye