307 Exam 1

Question 1

Nursing Process

Answer 1

Assessment
diagnosis
planning
intervention
evaluation

Question 2

Assessment

Answer 2

involves the systemic and continuous collection of data- sorting, analyzing, and organizing data

documentation and communication of data collected

gathering info concerning the patients individual physiological, sociological, and spiritual needs

Subjective and objective data collection are an intregral part of this process

Question 3

Types of Nursing assessments

Answer 3

Comprehensive or initial - full health history and physical exam

focused - assessing a specific problem or system. ongoing care to determine status of a specific pre-identified problem

Full bed side - head to toe assessment with focused subjective and assessment

expedited bedside - done in an emergent situation to assess physiologic or psychologic crisis. ex. rapid assessment of A, B, C’s during cardiac arrest or suicide assessment

Question 4

ISBARR

Answer 4

I - Identify
S- situation
B- Background
A- Assessment
R - recommendations
R- read back orders

Question 5

physical assessment techniques

Answer 5

Inspection
Palpation
Percussion
Auscultation