Ch. 1 (Evidence-Based Assessment)

Question 1

What type of data involves what the person says during history taking?

Answer 1

subjective data

Question 2

What two types of data in a health assessment form the database?

Answer 2

• subjective data
• objective data

Question 2

What type of data involves what you as the health professional observe by inspecting, percussing, palpating, and auscultating during the physical examinations?

Answer 2

objective data

Question 3

What’s the purpose of the health assessment?

Answer 3

to make a judgement or diagnosis (relative to the patient’s health state, response to actual/potential health problems and life processes)

Question 4

Subjective and objective data come together to form what?

Answer 4

the database

Question 5

What’s the process of analyzing health data and drawing conclusions to identify diagnoses?

Answer 5

diagnostic reasoning

Question 6

What should one do to assessment data that appears casual or associated to one another?

Answer 6

cluster or group them together

Question 7

What are the five steps in the nursing processing?

clinical judgement and the diagnostic process

Answer 7

1. assessment
2. diagnosis
3. planning
4. implementation
5. evaluation

Question 8

What is the first stage in the nursing process and what do you do during it?

clincial judgement and the diagnostic process

Answer 8

• assessment
• gather data from medical records and patient and complete assessment

Question 9

What is the second stage in the nursing process and what do you do during it?

clincial judgement and the diagnostic process

Answer 9

• diagnosis
• clincial findings are interpreted and clinical judgement is used to determine a diagnosis

Question 10

What is the third stage in the nursing process and what do you do during it?

clincial judgement and the diagnostic process

Answer 10

• planning
• formulate goals and outcomes in collaboration with the patient

Question 11

What is the fourth stage in the nursing process and what do you do during it?

clincial judgement and the diagnostic process

Answer 11

• implementation
• implement the plan and evaluate the results

Question 12

What is the fifth stage in the nursing process and what do you do during it?

clincial judgement and the diagnostic process

Answer 12

• evaluation
• reasses or change the original plan

Question 13

In relation to the nursing process…

What kind of nurse has no experience with specific patient populations and uses rules to guide performacne and achieve competency?

Answer 13

novice nurse

Question 14

in relation to the nursing process…

What kind of nurse understands a patient’s situation as a whole rather than a list of tasks, attends to an assessment data pattern, and acts without consciously labeling it?

Answer 14

proficient nurse

Question 15

In relation to the nursing process…

Waht kind of nurse has an intuitive grasp of a clinical sitaution and zeroes in on the accurate solution?

Answer 15

expert nurse

Question 16

What kind of thinking is defined by the means by which we learn to asses and modify, if indicated, before acting?

Answer 16

critical thinking

Question 17

During critical thinking, priorities are considered.

What priority problems are emergent, life-threatening, and immediate, such as establishing an airway or supporting breathing?

Answer 17

first-level priority problems

Question 18

During critical thinking, priorities are considered.

What priority problems are next in urgency, and require prompt intervention to prevent further deterioration such as mental status change, acute pain, or abnormal lab values in the patient?

Answer 18

second-level priority problems

Question 19

During critical thinking, priorities are considered.

What priority problems are important to the patient’s health but can be addressed after more urgent problems?

Answer 19

third-level priority problems

Question 20

What are certain physiologic conditions in which the approach to treatment involves multiple disciplines?

Answer 20

collaborative problems

Question 21

What systematic approach to practice uses research evidence, clincial expertise, clinician knowledge, and the patient’s preferences and values to make decisions about care and treatment?

Answer 21

evidence-based practice

Question 22

Evidence-based practice uses what four types of databases?

Answer 22

• complete (or total health) database
• focused (or problem-centered) database
• follow-up database
• emergency database

Question 23

What kind of database includes a complete health history and a full physical examination, yielding the first diagnoses?

Answer 23

complete (or total health) database

Question 24

What kind of database is used for a limited or short-term problem?

Answer 24

focused (or problem-centered) database

Question 25

What kind of database evaluates the status of any identitifed problem at regular intervals to follow up on short-term and chronic health problems?

Answer 25

follow-up database

Question 26

What kind of database calls for rapid collection of crucial data, which often occurs while performing lifesaving measures?

Answer 26

emergency database