Chapter 1

Question 1

According to the holistic model, a narrow definition of holistic health includes:

Answer 1

the absence of disease.

Question 2

What type of database is most appropriate when rapid collection of data is required and often compiled concurrently with lifesaving measures?

Answer 2

Emergency

Question 3

A medical diagnosis is used to evaluate:

Answer 3

the cause of disease.

Question 4

An example of subjective data is:

Answer 4

left knee has been swollen and hot for the past 3 days.

Question 5

What type of database is most appropriate for an individual who is admitted to a long-term care facility?

Answer 5

Complete

Question 6

Which of the following is an example of objective data?

Answer 6

Alert and oriented

Question 7

An example of objective data is:

Answer 7

crepitation in the left knee joint

Question 8

A nursing diagnosis is best described as:

Answer 8

a concise statement of actual or potential health concerns or level of wellness.

Question 9

A complete database is

Answer 9

used to perform a thorough or comprehensive health history and physical examination.

Question 10

A patient admitted to the hospital with asthma has the following problems identified based on an admission health history and physical assessment. Which problem is a first-level priority?

Answer 10

Impaired gas exchange

Question 11

The concept of health and healing has evolved in recent years. Which is the best description of health?

Answer 11

Health depends on an interaction of mind, body, and spirit within the environment

Question 12

Which would be included in the database for a new patient admission to a surgical unit

Answer 12

All subjective and objective, and data gathered from a patient and the results of any laboratory or diagnostic studies completed

Question 13

You are reviewing assessment data of a 45 y/o male patient and note pain of 8 on a scale of 10, labored breathing, and pale skin color on the electronic health record. This documentation is an example of

Answer 13

data cluster

Question 14

A patient is in the emergency department with nausea and vomiting. What would you include in the database

Answer 14

A diet and GI history

Question 15

A patient has recently received health insurance and would like to know how often he should visit the provider. How do you respond

Answer 15

“your visits may vary depending on your level of wellness

Question 16

You are reviewing concepts related to steps in the nursing process for determining prioritization and developing patient outcomes. To what are these actions attributed?

Answer 16

planning

Question 17

Which describes evidence-based nursing practice

Answer 17

Combining clinical expertise with the use of nursing research to provide the best care for patients while considering the patients values and circumstances

Question 18

What can be determined when the nurse clusters data as part of the critical thinking process

Answer 18

the nurse recognizes relevant info among the data

Question 19

A patient says she is very nervous and nauseated, and feels like she will vomit. This data would be what type of data?

Answer 19

subjective

Question 20

The expert nurse differs from the novice nurse by acting without consciously thinking about the actions. This is referred to as

Answer 20

intuition

Question 21

Which would be considered a risk diagnosis

Answer 21

Identify potential problems the individual may develop

Question 22

Which would be included in a holistic model of assessment

Answer 22

a patients perception of his or her health status

Question 23

The nurse uses health promotion activities with a new patient. What would this focus include

Answer 23

The nurse would empower the patient to choose a healthier lifestyle

Question 24

2-x5-cm scar present on the right lower forearm is an example of what kind of data

Answer 24

objective

Question 25

During the evaluation phase of the nursing process, which action would be included

Answer 25

providing info to the patient and family members

Question 26

Assessment

Answer 26

The collection of data about an individuals health state

Question 27

Biomedical model

Answer 27

the Western European/ North American tradition that views health as the absence of disease

Question 28

Complete database

Answer 28

a complete health history and full physical exam

Question 29

Critical thinking

Answer 29

simultaneously problem solving while self-improving ones own thinking ability

Question 30

Diagnostic reasoning

Answer 30

a method of collecting and analyzing clinical info with the following components: 1. attending to initially available cues 2. formulating diagnostic hypotheses 3. gathering data relative to the tentative hypothesis 4. evaluating each hypothesis with the new data collected and 5. arriving at a final diagnosis

Question 31

Emergency database

Answer 31

rapid collection of the database, often compiled concurrently with lifesaving measures

Question 32

Environment

Answer 32

the total of all the conditions and elements that make up the surroundings and influence the development of a person

Question 33

EBP

Answer 33

a systematic approach emphasizing the best research evidence, the clinicians experience, patient preferences and values, physical exam, and assessment

Question 34

Focused database

Answer 34

used for a limited or short-term problem, concerns mainly one problem, one cue complex, or one body system

Question 35

F/u database

Answer 35

used in all settings to monitor progress of short-term or chronic health problems

Question 36

holistic database

Answer 36

the view that the mind, body, and spirit are interdependent and function as a whole within the environment

Question 37

medical diagnosis

Answer 37

used to evaluate the cause and etiology of disease; focus is on the function or malfunction of a specific organ system

Question 38

nursing diagnosis

Answer 38

used to evaluate the response of the whole person to actual or potential health problems

Question 39

objective data

Answer 39

what the health professional observes by inspecting, palpating, percussing, and auscultating during the physical exam

Question 40

prevention

Answer 40

any action directed toward promoting health and preventing the occurrence of disease

Question 41

subjective data

Answer 41

what the person says about himself or herself during history taking

Question 42

wellness

Answer 42

a dynamic process and view of health, a move toward optimal functioning