Chapter 1

Question 1

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

Answer 1

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

Question 2

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

Answer 2

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

Question 3

you are reviewing assessment data of a 45 year old male patient and note pain of 8 on a 10 scale , labored breathing, pale skin color on the electronic health record.this documentation is an example of?

Answer 3

data cluster

Question 4

a patient is in the emergency department with nausea and vomiting. which would you include in the database?

Answer 4

a diet and GI history

Question 5

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

Answer 5

“your visits may vary, depending on your level of wellness.”

Question 6

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

Answer 6

planning

Question 7

which best describes evidence-based nursing practice?

Answer 7

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

Question 8

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

Answer 8

the nurse recognizes relevant information among the data.

Question 9

the patient says she is very nervous and nauseated, she feels like she will vomit. this data is what type of data?

Answer 9

subjective

Question 10

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

Answer 10

intuition

Question 11

which would be considered a risk diagnosis?

Answer 11

identifying potential problems the individual may develop.

Question 12

which would be included in a holistic model of assessment?

Answer 12

a patients perception of his or her health status

Question 13

the nurse uses health promotion activities with a new patient. what would this focus include?

Answer 13

the nurse would empower the patient to choose a healthier lifestyle.

Question 14

which is an example of objective data?

Answer 14

2- x 5-cm scar present on the right lower forearm.

Question 15

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

Answer 15

providing information to the patient and family members.

Question 16

Assessment

Answer 16

the collection of data about an individual’s health state

Question 17

Biomedical model

Answer 17

Biomedical model

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

Question 18

Complete database

Answer 18

a complete health hx and full physical examination

Question 19

Critical thinking

Answer 19

simultaneously problem solving while self improving one’s own thinking abilty

Question 20

Diagnostic reasoning

Answer 20

a method of collecting and analyzing clinical information with the following components: attending to initial cues, formulating hypotheses, gathering data relative to the tentative hypotheses and evaluating each hypothesis with the new data collected and arriving at a final diagnosis

Question 21

Emergency database

Answer 21

rapid collection of the database often compiled concurrently with lifesaving measures

Question 22

Environment

Answer 22

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

Question 23

Evidence based practice

Answer 23

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

Question 24

focused database

Answer 24

one used for a limited or short term problem concerns mainly one problem one cue complexor one body system

Question 25

followup database

Answer 25

used in all setting to monitor progress on short term or chronic health problems

Question 26

holistic health

Answer 26

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

Question 27

medical diagnosis

Answer 27

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

Question 28

nursing diagnosis

Answer 28

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

Question 29

Nursing process

Answer 29

a method of collecting and anlyzing clinical information with the following components; assessment, diagnosis, outcome identification planning implementation and evaluation

Question 30

objective data

Answer 30

what the healthcare professional observes by inspecting palpating percussing and auscultating during the physical examination

Question 31

Prevention

Answer 31

any action directed toward promoting health and preventing the occurence of a disease