Chapter 1 - Evidence Based Assessment

Question 1

____ data is what the patient says about himself or herself during history taking

Answer 1

Subjective

Question 2

____ data is observed when inspecting, percussing, palpating, and ausculating patient during physical exam

Answer 2

Objective

Question 3

A ____ is formed from subjective and objective data plus patient’s records and laboratory studies

Answer 3

Databsse

Question 4

Diagnostic Reasoning (Hypothetico-deductive model) compnents

Answer 4

Attend to initially available cues (pices of information)

Formulate diagnostic hypothesis (tentative explanation of cues)

Gather revelent data

Evaluate each hypothesis with outgoing data collection

Serve as basis for ongoing investigation

Question 5

What acronym do you use to remember the Nursing Process

Answer 5

ADPIE

Question 6

What does ADPIE stand for (steps of the nursing process)

Answer 6

Aasessment

Diagnosis

Planning

Implementation

Evaluation

Question 7

____: The process of analyzing health data and drawing conclusions to identify diagnoses

Answer 7

Diagnostic Reasoning

Question 8

The nurse has a “hunch” that the patient’s elevated blood pressure is due to pain level; however, the patient received blood pressure and pain medication 45 mimutes ago. What should the nurse consider in regards to this hunch?

Answer 8

The nurse should ocnsider consulting with the pain management team to evaluate the effectiveness of the pain medication regimen

Question 9

What are the different levels of priority

Answer 9

First-Level Priority: Emergent, life threatening, and immediate

Second-Level Priority: Next in urgency, requiring attention so as to avoid further deterioration

Third-Level Priority: Important to patient’s health, but can be addressed after more urgent problems are addresses

Collaborative Problems: Approach to teatment involves multiple disciplines

Question 10

In the 1850s, historical evolution of the concept of “research” began with ____

Answer 10

Florence Nightingale

Question 11

What are the four types of data

Answer 11

Complete total health database

Episodic or problem-centered database
(Colect “mini” database, smaller scope and more focused than complete database)

Follow-up database
(Status of all identified problems should be evaluated at regular and appropriate intervals)

Emergency database
(Rapid collection of data, often compiled concurrently with lifesaving measures)

(Describes current and past health state and forms baseline to measure all future changes)

Question 12

The ____ is the incorporation of impact of exteral and interpersonal environment of one’s mind and body

Answer 12

Holistic model assessment

Question 13

ABCs (airway, breathing, circulation) issues would be triaged as a ____ level priority

Answer 13

first

Question 14

A 48-year-old male presenting with chest pain would be categorized as a ____ priority

Answer 14

Level one

Question 15

A 19-year-old female who has frequent headaches with stable vital signs would be categorized as a ____ priority

Answer 15

Level 2

Question 16

A 68-year-old ale who has a ground-level fall (GLF) would be categorized as a ____ priority

Answer 16

Level 2

He has the potential to emerge to a level 1 priority.

Question 17

Which priority information should the nurse obtain for a 48-year-old male who has chest pain

Answer 17

Vital signs, Pulse oximetry, airway status, EKG tracing, Pain assment scale, allergy status, last time the patient had something to eat, presence of associated symptoms (such as nauesea, vomiting, or headache), past medical/history, family history, social hisory (smoking, alcohol, dug use), and pain parameters (quality, duration, intensity, time of onset, and precipitating or alleviating factors)

Question 18

What databse is suitable for short-term problems

Answer 18

Problem-Centered database

Question 19

The evaluation phase of the nursing process is to…

Answer 19

Determine if patient outcomes were met

Question 20

Which nurse is most likely to skip steps and arrive at a clinical judgement instantly during the nursing process

Answer 20

Expert nurse

Question 21

Impaired physical activity would be categorized as a ____ level problem

Answer 21

third

Question 22

What is the role of a novice nurse in respect to problem-solving

Answer 22

Using rules to guide performance

Question 23

Evidence-based practice is a combination of ____, ____, ____, and ____ and ____

Answer 23

clinical expertis

research findings

clinical knowledge

patient values and preferences