P&P Chapter 16 Nursing Thinking

Question 1

Fundamental blueprint for how to care for a patient.

Answer 1

Nursing Process

Question 2

Collection, verification, and analysis of data

Answer 2

Assessment

Question 3

The patient percived needs, health problems, and responses

Answer 3

Database

Question 4

Information that was obtained through the use of the senses.

Answer 4

Cue

Question 5

Your judgment or interpretation of cues.

Answer 5

Inference

Question 6

Gordon’s 11 functional health patterns

Answer 6

1. Health perception-health management
2. Nutritional- metabolic
3. Elimination
4. Activity-exercise
5. Sleep-rest
6. Cognitive-perceptual
7. Self perception-self concept
8. Role-relationship
9. Sexuality-reprroductive
10. Coping-stress tolerance
11. Value-belief

Question 7

Describes patient’s self-report of health and well-being; how patient manages health knowledge of preventive health practices

Answer 7

Health perception-health management pattern

Question 8

Describes patient’s daily/weekly pattern of food and fluid intake.

Answer 8

Nutritional-metabolic pattern

Question 9

Describes patterns of excretory function.

Answer 9

Elimination pattern

Question 10

Describes patterns of exercise, activity, leisure, and recreation; ability to perform activities of daily living.

Answer 10

Activity-exercise pattern

Question 11

Describes patterns of sleep, rest, and relaxation

Answer 11

Sleep-rest pattern

Question 12

Describes sensory-perceptual patterns; language adequacy, memory, decision-making ability.

Answer 12

Cognitive-perceptual pattern

Question 13

Describes patient’s self-concept pattern and perceptions of self.

Answer 13

Self perception-self concept pattern

Question 14

Describes patient’s patterns of role engagements and relationships

Answer 14

Role-relationship pattern

Question 15

Describes patient’s patterns of satisfaction and dissatisfaction with sexuality pattern; patient’s reproductive patterns; premenopausal and postmenopausal problems

Answer 15

Sexuality-reproductive pattern

Question 16

Describes patient’s ability to manage stress; sources of support; effectiveness of the patterns in terms of stress tolerance

Answer 16

Coping-stress tolerance pattern

Question 17

Describes patterns of values, beliefs (including spiritual practices), and goals that guide patient’s choices or decisions

Answer 17

Value-belief pattern

Question 18

Surces where patient data can be obtained.

Answer 18

1. Patient
2. Family and significant others
3. Health Care Team
4. Medical records
5. Literature

Question 19

Interview process four steps.

Answer 19

1. Set the stage (orientation phase)
2. Gather information (chief complaint)
3. Collect the assessment (RN health Hx)
4. Terminate interview (summarize)

Question 20

Active listning prompts

Answer 20

Back channeling

Question 21

Factual demographic data about the patient

Answer 21

Bographical information

Question 22

Chief concern or problem

Answer 22

Reasons for seeking health care

Question 23

Pient understanding of why he or she is seeking health care.

Answer 23

Patient expectations

Question 24

Essential and relevant data about the nature and onset of symptoms

Answer 24

Present illness/health concerns

Question 25

Halth care experiences and current health habits and lifestyle patterns

Answer 25

Health history

Question 26

To determine whether the patient is at risk for illnessesnof a genetic or a familial nature

Answer 26

Family history

Question 27

Patient’s home and work, focusing on determining the patient safety

Answer 27

Environmental history

Question 28

Reveals the patient’s support systems and coping mechanisms

Answer 28

Psychosocial history

Question 29

Represents the totality of one’s being

Answer 29

Spiritual history

Question 30

Systematic approach for collecting thepatient’s self-reported data on all body systems

Answer 30

Review of system

Question 31

Five techniques involving physical examination

Answer 31

1. Inspection
2. Palpation
3. Percussion
4. Auscultation
5. Smell

Question 32

Comparision of data with another source to determine data accurancy

Answer 32

Data validation

Question 33

Recognizing patterns or trends in the clustered data, comparing them with standards and then coming to a conclusion about the patient’s responses to a health problem.

Answer 33

Data analysis

Question 34

Nursing process

Answer 34

1. Assessment
2 .Diagnosis
3. Planning
4. Implementation
5. Evaluation

Question 35

When collecting data be aware of?

Answer 35

1. Inaccurate data
2. Incomplete data
3. Inappropriate data

Question 36

Differents sources of data validation:

Answer 36

1. Labs (CBC, Chem7, UA)
2. Radiology (x-rays, cat scans, MRIs)
3. Pathology (biopsies, Pap smears)
4. Cultures (sputum, urine, blood)
5. Physical Exam

Question 37

The information obtained in a review of system (ROS) is ?

Answer 37

Subjective