PRELIMS

Question 1

the promotion and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human responses

Answer 1

ANA (american nurses association)

Question 2

a series of organized steps designed for nurses to provide excellent care ; organization to a nurse’s critical thinking skills

Answer 2

nursing process

Question 3

it is the first and most critical phase of the nursing process

Answer 3

assessment

Question 4

the protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human responses

Answer 4

health assessment

Question 5

the purpose of this is to establish a database about the client’s response to health concerns or illness and ability to manage healthcare needs

Answer 5

assessment

Question 6

known as assessment from head to toe

Answer 6

cephalocaudal assessment

Question 7

involves collection of subjective data about the client’s perception of their health ; specified time after admission

Answer 7

initial or comprehensive assessment

Question 8

the purpose is to establish a complete database

Answer 8

initial comprehensive assessment

Question 9

perform whenever and wherever the nurse or another health care prof. has an encounter w the client in any setting

Answer 9

ongoing or partial assessment

Question 10

the purpose is to determine any changes from the baseline data

Answer 10

ongoing or partial assessment

Question 11

performed when a comprehensive database exists for a client with a specific health concern

Answer 11

focused or problem oriented assessment

Question 12

the purpose of this is to have a thorough assessment of a PARTICULAR health problem

Answer 12

focused or problem oriented assessment

Question 13

during a crisis of the client ; rapid assessment performed in life threatening situations or prompt treatment or intervention

Answer 13

emergency assessment

Question 14

time where nurses relied on their natural senses (change in color, temperature, muscle strength)

Answer 14

late 1800s - early 1900s

Question 15

inspection, palpation, auscultation ; 3 senses

Answer 15

1901

Question 16

the american journal of public health documents routine client and home inspection by public health nurse in 1930s

Answer 16

1930-1949

Question 17

nurses were hired to conduct pre-employment health histories and physical examination for major companies such as NY telephone

Answer 17

1950-1969

Question 18

conducts health histories and physical and psychological assessments

Answer 18

1970-1989

Question 19

downsizing budget cuts and restructuring were the priorities ; demand for documentation ; advanced nursing practices

Answer 19

1990 - present

Question 20

performs a focused assessment, and then incorporates assessment findings with a multidisciplinary team to develop a comprehensive plan of care

Answer 20

acute care nurse

Question 21

safely assess critically ill clients who are outside the structure intensive care environment

Answer 21

critical care outreach nurse

Question 22

assess and screen clients to determine the need for physician referrals

Answer 22

ambulatory care nurses

Question 23

make independent nursing diagnoses and referrals for collaborative problems

Answer 23

home health nurses

Question 24

practice of promoting and protecting the health of populations using knowledge from nursing, social

Answer 24

public health nurses

Question 25

specialized practice of public health nursing, protects and promotes student health

Answer 25

school nurses

Question 26

specialist in the nursing field who is trained to work closely with terminally ill patients

Answer 26

hospice nurses

Question 27

in this phase of the interview, the nurse reviews the medical record revealing past health history and reason for seeking care

Answer 27

pre-introductory

Question 28

this phase is the introduction, explaining purpose of interview, reason, cooperation, types of questions asked, taking notes assure, comfortable, develop trust

Answer 28

introductory

Question 29

in this phase, the nurse elicits the client's comments ; biographical data, reason for seeking health care, history of present health concern, past health history, family history, review of body systems, and lifestyle and health

Answer 29

working phase

Question 30

this phase is the summarization of information obtained during the working phase

Answer 30

summary or closing phase

Question 31

what are the nonverbal communication

Answer 31

appearance demeanor facial expression attitude silence listening

Question 32

what are the verbal communications

Answer 32

open ended questions closed ended laundry list rephrasing well placed phrases inferring providing information

Question 33

special considerations during the interview

Answer 33

gerontologic cultural emotional

Question 34

is the information you gather when you initially set an agenda during a patient centered interview

Answer 34

reasons for seeking healthcare

Question 35

often typed on the patient's admission sheet ; medical term to describe the primary problem

Answer 35

chief complaint

Question 36

collect of essential and relevant data about the symptoms and their effects on the patients health

Answer 36

history of present health

Question 37

provides a holistic view of a patient's health care experiences and current health habits ; hospitalized or surgeries

Answer 37

past health history

Question 38

includes data about immediate and blood relatives ; determine whether a patient is at risk for illness

Answer 38

family health history

Question 39

document the client's description of her health status of each body system and note the client's denial of signs and symptoms

Answer 39

review of system

Question 40

includes information about the client that the nurse directly observes during interaction

Answer 40

objective data