UNIT 1

Question 1

Effective nursing care begins with an ____ and _____ health assessment.”

Answer 1

accurate and holistic

Question 2

is the first and most critical step of the nursing process and accuracy of assessment data affects all other phases of the nursing process.

Answer 2

Assessment

Question 3

What is the Nursing process?

Answer 3

Assessment
Diagnosis
Planning
Implementation
Evaluation

Question 4

It is collecting subjective and objective data

Answer 4

Assessment

Question 5

It is the analysis of the subjective and objective data to make a professional judgment

Answer 5

Diagnosis

Question 6

Determining outcome criteria & developing a plan

Answer 6

Planning

Question 7

Carrying out the plan

Answer 7

implementation

Question 8

Assessing whether outcome criteria have been met & revising the plan as necessary

Answer 8

Evaluation

Question 9

Nursing process is not ____ but _____

Answer 9

linear but a cycle

Question 10

IN ADOPIE, what is O?

Answer 10

Outcome Identification

Question 11

Assessment is the gathering of information about a patient’s ______, ________

Answer 11

physiological
psychological
sociocultural
developmental
spiritual status

Question 12

What is the purpose of assessment?

Answer 12

it is to collect subjective and objective data to determine a client’s overall level of functioning in order to make a PROFESSIONAL CLINICAL JUDGMENT

Question 13

What are the four types of Assessment?

Answer 13

Initial Comprehensive Assessment
Ongoing or Partial Assessment
Focused or Problem-Oriented Assessment
Emergency Assessment

Question 14

collection of subjective data about the client’s perception of ALL body parts or systems, past health hx, family hx & lifestyle & health practices plus gathering of objective data during a step-by-step physical examination

Answer 14

Initial Comprehensive Assessment

Question 15

Initial Comprehensive Assessment is the collection of _____ about the client’s perception of ALL 1. _____, 2. ______, 3. ______, 4. _____

Answer 15

subjective data
1. body parts or systems
2. past health history
3. family history
4. lifestyle and health practices

Question 16

data collection after comprehensive assessment

Answer 16

Ongoing or Partial Assessment

Question 17

It is also called as baseline data

Answer 17

Initial comprehensive assessment

Question 18

thorough assessment of a PARTICULAR client problem &DOES NOT cover areas not
related to the problem

Answer 18

Focused or Problem-Oriented Assessment

Question 19

very-rapid assessment performed in life- threatening situations

Answer 19

Emergency Assessment

Question 20

What is an example of an emergency assessment?

Answer 20

Assessment of ABCs (Airway, Breathing, Circulation)

Question 21

What are the 4 Major Steps of Health Assessment?

Answer 21

Collection of subjective data
collection of objective data
validation of data
documentation of dafa

Question 22

In preparing for the assessment, what should you do?

Answer 22

Gathering information before actually meeting the client
keep an OPEN MIND
Avoid Premature judgment
Educate yourself about client’s medical diagnosis
Obtain and organize materials needed for assessment

Question 23

What are the data included in the subjective data?

Answer 23

sensations or symptoms
feelings
perceptions
desires
preferences
beliefs
ideas
values
personal information

Question 24

Subjective data can only be ____ and ____ by the client

Answer 24

elicited and verified

Question 25

What is the method used to ibtain data?

Answer 25

client interview

Question 26

Major areas of subjective data?

Answer 26

biographical information physical symptoms related to each body part or system past health history family history health and lifestyle practices

Question 27

In the collection of objective data it includes what data?

Answer 27

directly obtained by the nurse/examiner through **observation and physical examination** observed by the family or significant others about the client client’s health record

Question 28

What are the MAJOR AREAS of Objective data?

Answer 28

physical characteristics body functions appearance behavior measurements laboratory results

Question 29

the process of confirming or verifying that the subjective data & objective data you have gathered are __________ and _____ as well as ____

Answer 29

reliable and accurate as well as complete

Question 30

What are the METHODS of validation?

Answer 30

1. recheck your own data 2. clarify data with the client 3. verify with another health care professional 4. compare objective from subjective findings

Question 31

What are the primary reasons why nurses need to document the data collected?

Answer 31

1. provide the health care team with a **database** that becomes the foundation of care 2. helps identify **health problems, formulate nursing diagnoses and plan**

Question 32

In the evolution of nurse’s role in HA, in the past assessment integral part of nursing ever since the days of? and the nurses relied on their?

Answer 32

1. Nightingale 2. natural senses

Question 33

In the present, ____ and ___ of nursing assessment has expanded due to advances in _______ and _____

Answer 33

1. depth 2. scope 3. medical knowledge 4. technology

Question 34

In the future, there will be an increase _____ and ____ of assessment skills

Answer 34

specialization and diversity

Question 35

a purposeful mental activity

Answer 35

critical thinking

Question 36

critical thinking involves?

Answer 36

problem solving and decision making

Question 37

critical thinking is ____, _____, _____, and _____

Answer 37

self-directed self-disciplined self-monitored self-corrective thinking

Question 38

is a major component of critical thinking.

Answer 38

creative thinking

Question 39

goal directed thinking that leads to better solutions by using new ideas or methods

Answer 39

creative thinking

Question 40

are standards which must be applied to thinking whenever one is interested in checking the quality of reasoning about a problem, issue or situation

Answer 40

universal intellectual standards for critical thinking

Question 41

In the universal intellectual standards for critical thinking, what are the 8 components?

Answer 41

clarity accuracy precision relevance depth breath logic fairness

Question 42

Could you elaborate further on that point?” - “Could you express that point in another way?” - “Could you give me an example?”

Answer 42

clarity

Question 43

“Is that really true? “ - “How could we find out if that is true?”

Answer 43

accuracy

Question 44

Could you give more details? “ - “Could you be more specific?”

Answer 44

precision

Question 45

How is that connected to the question? “

Answer 45

relevance

Question 46

“How does your answer address the complexities in the question? “ - “Is that dealing with the most significant factors?”

Answer 46

depth

Question 47

Do we need to consider another point of view? “ - “Is there another way to look at this question?

Answer 47

breadth

Question 48

“Does this really make sense? “ - “Does that follow what you said?”

Answer 48

logic

Question 49

Do I have a vested interest in this issue? - Am I sympathetically representing the viewpoints of others?

Answer 49

fairness

Question 50

Health assessment involves assessment of the individual as a

Answer 50

whole

Question 51

The individual is part of a _____context, a _____ context, a _____ context and a _____ context, all of which affect the client’s health status.

Answer 51

cultural family spiritual community

Question 52

the totality of socially transmissible behavioral patterns, arts, beliefs, values, customs, lifeways, and all other products of human work and thought characteristic of a population or people that guide their worldview and decision making.

Answer 52

culture

Question 53

composed of people who have a distinct identity and yet are related to a larger cultural group

Answer 53

subculture

Question 54

the classification of people according to shared biologic characteristics, genetic markers or features

Answer 54

race

Question 55

the process where people adapt to or borrow traits from another culture

Answer 55

acculturation

Question 56

occurs in response to transition from one cultural setting to another

Answer 56

culture shock

Question 57

assuming all members of a culture or ethnic group are alike

Answer 57

stereotyping

Question 58

the tendency to view your own way of culture as the most desirable, acceptable, or best, and to act in a superior manner toward other cultures

Answer 58

ethnocentrism

Question 59

the tendency to impose your beliefs, values, and patterns of behavior on individuals from another culture

Answer 59

cultural imposition

Question 60

What are the characteristics of culture?

Answer 60

Learned shared adapted universal

Question 61

transmitted from generation to generation; learned through life experiences within one’s culture group

Answer 61

learned

Question 62

culture is ____ by all members of the group

Answer 62

shared

Question 63

as environmental circumstances change, the group changes to improve its ability to survive

Answer 63

adapted

Question 64

all humans have culture

Answer 64

universal

Question 65

are culturally-defined conditions which may have no equivalent from a biomedical/scientific perspective.

Answer 65

culture-bound syndromes

Question 66

example of culture bound syndrome among Cebuanos and Hispanic Americans?

Answer 66

Panuhot-cebuano empacho-hispanic Americans

Question 67

In chinese culture, _____ may be considered disrespectful?

Answer 67

eye contact

Question 68

_______ are hesitant to ask questions; _____ may not mean agreement

Answer 68

Chinese nodding

Question 69

Chinese has respect for _____ and ____

Answer 69

elders and authority figures

Question 70

In chinese culture, ____ in care is preferred

Answer 70

family involvement

Question 71

illness is an imbalance of ___ and ____ (CHINESE)

Answer 71

yin and yang

Question 72

yin foods are yang foods are

Answer 72

1. cold 2. hot

Question 73

What are the other health practices of chinese?

Answer 73

1. acupuncture 2. medicinal herbs 3. ventosa 4. acupressure or massage

Question 74

In ______ touching someone’s head is disrespectful

Answer 74

Korean

Question 75

What is the culture-bound syndrome of Korean?

Answer 75

hwa-byung

Question 76

a mental illness common in married, middle- aged women; triggered by life crises

Answer 76

hwa-byung

Question 77

men & women do not shake hands, touch each other or go together in public, unless they are married or belong to same immediate family

Answer 77

Middle Eastern

Question 78

_____ is considered healthy in Middle eastern

Answer 78

physically robust

Question 79

the culture of middle eastern is

Answer 79

male-dominated

Question 80

In middle eastern, health care provide must be ?

Answer 80

same sex

Question 81

culture of the middle eastern is influenced by ______

Answer 81

islamic religion

Question 82

What is the culture-bound syndrome of Middle eastern?

Answer 82

Zar

Question 83

apathy & withdrawal believed to be caused by spirit possession)

Answer 83

zar

Question 84

tend to be verbally expressive, yet values confidentiality

Answer 84

Hispanic American

Question 85

believes illness to be caused either by the supernatural, as a punishment from God or as an imbalance between the _____ and ____

Answer 85

caliente and frio

Question 86

What are the health practices of Hispanic Americans?

Answer 86

when ill, first seeks advice from older women in family goes to **jerbero (specializes in the use of herbs** or **curandero or curandera (holistic healer) **

Question 87

What are the culture bound syndromes of hispanic Americans?

Answer 87

mal ojo (evil eye) empacho (ball of food) susto (soul loss) caida dela mollera (depressed fontanelle

Question 88

menstruation is believed to rid the body of dirty and excess blood.

Answer 88

African American

Question 89

African American have rich tradition of ____

Answer 89

herbal remedies

Question 90

What are the culture bound syndromes of African American?

Answer 90

voodoo illness (result of withcraft) falling out (normal reaction, fainting)

Question 91

Filipino need to engage in ____ before discussing more serious matters

Answer 91

small talk

Question 92

In filipino culture, ____ and ____ are too personal to discuss

Answer 92

sex and socioeconomic status

Question 93

expressing _____ and ___is a sign of weakness

Answer 93

pain and crying

Question 94

What are the cultural beliefs of Filipino?

Answer 94

Illness is caused by evil spirits, folk or faith healers

Question 95

What are the health practices of Filipino?

Answer 95

Flushing (perspiration) protection (use of amulets, religious medals, pictures, statues)

Question 96

What are the culture bound syndrome of Filipino?

Answer 96

panuhot pasmo nabuyagan kabuhi barang

Question 97

refers to an ability to interact effectively with people of different cultures

Answer 97

cultural competence

Question 98

a search for meaning & purpose in life, w/c seeks to understand life’s questions in relation to the sacred

Answer 98

Spirituality

Question 99

will help the nurse address client’s spiritual needs to maintain well-being

Answer 99

Spiritual Assessment

Question 100

Spirituality is ?

Answer 100

informal, non-organized, self-reflection and experienced

Question 101

refers to rituals, practices & experiences involving a search for the sacred (God, Allah) that are shared within a group

Answer 101

religion

Question 102

Religion is ?

Answer 102

formal, organized, ritualistic, and group-oriented

Question 103

prayer & meditation are used for cleansing & healing

Answer 103

Buddhism

Question 104

death is associated with rebirth into another form

Answer 104

Reincarnation Buddhism

Question 105

Many buddhist are strict ____

Answer 105

vegetarians

Question 106

Believes that illness is a result of past & current life actions or karma

Answer 106

Hinduism

Question 107

In Hinduism, ___ hand is seen as holy

Answer 107

right hand

Question 108

No beef diet

Answer 108

Hinduism

Question 109

In Islam, prayer occurs?

Answer 109

5 times per day: sunrise, noon, afternoon, sunset, and evening

Question 110

In Islam, prayers are done facing ____ on a rug, preceded by washing hands and feet

Answer 110

EAST

Question 111

ladies are not to view men other than their husbands, naked

Answer 111

ISLAM

Question 112

all outcomes in life are seen as predetermined by Allah

Answer 112

Islam

Question 113

it is important for dying clients to face EAST & die facing EAST

Answer 113

Islam

Question 114

consumption of pork & alcohol is prohibited

Answer 114

Islam

Question 115

month of fasting; refraining from eating, drinking, having sex & indulging in anything in excess or ill- natured from dawn until sunset

Answer 115

Ramadan

Question 116

Jesus Christ is the savior & miracles can happen through prayers

Answer 116

Christianity

Question 117

In Christianity, there is an ____ for the dying and _____ for the dying or dead newborns

Answer 117

extreme unction emergency baptism

Question 118

Restrictions related to work on holy days are removed to save a life

Answer 118

Judaism

Question 119

Psalms & last prayer of confession (vidui) are held at bedside

Answer 119

Judaism

Question 120

what is the last prayer of confession in Judaism?

Answer 120

vidui

Question 121

At death, arms are NOT crossed & any clothing or bandages should be buried with the person

Answer 121

Judaism

Question 122

What is the diet of Jews?

Answer 122

No mixing of meat and dairy because of Kosher laws special slaughter of animals unleavened bread only during passover week

Question 123

What is a religious person of the Jews called?

Answer 123

Rabbi

Question 124

PROHIBITS consumption, storage & transfusion of blood

Answer 124

Jehovah’s Witnesses

Question 125

PROHIBITS alcohol, coffee, tea and tobacco/smoking

Answer 125

Church of Jesus Christ in Latter Day Saints(Mormon) Seventh Day Adventist

Question 126

consists of individuals YOU consider to be your significant others

Answer 126

family

Question 127

It is important in the family

Answer 127

family assessment

Question 128

geopolitical communities determined by natural boundaries

Answer 128

community

Question 129

What is the role of community in illness?

Answer 129

communities affect the emotional and physical health of individuals and families.

Question 130

nursing which recognizes the biopsychosocial & spiritual dimensions of persons; recognizing that individuals are unitary wholes whose lives are intertwined with family, culture & environmental

Answer 130

holistic nursing