Week 1

Question 1

What is included in a general survey assessment?

Answer 1

-Vital signs
-Ability to communicate
-appropriateness of behavior and responses
-general mobility
-basic nutritional & fluid status
*Use all 5 senses

Question 2

6 components of the nursing process nurses are expected to perform competently (ADOPIE)

Answer 2

Assessment
Diagnosis
Outcomes Identification
Planning
Implementation
Evaluation

Question 3

—– includes collecting data such as demographics, social determinants of health, health disparities, and physical, functional, psychosocial, emotional, cognitive, sexual, cultural, age-related, environmental, spiritual/transpersonal, and economic considerations

Answer 3

Assessment

Question 4

How is subjective data documented

Answer 4

With quotation marks. EX: “The patient reports…” “The patient’s wife states…”
“The patient appears anxious.” (My inference)

Question 5

Two types of subjective info:

Answer 5

Primary: provided by the patient
Secondary: information from a family member, chart, or other source

Question 6

three ways assessment data is collected:

Answer 6

1. Focused interview
2. Physical Exam
3. While reviewing lab and diagnostic test results

Question 7

Where should a nurse start with a focused interview?

Answer 7

With the patient’s perception of their medical symptomology and how it has affected their functioning, relationships, and lifestyle.
NEVER shy away from asking questions important to the patient’s care!

Question 8

What is percussion during physical exam?

Answer 8

Advanced technique where body parts are tapped with fingers to determine size and if fluid is present.

Question 9

Hand washing should be done always at these times (6)

Answer 9

1. Immediately before touching a patient
2. Before performing aseptic technique/ handling invasive medical devices.
3. Before moving from working on a soiled body site to a clean body site
4. After contact with blood, body fluids, or contaminated surfaces.
5. Before donning gloves and right after removing
6. When leaving an area after touching a patient or their immediate environment

Question 10

AIDET (common framework used to communicate with patients)

Answer 10

-Acknowledge: Patient by name and anyone else in room. Ask name pref.
-Introduce: self
-Duration: Timeline estimation of how long the process should take
-Explanation: step by step
-Thank you: Thank and ask if there is anything they need. If family, acknowledge their support