EXAM Flashcards
What is the first step in the nursing process?
Assessment
How does nursing assessment differ from medical assesment?
a. Focuses on physiological status only
b. includes psycho,socio and spiritual well being
c. limited to physical therapy assessments
d. concerns only with nutrional assessments
B
Which assessment is conducted when a client first enters a healthcare setting
Initial comprehensive assessment
What method is used during an emergency assessment to prioritize treatment?
a. SOAP method
b. ABCDE method
c. HEADSS method
d. PQRST method
B
Which assessment focuses on a thorough examination of a specific health concern
Focused/problem
Which aspect of the nursing process requires critical thinking to identify patient needs based on data collected
a. documentation
b. data analysis
c. data collection
d. implementation
B
How does the role of nurses in HA evolve according to the document
a. remains static
b. shift from focus on acute to community care
c. moves away from patient centered care
d. decreases in importance over time
B
Why is ongoing/partial assesment important?
a. it replaces initial comprehensive assess
b. provides updates on client health status since the initial ass
c. focuses on clients psychological status
d. optional part of nursing process
B
in what scenarios is focused/problem oriented ass most apppropriate?
a. standard proced for new clients
b. when detailed info ab specific health concern is required
c. during emergency situation
B
What is the primary purpose of the nursing process acc to doc?
a. to prescribe med
b. to perform surgeries
c. to provide a structured & effective way to deliver nursing care
d. to diagnose med conditions
C
which phase of interview involves establishing rapport with the client?
a. pre-intro
b. intro
c. working
d. summary and closing phase
B
How does nonverbal communication impact the nursing interview?
a. it can enhance/hinder communication process
b. it is the primary method of gathering data
A
What is the signif of working phase in the nursing interview?
a. to gather comprehensive health history and current health concern
b. summarize interview findings
c. collect data from med record
A
Which type of question is intended to obtain more than a one word response from client?
a. open ended
b. laundry list
c. leading
A
in developing a care plan, why is it important to include both sub and obj data?
a. to ensure a holistic understanding of the clients health status
b. to make the documentation process easier
A
Which communication skill is most crucial for collecting complete and valid data from client
a. speaking skills
b. listening skills
B
what is the primary goal of the preintro phase of nursing interview
a. to collect data from med record and understand reason for seeking care
b. to establish nursing diagnosis
A
How does understanding a client’s lifestyle and healthcare practices contribute to nursing care?
a. helps tailor nursing interventions to the clients unique needs
b. it is a formality wout practical application
A
What is the importance of review of systems in health history?
a. provide list of possible diagnoses
b. document clients family med history
c. elicit detailed info ab curret health prob
d. prescribe treatment base on symptoms
C
Why is it important to assess a clients stress levels & coping styles?
a. to provide entertainment
b. to identify maladaptive behaviours and guide interventions
B
How does the nurse use the COLDSPA mnemonic in the health history interview
a. to conduct a thorough analysis of symptoms
b. to plan nursing interventions witout client input
A
what is the significance of assessing a clients environment in the health history?
a. ensure compliance with hospital policies
b. to identify health hazards & potential risks
B