49 Questions
Which type of data is described only by the patient and apparent only to the patient?
Subjective data
What is the primary goal of interviewing as a data collection method?
To establish rapport
Which method of data collection involves utilizing vision, smell, hearing, and touch?
Observing
In physical assessment, which style utilizes a head-to-toe approach?
Cephalocaudal
What does validation in data collection involve?
Double-checking or verifying data
What is the purpose of organizing data in nursing documentation (charting)?
To complete the assessment phase
What does OLDCART pertain to in the context of nursing health history?
Objective, Location, Duration, Characteristics, Aggravating factors, Relieving factors, Treatments
Which of the following is considered a part of the Lifestyle data collection in nursing health history?
Sleep patterns and activities of daily living
In the context of nursing health history, what does recognizing assumptions involve?
Challenging implicit beliefs or attitudes about patients
Which aspects are included in the Past Medical History section of nursing health history?
All of the above
What is included under the Patterns of Health Care section in nursing health history?
All health care resources the client is currently using and has used in the past
What should be included when documenting Family History of Illness in nursing health history?
Include ages of individuals or cause of death with age at the time of death
What is the purpose of a nursing health assessment?
To make a judgment or a diagnosis
What is the significance of selected physical findings in a health assessment?
They guide the nursing interventions
What is OLDCART in relation to health assessment?
A technique for data collection
What does distinguishing data involve in a nursing health assessment?
Identifying relevant information
What is the purpose of the physical health examination in nursing?
To identify physical abnormalities or signs of illness
What is the expected outcome of a health assessment?
To form a judgment or diagnosis
What are the differences in assessment techniques appropriate for the young, middle, and older adult called?
Age-specific assessment variations
Which method of examination involves using the pads of fingers to determine texture, temperature, vibration, masses, distention, pulsation, and tenderness?
Palpation
What does the acronym OLDCART stand for in the context of data collection methods?
Onset, Location, Duration, Characteristics, Aggravating factors, Relieving factors, Treatment
What is the purpose of a problem-focused assessment?
To determine the status of a specific problem
In the context of physical assessment technique variations, what should be taken into consideration when assessing elderly clients?
Gerontological differences that may be abnormal for younger clients but normal for elderly clients
What is the main purpose of recording physical exam findings on a patient's record?
To document/chart the findings
What is the primary focus of a Clinical Nurse Specialist (CNS) role?
Providing direct patient care
Which nursing role involves identifying, analyzing, and maximizing each patient's own health?
Nurse Practitioner (NP)
In the context of nursing aims and competencies, what does 'Facilitate coping with disability or death' primarily aim to achieve?
Supporting patients in managing difficult situations
What is the main focus of a Nurse Administrator role?
Overseeing and managing nursing staff and operations
What is a key responsibility of a Nurse Researcher?
Conducting research studies to advance nursing knowledge
Which nursing role involves assessments, collaborating, planning, teaching, and rehab in the context of promoting health aims?
Clinical Nurse Leader (CNL)
What is the observed outcome of critical thinking and decision making in the clinical setting?
Clinical reasoning
Which of the following refers to the layers of the NCSBN Clinical Judgment Measurement Model (NCJMM)?
Prioritize hypothesis
What is the skill of recognizing cues about a clinical situation, generating and weighing hypotheses, taking action, and evaluating outcomes for the purpose of arriving at a satisfactory clinical outcome?
Clinical judgment
Which process involves thinking about patient problems in the clinical setting?
Decision making
What does the NCSBN Clinical Judgment Measurement Model (NCJMM) involve prior to generating solutions?
Analyze cues
What does creative thinking involve in the context of patient care?
Imagination, intuition, and spontaneity
What is the primary purpose of a Nurse Practice Act?
To define the legal scope of nursing practice and protect the public
What is the function of a state board of nursing established by the Nurse Practice Act?
To make and enforce rules and regulations concerning the nursing profession
What do Nursing Codes of Ethics primarily reflect?
The primary goals, values, and obligations of the nursing profession
What is the purpose of the Nursing Process in nursing practice?
To provide a framework for critical thinking and decision making in nursing
What do values represent in the context of nursing?
Beliefs about the worth of something that guide one’s behavior
What does a state board of nursing have authority to do under the Nurse Practice Act?
Make and enforce rules and regulations concerning the nursing profession
What is the term for the type of stress experienced by healthcare professionals who are constantly exposed to the trauma and suffering of others?
Compassion fatigue
Which nursing activity aligns with the aim of restoring health for a client?
Maximizing a newly disabled client’s strength or potential
What does an altruistic nurse demonstrate in the context of patient care?
Advocacy for their clients
In the scenario described, where the nurse tries different interventions to alleviate the client's pain, what type of problem-solving is being demonstrated?
Trial-and-error problem solving
What is the primary focus of stress reduction training using the STOP technique mentioned in the text?
Relaxation techniques
What is an early sign that healthcare professionals must be alert to, as mentioned in the text?
Compassion fatigue
In the context of self-care for healthcare professionals, what does 'secondary traumatic stress' refer to?
Emotional disturbances due to constant exposure to others' trauma
Study Notes
Data Collection Methods
- Subjective data is described only by the patient and apparent only to the patient
- The primary goal of interviewing as a data collection method is to elicit information from patients
- Observation method of data collection involves utilizing vision, smell, hearing, and touch
Physical Assessment
- Systematic head-to-toe approach is a style of physical assessment
- Validation in data collection involves confirming the accuracy of patient information
Nursing Health History
- OLDCART pertains to Onset, Location, Duration, Characteristics, Aggravating factors, Relieving factors, and Treatment in nursing health history
- Lifestyle data collection includes factors such as occupation, hobbies, and living situation
- Recognizing assumptions involves identifying implicit assumptions in patient data
- Past Medical History section includes previous illnesses, injuries, hospitalizations, and surgeries
- Patterns of Health Care section includes patient's health care providers and utilization of health care services
- Family History of Illness includes family medical history and genetic influences
Health Assessment
- The purpose of a nursing health assessment is to collect data and identify health problems
- Selected physical findings are significant in a health assessment as they provide clues to underlying health issues
- OLDCART is a mnemonic for remembering characteristics of symptoms in health assessment
- Distinguishing data involves identifying relevant data in a health assessment
- The purpose of the physical health examination is to collect objective data
- The expected outcome of a health assessment is to identify health problems and develop a plan of care
Nursing Roles
- The primary focus of a Clinical Nurse Specialist (CNS) role is on a specific population or disease
- A Nurse Administrator role focuses on management and leadership
- A Nurse Researcher role involves designing, conducting, and evaluating research studies
- A Nurse Practitioner role involves assessments, collaborating, planning, teaching, and rehab in the context of promoting health aims
- The primary focus of a Nurse Educator role is on teaching and mentoring
Critical Thinking and Decision Making
- Critical thinking and decision making in the clinical setting involves recognizing cues, generating and weighing hypotheses, taking action, and evaluating outcomes
- The NCSBN Clinical Judgment Measurement Model (NCJMM) involves recognizing cues, analyzing, prioritizing, generating solutions, and taking action
- Critical thinking involves recognizing cues, generating and weighing hypotheses, taking action, and evaluating outcomes
- Creative thinking involves thinking outside conventional solutions to develop innovative approaches
- The primary purpose of a Nurse Practice Act is to regulate nursing practice and protect the public
Ethics and Professional Practice
- Nursing Codes of Ethics reflect the values and principles of the nursing profession
- A state board of nursing has authority to regulate nursing practice, issue licenses, and discipline nurses under the Nurse Practice Act
- Values in nursing represent the principles and ideals that guide professional practice
- The primary purpose of the Nursing Process is to provide high-quality patient care
Stress Management and Self-Care
- Secondary traumatic stress refers to the type of stress experienced by healthcare professionals who are constantly exposed to the trauma and suffering of others
- STOP technique is a stress reduction training method that involves stopping, taking a few deep breaths, observing the situation, and proceeding with a clear mind
- Altruistic nurses demonstrate a selfless concern for the welfare of others
- Problem-solving involves identifying problems, generating solutions, and evaluating outcomes
Test your knowledge about healthcare providers such as primary care providers, specialists, dentists, and traditional health healers, as well as the methods of data collection in healthcare settings.
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