Nursing Assessment Findings Quiz

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Questions and Answers

What theory developed by Florence Nightingale focuses on the manipulation of the environment to promote wellness?

Environmental Theory (correct)

Psychodynamic theory

Comfort Theory

Self-care theory

Which nursing theorist is known for the 14 nursing needs theory?

Hildegard

Martha Rogers

Virginia Henderson (correct)

Faye Bella

What is the main focus of Callista Roy's Adaptation Model?

Adaptation to environmental changes (correct)

Promotion of self-care in patients

Unitary Human Beings

Psychodynamic nurse-patient relationships

What does the Principle of Double Effect state regarding ethical actions?

The action must not contradict one's commitment to God and neighbor. Signup and view all the answers

Which of the following nursing laws relates specifically to the protection of public health workers?

RA 7305 Signup and view all the answers

Which condition is associated with the term 'impaired gas exchange'?

Hypoxia Signup and view all the answers

Which of the following issues indicates 'altered thought process'?

Amnesia Signup and view all the answers

What is the term associated with 'activity intolerance'?

Fatigue Signup and view all the answers

Which condition represents 'fluid volume deficit'?

Hemorrhage Signup and view all the answers

Which term is linked with 'ineffective airway clearance'?

Pulmonary edema Signup and view all the answers

What is the primary concern for a condition represented by 'social isolation'?

Loneliness Signup and view all the answers

Which finding is categorized as 'diversional activity deficit'?

Bedridden Signup and view all the answers

Which condition indicates a 'risk for injury'?

Dizziness Signup and view all the answers

What condition is associated with 'body image disturbance'?

Negative feelings Signup and view all the answers

Which of the following is linked to 'impaired physical mobility'?

Limited range of motion Signup and view all the answers

What is the primary goal of the nursing process as established by Lydia Hall?

To systematize a method for assessing nursing needs Signup and view all the answers

Which of the following is NOT a type of data collected during the assessment phase?

Procedural data Signup and view all the answers

What characteristic is essential for the implementation phase of the nursing process?

Possession of therapeutic knowledge and skills Signup and view all the answers

In the context of nursing diagnosis, what does the 'PES' format stand for?

Problem, Etiology, Symptoms Signup and view all the answers

What method is employed to collect subjective data during a health assessment?

Structured interview Signup and view all the answers

Which of the following is a principle of dignity in healthcare?

Integrating satisfaction of innate needs as a whole person Signup and view all the answers

According to the principles of totality, when can lower functions be sacrificed?

Only under pressure to preserve whole function Signup and view all the answers

What is the normal range for adult respiration rates?

16 to 20 breaths per minute Signup and view all the answers

What is the primary purpose of a general survey in a clinical assessment?

To assess the general appearance and behavior of the patient Signup and view all the answers

Which type of pulse measurement involves comparing two different sites?

Pulse deficit Signup and view all the answers

Study Notes

Common Assessment Findings

Abdominal pain correlates with discomfort and pain levels.
Low oxygen supply leads to impaired gas exchange resulting in oxygen deprivation.
Amnesia and hallucinations indicate altered thought processes.
Loneliness leads to social isolation, affecting emotional well-being.
Anemia manifests as activity intolerance due to reduced oxygen-carrying capacity.
Anxiety disorders are prevalent, with associated feelings of anxiety.
Acute Respiratory Distress Syndrome (ARDS) results in impaired gas exchange.
Arthritis contributes to discomfort and alters daily activities.
Physical abuse cases include battered partners and child abuse, leading to violence concerns.
Bedridden patients face diversional activity deficits, impacting quality of life.
Burns may lead to fluid volume excess, requiring careful monitoring.
Constipation signifies altered bowel elimination patterns.
Ineffective airway clearance can result from cough, cyanosis, and pulmonary edema.
Hypoxia indicates impaired gas exchange with significant risks.
Psychological issues can lead to hopelessness, fear of rejection, and negative self-esteem.

Nursing Theorists

Florence Nightingale: Environmental Theory focuses on using the environment to promote health.
Hildegard Peplau: Psychodynamic Theory emphasizes nurse-patient relationships in four phases.
Virginia Henderson: 14 Nursing Need Theory outlines basic human needs.
Dorothea Orem: Self-Care Theory centers around patients taking responsibility for their own care.
Callista Roy: Adaptation Model helps in understanding how individuals adapt to health changes.
Jean Watson: Philosophy and Caring Theory highlights the importance of caring in nursing.

Common Laws of Nursing Practice

PN RA 9137 emphasizes providing comprehensive nursing care.
RA 2808 defines the true essence of nursing practice.
RA 6425 regulates narcotics under the Dangerous Drug Act.
RA 7305 is the Magna Carta for Public Health Workers, ensuring fair treatment and rights.
RA 7610 pertains to the anti-child abuse laws, safeguarding minors.

Nursing Ethics

Nursing ethics provide a guideline for the professional conduct of nurses.
The Code of Ethics outlines essential characteristics of nursing as a profession.
The Principle of Double Effect allows actions that may benefit while causing potential harm, focusing on intention and outcomes.

Principles of Professional Communication

Effective communication involves sharing necessary information openly and honestly.
Trust is fundamental in establishing rapport with patients.
Collaboration and information sharing among healthcare teams enhance patient care.

Nursing Process

Developed by Lydia Hall in 1955 as a systematic approach to nursing care.
Consists of Goal-oriented, Organized, Systematic, and Humanistic elements.
Assessment involves continuous data collection, both subjective and objective.

Assessment Components

Nursing health history includes thorough interviews covering biographic data, chief complaints, health history, and family background.
Gordon's functional health patterns help focus assessment on key health areas.

Vital Signs and Measurements

Body temperature varies between surface (subcutaneous) and core (deep tissue), typically ranging from 36.7 to 37.0°C.
Normal pulse rates are 60-100 bpm, with specific sites for measurement.
Adult normal respiration rates are between 16 and 20 breaths per minute.
Blood pressure norms are typically 120/80 mmHg, with variations indicating health status.

Directional Terms

Superior: upper; Inferior: lower; Anterior: front; Dorsal: back.
Medial refers to the middle, while lateral indicates the side or distance from the midline.
Proximal means nearer to the attachment, and distal means further from it in limb descriptions.

General Survey and Physical Examination

General surveys focus on overall appearance, behavior, hygiene, and signs of distress.
Physical exams should follow a cephalocaudal approach, assessing body systems thoroughly.

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Description

This quiz focuses on common nursing assessment findings related to various patient conditions. Participants will evaluate symptoms such as abdominal pain, low oxygen supply, and anemia, as well as their associated nursing diagnoses. Test your knowledge on how to identify and address these critical health concerns.