Nursing Process Framework
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What is the primary purpose of the nursing process?

  • To focus on the medical treatment of a patient's illness
  • To provide standardized care to all patients
  • To develop a critical thinking framework
  • To identify, diagnose, and treat human responses to health and illness (correct)

    • What is the main benefit of using the nursing process in patient care?

  • It reduces the need for critical thinking in patient care
  • It allows nurses to focus on the medical treatment of a patient's illness
  • It enables the nurse to individualize care in response to a patient's needs (correct)
  • It provides a standardized approach to patient care

    • What is the nursing process primarily focused on?

  • Standardization of patient care
  • Human responses to health and illness (correct)
  • Development of a critical thinking framework
  • Medical treatment of a patient's illness

    • What is the nursing process described as?

    <p>A critical thinking framework</p> Signup and view all the answers

    What is the result of using the nursing process in patient care?

    <p>Patients receive individualized care in response to their needs</p> Signup and view all the answers

    What is a characteristic of assessment in the nursing process?

    <p>It is systematic and continuous.</p> Signup and view all the answers

    What does Clinical Judgement refer to?

    <p>The result of critical thinking and decision making.</p> Signup and view all the answers

    What is a key principle of assessment in the nursing process?

    <p>It should be prioritized and complete.</p> Signup and view all the answers

    What is essential for effective assessment in the nursing process?

    <p>Purposeful and systematic data collection.</p> Signup and view all the answers

    What is the primary focus of Clinical Reasoning?

    <p>Analyzing patient care issues and problems</p> Signup and view all the answers

    What type of thinking is typically used by nurses when dealing with teamwork and collaboration issues?

    <p>Critical Thinking</p> Signup and view all the answers

    What is the primary purpose of Consultation in nursing?

    <p>To deliberate about a problem and its solution</p> Signup and view all the answers

    What type of plans are developed by computer software programs?

    <p>Computerized Plans of Care</p> Signup and view all the answers

    What involves interdependent nursing actions performed jointly by nurses and other members of the healthcare team?

    <p>Collaborative Interventions</p> Signup and view all the answers

    What is the primary purpose of identifying cues?

    <p>To make an inference about the patient's condition</p> Signup and view all the answers

    What is the relationship between cues, inferences, and validation?

    <p>Cue→inference→validation</p> Signup and view all the answers

    What is the primary outcome of making an inference?

    <p>Validation of the cue</p> Signup and view all the answers

    What is the role of equipment, physical examination, research, etc. in the clinical reasoning process?

    <p>To validate inferences</p> Signup and view all the answers

    What is the outcome of not validating an inference?

    <p>Misdiagnosis</p> Signup and view all the answers

    What is the term for a grouping of patient data or cues that points to the existence of a patient health problem?

    <p>Data Cluster</p> Signup and view all the answers

    What is the primary purpose of collecting patient data or cues?

    <p>To identify patient health problems</p> Signup and view all the answers

    What is the term for all the pertinent patient information collected by the nurse and other healthcare professionals?

    <p>Database</p> Signup and view all the answers

    What reflects how health functioning is enhanced by health promotion or compromised by illness and injury?

    <p>Data</p> Signup and view all the answers

    What is the relationship between data and a patient's health problem?

    <p>Data points to the existence of a patient health problem</p> Signup and view all the answers

    What is the primary purpose of diagnosing in the nursing process?

    <p>To identify actual or potential health problems</p> Signup and view all the answers

    What is the outcome of analyzing patient data in the nursing process?

    <p>Identifying factors that contribute to health problems</p> Signup and view all the answers

    What is a key aspect of delegating responsibilities in the nursing process?

    <p>Retaining accountability for the outcome</p> Signup and view all the answers

    What is the role of diagnosing in the nursing process?

    <p>To identify response to actual or potential problems</p> Signup and view all the answers

    What is the result of analyzing patient data in the nursing process?

    <p>Identifying actual or potential health problems</p> Signup and view all the answers

    What is the primary purpose of Discharge Planning?

    <p>To ensure continuity of care after a patient leaves a healthcare facility</p> Signup and view all the answers

    What type of interaction is involved in Direct Care Intervention?

    <p>Nurse-to-patient interaction</p> Signup and view all the answers

    Which of the following is a key aspect of Discharge Planning?

    <p>Preparing the patient to leave the healthcare facility</p> Signup and view all the answers

    What is the primary goal of Direct Care Intervention?

    <p>To provide treatment to the patient</p> Signup and view all the answers

    Which of the following is NOT a key aspect of Discharge Planning?

    <p>Identifying patient cues</p> Signup and view all the answers

    What is the primary purpose of identifying the etiology of a patient's health problem?

    <p>To understand the factors that contribute to the problem's persistence</p> Signup and view all the answers

    In which situation would an emergency assessment be conducted?

    <p>When a patient is experiencing a life-threatening or unstable situation</p> Signup and view all the answers

    What is the primary focus of an emergency assessment?

    <p>Identifying life-threatening problems</p> Signup and view all the answers

    Which of the following is an example of a situation that would require an emergency assessment?

    <p>A long-term resident choking in the dining room</p> Signup and view all the answers

    What is the relationship between the etiology of a patient's health problem and the development of a plan of care?

    <p>The etiology is used to develop a plan of care that addresses the problem's causes</p> Signup and view all the answers

    What is the primary purpose of evaluating in the nursing process?

    <p>To determine the effectiveness of the plan of care</p> Signup and view all the answers

    What is an evaluative statement in the nursing process?

    <p>A judgment that summarizes the nurse's findings after data collection</p> Signup and view all the answers

    What is the primary characteristic of expected outcomes in the nursing process?

    <p>They are statements of measurable action for the patient within a specific time frame</p> Signup and view all the answers

    What is the primary focus of evaluating in the nursing process?

    <p>Determining the effectiveness of the plan of care</p> Signup and view all the answers

    What is the primary outcome of evaluating in the nursing process?

    <p>Termination or revision of the plan of care</p> Signup and view all the answers

    What is the primary purpose of a focused assessment in the nursing process?

    <p>To address the immediate and highest priority concerns for an individual patient</p> Signup and view all the answers

    What is the goal of the nursing process in relation to a patient's health problem?

    <p>To prevent or resolve the health problem</p> Signup and view all the answers

    What type of questions are helpful in a focused assessment to gather data about a specific problem?

    <p>Specific questions to identify the patient's signs and symptoms</p> Signup and view all the answers

    What is a health problem in the context of the nursing process?

    <p>A condition requiring intervention to prevent or resolve disease or illness</p> Signup and view all the answers

    What is the main focus of a focused assessment in the nursing process?

    <p>Addressing the immediate and highest priority concerns for an individual patient</p> Signup and view all the answers

    What is the primary purpose of the initial assessment in the nursing process?

    <p>To establish a complete database for problem identification and care planning</p> Signup and view all the answers

    What type of data is collected during the initial assessment in the nursing process?

    <p>Data concerning all aspects of the patient's health</p> Signup and view all the answers

    When is the initial assessment typically performed in the nursing process?

    <p>Shortly after the patient is admitted to a health care facility or service</p> Signup and view all the answers

    What is the outcome of the initial assessment in the nursing process?

    <p>Establishment of a complete database for problem identification and care planning</p> Signup and view all the answers

    What is the purpose of establishing priorities for ongoing focused assessments during the initial assessment?

    <p>To establish a complete database for problem identification and care planning</p> Signup and view all the answers

    What is the primary focus of initial planning in the nursing process?

    <p>Identifying patient goals and related medical diagnoses</p> Signup and view all the answers

    What is a nurse-initiated intervention in the nursing process?

    <p>A health problem that an independent nursing intervention can prevent or resolve</p> Signup and view all the answers

    What is a characteristic of a nurse-initiated intervention?

    <p>It is an independent nursing intervention</p> Signup and view all the answers

    What is the purpose of identifying defining characteristics in a nurse-initiated intervention?

    <p>To identify risk factors for a potential health problem</p> Signup and view all the answers

    What is the relationship between a nurse-initiated intervention and a medical diagnosis?

    <p>A medical diagnosis is used to develop a nurse-initiated intervention</p> Signup and view all the answers

    What is the primary purpose of collecting a health history during the nursing assessment?

    <p>To determine the patient's health literacy and educational needs</p> Signup and view all the answers

    What type of intervention is a nurse-initiated treatment based on clinical judgment and knowledge?

    <p>Nurse-initiated intervention</p> Signup and view all the answers

    What is the primary focus of the nursing process during the assessment phase?

    <p>Collecting data to identify the patient's health problems and risks</p> Signup and view all the answers

    What is the outcome of a comprehensive nursing assessment?

    <p>Identification of the patient's health status, strengths, and risks</p> Signup and view all the answers

    What is the purpose of identifying a patient's health risks during the assessment phase?

    <p>To identify potential health problems and develop preventive strategies</p> Signup and view all the answers

    What is the primary purpose of the nursing process in response to a patient's needs?

    <p>To individualize care and accomplish specific outcomes</p> Signup and view all the answers

    Which of the following is a correct sequence of steps in the nursing process?

    <p>Assessing, diagnosing, planning, implementing, evaluating</p> Signup and view all the answers

    What is the primary outcome of the planning phase of the nursing process?

    <p>Identifying expected outcomes and developing a plan of care</p> Signup and view all the answers

    What is the primary role of the patient in the nursing process?

    <p>To participate in the development of the plan of care</p> Signup and view all the answers

    What is the primary focus of the evaluating phase of the nursing process?

    <p>Determining the effectiveness of the plan of care</p> Signup and view all the answers

    What is the primary characteristic of objective data in the nursing process?

    <p>It can be verified by another person observing the same patient</p> Signup and view all the answers

    What is the primary purpose of ongoing planning in the nursing process?

    <p>To facilitate the resolution of health problems and promote function</p> Signup and view all the answers

    What is an example of objective data that can be observed by a nurse?

    <p>Elevated temperature of 101F</p> Signup and view all the answers

    What is the primary benefit of ongoing planning in the nursing process?

    <p>It facilitates the resolution of health problems and promotes function</p> Signup and view all the answers

    What is the primary focus of ongoing planning in the context of the nursing process?

    <p>Keeping the plan up to date and managing risk factors</p> Signup and view all the answers

    What is the primary purpose of outcome identification in the nursing process?

    <p>To demonstrate the resolution of the problems identified by the nursing diagnoses and general problem list</p> Signup and view all the answers

    What is the main objective of physical assessment in the nursing process?

    <p>To collect objective data about the patient's condition</p> Signup and view all the answers

    What is the primary difference between a patient outcome and a physical assessment finding?

    <p>A patient outcome is a expected conclusion, while a physical assessment finding is a collection of objective data</p> Signup and view all the answers

    What is the relationship between a patient's health problem and a physical assessment?

    <p>A patient's health problem is used to guide the physical assessment</p> Signup and view all the answers

    What is the primary purpose of identifying the time frame for accomplishing patient outcomes?

    <p>To ensure that the patient's problems are resolved within a specific timeframe</p> Signup and view all the answers

    Which type of nursing diagnosis identifies a patient's vulnerability to develop a problem?

    <p>Risk nursing diagnosis</p> Signup and view all the answers

    What is the primary purpose of establishing patient goals in the planning phase of the nursing process?

    <p>To prevent, reduce, or resolve the problems identified in the nursing diagnoses</p> Signup and view all the answers

    What is a written plan that details the nursing activities to be executed in specific situations?

    <p>Protocol</p> Signup and view all the answers

    What type of plan identifies the nursing diagnoses, patient goals, and related nursing orders common to a specific population or problem?

    <p>Standard care plan</p> Signup and view all the answers

    Which type of nursing diagnosis focuses on an undesirable human response to a health condition or life process?

    <p>Problem-focused nursing diagnosis</p> Signup and view all the answers

    What is the primary purpose of Standing Orders in nursing?

    <p>To establish the scope of nursing responsibilities in specific situations</p> Signup and view all the answers

    What type of data is perceived only by the affected person and cannot be perceived or verified by another person?

    <p>Subjective data</p> Signup and view all the answers

    What is the primary purpose of a Time Lapsed Assessment?

    <p>To compare a patient's current status to their baseline data</p> Signup and view all the answers

    What type of healthcare worker can perform simple delegated tasks such as making beds and assisting with hygiene or meals?

    <p>Unlicensed Assistive Personnel</p> Signup and view all the answers

    What is the primary purpose of establishing a standard in nursing?

    <p>To establish an acceptable level of performance</p> Signup and view all the answers

    What is the primary characteristic of critical thinking?

    <p>It is a systematic way to form and shape one's thinking.</p> Signup and view all the answers

    What is the primary goal of critical thinking in the nursing process?

    <p>To form and shape one's thinking in a comprehensive and systematic way.</p> Signup and view all the answers

    What is the relationship between critical thinking and clinical judgment?

    <p>Critical thinking is a component of clinical judgment.</p> Signup and view all the answers

    What is the primary benefit of using critical thinking in the nursing process?

    <p>It reduces the risk of errors and improves patient outcomes.</p> Signup and view all the answers

    What is the primary characteristic of clinical judgment?

    <p>It is a systematic way of making decisions based on critical thinking and experience.</p> Signup and view all the answers

    What is the primary outcome of critical thinking or clinical reasoning in nursing?

    <p>Clinical Judgment</p> Signup and view all the answers

    What type of thinking is typically used by nurses when dealing with clinical care issues?

    <p>Clinical Reasoning</p> Signup and view all the answers

    What is the primary focus of clinical reasoning in nursing?

    <p>Patient Care Issues</p> Signup and view all the answers

    What is the relationship between critical thinking and clinical judgment?

    <p>Clinical judgment is the outcome of critical thinking</p> Signup and view all the answers

    What is the primary purpose of clinical reasoning in nursing?

    <p>To make decisions about patient care</p> Signup and view all the answers

    Which step in the nursing process involves making predictions about the patient's health problems based on relevant data?

    <p>Analysis</p> Signup and view all the answers

    What is the primary purpose of the implementation step in the nursing process?

    <p>To carry out planned nursing interventions</p> Signup and view all the answers

    Which step in the nursing process involves setting priorities and goals for patient care?

    <p>Planning</p> Signup and view all the answers

    What is the primary focus of the evaluation step in the nursing process?

    <p>Determining the effectiveness of care</p> Signup and view all the answers

    What type of nursing actions are performed jointly by nurses and other healthcare professionals?

    <p>Interdependent nursing actions</p> Signup and view all the answers

    What is the primary purpose of the assessment step in the nursing process?

    <p>To establish a database about patients' responses to health concerns</p> Signup and view all the answers

    What is the primary purpose of a nursing diagnosis like 'Constipation related to prolonged narcotic use'?

    <p>To guide the development of a patient's individualized care plan</p> Signup and view all the answers

    What is the primary focus of a goal/outcome statement in a nursing care plan?

    <p>Establishing the expected outcome of the patient's treatment</p> Signup and view all the answers

    What is the primary purpose of a nursing intervention like 'Daily use of Dulcolax'?

    <p>To treat a patient's health problem independently</p> Signup and view all the answers

    What is the primary purpose of an evaluation statement in a nursing care plan?

    <p>To assess the effectiveness of the patient's treatment</p> Signup and view all the answers

    What is the primary focus of a defining characteristic in a nursing diagnosis like 'Constipation related to prolonged narcotic use'?

    <p>Identifying the patient's subjective and objective data</p> Signup and view all the answers

    What is the primary purpose of a short-term goal in a nursing care plan?

    <p>To achieve a specific outcome within a short period of time</p> Signup and view all the answers

    What is a key benefit of using the Nursing Process correctly for patients?

    <p>Improves patient satisfaction</p> Signup and view all the answers

    What is an advantage of using the Nursing Process correctly for nurses?

    <p>Saves time, energy, and frustration</p> Signup and view all the answers

    What is a benefit of using the Nursing Process correctly for collaborative healthcare?

    <p>Provides a guide for all staff involved to provide consistent and responsive care</p> Signup and view all the answers

    What is a patient benefit of using the Nursing Process correctly?

    <p>Improves patient satisfaction</p> Signup and view all the answers

    What is a nursing benefit of using the Nursing Process correctly?

    <p>Encourages collaborative management of a patient's health care problems</p> Signup and view all the answers

    What characteristic distinguishes objective data from subjective data?

    <p>It can be verified by another person</p> Signup and view all the answers

    In a patient assessment, what type of data would a nurse's observation of a patient's rash be classified as?

    <p>Objective data</p> Signup and view all the answers

    Why is it essential to distinguish between objective and subjective data in the nursing process?

    <p>To ensure accurate diagnosis</p> Signup and view all the answers

    What type of data would a patient's report of abdominal pain be classified as?

    <p>Subjective data</p> Signup and view all the answers

    What is the primary difference between objective and subjective data in the nursing process?

    <p>One is measurable, while the other is not</p> Signup and view all the answers

    What is the primary source of data that is perceived only by the affected person and cannot be verified by another person?

    <p>Patient self-report</p> Signup and view all the answers

    Which of the following sources of data is most likely to provide objective information?

    <p>Diagnostic and laboratory data</p> Signup and view all the answers

    What is the primary purpose of collecting data from multiple sources?

    <p>To develop a patient-centered plan of care</p> Signup and view all the answers

    Which of the following is NOT a source of patient data?

    <p>Medical diagnosis</p> Signup and view all the answers

    What is the benefit of using multiple sources of patient data?

    <p>It provides a comprehensive understanding of the patient's situation</p> Signup and view all the answers

    What is the primary advantage of using nursing observation in patient care?

    <p>It enables nurses to identify nonverbal cues and contribute to patient safety and quality of care</p> Signup and view all the answers

    What is the primary purpose of the interview process in nursing?

    <p>To give patients a chance to share their past medical history and goals</p> Signup and view all the answers

    What is the main focus of physical assessment in nursing?

    <p>To gather vital signs and evaluate body systems to identify health problems</p> Signup and view all the answers

    What is the primary benefit of using multiple sources of patient data in nursing?

    <p>It increases the accuracy of patient data and contributes to patient safety and quality of care</p> Signup and view all the answers

    What is the primary role of the patient in the nursing process?

    <p>To provide the nurse with information about their past medical history and goals</p> Signup and view all the answers

    What is the primary role of outcome identification and planning in the nursing process?

    <p>To maximize outcome achievement and set priorities</p> Signup and view all the answers

    What is a key benefit of outcome identification and planning in patient care?

    <p>It promotes high-quality, cost-effective care</p> Signup and view all the answers

    What is the relationship between outcome identification and planning and nurse professional development?

    <p>It promotes nurse professional development</p> Signup and view all the answers

    What is the primary outcome of effective outcome identification and planning?

    <p>Maximization of outcome achievement</p> Signup and view all the answers

    What is the role of outcome identification and planning in care coordination?

    <p>It facilitates care coordination</p> Signup and view all the answers

    What is the correct order of prioritizing patient health problems according to Maslow's Hierarchy?

    <p>Physiologic, safety, love and understanding, self-esteem, self-actualization</p> Signup and view all the answers

    What is the primary focus of prioritizing patient health problems using Maslow's Hierarchy?

    <p>Meeting the patient's basic physiological needs before addressing higher-level needs</p> Signup and view all the answers

    Which of the following patient needs would take priority according to Maslow's Hierarchy?

    <p>A patient's need for oxygenation through respiratory support</p> Signup and view all the answers

    What is the underlying assumption of using Maslow's Hierarchy to prioritize patient health problems?

    <p>That unmet basic needs can impact higher-level needs</p> Signup and view all the answers

    How does Maslow's Hierarchy inform the nursing process?

    <p>By providing a framework for prioritizing patient health problems</p> Signup and view all the answers

    What is the primary characteristic of the SMART criteria for outcomes and nursing interventions?

    <p>Simple, Meaningful, Agreed, Reasonable, Time-based</p> Signup and view all the answers

    Which of the following is a key aspect of the 'S' in the SMART criteria for outcomes and nursing interventions?

    <p>Specific to the patient's health problem</p> Signup and view all the answers

    What is the purpose of the 'M' in the SMART criteria for outcomes and nursing interventions?

    <p>To ensure the outcome is meaningful to the patient</p> Signup and view all the answers

    Which of the following is an example of a 'R' in the SMART criteria for outcomes and nursing interventions?

    <p>Result-based in terms of the patient's outcome</p> Signup and view all the answers

    What is the purpose of the 'T' in the SMART criteria for outcomes and nursing interventions?

    <p>To ensure the outcome is time-limited</p> Signup and view all the answers

    What is the primary difference between nurse-initiated interventions and collaborative interventions?

    <p>Nurse-initiated interventions are performed independently</p> Signup and view all the answers

    Which type of intervention is an example of a physician-initiated intervention?

    <p>Administering oxygen therapy through a mask</p> Signup and view all the answers

    What is the primary similarity between nurse-initiated interventions and collaborative interventions?

    <p>Both are focused on a specific patient health problem</p> Signup and view all the answers

    Which of the following is an example of a nurse-initiated intervention?

    <p>Providing oral care to a patient</p> Signup and view all the answers

    What is the primary purpose of collaborative interventions?

    <p>To address a specific patient health problem</p> Signup and view all the answers

    What is the primary purpose of continuously monitoring a patient's response to planned interventions?

    <p>To adjust the care plan based on continuous evidence and outcomes</p> Signup and view all the answers

    What is the primary benefit of sensitivity to both subtle and dramatic changes in a patient's condition?

    <p>It enables the nurse to modify nursing interventions appropriately</p> Signup and view all the answers

    What is the primary goal of ongoing data collection in the nursing process?

    <p>To implement a plan of care safely and effectively</p> Signup and view all the answers

    What is the primary outcome of using continuous evidence and outcomes in the nursing process?

    <p>The modification of nursing interventions</p> Signup and view all the answers

    What is the primary role of the nurse in the ongoing assessment phase of the nursing process?

    <p>To monitor the patient's responses to planned interventions</p> Signup and view all the answers

    What is the primary purpose of reassessment in the nursing process?

    <p>To evaluate the effectiveness of case management activities</p> Signup and view all the answers

    What does reassessment allow the nurse to consider in the nursing process?

    <p>Both the patient's successes and barriers to progress</p> Signup and view all the answers

    What is the primary focus of reassessment in the context of case management activities?

    <p>The effectiveness of the previous period of case management activities</p> Signup and view all the answers

    What is the outcome of reassessment in the nursing process?

    <p>The evaluation of the effectiveness of case management activities</p> Signup and view all the answers

    What is the primary benefit of reassessment in the nursing process?

    <p>It provides an opportunity to evaluate the effectiveness of case management activities</p> Signup and view all the answers

    What is the primary risk associated with delegating nursing interventions to non-professional staff?

    <p>Inadequate skills and training of non-professional staff</p> Signup and view all the answers

    Under what circumstances should a nurse attempt to perform an intervention beyond their capacity?

    <p>Never, as it is not safe</p> Signup and view all the answers

    What is delegation in the context of nursing practice?

    <p>The transfer of responsibility for the performance of an activity to another person</p> Signup and view all the answers

    What is the primary responsibility of a nurse when delegating nursing interventions?

    <p>To retain accountability for the outcome</p> Signup and view all the answers

    What can be a challenge for new nurses in regards to delegation of nursing interventions?

    <p>Managing a mixed team of professional and non-professional staff</p> Signup and view all the answers

    What is the primary purpose of the evaluation phase in the nursing process?

    <p>To determine the effectiveness of the nursing interventions</p> Signup and view all the answers

    During which phase of the nursing process does the nurse determine how to measure the success of the goals and interventions?

    <p>Evaluation phase</p> Signup and view all the answers

    When does the evaluation phase of the nursing process take place?

    <p>After the implementation of interventions</p> Signup and view all the answers

    What is the primary focus of the evaluation phase in the nursing process?

    <p>Determining the effectiveness of the interventions</p> Signup and view all the answers

    What is the primary goal of the evaluation phase in the nursing process?

    <p>To determine the effectiveness of the interventions</p> Signup and view all the answers

    When revising a care plan, what is the primary step to take if the stated goal is not obtained?

    <p>Re-evaluate the data collected to ensure it was accurate and sufficient</p> Signup and view all the answers

    What is the primary reason for re-evaluating the diagnosis in a care plan?

    <p>To analyze the data accurately to ensure the correct diagnosis</p> Signup and view all the answers

    What is the primary focus of revising a care plan if the stated goal is not obtained?

    <p>Re-evaluating the data, diagnosis, etiology, and outcome to revise the care plan</p> Signup and view all the answers

    What is the primary purpose of re-evaluating the outcome in a care plan?

    <p>To determine if the patient's outcome is still realistic and measurable</p> Signup and view all the answers

    What is the primary step in revising a care plan after re-evaluating the data, diagnosis, etiology, and outcome?

    <p>Revising the care plan as indicated</p> Signup and view all the answers

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