Nurs253 Exam 1 Latest Actual Exam Questions

pg. 1 Nurs253 Exam 1 Latest Actual Exam Questions with Correct Detailed Answers (Verified Answers) Graded A+

First level priority problems - Correct Answer - problems that are emergent, life threatening, and immediate, such as establishing an airway or supporting breathing

Second level priority problems - Correct Answer - those next in urgency, requiring prompt intervention to forestall further deterioration (mental status change, acute pain, acute urinary elimination problems, intreated medical problems, abnormal lab values, risk of infection, risk of security and safety

Third level priority problems - Correct Answer - problems important to person's health but can be addressed after more urgent problems. interventions to treat these problems are more long term and the response to treatment is expected to take more time

Collaborative problems - Correct Answer - those problems in which the approach to treatment involves multiple disciplines. certain physiologic conditions in which nurse that the primary responsibility to diagnose the onset and monitor the changes in status. ex: diabetes under treatment

Holistic health - Correct Answer - consideration of the whole person--Views the mind, body, and spirit as interdependent and functioning as a whole within the environment.

Culture affects choices parents make for children regarding the following: - Correct Answer - -presumed cause of illness -first treatment tried -acceptability of treatments offered by clinicians

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pg. 2 For older patient, culture is likely to... - Correct Answer - -define their family responsibilities -affect their view and knowledge of health care systems used by dominant culture

Transcultural expression of pain - Correct Answer - -expectations, manifestations, and management of pain -pain has been found to be a highly personal experience -silent suffering has been identified as the most valued response to pain by health care professionals

Culture-bound syndromes - Correct Answer - conditions that are culturally defined -some have no equivalent in a biomedical, scientific perspective -anorexia nervosa and bulimia are examples of cultural aspects of illness in dominant cultural population in North America

Assessment - Correct Answer - collection of data from multiple sources:

-review clinical record -interview -health hx

• physical examination

-functional assessment -cultural and spiritual assessment -consultation -review of the literature

Diagnosis - Correct Answer - Interpretation of data -Compare clusters of cues with definitions and defining characteristics -Validations of inferences -Identify related factors -Document the diagnosis 2 / 3

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Outcome Identification - Correct Answer - -identify expected outcomes -individualize to patient -ensure outcomes are realistic and measurable -include a time frame

Planning - Correct Answer - -establish priorities -develop outcomes and set timeframes -identify interventions -document plan of care

Implementation - Correct Answer - review plans interventions with interdisciplinary health care team members to facilitate collaborative effort -determine patient readiness -counsel person and significant others -refer for continuing care -document care provided

Evaluation - Correct Answer - -refer to established outcomes -evaluation individual's condition and compare actual outcomes with expected outcomes -summarize results of evaluation -identify reasons for failure to achieve expected outcomes -take corrective action to modify plan of care -document evaluation in plan of care

Steps of the Nursing Process - Correct Answer - -assessment -diagnosis -outcome identification -planning

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