3160 Unit 1 Review part 1

Your patient makes the statement 'My right ankle feels sore'. This is:

• Objective data

• Subjective data

Which of the following statement would be inappropriate to put in patient documentation?

• Patient exhibited facial grimacing and diaphoresis upon entering the room

• Patient stated " I'm upset about how long its taking my procedure to start"

• Patient was rude to me and told me to go back to school

• Patient's dorsalis pedis pulses were 3+ bilaterally

A nurse is performing her initial shift assessment on a patient who has been admitted for 2 days. This pt requires a

• problem centered database

• Follow up database

• Complete Database

• Emergency database

Which of the following are internal factors of communication? (SATA)

• ensuring privacy

• Self-awareness

• empathy

• refusing interruptions

Which of the following are external factors of communication?

• EHR

• ability to listen

• dress

• note-taking

In general, we maintain a 4-5 ft distance when interviewing patients. This is considered

• Social distance

• Personal distance

• Intimate distance

• Public distance

Establishing rapport is part of what phase of the interview process?

• Preparatory phase

• Working phase

• Closing phase

• Introduction phase

When is it appropriate to use a close-ended question?

• To quickly gather information during an emergency

• To gather demographic information

• When determining a patients feelings about their diagnosis

• When asking a patient to describe the circumstances surrounding a new symptom

The following criteria represent 4 of the 5 phases of the nursing process. Which would you do first?

• Auscultate lung sounds

• Select a priority nursing diagnosis, such as impaired gas exchange

• The patient will have an Sp02 above 93% by the end of shift

• The nurse will administer Advair MDI QDAY as ordered

Which of the following would be your highest priority

• Anaphylactic reaction

• New onset of Confusion

• Difficulty walking due to recent surgery