Nsg 316 Exam Questions With 100% Correct Answers 2024

NSG 316 Exam Questions With 100% Correct Answers HIPAAi-iCorrectiAnswer-HealthiInsuranceiPortabilityiandiAccountabilityiAct whatidoesiHIPAAicoveri-iCorrectiAnswer-anyiwritteniverbaliorielectronicicommunication neveridiscussiorireviewianyiinfoiregardingiaipatientiofiaiclinicalisitei(unlessipartiofiassignment) obligateitoiknowiandiadhereitoiprivacyipoliciesiatieachiclinicalisite confidentialityiunderilawiandithisiagreementi(medicalirecords,iaccountingiinfo,ipatientiinfo,ibetweenihealthicareiprofessionalsiaboutipatients) HIPAAirulesiforiclinicali-iCorrectiAnswer-mayinotiremoveianyirecordifromitheiclinicalisiteiwithoutiwritten mayinotidiscloseianyiinfoiaboutipatientiduringiclinical mustiattemptitoiexcludeiasimuchiofitheifollowingiinfoiasipossibleHIPAAiincludesiwhatiinfoi-iCorrectiAnswer-names vehicleiidentifiers dateiofibirth emailiaddress socialisecurityinumbers anyiinfoitoibeilinkeditoitheipatient HIPAAirulesi-iCorrectiAnswer-informationimayibeidisclosediforihealthicareitrainingiandieducationalipurposes promptlyireportianyiviolationiofitheiclinicalisiteiprivacyipoliciesiandiprocedures subjectitoidisciplinaryiactioniofiviolationiofirules Generalisurveyi-iCorrectiAnswer-studyiofitheiwholeiperson generalihealthistateiandianyiobviousiphysicalicharacteristics Generalisurveyiencounteri-iCorrectiAnswer-firstiimpression-standipromptlyiwheninameicalled -lookisick,iriseislow -converseiwithoutidifficultly -introduceiandishakeihandsi(palmsisweaty,idry,ifirmihandshake?) -throughoutihealthihistory,imeasurementsiandivitalisigns,imakeinotesiaboutieverything 4iareasitoiconsideri-iCorrectiAnswer-physicaliappearance bodyistructure mobility behavior objectiveidata:iphysicaliappearancei-iCorrectiAnswer-Age:ipersoniappearsihisioriheristatediage Sex:isexualidevelopmentiappropriateiforigenderiandiageLevelioficonsciousness:ipersonialertiandioriented,iattendsitoiyouriquestionsiandirespondsiappropriately Skinicolor:icoloritoneieven,ipigmentationivaryingiwithigeneticibackground,iskiniintactiwithinoiobviousilesion Facialifeatures:isymmetriciwithimovement Noisignsiofiacuteidistressipresent objectiveidata:ibodyistructurei-iCorrectiAnswer-Stature:iheightiappearsiwithininormalirangeiforiage,igeneticiheritage Nutrition:iweightiappearsiwithininormalirangeiforiheightiandibodyibuild;ibodyifatidistributionieven Symmetry:ibodyipartsilookiequalibilaterallyiandiareiinirelativeiproportion Posture:ipersonistandsicomfortablyierectiasiappropriateiforiage Exceptions Standingitoddleriwhoihasiainormallyiprotuberantiabdomeni(toddlerilordosis)Agingipersoniwhoimayibeistoopediwithikyphosis Position:ipersonisitsicomfortablyiinichairiorionibedioriexaminingitable,iarmsirelaxediatisides,iheaditurneditoiexaminer Bodyibuild,icontour:iproportionsiareicorrect Armispani(fingertipitoifingertip)iequalsiheight Bodyilengthifromicrownitoipubisiroughlyiequalitoilengthifromipubisitoisole Obviousiphysicalideformities:inoteianyicongenitalioriacquiredidefects objectiveidata:imobilityi-iCorrectiAnswer-Gait:inormally,ibaseiisiasiwideiasishoulderiwidthi Footiplacement:iaccurate;iwalkismooth,ieven,iandiwell-balanced;iandiassociatedimovements,isuchiasisymmetriciarmiswing,iareipresent i Rangeiofimotion:inoteifullimobilityiforieachijoint,iandithatimovementiisideliberate,iaccurate,ismooth,iandicoordinated Noiinvoluntaryimovementobjectiveidata:ibehaviori-iCorrectiAnswer-facialiexpression:imaintainieyeicontact,iexpressioniappropriateitoisituation,iatiresti&italking moodi&iaffect:ipersonicomfortableiandicooperativeiwithiexamineriandiinteractinicely speech:iarticulationicleariandiunderstandable,istreamiofitalkingiisifluent,iconveysiideasiclearly,iwordichoiceiisiappropriate,ipersonalicommunicatesiiniprevailingilanguageieasy Objectiveidata:ibehavioricontinuei-iCorrectiAnswer-dress:iappropriateiforiclimate,ilooksicleani&ifits,iappropriateiforiageiandiculture ex:iindianiwomenimayiwearisaries,iamishiwomeniweariclothingifromi19thicentury personalihygiene:iappearsitoibeicleaniandigroomed subjectiveidatai-iCorrectiAnswer-whatipatientisaysiaboutihimselfioriherselfiduringihistoryitakingobjectiveidatai-iCorrectiAnswer-observediwheniinspecting,ipercussing,ipalpatingiandiauscultatingipatientiduringiphysicaliexamination databasei-iCorrectiAnswer-formedifromitheseielements,iplusipatientsirecordiandilaboratoryistudies completeitotalihealthidatabasei-iCorrectiAnswer-Includesicompleteihealthihistoryiandifulliphysicaliexamination Describesicurrentiandipastihealthistateiandiformsibaselineitoimeasureiallifutureichangesi Yieldsifirstidiagnoses episodicioriproblemicenteredidatabasei-iCorrectiAnswer-Forilimitediorishort-termiproblems Collecti"mini"idatabase,ismalleriscopeiandimoreifocusedithanicompleteidatabase Concernsimainlyioneiproblem,ioneicueicomplex,iorioneibodyisystemHistoryiandiexaminationifollowidirectioniofipresentingiconcern followiupidatabasei-iCorrectiAnswer-statusiofialliidentifiediproblemsishouldibeievaluatediatiregulariandiappropriateiintervals noteichangesithatihaveioccurred evaluateiwhetheriproblemiisigettingibetterioriworse identifyingicopingistrategiesibeingiused Emergencyidatabasei-iCorrectiAnswer-rapidicollectioniofidata,ioftenicompilediconcurrentlyiwithilifesaving diagnosisimustibeirapidiandicomprehensiveiininature StepsiofiADOPIEi-iCorrectiAnswer-Assessment Diagnosis OutcomeiIdentification Planning Implementation EvaluationAssessmenti-iCorrectiAnswer-collectidatai(reviewiclinicalirecord,ihealthihistory,iphysicaliexamination,ifunctionaliassessment) useievidenceibaseiassessment documentirelevantidata diagnosisi-iCorrectiAnswer-compareiclinicalifindingsiwithinormaliandiabnormalivariationiandidevelopmentalievents interpretidata validateidiagnosis documentidiagnosis outcomeiidentificationi-iCorrectiAnswer-identifyiexpectedioutcome individualizeitoitheipersonculturallyiappropriate realisticiandimeasurableigoals includeitimeline planningi-iCorrectiAnswer-establishipriorities developioutcomes setitimelinesiforioutcomes identifyiinterventions integrateievidence-baseditrendsiandiresearch documentiplanioficare implementationi-iCorrectiAnswer-implementiinisafeianditimelyimanner useievidenceibasediinterventionscollaborateiw/icolleagues useicommunityiresources coordinateicareidelivery provideihealthiteachingiandipromotion documentiimplementationiandianyimodification evaluationi-iCorrectiAnswer-progressitowardioutcomes conductisystemiciongoingicriterionibasedievaluation includeipatientiandisignificantiothers useiongoingiassessmentitoireviseidiagnoses,ioutcomes,iplan disseminateiresultsitoipatientiandifamily criticalithinkingiprinciples:isequentialistepsifrominoviceitoiexperti-iCorrectiAnswer-incorporationiofiexperienceiprovidesifoundationiforidevelopmentioficlinicalipractice criticalithinkingiprinciples:imultidimensionalithinkingi-iCorrectiAnswer-organizedisystemiciassessmentiformat criticalithinkingiprinciples:inonijudgmentaliinterpretationi-iCorrectiAnswer-checkiandicorroborateiaccuracyiandireliabilityiofidata clusteridatai-iCorrectiAnswer-informationitoisupportievidenceiasiwelliasiruleioutiinconsistenticlinicalifindingsiinitermsiofidifferentidiagnosis distinguishirelevantisignsiandisymptoms firstilevelipriorityi-iCorrectiAnswer-emergent lifeithreatening immediate secondilevelipriorityi-iCorrectiAnswer-nextiiniurgencyrequiringiattentionisoiasitoiavoidifurtherideterioration thirdilevelipriorityi-iCorrectiAnswer-importantitoipatientsihealthi canibeiaddressediafterimoreiurgentiproblemsiaddressed collaborativeiproblemsi-iCorrectiAnswer-approachitoitreatmentiinvolvesimultipleidisciplines Randomizediclinicalitrialsi(RCT's)i-iCorrectiAnswer-currentiandibesticlinicalipracticeibasedioniresearchistandardsifocusedionisystemicireviews Evidenceibasedipracticei(EBP)i-iCorrectiAnswer-conjunctioniwithiprovideriexperienceiwillileaditoibetterihealthioutcomesiforipatients goldistandardiofipracticei-iCorrectiAnswer-cultureiofiEBPiatibothiundergraduateiandigraduateilevels Highileveliassessmentiskillsi-iCorrectiAnswer-requireihandsioniexpertiseirefineditoiaihighilevelnurseiisifirstiandioftenionlyihealthiprofessionitoiseeiindividualiinimanyicommunities nurseiisionlyihealthiprofessionalicontinuallyipresentiatibedsideiinihospitals lifeicycle,iholismiandicultureimustinotidetractifromiimportanceiofiassessmentiskillsithemselves assessmentithroughilifeicyclei-iCorrectiAnswer-Age-specificichartsiforiperiodicihealth Examinationsiareiaipositiveiapproachitoihealthiassessment -defineilifetimeischeduleiofihealthicare.iEachichartilistsiaifrequencyischeduleiforiperiodicihealthivisitsiandipreventiveiservicesiforiageigroup ageispecificichartsifocusionimajoririskifactorsispecificiforieachiageigroupibasedionilifestyle,ihealthineedsiandiproblems -iincorporateihealthipromotioniandidiseaseipreventioniatieveryihealthivisitinotijustiannualicheckiup -healthieducationi&icounselingiareihighlightediasimeansitoipromoteihealthFrequencyiofiassessmenti-iCorrectiAnswer-intervaliofiassessmentivariesiwithiillnessiandiwellnessineedsi(illipeopleiseekicareidueitoipainioriabnormalisigns) hospitalizedipatientsirequirei-iCorrectiAnswer-constantiheaditoitoeiassessmentiandifocusedireassessmentiiniresponseitoireassessment whatipromptsianiassessmenti-iCorrectiAnswer-gatheriaicomplete,iepisodic,ifollowiupiandiemergencyidatabase routineiperiodici-iCorrectiAnswer-examinationimightiincludeitheifollowingiservicesiforipreventativeihealthicare -screeningihistoryiforidietaryiintake,iphysicaliactivity,itobacco/alcoholiuse,isexualipractices -counselingiforiinjuryiprevention,isubstanceiabuse,isexibehavior,identalihealth -immunizations-iprophylaxisiw/imultivitaminiwithifoliciacidiforifemalesicapableiofioriplanningipregnancy frequencyiofiassessmenti-iCorrectiAnswer-annualicheckiup:ivague timingiofiformerlyiacceptediproceduresiisinowivariable sameiannualiroutineiphysicaliexaminationicannotibeirecommendediforiallipersonsibecauseihealthiprioritiesivaryingiamongiadults completeihealthihistoryi-iCorrectiAnswer-collectisubjectiveidata completeipictureiofipersonsipastiandipresentihealth wellipersoni(exercise,ilifestyle,isubstanceiuse,iaffirmiwhatitheyiareidoingiright) illipersoni(informationiaboutihealthiproblem) everyonei(screeningitooliforiabnormalisymptomsiandihealthiproblemshealthihistoryisequencei-iCorrectiAnswer-Biographicalidata Sourceiofihistory Reasoniforiseekingicare Presentihealthiorihistoryiofipresentiillness Pastihealth Familyihistory Reviewiofisystems Functionaliassessmentiincludingiactivitiesiofidailyilivingi(ADLs) biographicalidatai-iCorrectiAnswer-Name Addressiandiphoneinumber Ageiandibirthidate Birthplace Sex Maritalistatus Race Ethniciorigin Occupation:iusualiandipresent 5thieditionichange,inewiTJCistandardsirequireidocumentationiofipatientiprimaryilanguageiandiauthorizedirepresentativeiifipresentsourceiofihistoryi-iCorrectiAnswer-Recordiwhoifurnishesitheiinformationiusuallyitheipersonisometimesiairelativeiorifriend judgeihowireliableitheiinformantiseemsiandihowiwillingitoicommunicatei(reliableipersonialwaysigivesisameianswersiwheniquestionsiareirephrased) noteianyispecialicircumstances reasoniforiseekingicarei-iCorrectiAnswer-briefispontaneousistatementiinipersonsiowniwordsidescribingireasoniforivisit symptom:isubjectiveisensationipersonifeelsi(whatipersonisaysiisienclosediiniquotationimarksitoiindicateipersoniexactiwords) sign:iobjectiveiabnormalityithaticanibeidetectedioniphysicaliexaminationioriinilabireports presentihealthiorihistoryiofipresentihealthi-iCorrectiAnswer-location characterioriqualityquantityioriseverity timing setting aggravatingiorirelievingifactors associatedifactors patientsiperceptions HPIicontinuediPQRSTUimnemoniciforipaini-iCorrectiAnswer-P:iprovocativeioripalliative Q/Q:iquantityioriquality R/R:iregionioriradiation S:iseverityiscalei1-10T:itimingiorionset U:iunderstandipatientsiperceptionsiofiproblem pastimedicalihistoryi-iCorrectiAnswer-childhoodiillness accidentioriinjuries seriousiorichroniciillnesses hospitalizations operations obstetricihistory immunizations lastiexamidate allergiescurrentimedications FamilyiHistoryi-iCorrectiAnswer-ageiandihealthioricauseiofideathiofirelatives healthioficloseifamilyimembers familyihistoryiofivariousiconditionsi(heartidisease,ihighiBP,ibloodidisorders,icancerietc) familyitree(genogram)ishowithisiinfoiclearlyiandiconcisely reviewiofisystemsi-iCorrectiAnswer-evaluateieachibodyisystemipast/presentistateiofihealth doubleicheckiforiimportantidata evaluateihealthipromotionipractices roughlyiheaditoitoeiaskiaboutimosticommoniconditions reviewiofisystemsilooksiatiwhati-iCorrectiAnswer-overallihealthistate skinhair head