2025 Ultimate Nursing 205 Study Guide: Core Concepts, Clinical Techniques, Evidence-Based Practice, and Exam Success for Students

A nurse is performing an initial comprehensive assessment of a patient admitted to a longterm
care facility from home. The nurse begins the assessment by asking the patient, “How would
you describe your health status and well-being?” The nurse also asks the patient, “What do you
do to keep yourself healthy?” Which model for organizing data is this nurse following?
A. Maslow’s human needs
B. Gordon’s functional health patterns
C. Human response patterns
D. Body system model – -CORRECT ANS- -b.
Gordon’s functional health patterns begin with the patient’s perception of health and wellbeing
and progress to data about nutritional-metabolic patterns, elimination patterns, activity,
sleep/rest, self-perception, role relationship, sexuality, coping, and values/beliefs. Maslow’s
model is based on the human needs hierarchy. Human responses include exchanging,
communicating, relating, valuing, choosing, moving, perceiving, knowing, and feeling. The body
system model is based on the functioning of the major body systems.
he nurse is surprised to detect an elevated temperature (102°F) in a patient scheduled for
surgery. The patient has been afebrile and shows no other signs of being febrile. What is the
priority nursing action?
A. Inform the charge nurse.
B. Inform the surgeon.
C. Validate the finding.
D. Document the finding. – -CORRECT ANS- -c.
The nurse should first validate the finding if it is unusual, deviates from normal, and is
unsupported by other data. Should the initial recording prove to be in error, it would have been
premature to notify the charge nurse or the surgeon. The nurse should be sure that all data
recorded are accurate; thus, all data should be validated before documentation if there are any
doubts about accuracy.