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MSU NURS 205 FINAL EXAM QUESTIONS AND ANSWERS LATEST
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MSU NURS 205 FINAL EXAM QUESTIONS AND ANSWERS LATEST
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MSU NURS 205 FINAL EXAM QUESTIONS ANDANSWERS LATEST 2024-2025
Nursing process
1. Assessment (history and physical)
2. Diagnosis
3. Planning (outcome identification)
4. Implementation (the interventions)
5. Evaluation
NANDA
North American Nursing Diagnosis Association
nursing diagnosis (NANDA) definition
a clinical judgement about individual, family, or community responses to actual or
potential health problems/life processes that provides that basis for definitive
therapy toward achievement of outcomes for which a nurse is accountable
Use the guidelines for writing nursing diagnoses when developing diagnostic
statements
1. phrase the nursing diagnosis as a patient problem rather than a patient need
2.Check to make sure patient problem preceds the etiology and the two are
linked by "related to"
3. write in legally advisable terms4. use nonjudgmental language
,5. be sure to include what is unhealthy about the patient
6.avoid using medical diagnosis, defining characteristics
components of a nursing diagnosis
1) a label = may include a qualifier (impaired, altered, decreased, ineffective,
acute, or chronic)
2) definition = a precise description (not documented on chart)
3) defining characteristics = descriptors of a client's behavior that determine
whether a nursing diagnosis is present
4) related factors to nursing diagnosis = states what is causing or contributing to
the nursing diagnosis (what the nurse can treat)
actual nursing diagnoses
describes human responses to health conditions/life processes that exist in an
individual, family or community
risk for nursing diagnoses
describes human responses that may develop in a vulnerable person, family or
community. The plan is aimed at preventing the problem
wellness nursing diagnoses
,describes human responses to wellness in an individual, family, or community
that have the potential for growth and/or the potential for enhancement to a
higher state of well-being
Possible Nursing diagnoses
describes a suspected problem for which additional data are needed (additional
data are used to confirm or rule out the suspected problem)
writing a nursing diagnosis
1) problem, related to etiology, as evidence by (AEB)
2) Problem, related to etiology, secondary patho
3) Problem, related to unknown etiology
AEB
data supporting Dx
initial planning (type of planning)
starts right away while doing assessment
ongoing planning (type of planning)
, client's health condition may change rapidly
discharge planning (type of planning)
they go hope and it starts right away
what is establishing priorities for planning process
what needs to be done immediately and what can safely be postponed
-basic survival need to take first priority
What should you prioritize during planning process?
1) Altered nutrition
2) Hopelessness
3) Self care-deficit
4) Ineffective breathing pattern
5) Impaired physical mobility
expected outcome
the desirable end result of nursing care
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