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PCC Exam 1 The Nursing Process Questions & Answers
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PCC Exam 1 The Nursing Process Questions & Answers Assessment data collected to determine: abnormalities or anything problematic -subjective, objective, primary (collected from pt), secondary (from. medical record or other caregiver) -use this information to cluster and reach a conclusion of pr...

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  • October 27, 2024
  • 5
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • pcc exam 1 the nursing process questions answers
  • assessment data collected to determine abnormalit
  • diagnosis analysis nanda i because in 2002 no l

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PCC Exam 1 The Nursing Process
Questions & Answers
Assessment - answer data collected to determine: abnormalities or anything
problematic
-subjective, objective, primary (collected from pt), secondary (from. medical record or
other caregiver)
-use this information to cluster and reach a conclusion of problem

Diagnosis (analysis) - answer -Nanda-I because in 2002 no longer north american
-PES
*problem
*etiology-caused of problem
*symptom (not included in risk for), as evidenced by

Planning-outcome - answer patient goal- related directly to the nursing diagnosis
-patient focused, specific (measurable), time limited
-short term: end of shift
-long term: measured in days, weeks, months

Planning- intervention - answer -things we do to fix the problem
-independent- nurse initiated, no provider order needed
-dependent (collaborative): provider order needed

Implementation - answer just change intervention verb from will to to done

action phase of NP- but so is assessment and evaluation

Evaluation - answer constantly checking to see if the plan in working
-if not, reconsider and make needed changes
-always back to holistic, PCC
choices, decisions, actions

How should you assess for NP - answer I-nfo you collect about your patient
-The systematic gathering of information related to the physiological, psychological,
sociocultural, developmental, and spiritual status of an individual group, or community
*Comprehensive
*Focused
*Emergency

Types of data collection - answer -Subjective: what the patient says/tells
-Objective: behaviors, activites, what we see, feel, hear, semll
-Factual data; vital signs, lab values

, Sources of data - answer -Family or significant others
-Patient record
-Other healthcare professionals
-nursing/healthcare literature

Data interpretation and analysis - answer -Recognize significant data
-Compare data to standards
-Recognize patterns or clusters
-Identify strengths and problems
-Reach conclusion

Nursing conclusion - answer -No problem
-Possible problem
-Actual or potential nursing diagnosis

*Actual problem- the patient has identifiable signs and symptoms labeled with the actual
diagnosis
*Patient problems- the patient is at risk for developing an issue
*Clinical problem other than nursing diagnosis

NANDA - answer Nursing diagnosis is a clinical judgment about individual, family or
community responses to actual or potential health problems/life processes. Nursing
diagnosis provides the basis for selection of nursing interventions to achieve outcomes
for which the nurse is accountable.

What is diagnosis of NP - answer -The phase in which you analyze the assessment
data, draw conclusions about the clients health status and factors contributing to
problems

Types of diagnosis
-Nursing diagnosis: patient problems the nurse can treat indepentendly
-Medical diagnosis: patient problems for which the physican directs primary treatment
-Collaborative diagnosis: physician prescribed and nurse prescribed interventions

Types of nursing diagnosis - answer -Actual: determine etiology, intervene to relieve
symptoms
-RIsk: intervenante to remove risk factors
-Possible: continue to assess for more defining characteristics
-Wellness: institute interventions to promote health
-Syndrome:

Possible nursing diagnoses - answer -Section II of the nursing diagnosis handbook:
a guide to planning care
-List the possible nursing diagnoses for specifc medical conditions
-Section III validate the possible nursing diagnosis

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