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NUR 310 Test 2 Questions and Answers
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NUR 310 Test 2 Questions and Answers
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NUR 310 Test 2 Questions and AnswersCritical thinking - Answer-An intentional higher level reasoning process that is
intellectually delineated by ones worldview, knowledge, and experience with skills,
attitudes, and standards as a guide for rational judgment and action
Clinical Reasoning - Answer-an interpretation or conclusion about a patient's needs,
concerns, or health problems, and/or the decision to take action (or not), use or modify
standard approaches, or improvise new ones as deemed appropriate by the patient's
response
Nursing Process - Answer-The traditional critical thinking competency that allows
nurses to make clinical judgments (thinking strategies) and take actions based on
reason.
It is a cognitive process that uses thinking strategies
skills needed to develop critical thinking and clinical reasoning - Answer--Critical
Analysis: Application of a set of questions to a particular situation to discard unimportant
ideas
-Socratic questioning: continuously asking why
phases of the nursing process and how they interrelate - Answer-ADPIE: assessment,
diagnosis, plan, implementation, evaluation
four major activities associated with the assessing phase - Answer-Collect data
Organize data
Validate data
Document data
objective and subjective data - Answer-Objective: things we can see and measure
Subjective: what the client tells us
primary and secondary data - Answer-Primary: coming directly from the client (can be
obj or subj)
Secondary: comes from fam, medical notes, text etc (can be obj or subj)
three methods of data collection, and give examples of how each is useful - Answer-
Observing-obj
Interviewing-subj
Examining-obj
, Nursing Diagnosis v Medical problem - Answer--Nursing problem: must understand the
patho of the medical problem in order to create a nursing diagnosis to apply to the
human response to the issue
-Independent actions: things we can do without a doctor's orders. Everything on our
nursing care plan is independent or it has Dr. order
Types of nursing diagnosis - Answer--Actual Nursing Diagnosis/Problem: Problem
exists & is present at time of nursing assessment; based on presence of associated S/S
-Risk Nursing Diagnosis/Problem: Problem does not exist; potential problem based on
presence of risk factors that is likely to develop unless nurse intervenes (don't have
currently but could develop)
-Possible Nursing Diagnosis/Problem: Evidence is incomplete or unclear; insufficient
data to support or refute problem or etiology (suspected, has not been confirmed)
-Wellness or Health Promotion Nursing Diagnosis/Problem: Desire to attain a higher
level of wellness; a readiness for enhancement (client ready for education)
defining characteristics of the diagnostic label - Answer-A clinical judgment about the
patient in response to an actual or potential health problem; consists of a diagnostic
label plus etiology; independent nursing functions
basic steps in the diagnostic process - Answer-1.Interpreting & analyzing data
2.Determining client's strengths, risks & problems
3.Formulating nursing dx/problem(s)
4.Documenting
Steps of the planning process - Answer-1. Prioritize problems/diagnoses
2. Formulate goals/ desired outcomes
3. select nursing interventions
4. write nursing interventions
Identify factors that the nurse must consider when setting priorities - Answer--The
client's health values and beliefs
-The client's priorities
-Resources available to the nurse and client
-Urgency of the health problem
-The medical treatment plan
Guidelines for writing goals/desired outcomes - Answer-SMART
Specific
Measurable
Attainable
Realistic
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