NUR 310-Med Surg 1 Midterm Exam
Questions and Answers
Medical Diagnosis - Answer-identifying a disease, condition or injury from its signs and
symptoms
Nursing Diagnosis - Answer-used to evaluate the response of the whole person to
actual or potential health problems
Nursing Definition - Answer-care provided to a person as they respond to alterations in
health
The Nursing Process - Answer-five-step systematic method for giving patient care:
involves assessing, diagnosing, planning, implementing, and evaluating
Assessment - Answer-Gather information about the patient
Diagnosis - Answer-identify the patient's problem
Planning - Answer-set goals of care and desired outcomes and identify appropriate
nursing actions
Implementation - Answer-To perform or carry out nursing measures in the care plan
Evaluation - Answer-determine if goals and expected outcomes are achieved
Two stages of assessment - Answer--Collection of information from a primary source (a
patient) and secondary sources
-The interpretation and validation of data to determine whether more data are needed or
the database is complete.
Types of assessments - Answer--Patient-centered interview (conducted during a
nursing history)
-Periodic assessments (conducted during ongoing contact with patients)
-Physical examination (conducted during a nursing history and at any time a patient
presents a symptom)
Subjective data - Answer--Patients' verbal descriptions of their health problems
-Includes patient feelings, perceptions, and self-reported symptoms
-Also known as "symptom"
Objective data - Answer--Findings resulting from direct observation
, -When you collect objective data, apply critical thinking intellectual standards so that
you can correctly interpret your findings.
-Also known as "sign"
Effective Communication - Answer-Foundation for creating nurse-patient relationships
Phases of the interview - Answer--Orientation and setting an agenda
-Working phase: collecting data
-Termination phase
Nursing Health History - Answer--Key component of a comprehensive assessment
-Covers all health dimensions: Physical, developmental, intellectual, spiritual, emotional,
social
Cultural competence - Answer-Involves self-awareness, reflective practice, and
knowledge of a patient's core cultural background
Cultural humility - Answer-Requires you to recognize your own knowledge limitations
and cultural perspective and thus be open to new perspectives
Concept mapping - Answer-Placing all of the cues together into the clusters that form
patterns leads you to the next step of the nursing process, nursing diagnosis
Collaborative problems - Answer--A problem that requires both medicine and nursing
interventions to treat
-All physiological complications are not collaborative problems.
-If a nurse can prevent the onset of a complication or provide the primary treatment for
it, then the diagnosis is a nursing diagnosis.
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