Intro to Nursing - Exam 1 Questions with Latest Update
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Course
Applied nursing
Institution
Applied Nursing
The foundation of the nursing profession; is the systematic approach to problem-solving and providing individualized care? - Answer-The Nursing Process
The phases of the nursing process? - Answer-Assessment, Diagnosis, Planning (includes Outcome), Implementation, Evaluation
What is Assessment...
Intro to Nursing - Exam 1 Questions with
Latest Update
The foundation of the nursing profession; is the systematic approach to problem-solving
and providing individualized care? - Answer-The Nursing Process
The phases of the nursing process? - Answer-Assessment, Diagnosis, Planning
(includes Outcome), Implementation, Evaluation
What is Assessment? - Answer-Collection of data to help establish a goal of making a
clinical nursing judgment.
Difference between subjective and objective data? - Answer-Subjective, from the client;
Objective, from the nurse's senses.
Difference between primary, secondary and tertiary sources? - Answer-Primary, can
only be the patient; Secondary, info from families, medical records, or other health care
professionals; Tertiary, info from textbooks, nurse's and other health care team
responses to patient
What must be done by the nurse on admission to a health care facility? And what does
it identify? - Answer-In depth nursing history and physical assessment must be done
and it identifies the patient's strengths and weakness/health problems.
When does data collection take place? - Answer-Through observations, interviews,
physical assessment, and interpreting lab and diagnostic results.
What is diagnosis? - Answer-The clinical act of identifying problems using the
assessment data collected. This step identifies an individual, family or group response
to an actual or potential health problem.
What is the nursing diagnosis based on? - Answer-The pathophysiology of the disease
process.
Who established the list of nursing diagnosis for classifying nursing problems,
standardizing language and facilitating communication for nurses? - Answer-North
American Nursing Diagnosis Association (NANDA)
What is included in Outcome? - Answer-Development of patient focused
goals...included in the planning phase.
What are the guidelines on making goals? - Answer-Must be patient-focused, specific to
the nursing diagnosis or patient problem, measurable, realistic and have time frame.
, What is involved in the Planning phase? - Answer-Preparing the nursing care plan with
patient input in how to identify goals and interventions to help with the identified
problems.
What is included in the Planning phase? - Answer-Patient goals/outcomes specific to
the problem, assessment, specific treatments (independent and dependent),
medications, teaching, and community care.
What is a Joint Commission on Accreditation of Healthcare Organizations (JACHO)
requirement? - Answer-The care plan is a written summary of the care that a patient is
to receive.
What is the action phase? - Answer-Implementatio/Intervention
Why are nursing actions goal oriented? - Answer-To help the patient reach maximum
health potential
What is crucial in the implementation phase? - Answer-Documentation
What is determined in the Evaluation phase? - Answer-The patient's reactions to
nursing interventions and judging whether the goals of the plan of care were achieved.
What is ongoing and continuous process performed throughout the process? - Answer-
Evaluation..."revised or reassessed"
Vital signs are a __________ mechanism? - Answer-Homeostatic
What is an important component of assessment? - Answer-It yields info about
underlying health status
What is included in vital signs? - Answer-Temperature, Pulse, Respiration, Blood
Pressure, Pain, Pulse Oximetry
What are normal vital ranges, in adults? - Answer-Pulse: 60-100; Respirations: 12-20;
Temp: 97-99; Systolic: 90-120; Diastolic: 60-80
When do you assess vital signs? - Answer-Upon admission, physician order, facility
policy; before and after- surgery, diagnostic procedure, medication administration,
nursing interventions, patient becomes symptomatic
What produces heat in the body? - Answer-Basal metabolism, muscle activity,
hormones and cells (fever)
What causes loss of heat in body? - Answer-Radiation, conduction/convection,
evaporation... 40% of heat is lost through head.
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