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FUNdamentals of Nursing - Exam 1|159 Complete Questions and Answers
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FUNdamentals of Nursing - Exam 1|159 CompleteQuestions and Answers
What are the most important roles of the nurse (5) - -Caregiver
Advocate
Educator
Researcher
Leader
-What are the 5 steps in the nursing process? - -(1) Assessment
(2) Nursing Diagnosis
(3) Planning
(4) Implementation
(5) Evaluation
*** All of the above require critical thinking!
-Define Assessment - -Collects comprehensive data pertinent to the
patient's health and/or situation.
- info medical personnel can look at
- begins the moment you walk through the door
-Can the RN provide subjective information about patient? - -NO! Only the
patient can give subjective info.
OBJECTIVE info is what the RN sees, hears, or smells
-What is the Diagnosis phase? - -Analyze the assessment and make a
clinical judgement related to an ACTUAL or POTENTIAL health problem.
** Nurses have to be aware of potential risks based on health problems.
** Also collaborate with other specialists to manage the problem(s)
-What are the three phases of a Nursing Diagnosis? - -First info → Related to
→ as evidence by
,WHAT is the problem?
WHY is it a problem?
WHAT is the evidence of that problem?
Ex:
"Acute pain → related to surgical incision → as evidence by patient report (or
as evidence by crying)"
-What are the OUTCOMES IDENTIFICATION? - -This is the statement of how
a patient's status will change once interventions have been successfully
instituted
Identify the expected outcomes when planning for the patient's individual
situation.
Interventions must be measurable criterion indicating that objectives have
been met.
-Define the PLANNING stage of the nursing process - -Develops a plan that
prescribes strategies and alternatives to attain expected outcomes.
- Prioritize strategies
- Goals (statement that describes the aim if the nursing care) should be short
term and long term
-Describe IMPLEMENTATION of the nursing process - -The actions to
facilitate positive patient outcomes
-What three skills are needed in order to implement goals? - -Cognitive
Personal
Psychomotor
-Describe the EVALUATION phase of the nursing process - -This describes
how well the patients needs were met (or not met).
Done through reassessment
-What percentage of all communication is nonverbal? - -90%
-What two characteristics should nurses always exude? - -CARING
COMPETENCE
, -How is communication used in the Assessment phase of the nursing
process? - -Verbal interviewing and history taking
Visual and intuitive observation of nonverbal behavior
Visual, tactile, and auditory data gathering during physical examination.
Written medical records, diagnostic tests, and literature review.
-Define REFERENT - -The referent motivates one person to communicate
with another.
Examples of referents: sights, sounds, odors, time schedules, messages,
objects, emotions, sensations, perceptions, ideas, etc.
-Define SENDER in communication - -The person who encodes and delivers
the message.
Sender puts ideas or feelings into form that is transmitted and is responsible
for accuracy and emotional tone of message content
-What is the RECEIVER in the communication process? - -The person who
receives and decodes the message
** senders message acts as a referent for the receiver, who is responsible for
attending to, translating, and responding to the message.
-MESSAGE in communication process - -Content of communication....
verbal, nonverbal & symbolic language.
-CHANNELS in communication process - -These are the means of conveying
the message through visual, auditory, and tactile senses.
Facial expression = visual message
Spoken word = auditory
Touch = tactile
-FEEDBACK in communication process - -The message that the receiver
returns. This indicates if receiver understood meaning of message. Sender
can evaluate effectiveness of communication.
-Explain the communication process briefly - -The source has a message
and encodes the message.
Message is sent through a channel
Receiver must first decode the message
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