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Exam (elaborations)

NUR 101 final exam 2024 (1)

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NUR 101 final exam 2024 (1)

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  • July 19, 2024
  • 9
  • 2023/2024
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NUR 101 final exam

Nursing process-ADPIE - ANS-A-Assessment
D-Diagnosis
P-Planning
I-Implementation
E- Evaluation

Purpose of assessment - ANS-identify wellness, strengths, problems, evaluate plan of care and
interventions

Gordon's functional health patterns - ANS-holistic focus on patients-assessment
*health perception/management
*nutrition-metabolism
*elimination
*activity-exercise
*sleep-rest
*cognitive-perceptual
*self perception-self concept
*role-relationship
*sexuality-reproduction
*coping-stress
*value-belief

Exam techniques-IPPA, IAPP - ANS-IPPA-inspection,palpitation, percussion, auscultation
IAPP-inspection, auscultation, palpitation, percussion-abdomen

NANDA - ANS-North American Nursing Diagnosis Association- Nursing diagnosis

HIPAA - ANS-Health care insurance portability and accountability act

informed consent - ANS-client informed by physician procedure/treatment, surgery and risks.
RN gives written consent to be signed. example: shared decision making

critical thinking - ANS-process of information: knowledge, experiences, competencies, attitudes,
and standards.*helps to form nursing diagnosis, *using evidenced based rationale

clinical reasoning - ANS-worst possible scenario, be prepared

health perception - ANS-verifies client understanding of conditions and maintaining health
*appearance

, *current complaint
*history
*past hospitalization
*allergies
*current medications

3 levels of health promotion - ANS-*primary prevent disease and promote healthy lifestyles
*secondary screening for early detection
*tertiary minimize disability from acute/chronic to maximum health

performing visual assessment - ANS-*appearance
*grooming, dress, hygiene
*mobility
*LOC
*facial expressions
* head to toe assessment

clinical reasoning and inferences - ANS-most important competencies-critical thinking-like a
nurse

clinical judgment-done after data collection - ANS-conclusion about a patient through noticing,
interpreting, responding, and reflecting

data organization - ANS-Gordon's Functional health problems and NANDA

First row on care plan - ANS-*Nursing diagnosis
*definition
*defining characteristics(observations)
*risk factors
*related factors

actual nursing diagnosis - ANS-presence of defining characteristics, term, definition,
characteristics, related factors(etiology)

Risk nursing diagnosis - ANS-client more vulnerable to develop problem, risk for problem, focus
on prevention

health promotion diagnosis - ANS-desire to increase wellness and human potential, readiness
for enhancement

syndrome diagnosis - ANS-APP only-cluster of nurses diagnosis(post trauma, rape, SIDS,
relocation)

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