Nursing 251 Exam 1 with complete solutions 2024_2025.
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Course
NURS 251
Institution
NURS 251
Nursing Process
Identifying and treating human responses to actual or potential health problems; continual; revise as necessary
Nursing Process 5 Steps
Assessment, Diagnosis, Planning, Implementation, Evaluation
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Nursing Diagnosis - ANSWER- Clinical judgement about clients, family,
community responses to actual or potential health problems
Assessment - ANSWER- Collecting subjective and objective data; establish data
base with client's wellness, health practices, past illnesses, and establish goals
Subjective Data - ANSWER- Sensations or symptoms, perceptions, desires,
preferences, beliefs, ideas, values, and personal information stated by the patient
Objective Data - ANSWER- Physical characteristics, body functions (heart rate),
appearance, behavior, measurements, results of labs; observed by examiner
Types of Assessment - ANSWER- Initial comprehensive, ongoing or partial,
focused or problem-oriented, and emergency
Initial Comprehensive Assessment - ANSWER- Occurs when clients first presents
to health care system; collect both subjective and objective
Ongoing or Partial Assessment - ANSWER- Occurs after comprehensive database
is established; reassessment of initial problem looking for improvement or
deterioration
, Focused or Problem-Oriented Assessment - ANSWER- Occurs because of a
specific health concern
Emergency Assessment - ANSWER- Occurs when life saving action needs to be
taken; ABC's (airway, breathing, cardiac)
Culture - ANSWER- The learned, shared, and transmitted values, beliefs, norms,
and way of life of a particular group that guides their thinking, decisions, and
action in patterned ways
Cultural Sensitivity - ANSWER- Recognize that some cultural groups have
definitions of health and illness, as well as practices that attempt to promote
health and cure illness, that may differ from your own
Cultural Competence - ANSWER- Be willing to modify health care delivery in
keeping with the client's cultural background; Do not expect all members of one
cultural group to behave in exactly the same way
Spiritual Assessment - ANSWER- An RN may conduct this to understand the
patient's source of strength and guidance and to respect their rituals and beliefs
Spirituality Impacts Care - ANSWER- Changing the course of treatment; health
care providers may need to modify treatment plans
Stereotype - ANSWER- A simplified generally inflexible conception of the
members of a group or subgroup
Ethnocentrism - ANSWER- A tendency to view people unconsciously by using
your own group and your own customs as standards for all judgements
Standard Precautions - ANSWER- Guidelines used to prevent the passage of
pathogens; MUST BE USED AT ALL TIMES
HIPAA - ANSWER- Health Insurance Portability and Accountability Act; protection
for health information health insurance coverage
Inspection - ANSWER- DO THIS FIRST; The use of senses to observe the general
status of the client and note normal/ abnormal aspects of specific systems
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