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PNU 116 Exam 3 Questions And Correct Answers
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PNU 116 Exam 3 Questions And Correct AnswersNursing process- ANSWER Pt centered, systemic, outcomes oriented, provides greater
continuity of care
ADPIE - Nursing Process - ANSWER Assessment, Diagnosis, Plan, Intervention,
Evaluation
Assessment - ANSWER Making a judgement (subj, obj ,labs)
-*Collection, validation and communication of patient data*
ex. ask a pt questions and taking vitals
Diagnosis - ANSWER statement indicating *potential problems*
Nursing diagnosis: pt response to the disease/condition; clinical judgement by the RN-
identifies disease response
Planning - ANSWER Pt and family establish nursing care to resolve the diagnosis
*associated with cognitively thinking*
intervention - ANSWER Treatment/action that nursed preform to enhance patient
outcomes
Implementation - ANSWER Providing care to pts; execution of the nursing care plan to
accomplish the goals and outcomes
Ex. Turn a pt every 2 hours *document all interventions preformed*, health history
before procedure to id strengths and weaknesses
Evaluation- RESPONSE Identifies whether the patient's goals have been met or not; an
, ongoing process
Ex. Pt states "I have lost 10 lbs because of walking 2 miles daily"
subjective data - RESPONSE Verbally/stated by the patient/family, insight into feelings,
perceptions and concerns
-is gathered through interviewing and conversational skills
- "I have gained 7lbs in 3 days"
objective data - RESPONSE Information that is seen, heard auscultated, felt or smelled
by an observer;
observable and measurable data, physical exam findings, lab and diagnostic test results
-87 y/o F confined to bed rest, admitted for pelvic fx
Health Assessment - ANSWER Gathering information about the health status of the
patient, analyzing and synthesizing those data, making judgments about nursing
interventions based on the findings and evaluating patient care outcomes
*collection, validation, communication of pt data*
IAPP format - ANSWER Abdomen to NOT alter bowel sounds *Tympany: normal bowel
sounds
-inspect
-auscultate
-palpate
-percuss
-physical assessment skill
Interview technique for obtaining history - ANSWER Subjective data collected with
general information
-therapeutic communication, observe pt while talking
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