HESI CLINICAL DECISION MAKING EXAM
( LATEST ) ACTUAL QUESTIONS AND ANSWERS
100% CORRECT
1. To complete a "health history" assessment, one will gather.....:
Answer:
• Biographic data
• Chief complaint
• History of current illness
• Past history
• Family history
• Lifestyle
• Social data
• Psychological data
Patterns of health care
2. Assessment: Sources of Data:
Answer:
• Client
• Support People
• Client Records
• Health care professionals
• Literature
3. Diagnosing of ADPIE in a nutshell:
Answer:
Analyzing data, Identify health problems, risks, strengths, Formulate diagnostic
statements
4. Nursing diagnosis is...?:
Answer:
Forming a judgment about the client's status
5. Steps of nursing diagnosis...:
Answer:
Recognize cues
Gather data
, Use nursing knowledge to transform data to information
Cluster information
Determine client strengths & needs, look for patterns
Analyze information
Evaluate significance of information
Determine value of possible diagnoses.
6. Nursing diagnoses •Three-part system:
Answer:
PES: 1.P(roblem) (label from the
NANDA-I list)
2.E(tiology) or r/t factor (What factors are contributing to the nursing diagnosis?)
3.S(ymptom) (signs and symptoms, or as NANDA-I describes them, "defining
characteristics" as indicated in the assessment information)
8. Which type of nursing diagnoses?
1: Vulnerable to having an undesirable response
2: Undesirable response to health condition/process
3: Focus is on being as healthy as possible:
Focused on preventing an illness, but rather health promotion.
10. •Critical thinking is the use of
that increase the probability of adesirable outcome.
• It is , ,& :
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