NURS 305 Exam 1 questions with correct answers
The Nursing Process Correct Answer-a critical thinking five-step
process that professional nurses use to apply the best available evidence
to caregiving and promoting human functions and responses to health
and illness
also establishes a therapeutic relationship between you and the patient
Assessment Correct Answer-the deliberate and systematic collection of
information about a patient to determine the patient's current and past
health and functional status and his or her present and past coping
patterns
Two steps of the Nursing Assessment Correct Answer-1.) collection and
verification of information from a primary source (the patient) and
secondary sources (family, friends, health care professionals)
2.) The interpretation and validation of data to ensure a complete
database (analysis of data)
Five steps of the Nursing Process: Correct Answer-1.) Assessment
2.) Diagnose
3.) Plan
4.) Implement
5.) Evaluate
,Diagnostic Reasoning Process Correct Answer-involves using the
assessment data you gather about a patient to logically explain a clinical
judgement or a nursing diagnosis
Nursing Interventions Correct Answer-treatments or actions based on
clinical judgement and knowledge that nurses perform to meet patient
outcomes
During interventions nurses need to: Correct Answer--know the
scientific rationale for the intervention
-possess the necessary psychomotor and interpersonal skills
-be able to function within a setting to use health care resources
effectively
Implementation: The Nursing Process Correct Answer--review the set of
all possible nursing interventions
-review all possible consequences associated with each possible nursing
action
-determine the probability of all possible consequences
-make a judgement of the value of that consequence to the patient
Assessment (first step) Correct Answer--purpose is to establish a
database about the patient's perceived needs, health problems, and
responses to these problems
,sources of data - patient, family and significant others, health care team,
medical records, scientific literature, nurse's experience
Cue Correct Answer-information that you obtain through use of the
senses
Examples of cues: Correct Answer--lies still with arms along sides;
tense
-states had not turned for some time
-reports pain a 7 on a scale of 0 to 10
(patient lying in the bed looks uncomfortable)
Inference Correct Answer-is your judgement or interpretation of these
cues
Examples of inferences: Correct Answer--pain is severe
-pain limits patient's ability to move and reposition self
Structured database format Correct Answer-formed on the basis of an
accepted theoretical framework or practice standard created by Gordon
known as the 11 Functional Health Patterns
, What assessment does for you? Correct Answer-Ultimately your
assessment identifies functional (patient strengths) and dysfunctional
(nursing diagnosis) patterns that help you develop the nursing care plan
Problem-focused approach Correct Answer-focus on a patient's
presenting situation and begin with problematic areas such as incisional
pain or limited understanding of postoperative recovery
Subjective Data Correct Answer-your patient's verbal descriptions of
their health problems
Examples of subjective data: Correct Answer-include the patients
feelings, perceptions, and self-report of symptoms
Objective Data Correct Answer-observations or measurements of a
patient's health status
Examples of objective data: Correct Answer--inspecting the condition of
a surgical incision or wound
-describing an observed behavior
-measuring blood pressure
Patient-centered interview Correct Answer-relationship based and is an
organized conversation focused on learning about the well and the sick
as they seek care
The Nursing Process Correct Answer-a critical thinking five-step
process that professional nurses use to apply the best available evidence
to caregiving and promoting human functions and responses to health
and illness
also establishes a therapeutic relationship between you and the patient
Assessment Correct Answer-the deliberate and systematic collection of
information about a patient to determine the patient's current and past
health and functional status and his or her present and past coping
patterns
Two steps of the Nursing Assessment Correct Answer-1.) collection and
verification of information from a primary source (the patient) and
secondary sources (family, friends, health care professionals)
2.) The interpretation and validation of data to ensure a complete
database (analysis of data)
Five steps of the Nursing Process: Correct Answer-1.) Assessment
2.) Diagnose
3.) Plan
4.) Implement
5.) Evaluate
,Diagnostic Reasoning Process Correct Answer-involves using the
assessment data you gather about a patient to logically explain a clinical
judgement or a nursing diagnosis
Nursing Interventions Correct Answer-treatments or actions based on
clinical judgement and knowledge that nurses perform to meet patient
outcomes
During interventions nurses need to: Correct Answer--know the
scientific rationale for the intervention
-possess the necessary psychomotor and interpersonal skills
-be able to function within a setting to use health care resources
effectively
Implementation: The Nursing Process Correct Answer--review the set of
all possible nursing interventions
-review all possible consequences associated with each possible nursing
action
-determine the probability of all possible consequences
-make a judgement of the value of that consequence to the patient
Assessment (first step) Correct Answer--purpose is to establish a
database about the patient's perceived needs, health problems, and
responses to these problems
,sources of data - patient, family and significant others, health care team,
medical records, scientific literature, nurse's experience
Cue Correct Answer-information that you obtain through use of the
senses
Examples of cues: Correct Answer--lies still with arms along sides;
tense
-states had not turned for some time
-reports pain a 7 on a scale of 0 to 10
(patient lying in the bed looks uncomfortable)
Inference Correct Answer-is your judgement or interpretation of these
cues
Examples of inferences: Correct Answer--pain is severe
-pain limits patient's ability to move and reposition self
Structured database format Correct Answer-formed on the basis of an
accepted theoretical framework or practice standard created by Gordon
known as the 11 Functional Health Patterns
, What assessment does for you? Correct Answer-Ultimately your
assessment identifies functional (patient strengths) and dysfunctional
(nursing diagnosis) patterns that help you develop the nursing care plan
Problem-focused approach Correct Answer-focus on a patient's
presenting situation and begin with problematic areas such as incisional
pain or limited understanding of postoperative recovery
Subjective Data Correct Answer-your patient's verbal descriptions of
their health problems
Examples of subjective data: Correct Answer-include the patients
feelings, perceptions, and self-report of symptoms
Objective Data Correct Answer-observations or measurements of a
patient's health status
Examples of objective data: Correct Answer--inspecting the condition of
a surgical incision or wound
-describing an observed behavior
-measuring blood pressure
Patient-centered interview Correct Answer-relationship based and is an
organized conversation focused on learning about the well and the sick
as they seek care
