Foundations Final Exam Study Guide
Questions with Correct Answers
what is the nursing process - Correct Answer Assessment
Diagnosis
Planning (x2) (plan for outcomes and then plan for education)
Implementation
Evaluation
universal tool used by nurses to care for a patient, and regulate how they are cared for
what are the 3 parts of a nursing diagnosis - Correct Answer "problem" nursing diagnosis, "risk"
nursing diagnosis, health promotion diagnosis
Aims of Nursing - Correct Answer promote health, prevent illness, restore health, facilitate coping
with disability or death
intellectual dimension - Correct Answer cognitive ability, education
examples of promoting health (aims of nursing); : Identifying, analyzing, and maximizing each
patient's own individual strengths as components of preventing illness, restoring health, facilitating
coping with disability & death - Correct Answer facilitate patients decisions about lifestyle that
enhance the quality of the life and encourage acceptance of responsibility for their own health,
increase patients health awareness (health is more than just not being ill), teach selfcare activities,
serve as a role model, encourage health promotion
environmental dimension - Correct Answer house, climate, food
spiritual dimension - Correct Answer beliefs and values
examples of preventing illness (aims of nursing); Often accomplished by teaching and by personal
example. - Correct Answer prenatala education, smoking-cessation programs, stress-reduction
seminars, community programs and resources (exercise classes and physical fitness programs),
literature, TV, etc information on a healthy diet, regular exercise, and the importance of good health
habits, health assessments identify areas of strength and risks for illness
,examples of restoring health (aims of nursing); Historically considered to be the nurse's
responsibility. Focus on the person with an illness, and range from early detection of a disease to
rehabilitation and teaching during recovery. - Correct Answer performing assessments that detect
illness, referring questions and abnormal findings to health care providers, providing direct care by
carryinng out procedures and treatments, planning teaching and carrying out rehab for illnesses,
collaborating with other health care providers, working in mental health, and chemical-dependency
programs
sociocultural dimension - Correct Answer family income and lifestyle
examples of facailitating coping with disability or death (aims of nursing); Nurses also facilitate
patient and family coping with altered function, life crisis....and death. - Correct Answer for the
patient who with the inability to carry out activities of daily living (ADLs), nurses facilitate an optimal
level of function through maximizing the persons strengths and potentials through teaching, nurses
provide care to both patients and families at the end of life in hospitals, long-term care facilities,
hospices, and patient/family homes, preparring for death and living as comfortable as possible until
death occurs
emotional dimension - Correct Answer how mind affects functions and responses
physical dimension - Correct Answer genetics, age, race, sex
levels of health promotion and illness prevention - Correct Answer primary, secondary, tertiary
Primary prevention examples - Correct Answer health risk assessment, immunizations, good hygiene
practices, protecting eyes, dental hygiene, diet and exercise education, accident prevention:
occupational safety, safe sex education: family planning, safety in environment (home, work, car),
proper use of sunscreen
secondary prevention examples - Correct Answer child well checks, blood pressure screenings, high
cholesterol, skin cancer screenings, mammograms and GYN exams for women; TSE for men,
colonoscopy, receiving regular eye, dental, medical check-ups, counseling, medical interventions and
collaborative interventions
tertiary prevention examples - Correct Answer ongoing medications and treatments, rehabilitation,
education about s/s disease progression or complications, education about how to manage
symptoms, referral to support groups
, health belief model - Correct Answer individual perceptions, modifying factors, likelihood of action
This model helps the nurse understand that which influences our patients perceptions beliefs and
behaviors as we develop a plan of care for that patient
holistic health model - Correct Answer comprehensive view of a person as a biophysical and spiritual
being. Interconnectedness with those human dimensions. Focus on the body's natural healing
abilities and we see complementary and alternative interventions
Maslows Hierarchy of Basic Needs - Correct Answer helps a nurse understand the inter-relationships
of basic needs. Focus is on the patients needs, every patient is unique and patient needs are ever-
dynamic.
oxygenation, circulation, body temp, elimination, movement, sexuality, rest
safety and security (maslows) - Correct Answer protection, emotional and physical safety and
security, order, law, stability, shelter, reduce fall risks, HIPAA is followed, use protection when having
sex
love and belonging (maslows) - Correct Answer ask about the patients family and significant others,
include family, refer to a support group
self-esteem (maslows) - Correct Answer be respectful of values and beliefs, incorporate cultural
sensibility and sensitivity into patient care, refer to counseling if needed
self-actualization (maslows) - Correct Answer provide a sense of direction and hope, maximizing a
patients potential, focus on the patients strength and possibilities
continuing education (CE) - Correct Answer professional development experiences designed to
enrich the nurses contribution to health; required to continue to hold your license to practice
nursing; need at leasst 15 hours every 2 years
in-service education - Correct Answer watch or learn a new skill in the place that you work. Often
required when new equiptment is received
nursing process (ADPPIE) - Correct Answer Assessment
Diagnosis
Plan/Identify Patient Outcomes