Fundamentals of Nursing - Exam 1/ The
nursing process, communication, standards &
isolation precautions, vital signs, seizure
precautions, hygiene, physical exam
(assessment), documentation, and code skills/
159 Questions with Certified Solutions/ 2024-
2025.
What are the OUTCOMES IDENTIFICATION? - Answer: This is the statement of how a patient's
status will change once interventions have been successfully instituted
Identify the expected outcomes when planning for the patient's individual situation.
Interventions must be measurable criterion indicating that objectives have been met.
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,Define the PLANNING stage of the nursing process - Answer: Develops a plan that prescribes
strategies and alternatives to attain expected outcomes.
- Prioritize strategies
- Goals (statement that describes the aim if the nursing care) should be short term and long
term
Describe IMPLEMENTATION of the nursing process - Answer: The actions to facilitate positive
patient outcomes
What three skills are needed in order to implement goals? - Answer: Cognitive
Personal
Psychomotor
Describe the EVALUATION phase of the nursing process - Answer: This describes how well the
patients needs were met (or not met).
Done through reassessment
What percentage of all communication is nonverbal? - Answer: 90%
What are the most important roles of the nurse (5) - Answer: Caregiver
Advocate
Educator
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,Researcher
Leader
What are the 5 steps in the nursing process? - Answer: (1) Assessment
(2) Nursing Diagnosis
(3) Planning
(4) Implementation
(5) Evaluation
*** All of the above require critical thinking!
Define Assessment - Answer: Collects comprehensive data pertinent to the patient's health
and/or situation.
- info medical personnel can look at
- begins the moment you walk through the door
Can the RN provide subjective information about patient? - Answer: NO! Only the patient can
give subjective info.
OBJECTIVE info is what the RN sees, hears, or smells
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, What is the Diagnosis phase? - Answer: Analyze the assessment and make a clinical judgement
related to an ACTUAL or POTENTIAL health problem.
** Nurses have to be aware of potential risks based on health problems.
** Also collaborate with other specialists to manage the problem(s)
What are the three phases of a Nursing Diagnosis? - Answer: First info → Related to → as
evidence by
WHAT is the problem?
WHY is it a problem?
WHAT is the evidence of that problem?
Ex:
"Acute pain → related to surgical incision → as evidence by patient report (or as evidence by
crying)"
What two characteristics should nurses always exude? - Answer: CARING
COMPETENCE
How is communication used in the Assessment phase of the nursing process? - Answer: Verbal
interviewing and history taking
Visual and intuitive observation of nonverbal behavior
Visual, tactile, and auditory data gathering during physical examination.
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