NURS 310 Fundamentals Test Questions With Complete
Solutions
adhesion Correct Answer abnormal fibrous band that holds or
binds together tissues that are normally separated
Assessment Correct Answer gather information about the
patient condition
Can the process of assessment be delegated to anyone else, such
as a NAP or a LPN? Why or why not? Correct Answer No,
professional nurses must perform the assessment portion of the
nursing process
define planning Correct Answer Select standardized care plans
Create individualized care plans
Identify outcomes and goals
-End product of planning is a holistic plan of care that addresses
the patient's unique problems and strengths
Define the 4 types of nursing diagnoses. Correct Answer
Actual Nursing Diagnosis - the client actually has the problem
Potential (Risk) Nursing Diagnosis - concerned they may have
this problem and there is a risk for that problem
Possible - no evidence to back it up, just a hunch
Wellness - institute interventions to promote health
,Define the other formats for Nursing Diagnoses. Correct
Answer Specify: add to problem label
Secondary to: add to the etiology
Two-part NANDA-I label: the first part describes a general
response the second part is more specific
Unknown etiology: cannot identify etiology
Complex etiology: has too many etiologies
Collaborative problem: potential problem
Define the term cue. Correct Answer A thing that is said or
done that serves as a signal
Define the term goal. Correct Answer Changes in client health
status you hope to achieve
Define the term inferences. Correct Answer Conclusion drawn
based on evidence and reasoning
Define the term nursing diagnosis. Correct Answer Statement
of health problem that the nurse identifies, prevents, or treats
independently
Define the term taxonomy. Correct Answer Classifies ideas or
objects based on common characteristics
Define what critical pathways are and main purpose Correct
Answer Outcome-based, interdisciplinary plans that sequence
client care based on case type
, They specify predicted patient outcomes and describe minimal
standard of care required to meet the recommended length of
stay
Define what individualized nursing care plans are. Correct
Answer Used to address nursing diagnoses unique to a
particular client
Define what integrated plans of care are. Correct Answer
Standardized plans designed to be both care plan and
documentation form
Diagnose Correct Answer identify the patient's problems
diagnosis Correct Answer cause and nature of disease
Discuss how the process of assessment is completed. Correct
Answer Collect data
Cluster cues make inferences and identify patterns and problem
areas
Critically anticipate
Be sure to have supporting cues before making an inference
Knowing how to probe and frame questions is a skill that grows
with experience
Discuss the difference between informal and formal planning.
Correct Answer Formal: conscious, deliberate activity involving
decision making, critical thinking and creativity
Informal: occurs while performing other nursing process steps
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