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NURS 171 UNIT 1 EXAM QUESTIONS 100% SOLVED CORRECT!!
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NURS 171 UNIT 1 EXAM QUESTIONS 100% SOLVED CORRECT!!
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NURS 171 UNIT 1 EXAM QUESTIONS 100%SOLVED CORRECT!!
Maslow's Hierarchy of needs Answer - Physiological: water, oxygen, food,
shelter.
Safety and Security: safe from falls and treatment side effects
Love and Belonging: family, social supports
Esteem and Self-esteem: body image, pride in achievements, admiration from
others
Cognitive: need for knowledge, understanding, exploration.
Aesthetic: symmetry, order, and beauty.
Self-actualization: need to achieve one's potential: need for growth and
change. Role Performance.
Steps of Nursing Process Answer - 1. Assessment
2. Diagnosis
3. Planning outcomes/interventions
4. Implementation
5. Evaluating
Assessment Answer - Collect, validate, organize, and record data.
subjective data Answer - What the patient says.
aka covert data or symptoms data
information communicated by the patient, family, or community.
,objective data Answer - data gathered by physical assessment and from
laboratory or diagnostic tests.
aka overt data or signs data.
can be measure or observed by another nurse.
may be used to check subjective data.
Primary data Answer - the subjective and objective information obtained
directly from the patient in what the patient says or what you observe.
Secondary Data Answer - Obtained "secondhand".
from the medical record or from another caregiver
Diagnosis Answer - RN analyzes assessment data to determine actual or
potential diagnoses, problems, and issues.
Describes patients present health status.
Diagnostic Reasoning Answer - the thinking process that enables you to make
sense of data gathered during a comprehensive patient assessment. AKA
diagnostic process.
Basic two part statement Answer - Problem - NANFA list - r/t Etiology - related
factors
i.e. Nausea r/t anxiety, Risk for Deficient Fluid Volume r/t excessive vomitting,
Possible Constipation r/t patients statement of no BM for 2 days.
Basic three part statement Answer - Problem r/t etiology as manifested by
signs or symptoms.
, i.e. Constipation r/t inadequate intake of fluids and fiber-rich food as
manifested by painful, hard stool and bowel movement every 3 or 4 days.
Planning Outcomes Answer - select standardized care plans, create
individualized care plans, identify outcomes and goals.
Formal planning Answer - is a conscious, deliberate activity involving decision
making, critical thinking, and creativity
Informal planning Answer - occurs while you are performing other nursing
process steps.
Initial planning Answer - begins with the first patient contact. refers to the
development of the initial comprehensive care plan, which should be written
asap after initial assessment.
Ongoing planning Answer - refers to changes in the plan: 1. as you evaluate the
patient response to care. 2. as you obtain new data and make new diagnoses.
Discharge planning Answer - the process of planning for self-care and
continuity of care after the patient leaves the healthcare setting
Purpose: promote the patient progress toward health or disease management
outside of facility, and to reduce early readmission to hospital care
Discharge Planning for Older Adults Answer - Especially important to start
discharge planning at the initial admission assessment.
Functional abilities, cognition, vision, hearing, social support, and psychological
well-being must be a part of the initial assessment so you can identify needed
services at discharge.
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