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Exam 3 NUR 303 Final Test Questions Fully Answered Graded A+.
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What is clinical judgment - Answer - consist of both opinions and decisions based on theoretical knowledge and experience - a nurse knows what to look for, draws valid conclusions about what the signs mean, and knows what to do about it. Clinical reasoning - Answer Refers to ways of think...

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  • March 12, 2025
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  • 2024/2025
  • Exam (elaborations)
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Exam 3 NUR 303 Final Test Questions
Fully Answered Graded A+.
What is clinical judgment - Answer - consist of both opinions and decisions based on
theoretical knowledge and experience

- a nurse knows what to look for, draws valid conclusions about what the signs mean, and knows
what to do about it.



Clinical reasoning - Answer Refers to ways of thinking about patient care issues

- determining, preventing, managing patient problems



Nursing Process: Assessment - Answer Collect and analyze date about a client, first step in
delivering nursing care. Includes physiological data, psychological, sociocultural, spiritual,
economic, and lifestyle factors as well.

ex: fearful, refusal to eat



Nursing Process: Diagnosis - Answer The nurses clinical judgement about the clients response
to actual or potential health conditions or needs.

ex: respiratory infection



Nursing process: outcomes/ planning - Answer Based on assessment and diagnosis, nurse sets
measurable and achievable short-and long range goals for this patient that might include
moving from bed to chair at least 3 times per day.



Nursing Process: Implementation - Answer Nursing care is implemented according to the care
plan, so continuity of care for the patient during hospitalization and in preparation for discharge
needs to be assured.



Nursing Process: Evaluation - Answer Both the patients status and the effectiveness of the
nursing care must be continuously evaluated, and the care plan modified as needed.



Subjective data - Answer things a person tells you about that you cannot observe through your
senses; symptoms

, Nursing process - Answer A scientific, clinical reasoning approach to client care that includes
assessment, analysis, planning, implementation and evaluation.



The first step after collecting data is to - Answer compare the data against established norms



What is NANDA - Answer North American Nursing Diagnosis Association

it formally identifies, develops, and classifies nursing diagnoses



Assessment purpose - Answer To establish a database about the clients response to health
concerns or illness and the ability to manage healthcare needs



Diagnosis purpose - Answer To identify client strengths/health problems that can be
prevented or resolved by collaborative and independent nursing interventions



Which is the incorrect diagnostic statement ?

Acute pain r/t trauma of incision

acute pain r/t prostatectomy - Answer acute pain r/t prostatectomy (incorrect- do not use
medical diagnoses



AEB - Answer as evidenced by



R/T - Answer related to



When there are no related etiological factors; identifies as a vulnerability; problem not yet
present

use the phrase ____ - Answer ' as evidenced by'

risk for infection as evidenced by inadequate vaccination and immunosuppresion (risk factors)



Health promotion does not require a - Answer Related factor

' readiness for enhanced self-care as evidenced by expressed desire to enhance self-care'



In order to know if the nursing diagnosis is accurate, you must assess for ______ and establish
that ________ exist - Answer Defining characteristics ; key related factors

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