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NUR221 Test 2_ Week 4-6 (1)
NUR221 Test 2_ Week 4-6 (1)
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NUR221 Test 2: Week 4-6problem solving - CORRECT ANSWER-Critical thinking is the process of:
Self, ethical, theoretical, practical - CORRECT ANSWER-Identify the four types of knowledge
used in critical thinking.
science; how - CORRECT ANSWER-Theoretical knowledge is _________-based, whereas
practical knowledge is knowing _________ to do a task properly.
assessment, diagnosis, planning, implementation, evaluation - CORRECT ANSWER-Identify the
five steps of the nursing process.
Assessing a new symptom - CORRECT ANSWER-Which task can not be delegated to unlicensed
assistive personnel?
ongoing - CORRECT ANSWER-A head-to-toe assessment done during every shift is an example
of which type of assessment?
False - CORRECT ANSWER-A focused assessment will always only focus on one body system.
psychosocial - CORRECT ANSWER-Which type of assessment evaluates the potential presence
of domestic violence?
objective; secondary - CORRECT ANSWER-Vital signs obtained using a Dinamap machine are an
example of __________ data, coming from a ___________ source.
validating data - CORRECT ANSWER-The vitals signs machine reports the blood pressure is
elevated, so the nurse checks with the patient to assess for a probable cause of elevated blood
pressure. What is this process called?
Always maintaining a questioning attitude - CORRECT ANSWER-What will help the nurse to
make sure they gather all necessary information to make an informed assessment and draw the
correct conclusions?
Diagnostic reasoning - CORRECT ANSWER-is the process of analyzing data, identifying patterns,
and drawing conclusions.
A statement of health status that nurses can identify, prevent, or treat independently. - CORRECT
ANSWER-Which is the definition of a nursing diagnosis?
Narrow, and focused on disease process, illness, or injury. - CORRECT ANSWER-Medical
diagnosis
Broad, and focused based on a patient's individual needs. - CORRECT ANSWER-Nursing
diagnosis
False - CORRECT ANSWER-There will always be exactly one nursing diagnosis for every medical
diagnosis.
Actual
, Syndrome
Potential
Collaborative
Wellness - CORRECT ANSWER-Identify the five types of nursing diagnosis. Select all that apply.
inferences - CORRECT ANSWER-Nursing diagnoses are judgments based on _______ made in
our nursing assessments.
234 - CORRECT ANSWER-There are how many nursing diagnoses?
Pathophysiology
Secondary to medical diagnosis or treatment
Situational
Spiritual
Lifespan considerations
Environmental - CORRECT ANSWER-Identify 6 potential causes, or etiologies, for patient
problems. Select all that apply.
problem, etiology, symptoms - CORRECT ANSWER-What are the 3 parts of a nursing diagnosis
statement?
Wellness - CORRECT ANSWER-What type of nursing diagnosis only uses the NANDA label
(problem statement) and an evidence statement (symptom statement)?
Potential (risk for) - CORRECT ANSWER-What type of nursing diagnosis only uses the problem
statement (NANDA label) and etiology (cause)?
Etiology is related to a medical problem - CORRECT ANSWER-When would you include a
"secondary to" statement?
Airway, breathing, circulation
Maslow hierarchy of needs - CORRECT ANSWER-Name two tools to use when prioritizing patient
care and multiple nursing diagnoses. Select both that apply.
Eating an appropriate number of calories - CORRECT ANSWER-Which is an example of the
primary concern in Maslow's hierarchy?
3rd - CORRECT ANSWER-Love and belonging is the ________ level of Maslow's hierarchy.
nursing assessment - CORRECT ANSWER-Nursing diagnosis is always a result of the:
Delegating, doing, documenting - CORRECT ANSWER-What are the phases of implementation?
Select all that apply.
True - CORRECT ANSWER-Critical thinking allows the nurse to questions the appropriateness of
orders. T/F
collaboration - CORRECT ANSWER-Speaking with the provider to obtain an order for medication
is an example of:
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