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Nursing Process questions and answers graded A+ 2024/2025

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CNA - Certified Nursing Assistant
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Institution
CNA - Certified Nursing Assistant
Course
CNA - Certified Nursing Assistant

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August 24, 2024
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Written in
2024/2025
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Nursing Process questions and answers
graded A+ 2024/2025
what are nursing interventions – Answer Are actions or treatments based on knowledge or judgment
that the nurse performs to meet the patient outcomes.



what are the 3 types of nursing interventions - provide examples - Answer1-independent ex. positioning
2-dependent ex. med admin 3-collaborative or interdependent ex. OT

long term goal - Answer An objective behavior or response you expect the client to achieve in a longer
period of time possibly over several days, weeks, or months.



Maslow – Answer Maslow's Hierarchy of Needs

a. physiological needs

b. safety needs

c. love and belonging needs

d. self-esteem needs

e. self-actualization needs



medical dx - Answer-Identification of a disease condition based on specific

findings such as diagnostic tests and procedures.

- Remains the same as long as the disease is present.



nursing dx - Answer- Clinical judgment in response to actual or potential

health problems.

- Provides a basis for providing nursing care through

various interventions to achieve outcomes.

- Changes possibly from day to day as the patient's

response changes.

, objective data - Answer- Observable and measurable information.

- Remember to include your senses: smell, hearing, touch and sight.



primary source of data - Answer-Information obtained from the patient (only)



prioritizing nursing dx ex 1 - Answer1 -airway 2- urinary 3- sexual 4- skin integrity



prioritizing nursing dx ex 2 - Answer1-gas exchange 2-hypothermia 3-knowledge defecit 4- infection




what are the 4 types of NANDA-I dx - Answer1. Actual diagnosis

2. Risk diagnosis

3. Health promotion diagnosis

4. Wellness diagnosis



What are the characteristics of the nursing process? - Answer1-framework for care to indiv, families, &
communities 2-orderly & systematic 3-interdependent 4-provides specific care for the indiv, fam, &
comm 5- client centered 6-appropriate for use throughout lifespan 7-used in ALL settings



What are the steps of the nursing process? – Answer ADPIE A=assessment D=diagnosis P=planning
I=implementation E=evaluation



what does the planning phase of the nursing process consist of – Answer develop a plan of care.This is
accomplished by developing client centered goals

and expected outcomes. - use critical thinking to develop nursing interventions to resolve the client's
problem and achieve the goals.



what is an expected outcome – Answer An outcome is a measurable change in the client's status that
you expect to occur related to the implemented care.
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