What makes an initial different from a focused assessed? initial: establish a complete database for problem identification and care planning. Focused: when the nurse gather data about a specific problem that has alr been identified.
Which of the assessments provides the nurse comprehensive baselin...
NUR 323 Exam 1 Test Questions and
Correct Answers
What makes an initial different from a focused assessed? ✅initial: establish a complete
database for problem identification and care planning.
Focused: when the nurse gather data about a specific problem that has alr been
identified.
Which of the assessments provides the nurse comprehensive baseline data? ✅Initial
assessment
How is comprehensive baseline data used by the nurse? ✅to make a judgment about
someone's health, ability to manage themselves. Plan and deliver a person-centered
nursing care. Refer to provider if indicated.
When are initial and focused assessments performed? ✅focused can be done during
initial assessment(usually part of ongoing data collection)
Where does the nurse obtain patient data? ✅patient, other healthcare literatures,
family, other healthcare professionals, pt record, assessment technology
objective vs subjective data ✅obj:: signs that are observable and measurable.
Obtained through physical assessment.
sub: symptoms, info perceived only by affected person
What problems might a nurse encounter in data collection? ✅inappropriate
organization of database, omission of pertinent data, failure to establish rapport w/ pt,
recording interpretation rather than observed behavior, failure to update
How might assessment data be organized? (hint: models of organizing or clustering
data) ✅holistic focused models(maslow's, gordon's, human response patterns)
medically focused model.
What makes a "cue" differ from an "inference"? ✅cues: subjective and objective data
to help identify that something that may be wrong.
inferences: judgements reached about cues(must be validated).
What makes a data cluster different from a pattern of data? ✅organizing data is
clustering data. Once clusters are define, within each cluster the nurse examines data
for patterns (first impression testing).
, Why must data be validated and if not validated, how might that influence how care is
provided? ✅to make sure it's free from error, bias, and misinterpretation. Can lead to
inappropriate, unsafe, and omitted nursing care.
What is the purpose of a nursing diagnosis? ✅to clarify the exact nature of the
problems and risks that must be addressed to achieve the overall expected outcomes of
care.
problem-focused nursing diagnosis ✅describes a clinical judgment concerning an
undesirable human response to a health condition/life process that exists in an
individual, family, or community.
risk nursing diagnosis ✅a clinical judgment concerning the vulnerability of an
individual, family, group, or community for developing an undesirable human response
to health conditions/life processes
health promotion nursing diagnosis ✅a clinical judgement of motivation, desire, and
readiness to enhance well-being and actualize human health potential
What make a 3-part nursing diagnosis differ from a 2-part? ✅2 part: pt's problem and
its cause (etiology)
3 part: pt's problem(diagnosis label). cause, and the problem's defining characteristics.
What information is used to develop each of the nursing diagnosis statements? ✅the
problem (label and definition) informs pt outcomes, cause/etiology which informs
appropriate nursing interventions, defining characteristics(aeb)
How would you know a nursing diagnosis is a nursing diagnosis (hint: what is not a
nursing diagnosis) ✅it will not be a medical diagnosis.
What are the 3 rankings when a nurse is prioritizing a list of nursing diagnoses? What
guides a nurse in making those rankings? ✅pt strengths, health problems or issues.
Has to be able to be prevented or resolved with a nursing intervention
What part of the nursing diagnosis is an expected outcome derived? ✅the problem
interventions are... ✅developed on info that relates to the cause (etiology) of the
problem.
How would you define each component of an outcome statement? ✅establish
priorities, identify and write expected patient outcomes, select evidence-based nursing
interventions, communicate nursing care plan
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