Exam (elaborations)

Fundamentals of Nursing - Exam 1/ The nursing process, communication, standards & isolation precautions, vital signs, seizure precautions, hygiene, physical exam (assessment), documentation, and code skills/ 159 Questions with Certified Solutions/ 2024-20

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Course
Fundamentals of Nursing

Institution
Fundamentals Of Nursing

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Uploaded on October 24, 2024
Number of pages 39
Written in 2024/2025
Type Exam (elaborations)
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fundamentals of nursing

Institution Fundamentals of Nursing
Course Fundamentals of Nursing

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Fundamentals of Nursing - Exam 1/ The
nursing process, communication, standards &
isolation precautions, vital signs, seizure
precautions, hygiene, physical exam
(assessment), documentation, and code skills/
159 Questions with Certified Solutions/ 2024-
2025.

What are the OUTCOMES IDENTIFICATION? - Answer: This is the statement of how a patient's
status will change once interventions have been successfully instituted

Identify the expected outcomes when planning for the patient's individual situation.

Interventions must be measurable criterion indicating that objectives have been met.

Page 1 of 39

,Define the PLANNING stage of the nursing process - Answer: Develops a plan that prescribes
strategies and alternatives to attain expected outcomes.

- Prioritize strategies

- Goals (statement that describes the aim if the nursing care) should be short term and long
term

Describe IMPLEMENTATION of the nursing process - Answer: The actions to facilitate positive
patient outcomes

What three skills are needed in order to implement goals? - Answer: Cognitive

Personal

Psychomotor

Describe the EVALUATION phase of the nursing process - Answer: This describes how well the
patients needs were met (or not met).

Done through reassessment

What percentage of all communication is nonverbal? - Answer: 90%

What are the most important roles of the nurse (5) - Answer: Caregiver

Advocate

Educator

Page 2 of 39

,Researcher

Leader

What are the 5 steps in the nursing process? - Answer: (1) Assessment

(2) Nursing Diagnosis

(3) Planning

(4) Implementation

(5) Evaluation

*** All of the above require critical thinking!

Define Assessment - Answer: Collects comprehensive data pertinent to the patient's health
and/or situation.

- info medical personnel can look at
- begins the moment you walk through the door

Can the RN provide subjective information about patient? - Answer: NO! Only the patient can
give subjective info.

OBJECTIVE info is what the RN sees, hears, or smells

Page 3 of 39

, What is the Diagnosis phase? - Answer: Analyze the assessment and make a clinical judgement
related to an ACTUAL or POTENTIAL health problem.

** Nurses have to be aware of potential risks based on health problems.

** Also collaborate with other specialists to manage the problem(s)

What are the three phases of a Nursing Diagnosis? - Answer: First info → Related to → as
evidence by

WHAT is the problem?
WHY is it a problem?
WHAT is the evidence of that problem?

Ex:
"Acute pain → related to surgical incision → as evidence by patient report (or as evidence by
crying)"

What two characteristics should nurses always exude? - Answer: CARING

COMPETENCE

How is communication used in the Assessment phase of the nursing process? - Answer: Verbal
interviewing and history taking

Visual and intuitive observation of nonverbal behavior

Visual, tactile, and auditory data gathering during physical examination.

Page 4 of 39

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Exam (elaborations)

Fundamentals of Nursing - Exam 1/ The nursing process, communication, standards & isolation precautions, vital signs, seizure precautions, hygiene, physical exam (assessment), documentation, and code skills/ 159 Questions with Certified Solutions/ 2024-20

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