Fundamentals Theory Exam 1 Fundamentals Exam 1- Galen
College of Nursing -San Antonio Questions With Complete
Solutions
"A patient crying during assessment" is what type of data?
Correct Answer Objective.
"Ineffective breathing pattern" and "Anxiety" are examples of
what type of NANDA diagnosis? Correct Answer actual
diagnosis
"Readiness for Enhanced Nutrition" is an example of what type
of NANDA diagnosis? Correct Answer Health promotion
diagnosis
"Risk for infection" for an HIV patient is an example of what
type of nursing diagnosis? Correct Answer Risk nursing
diagnosis
"Skin pale and diaphoretic" is what type of data? Correct
Answer Objective.
A ______________________ diagnosis is assigned by a nurses
clinical judgment to describe a cluster of nursing diagnoses that
have similar interventions Correct Answer syndrome
A ____________________________ diagnosis is a clinical
judgment that a problem does not exist, but the presence of risk
factors indicates that a problem is likely to develop unless nurses
intervene. Correct Answer risk nursing
,A ____________________________________ diagnosis refers
to the clients preparedness to implement behaviors to improve
their health condition. Correct Answer health promotion
A formal plan that specifies the nursing care for a group of
clients with common needs. Correct Answer Standardized care
plan
A nursing admission assessment is an example of what type of
assessment? Correct Answer Initial assessment
A plan coming from the nurses mind using critical thinking and
the nurses existing knowledge/skills. Correct Answer informal
care plan
A problem that is present at the time of the nursing assessment
and is based on both signs and symptoms.
Ex: Ineffective breathing pattern, or anxiety. Correct Answer
problem-focused nursing diagnosis
A rapid assessment of a patients breathing, airway integrity and
circulation is an example of what type of assessment? Correct
Answer Emergency assessment
A specific guide that organizes information about client care.
Correct Answer formal care plan
A systematic, rational method of planning and providing
individualized nursing care. Correct Answer Nursing Process
, A walker with 4 stable posts and no wheels. A patient must have
good upper body strength to use/lift the walker. Correct Answer
Standard walker
Activities that can only be done under the observation or order
of a physician. Correct Answer Dependent intervention
Activity Intolerance, RELATED TO GENERALIZED
WEAKNESS, AND SEDENTARY LIFESTYLE...
What part of the nursing diagnosis is in all caps? Correct
Answer etiology
An ________________ diagnosis is a client problem that is
present at the time of the nursing assessment. Correct Answer
Actual
Assessing a patients ability to perform self-care is an example of
what type of assessment? Correct Answer Problem-focused
assessment
Being open to the possibility that personal biases or social
pressures or customs could unduly affect thinking Correct
Answer egocentricity
Brushing teeth, washing face, combing hair, using the bathroom
occur during what time of care? Correct Answer Early morning
care
Clinical signs of patient distress, threats to patient safety (real
and anticipated), things associated to equipment and things in
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