Download Nursing Process: Assessment, Diagnosis, Planning, Implementation, and Evaluation and more Exams Nursing in PDF only on Docsity!
NSRG 91 TEST 3 | ALL QUESTIONS AND
CORRECT ANSWERS | GRADED A+ |
VERIFIED ANSWERS | LATEST EXAM 2025
What are secondary sources nurses may us ---------CORRECT ANSWER--- --------------Database (nursing history, and assessment that is create upon admission) Lab and diagnostic results HX and updated notes from inter-professional healthcare team Medical records (old charts) What are tertiary sources? ---------CORRECT ANSWER-----------------nurses experience (intuition) Relevant literature What is used in collecting subjective data? ---------CORRECT ANSWER----- ------------Interview, and organize conversation Open ended questions Preparation Privacy What are the three phases in collecting subjective data? ---------CORRECT ANSWER-----------------Orientation Working Termination When are good interview skills when assessing a patient ---------CORRECT ANSWER-----------------Eye contact
Plain language Don't ask all questions Ask your own answers Accept answers Take notes Know the form How to organize subjective and objective data ---------CORRECT ANSWER-----------------Computer written form Can be modified according to patient status Prep and plan Gordon's functional health pattern framework What is a nursing diagnosis? ---------CORRECT ANSWER----------------- Identify the patient's problem What is plan of the nursing process? ---------CORRECT ANSWER------------- ----set goals of care and desired outcomes and identify appropriate nursing actions What is implement of the nursing process? ---------CORRECT ANSWER---- -------------perform the nursing actions identified in planning What is evaluate the nursing process? ---------CORRECT ANSWER---------- -------determine if goals and expected outcomes are achieved What should the nursing diagnosis include? ---------CORRECT ANSWER--- --------------Nanda international diagnosis list
What are the four types in the nursing diagnosis? ---------CORRECT ANSWER-----------------Actual Risk Wellness Health Promotion What does r/t mean ---------CORRECT ANSWER-----------------Nursing or medical problem what is contributing or causing the problem What does evidence by mean? ---------CORRECT ANSWER----------------- Signs or symptoms referred to objective and subjective data What are goals in the nursing process for nurses ---------CORRECT ANSWER-----------------Patient centre goals, good lines in expected outcomes and plan nursing interventions What is establishing priorities in goals ---------CORRECT ANSWER----------- ------Attention to the patient's most important needs first How should goals be written? ---------CORRECT ANSWER----------------- Smart How are goals established? ---------CORRECT ANSWER----------------- Highest priority, Intermediate priority Low priority, diagnosis
What is highest priority, in goals ---------CORRECT ANSWER----------------- Patient may be harmed, if not attended to What is intermediate priority in goals? ---------CORRECT ANSWER----------- ------Non-emergency What is low priority, diagnosis in goals ---------CORRECT ANSWER---------- -------Affect future well-being What is a short term goal? ---------CORRECT ANSWER----------------- Achieves in less than one week What is a long-term goal? ---------CORRECT ANSWER-----------------A goal that you plan on reaching over an extended period of time " patient will have full range of motion in three months" What are types of nursing interventions? ---------CORRECT ANSWER------- ----------nurse initiated physician initiated collaborative What are the steps in evaluation? ---------CORRECT ANSWER----------------- Identify criteria Collect data from patient Interpret and summarize your findings Options
What's R in smart goals ---------CORRECT ANSWER-----------------Relevant realistic What does relevant/realistic mean for smart goals ---------CORRECT ANSWER-----------------applies to your current role in his clearly linked to your key role responsibilities What is the T in SMART goals? ---------CORRECT ANSWER----------------- timely What does timely mean for your smart goals? ---------CORRECT ANSWER- ----------------Specific, timeless and a deadline. This will help motivate you to move toward your goal and evaluate your progress. What are the five steps of the nursing process ---------CORRECT ANSWER-----------------1. Assessment
- Nursing Diagnosis
- Planning
- Implementation
- Evaluation What is the nursing process? ---------CORRECT ANSWER-----------------A problem-solving approach to identifying, diagnosing, and treating the health issues of clients from nursing perspective What a variation of scientific reasoning, and linear moves back-and-forth relate too? ---------CORRECT ANSWER-----------------The nursing process
What does the nursing process include? ---------CORRECT ANSWER-------- ---------Medical orders and independent care required by CNO standards What is the nursing process required by? ---------CORRECT ANSWER------- ----------Civil law. "If it is not charted, not done. " What are some characteristics of the nursing process? ---------CORRECT ANSWER-----------------Person focussed no task focus Goal oriented Individualize Applies to all ages, health problems, setting Where is the nursing process used? ---------CORRECT ANSWER------------- ----What is the universal nursing language that can include family in plan best for patient) How long has the nursing process been used for? ---------CORRECT ANSWER-----------------Over 50 years What is assessment in the nursing process? ---------CORRECT ANSWER-- ---------------the deliberate and systematic collection of data about a patient to determine the patient's current and past health and functional status To determine patient present and past coping patterns. What are the 2 stages of assessment ---------CORRECT ANSWER------------ -----1. Collection and verification of data
- Analysis of data
What are secondary sources? ---------CORRECT ANSWER----------------- Family and significant others When are secondary sources used? ---------CORRECT ANSWER------------- ----If patient is critically, ill, unconscious, disoriented
