NURS 147 Finals Study Guide | With Complete
Solutions!!
Nursing Process
ADPIE
A - Assessment
Collect subjective (what patient says) + objective (what you see/measure). Includes interview,
health history, physical exam, labs, diagnostic test results.
D - Diagnosis
Analyze/cluster data. Identify actual or risk nursing diagnoses (not medical diagnoses).
P - Planning
Set priorities (life-threatening first). Create measurable goals (SMART) and select interventions.
I - Implementation
Carry out interventions (independent, dependent, collaborative).
E - Evaluation
Reassess: were goals met, partially met, not met? Decide to continue, modify, or discontinue
plan.
Types of Data
Subjective: 'I have chest pain,' 'I feel dizzy,' 'I've been coughing for 3 weeks.' Objective: Vitals,
lab values, lung sounds, edema, wounds, imaging results.
, Database
Subjective + objective + record + labs → used for diagnostic reasoning.
First-level priorities
ABCs (airway, breathing, circulation), Change in LOC, chest pain, severe SOB, massive
bleeding.
Second-level priorities
Pain, abnormal labs (K+, WBC), acute confusion, risk for deterioration.
Third-level priorities
Long-term, teaching needs, coping, knowledge deficits.
Collaborative problems
Need multiple disciplines (e.g., diabetes, HF, COPD).
Culture
Learned, shared, adapted, dynamic.
Ethnicity
Shared ancestry, language, traditions.
Acculturation
Adapt to new culture.
Assimilation
Original culture replaced by new one.
Solutions!!
Nursing Process
ADPIE
A - Assessment
Collect subjective (what patient says) + objective (what you see/measure). Includes interview,
health history, physical exam, labs, diagnostic test results.
D - Diagnosis
Analyze/cluster data. Identify actual or risk nursing diagnoses (not medical diagnoses).
P - Planning
Set priorities (life-threatening first). Create measurable goals (SMART) and select interventions.
I - Implementation
Carry out interventions (independent, dependent, collaborative).
E - Evaluation
Reassess: were goals met, partially met, not met? Decide to continue, modify, or discontinue
plan.
Types of Data
Subjective: 'I have chest pain,' 'I feel dizzy,' 'I've been coughing for 3 weeks.' Objective: Vitals,
lab values, lung sounds, edema, wounds, imaging results.
, Database
Subjective + objective + record + labs → used for diagnostic reasoning.
First-level priorities
ABCs (airway, breathing, circulation), Change in LOC, chest pain, severe SOB, massive
bleeding.
Second-level priorities
Pain, abnormal labs (K+, WBC), acute confusion, risk for deterioration.
Third-level priorities
Long-term, teaching needs, coping, knowledge deficits.
Collaborative problems
Need multiple disciplines (e.g., diabetes, HF, COPD).
Culture
Learned, shared, adapted, dynamic.
Ethnicity
Shared ancestry, language, traditions.
Acculturation
Adapt to new culture.
Assimilation
Original culture replaced by new one.
