NUR 3028 - exam 1 || All Answers are Valid.
what is critical thinking? correct answers -critical thinking: specific knowledge + expertise and
experience; use EBPs
-critical thinking → clinical judgement → clinical decision making
critical thinking model correct answers 1. basic (trust instructor, thinking based on rules, answers
seem right and wrong)
2. complex (trust own instincts, use creativity - consider different options from routine)
3. commitment: Anticipates when to make decisions independently, considers the decision and
determines if it was appropriate
-cmpts for critical thinking: experience, competencies (skills you are learning), attitudes,
standards
medical diagnosis correct answers -medical diagnosis: focuses on what is wrong with patient
(disease process); language medical practitioners use to communicate a patient's health problem
and associated treatments and response
platform to dvlp nursing diagnoses
ex. stroke
ex. diabetes - doctor will order various medications and tests such as a hemoglobin to test BS
levels
nursing diagnosis correct answers -response to medical diagnosis; actions to help pts live with
their diagnosis; holistic (the foundation of nursing practice) independent (don't need doctor's
orders)
-concise term or phrase that represents a pattern of related cues (assess data/define
characteristics)
ex. activity intolerance
,examples of nursing diagnoses correct answers acute pain, activity intolerance, ROI, impairment
to skin/oral mucosa, nutrition imbalances, knowledge deficiency, anxiety, social isolation
Review the following nursing diagnoses and identify the diagnoses that are stated correctly.
(Select all that apply.)
1. Offer frequent skin care because of Impaired Skin Integrity
2. Risk of Infection
3. Chronic Pain related to osteoarthritis
4. Activity Intolerance related to physical de-conditioning
5. Lack of Knowledge related to laser surgery correct answers answer: 2,4
1 offers an intervention to the problem
3 is a related factor to a medical diagnosis that a nurse cannot directly treat
5 describes a procedure, not the reaction to the actual procedure
collaborative problem correct answers Knowing the scope of practice and abilities of each team
member, uses both medical and nursing diagnoses
what does collaboration lead to correct answers shorter recovery/rehab time, reduced
hospitalizations, greater pt satisfaction
nursing process (nursing diagnostic process) correct answers !!! systemic method of critical
thinking
put terminology into terms everyone can understands; systematic method of critical thinking;
follow NANDA
ADPIE
-assessment (subjective and objective data, cluster)
-diagnosis (actual, risk, health promotion)
-planning (cultural sensitivity and NOC and NIC - outcomes and interventions classification)
-implementation
, -evaluation
-goes hand in hand with components for critical thinking: experience, competencies, attitudes,
standards
planning: NOC and NIC correct answers NOC: nursing outcomes classification: attainment
towards a goal
NIC: nursing interventions classification: interventions
A nurse is assigned to a new patient admitted to the medical unit. The nurse collects a nursing
history and interviews the patient. Place the following steps for making a nursing diagnosis in the
correct order correct answers 1. Review assessment data, noting objective and subjective clinical
information
2. cluster
3. nursing diagnosis
4. Consider the context of patient's health problem and select a related factor
5. Identify appropriate assessment findings for diagnosis
3 nursing diagnosis correct answers 1. actual: thing happening right now: wound/cut (PES)
2. risk: condition that may dvlp later: infection from that wound, or fall risk
3. health promotion: based off of educational deficit; enhance the public's knowledge
diagnosis label correct answers concise term or phrase that represents a pattern/clustered data
(the problem in the nursing diagnosis)
components for nursing diagnosis correct answers diagnosis label (P)
related factors or risk factors (E) r/t
defining characteristics (S) symptoms and signs
nursing diagnosis statement: actual correct answers PES
what is critical thinking? correct answers -critical thinking: specific knowledge + expertise and
experience; use EBPs
-critical thinking → clinical judgement → clinical decision making
critical thinking model correct answers 1. basic (trust instructor, thinking based on rules, answers
seem right and wrong)
2. complex (trust own instincts, use creativity - consider different options from routine)
3. commitment: Anticipates when to make decisions independently, considers the decision and
determines if it was appropriate
-cmpts for critical thinking: experience, competencies (skills you are learning), attitudes,
standards
medical diagnosis correct answers -medical diagnosis: focuses on what is wrong with patient
(disease process); language medical practitioners use to communicate a patient's health problem
and associated treatments and response
platform to dvlp nursing diagnoses
ex. stroke
ex. diabetes - doctor will order various medications and tests such as a hemoglobin to test BS
levels
nursing diagnosis correct answers -response to medical diagnosis; actions to help pts live with
their diagnosis; holistic (the foundation of nursing practice) independent (don't need doctor's
orders)
-concise term or phrase that represents a pattern of related cues (assess data/define
characteristics)
ex. activity intolerance
,examples of nursing diagnoses correct answers acute pain, activity intolerance, ROI, impairment
to skin/oral mucosa, nutrition imbalances, knowledge deficiency, anxiety, social isolation
Review the following nursing diagnoses and identify the diagnoses that are stated correctly.
(Select all that apply.)
1. Offer frequent skin care because of Impaired Skin Integrity
2. Risk of Infection
3. Chronic Pain related to osteoarthritis
4. Activity Intolerance related to physical de-conditioning
5. Lack of Knowledge related to laser surgery correct answers answer: 2,4
1 offers an intervention to the problem
3 is a related factor to a medical diagnosis that a nurse cannot directly treat
5 describes a procedure, not the reaction to the actual procedure
collaborative problem correct answers Knowing the scope of practice and abilities of each team
member, uses both medical and nursing diagnoses
what does collaboration lead to correct answers shorter recovery/rehab time, reduced
hospitalizations, greater pt satisfaction
nursing process (nursing diagnostic process) correct answers !!! systemic method of critical
thinking
put terminology into terms everyone can understands; systematic method of critical thinking;
follow NANDA
ADPIE
-assessment (subjective and objective data, cluster)
-diagnosis (actual, risk, health promotion)
-planning (cultural sensitivity and NOC and NIC - outcomes and interventions classification)
-implementation
, -evaluation
-goes hand in hand with components for critical thinking: experience, competencies, attitudes,
standards
planning: NOC and NIC correct answers NOC: nursing outcomes classification: attainment
towards a goal
NIC: nursing interventions classification: interventions
A nurse is assigned to a new patient admitted to the medical unit. The nurse collects a nursing
history and interviews the patient. Place the following steps for making a nursing diagnosis in the
correct order correct answers 1. Review assessment data, noting objective and subjective clinical
information
2. cluster
3. nursing diagnosis
4. Consider the context of patient's health problem and select a related factor
5. Identify appropriate assessment findings for diagnosis
3 nursing diagnosis correct answers 1. actual: thing happening right now: wound/cut (PES)
2. risk: condition that may dvlp later: infection from that wound, or fall risk
3. health promotion: based off of educational deficit; enhance the public's knowledge
diagnosis label correct answers concise term or phrase that represents a pattern/clustered data
(the problem in the nursing diagnosis)
components for nursing diagnosis correct answers diagnosis label (P)
related factors or risk factors (E) r/t
defining characteristics (S) symptoms and signs
nursing diagnosis statement: actual correct answers PES
