NRS 110 EXAM 4 COMPLETE QUESTIONS
AND CORRECT ANSWERS
\.Steps of the Nursing Process - ANSWERS -1) assessment
2) diagnosis
3) planning
4) implementation
5) evaluation
\.Nursing Process: Assessment - ANSWERS -•collect/update/validate/prioritize
subjective and objective data
•identify strengths & risks
•recognize cues (what is relevant, most important, immediate concern)
\.Problem Focused Diagnosis - ANSWERS -(Problem) related to (RF) as
evidenced by (DC)
Problem: label of diagnosis
Related factors: etiology, RF need to be modified or removed by nursing actions
Defining characteristics: signs and symptoms
, \.Risk Focused Diagnosis - ANSWERS -Risk for (problem) as evidenced by (risk
factors)
\.Etiology - ANSWERS -•cause of problem
•why the patient got what they got
\.Health Promotion Diagnosis - ANSWERS -Readiness for (health enhancement)
as evidenced by (defining characteristics)
Health enhancement: label of diagnosis
Defining characteristics: motivation and desire
\."Diarrhea related to possible food poisoning as evidenced by loose watery stool,
hyperactive bowel tones and nausea" is an example of what kind of nursing
diagnosis? - ANSWERS -Problem focused diagnosis
\."Risk for deficient fluid volume as evidenced by diarrhea" is an example of what
kind of nursing diagnosis? - ANSWERS -Risk focused diagnosis
\."Readiness for enhanced self care as expressed by desire to learn tips and
techniques about breastfeeding" is an example of what kind of nursing disgnosis?
- ANSWERS -Health promotion diagnosis
AND CORRECT ANSWERS
\.Steps of the Nursing Process - ANSWERS -1) assessment
2) diagnosis
3) planning
4) implementation
5) evaluation
\.Nursing Process: Assessment - ANSWERS -•collect/update/validate/prioritize
subjective and objective data
•identify strengths & risks
•recognize cues (what is relevant, most important, immediate concern)
\.Problem Focused Diagnosis - ANSWERS -(Problem) related to (RF) as
evidenced by (DC)
Problem: label of diagnosis
Related factors: etiology, RF need to be modified or removed by nursing actions
Defining characteristics: signs and symptoms
, \.Risk Focused Diagnosis - ANSWERS -Risk for (problem) as evidenced by (risk
factors)
\.Etiology - ANSWERS -•cause of problem
•why the patient got what they got
\.Health Promotion Diagnosis - ANSWERS -Readiness for (health enhancement)
as evidenced by (defining characteristics)
Health enhancement: label of diagnosis
Defining characteristics: motivation and desire
\."Diarrhea related to possible food poisoning as evidenced by loose watery stool,
hyperactive bowel tones and nausea" is an example of what kind of nursing
diagnosis? - ANSWERS -Problem focused diagnosis
\."Risk for deficient fluid volume as evidenced by diarrhea" is an example of what
kind of nursing diagnosis? - ANSWERS -Risk focused diagnosis
\."Readiness for enhanced self care as expressed by desire to learn tips and
techniques about breastfeeding" is an example of what kind of nursing disgnosis?
- ANSWERS -Health promotion diagnosis
