QUESTIONS AND ANSWERS UPDATED |VERIFIED
ANSWERS 100%
What are the seven variables related to the chief complaint?
emergency assessment
identify a life-threatening problem presents itself, used when there is
change in patient condition, and is performed by the RN.
time-lapsed assessment
performed to compare patients' current condition to baseline obtained
earlier, performed to reassess health status and make changes to care
plan as needed, and is performed by an RN.
health orientation
looks more into habits, behaviors, beliefs, and values that may
influence their wellness.
developmental stage
going to assess on the correct stage, this applies to children as adults
who are at a developmentally delayed or impaired level.
culture
race, ethnicity, religious beliefs, and socioeconomic factors that need to
be taken into consideration.
need for nursing
the length and nature of nursing care patient receives will influence
type and amount of data collected.
objective data
,observable and measurable data that can be seen, heard, felt, or
measured by another person.
subjective data
perceived by effected person, cannot be perceived or verified by
another person.
patient, family/significant other, patient record, medical
history/physical exam/progress notes, consultations,
labs/diagnostics/therapies
What are some sources of data?
nurse history
patient interview and collection of subjective data.
physical assessment
collection of objective data.
nursing diagnosis
is a clinical judgement about individual, family, or community responses
to actual or potential health problems/life processes that provides the
basis for selection of nursing interventions to achieve outcomes for
which the nurse is accountable.
NANDA
provides the world's leading evidence-based nursing diagnoses for use
in practice and to determine interventions and outcomes; standardized
language.
no problem, possible problem, actual or potential nursing diagnosis,
clinical problem other than nursing diagnosis
The nurse will reach 1 of 4 basic conclusions. What are they?
,actual (problem-focused), risk, health promotion
What are the three types of nursing diagnoses?
problem related to etiology
What are the parts of a nursing diagnosis statement?
initial planning, ongoing planning, discharge planning
What are the basic stages of comprehensive plan of care?
high priority, medium priority, low priority
What are the three types of priorities?
short-term goals
accomplished in a specific period of time, more specific, hours to days.
long-term goals
require longer periods of time. more broad, may be used as discharge
goals.
subject, verb, conditions, performance criteria, target time
What are the parts of a measurable outcome in order?
specific, measurable, attainable, realistic, time bound
What does the acronym SMART stand for as it pertains to writing
outcomes?
nursing interventions
is any treatment based upon clinical judgement and knowledge that a
nurse performs to enhance patient/client outcomes.
nurse initiated intervention
carried out by the nurse without a physician's order.
, What are the four aims of nursing?
clinical judgement
observes, compares, contrast, and evaluates client's condition
(assessment).
critical thinking
collection of information, analyzing information, and available
options/actions (nursing care).
problem solving
attempt to find a solution.
assess
LPNs are not allowed to __________________ patients because they
do not have that knowledge. They must practice under RNs.
24
Every 2 years, _______ contact hours of continuing education are
required by the Alabama Board of Nursing to uphold licensure
requirements.
bachelor degree (BSN)
4 yr. university undergraduate program for RN.
master's degree (MSN)
BSN required, 2 yr. graduate program, advanced practice nurses.
doctorate (DNP)
MSN required, PhD-research focused, advanced clinical practice.
associate degree (ADN)