QUESTIONS AND ANSWERS 2026/2027
What is the Nursing Process? - ANS ✔✔1. Assessment
2. Nursing Diagnosis
3. Planning
4. Implementing
5. Evaluation
What exactly is the nursing process? - ANS ✔✔A systematic, rational method of planning and
providing nursing care.
What are three characteristics of the Nursing Process? - ANS ✔✔1. Provides the framework in
which nurses use their knowledge and skills to express human caring and help clients meet their
actual and potential health problems.
2. Client-Centered (Patients plan, all about them)
3. Problem solving techniques.
What is Assessing? - ANS ✔✔-Organizing data, understanding how things work
-Focuses on clients response to a health problem not upon disease.
What are the 4 types of Assessments? - ANS ✔✔1. Initial
2. Problem-focused
3. Emergency
4. Time-lapsed
What is an initial assessment? - ANS ✔✔-First time you meet someone, establish database,
figure out exactly what is going on with client.
,-Establishes a complete data base for problem identification, reference, and future comparison.
What is problem-focused assessment? What is an example? - ANS ✔✔-You figure out the
problem and how you are going to focus on problem and assess that problem
-Ex: Hourly assessment of fluid intake and urinary output
What is an emergency assessment? What is an example? - ANS ✔✔Identifies life-threatening
problems
Ex: Not going to take history if client is bleeding out or rapid assessment of person's airway
during a choking episode.
What is a time-lapsed reassessment? - ANS ✔✔After patient is sent home, assessing how
patient is doing passed an initial assessment.
Collecting Data: - ANS ✔✔How we get information
Everybody has their own ____ when gathering information about a patient.
If you get a ___________ it is so easy to gather/move forward - ANS ✔✔system
very good history
Database must include: - ANS ✔✔1. Health history
2. Physician's history and physical exam
3. Lab and dx tests
4. Other material
,Components of a Nursing Health History - ANS ✔✔1. Biographic Data-Gender, age, name, etc
2. "Chief Complaint"-"I have a headache/stomach pain."
3. History of present illness- "What is the pain like? Have you ever experienced this before?"
4. Past History-"What other illness do you have?"
5. Family History
6.Lifestyle
7. Social Data- "Do you go out to bars? What type of music do you like?"
8. Psychologic Data- "Any history of depression? Mental illness?
9. Patterns of health care- "How often do you see doctor/get checkups"
Subjective Data - ANS ✔✔-Subject= person, symptoms being told to you.
-You can't see nausea, the patient must say they feel nauseous.
-When documenting must be direct quotes from patient.
What are the ABC's - ANS ✔✔Airway, breathing, circulation, safety
Objective Data and when is it obtained? - ANS ✔✔-Looking at an object and describing it. You
see it, feel it, etc.
-Able to see a problem, describe it in SIMPLEST form.
Seen, heard, felt or smelled.
Obtained by observer on a physical exam.
What is a primary source of data? - ANS ✔✔Only patient. Anything you get from patient is
primary information.
What is a secondary source of data? - ANS ✔✔Everyone else, family, support persons, health
professionals, records and reports, lab and diagnostic analyses, relevant literature
, Nursing Diagnosis: - ANS ✔✔Diagnose and treat human responses.
We diagnose ineffective airway or discomfort but do NOT diagnose the cold.
Professional nurses are responsible for making - ANS ✔✔nursing dx
What are the 5 types of nursing diangoses and what are they? - ANS ✔✔1. Actual - actual pain,
present at time of assessment
2. Risk - you MAY develop this, not there yet but could potentially get there
3. Possible - possibility of having airway problems not definite but you have simpletons for it
4. Syndrome - associated with a cluster of dx
5. Wellness Desires a higher level of wellness
2 components of a nursing diagnosis? - ANS ✔✔1. Problem (Diagnostic Label)- go to list and find
diagnostic label that fits problem
2. Directs formation of goals and outcomes. ex: cut on arm--> impaired skin integrity risk for
infection, pain
What are the qualifiers of nursing diagnosis? - ANS ✔✔1. Altered- changed from baseline
2. Impaired- made worse, weakened, damaged, reduced
3. Decreased- smaller in size, amount, or degree
4. Ineffective
5. Acute- just happened
6. Chronic- always/ contiously getting
Etiology - ANS ✔✔Related factors, identifies one or more probable causes of the health
problem. Defining characteristics. Signs and symptoms that indicate the presence of a particular
diagnostic label.