NUR 155 Foundations to Nursing EXAM 2
NUR 155 Foundations to Nursing EXAM 2
Study online at https://quizlet.com/_1c7gz4
1. What is the nursing process? Systematic, rational method of planning and proving individu-
alized care.
2. What do you do in the nursing 1. Assessing
process? 2. Nursing Diagnosing
3. Planning
4. Implementing
5. Evaluating
3. What is the Decision-Making -Choosing the best actions to meet a desired goal
Process?
-Make value decisions
-Time management decisions
-Scheduling decisions
-Priority decisions
4. The Nursing Process: Assess- -Collecting, organizing, validating and documenting a patient's
ing health data
-collect data
-organize data
-validate data
-Document data
5. The Nursing Process: Diag- -Analyze date
nosing -Identify health problems, risks, and strengths
-formulate diagnostic statements
6. The Nursing Process: Plan- -Prioritize problems/diagnoses
ning -Formulate goals/desired outcomes
-Select nursing interventions
-Write nursing interventions
1 of 34
, NUR 155 Foundations to Nursing EXAM 2
NUR 155 Foundations to Nursing EXAM 2
Study online at https://quizlet.com/_1c7gz4
7. The Nursing Process: Imple- -Reassess the client
menting -Determine the nurse's need for assistance
-Implementing the nursing interventions
-Supervise delegated care
-Document nursing activités
8. The Nursing Process: Evaluat- -Collect data related to outcomes
ing -Compare data with outcomes
-Relate nursing actions to client goals/outcomes
-Draw conclusions about problem status
-Continue, modify, or terminate the client's care plan
9. What is subjective? What the patient says
Ex: "I have pain, nausea, fear"
10. What is objective? -Measurable
Ex: vital signs, labs, drainage, etc.
11. Methods of data collection? -Observing
-Interviewing
12. Directive Approach to Inter- -Nurse establishes purpose
viewing?
-Nurse controls the interview
-Used to gather and give information when time is limited, e.g.,
in an emergency
13. Nondirective Approach to In- -Rapport-building
terviewing
-Client controls the purpose, subject matter, and pacing
-Combination of directive and nondirective approaches usually
appropriate during the information-gathering interview
2 of 34
, NUR 155 Foundations to Nursing EXAM 2
NUR 155 Foundations to Nursing EXAM 2
Study online at https://quizlet.com/_1c7gz4
14. Types of questions: Closed If you can answer a question with only a "yes" or "no" response,
then you are answering a close-ended type of question.
Examples of close-ended questions are:
Are you feeling better today?
May I use the bathroom?
Is the prime rib a special tonight?
Should I date him?
Will you please do me a favor?
15. Types of questions: Open Open-ended questions are ones that require more than one
word answers. The answers could come in the form of a list,
a few sentences or something longer such as a speech, para-
graph or essay.
Here are some examples of open-ended questions:
What were the most important wars fought in the history of the
United States?
What are you planning to buy today at the supermarket?
How exactly did the fight between the two of you start?
16. Planning the Interview -Time
-Place
-Seating
-Distance
-Language
17. What are the stages of an In- 1. The opening
terview? 2. The body of the interview
3. The closing
3 of 34
, NUR 155 Foundations to Nursing EXAM 2
NUR 155 Foundations to Nursing EXAM 2
Study online at https://quizlet.com/_1c7gz4
18. What is a physical examina- -Use techniques of inspection, auscultation, palpation, and
tion? percussion
-Systematic manner
-Ongoing nursing data collection and examination focuses on
the body systems in which there is a problem or potential
problem
19. The Nursing Process: Assess- -Systematically
ing
(Organizing Data) -Nursing health history, nursing assessment, or nursing data
base
-Differentiate normal from abnormal
20. The Nursing Process: Assess- -Assessment complete
ing -Objective and related subjective data agree
(Validating Data) -Additional data overlooked
-Differentiate between cues and inferences
-Data that is extremely abnormal
-Avoiding jumping to conclusions
21. What is a nursing diagnoses? "...a clinical judgment about individual, family, or community
responses to a actual or potential health problem/life process-
es. A nursing diagnosis provides the basis for selection of
nursing interventions to achieve outcomes for which the nurse
is accountable."
22. Types of nursing diagnoses -Actual
-At-Risk
-Health Promotion
4 of 34
NUR 155 Foundations to Nursing EXAM 2
Study online at https://quizlet.com/_1c7gz4
1. What is the nursing process? Systematic, rational method of planning and proving individu-
alized care.
2. What do you do in the nursing 1. Assessing
process? 2. Nursing Diagnosing
3. Planning
4. Implementing
5. Evaluating
3. What is the Decision-Making -Choosing the best actions to meet a desired goal
Process?
-Make value decisions
-Time management decisions
-Scheduling decisions
-Priority decisions
4. The Nursing Process: Assess- -Collecting, organizing, validating and documenting a patient's
ing health data
-collect data
-organize data
-validate data
-Document data
5. The Nursing Process: Diag- -Analyze date
nosing -Identify health problems, risks, and strengths
-formulate diagnostic statements
6. The Nursing Process: Plan- -Prioritize problems/diagnoses
ning -Formulate goals/desired outcomes
-Select nursing interventions
-Write nursing interventions
1 of 34
, NUR 155 Foundations to Nursing EXAM 2
NUR 155 Foundations to Nursing EXAM 2
Study online at https://quizlet.com/_1c7gz4
7. The Nursing Process: Imple- -Reassess the client
menting -Determine the nurse's need for assistance
-Implementing the nursing interventions
-Supervise delegated care
-Document nursing activités
8. The Nursing Process: Evaluat- -Collect data related to outcomes
ing -Compare data with outcomes
-Relate nursing actions to client goals/outcomes
-Draw conclusions about problem status
-Continue, modify, or terminate the client's care plan
9. What is subjective? What the patient says
Ex: "I have pain, nausea, fear"
10. What is objective? -Measurable
Ex: vital signs, labs, drainage, etc.
11. Methods of data collection? -Observing
-Interviewing
12. Directive Approach to Inter- -Nurse establishes purpose
viewing?
-Nurse controls the interview
-Used to gather and give information when time is limited, e.g.,
in an emergency
13. Nondirective Approach to In- -Rapport-building
terviewing
-Client controls the purpose, subject matter, and pacing
-Combination of directive and nondirective approaches usually
appropriate during the information-gathering interview
2 of 34
, NUR 155 Foundations to Nursing EXAM 2
NUR 155 Foundations to Nursing EXAM 2
Study online at https://quizlet.com/_1c7gz4
14. Types of questions: Closed If you can answer a question with only a "yes" or "no" response,
then you are answering a close-ended type of question.
Examples of close-ended questions are:
Are you feeling better today?
May I use the bathroom?
Is the prime rib a special tonight?
Should I date him?
Will you please do me a favor?
15. Types of questions: Open Open-ended questions are ones that require more than one
word answers. The answers could come in the form of a list,
a few sentences or something longer such as a speech, para-
graph or essay.
Here are some examples of open-ended questions:
What were the most important wars fought in the history of the
United States?
What are you planning to buy today at the supermarket?
How exactly did the fight between the two of you start?
16. Planning the Interview -Time
-Place
-Seating
-Distance
-Language
17. What are the stages of an In- 1. The opening
terview? 2. The body of the interview
3. The closing
3 of 34
, NUR 155 Foundations to Nursing EXAM 2
NUR 155 Foundations to Nursing EXAM 2
Study online at https://quizlet.com/_1c7gz4
18. What is a physical examina- -Use techniques of inspection, auscultation, palpation, and
tion? percussion
-Systematic manner
-Ongoing nursing data collection and examination focuses on
the body systems in which there is a problem or potential
problem
19. The Nursing Process: Assess- -Systematically
ing
(Organizing Data) -Nursing health history, nursing assessment, or nursing data
base
-Differentiate normal from abnormal
20. The Nursing Process: Assess- -Assessment complete
ing -Objective and related subjective data agree
(Validating Data) -Additional data overlooked
-Differentiate between cues and inferences
-Data that is extremely abnormal
-Avoiding jumping to conclusions
21. What is a nursing diagnoses? "...a clinical judgment about individual, family, or community
responses to a actual or potential health problem/life process-
es. A nursing diagnosis provides the basis for selection of
nursing interventions to achieve outcomes for which the nurse
is accountable."
22. Types of nursing diagnoses -Actual
-At-Risk
-Health Promotion
4 of 34
