2
N3632 Final Exam Review with precise detailed answers
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What is an assessment? - ✔✔systematic and continuous collection, analysis, validation, and
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communication of patient information || || ||
Differentiate between a medical and a nursing assessment. - ✔✔Medical -- focuses on
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pathologic conditions ||
Nursing -- focuses on patient's *response* to health problems
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What are the characteristics of an assessment? - ✔✔Purposeful
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Prioritized
Complete
Systematic
Factual and accurate
|| ||
Relevant
Recorded in a standard measure
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Identify the 4 types of nursing assessments - ✔✔Initial
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,2
Focused
Ongoing/partial ||
Emergency
When would an nurse complete an INITIAL assessment? - ✔✔when a person enters a
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health care facility|| ||
used to establish baseline data for problem identification and care planning
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When would a nurse complete a FOCUSED assessment? - ✔✔after a specific problem has
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been identified
||
When would a nurse complete an ONGOING assessment? - ✔✔when a patient enters a
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health care facility for a follow up visit
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Used to compare a patient's current status to the baseline data obtained during the initial
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assessment
When would a nurse complete an EMERGENCY assessment? - ✔✔when a patient has a
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very severe/dire status
|| ||
used to identify life-threatening problems
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ABCs
,2
What are 3 purposes of a nursing diagnosis? - ✔✔Identify *responses* to actual or potential
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health and life processes
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Identify *factors that contribute to or cause* health problems
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Identify ways to *prevent or resolve* health problems
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(Responses, factors, prevention) || ||
What is a nursing diagnosis? - ✔✔intervention that prevents or resolves actual or potential
|| || || || || || || || || || || || || ||
health problems || ||
written in such a way that nurses can independently treat the patient problems
|| || || || || || || || || || || ||
Examples: activity, pain or comfort, tissue integrity, and perfusion
|| || || || || || || ||
Give examples of a Medical diagnosis vs. Nursing diagnosis. - ✔✔Medical: myocardial
|| || || || || || || || || || || ||
infarction
Nursing: fear, altered health maintenance, deficient knowledge, and altered tissue perfusion
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What is ALFARO's rule? - ✔✔states that the word "diagnosis" implies there's a situation or
|| || || || || || || || || || || || || || ||
problem requiring appropriate, qualified treatment
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If you /identify/ the problem, you must then decide if you are /qualified/ to treat it and
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willing to accept /responsibility/ for treating it. If not, you are responsible for getting help
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, 2
What is the purpose of the planning step? - ✔✔to design a plan of care with and for the
|| || || || || || || || || || || || || || || || || || ||
patient that results in prevention, reduction, or resolution of health problems and meets
|| || || || || || || || || || || || ||
patient's expectations ||
What are the 3 basic steps to planning? - ✔✔Initial
|| || || || || || || || || ||
Ongoing
Discharge
Explain initial planning - ✔✔address problems listed in nursing diagnosis and identify
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goals and how to meet them || || || || ||
Explain ongoing planning - ✔✔using new data to make the plan more specific and accurate
|| || || || || || || || || || || || || ||
Explain discharge planning - ✔✔helping the patient and family develop sufficient
|| || || || || || || || || || ||
knowledge and skills to carry out self-care behaviors at home || || || || || || || || ||
Discuss SMART goals - ✔✔S -- specific || || || || || ||
M -- measurable
|| ||
A -- attainable
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R -- reasonable
|| ||
T -- timebound
|| ||
What is the purpose of the implementation step? - ✔✔implement or carry out the agreed up
|| || || || || || || || || || || || || || ||
on goals during the planning step
|| || || || || ||
N3632 Final Exam Review with precise detailed answers
|| || || || || || ||
What is an assessment? - ✔✔systematic and continuous collection, analysis, validation, and
|| || || || || || || || || || || ||
communication of patient information || || ||
Differentiate between a medical and a nursing assessment. - ✔✔Medical -- focuses on
|| || || || || || || || || || || || ||
pathologic conditions ||
Nursing -- focuses on patient's *response* to health problems
|| || || || || || || ||
What are the characteristics of an assessment? - ✔✔Purposeful
|| || || || || || || ||
Prioritized
Complete
Systematic
Factual and accurate
|| ||
Relevant
Recorded in a standard measure
|| || || ||
Identify the 4 types of nursing assessments - ✔✔Initial
|| || || || || || || || ||
,2
Focused
Ongoing/partial ||
Emergency
When would an nurse complete an INITIAL assessment? - ✔✔when a person enters a
|| || || || || || || || || || || || || ||
health care facility|| ||
used to establish baseline data for problem identification and care planning
|| || || || || || || || || ||
When would a nurse complete a FOCUSED assessment? - ✔✔after a specific problem has
|| || || || || || || || || || || || || ||
been identified
||
When would a nurse complete an ONGOING assessment? - ✔✔when a patient enters a
|| || || || || || || || || || || || || ||
health care facility for a follow up visit
|| || || || || || ||
Used to compare a patient's current status to the baseline data obtained during the initial
|| || || || || || || || || || || || || || ||
assessment
When would a nurse complete an EMERGENCY assessment? - ✔✔when a patient has a
|| || || || || || || || || || || || || ||
very severe/dire status
|| ||
used to identify life-threatening problems
|| || || ||
ABCs
,2
What are 3 purposes of a nursing diagnosis? - ✔✔Identify *responses* to actual or potential
|| || || || || || || || || || || || || || ||
health and life processes
|| || ||
Identify *factors that contribute to or cause* health problems
|| || || || || || || ||
Identify ways to *prevent or resolve* health problems
|| || || || || || ||
(Responses, factors, prevention) || ||
What is a nursing diagnosis? - ✔✔intervention that prevents or resolves actual or potential
|| || || || || || || || || || || || || ||
health problems || ||
written in such a way that nurses can independently treat the patient problems
|| || || || || || || || || || || ||
Examples: activity, pain or comfort, tissue integrity, and perfusion
|| || || || || || || ||
Give examples of a Medical diagnosis vs. Nursing diagnosis. - ✔✔Medical: myocardial
|| || || || || || || || || || || ||
infarction
Nursing: fear, altered health maintenance, deficient knowledge, and altered tissue perfusion
|| || || || || || || || || ||
What is ALFARO's rule? - ✔✔states that the word "diagnosis" implies there's a situation or
|| || || || || || || || || || || || || || ||
problem requiring appropriate, qualified treatment
|| || || ||
If you /identify/ the problem, you must then decide if you are /qualified/ to treat it and
|| || || || || || || || || || || || || || || || ||
willing to accept /responsibility/ for treating it. If not, you are responsible for getting help
|| || || || || || || || || || || || || ||
, 2
What is the purpose of the planning step? - ✔✔to design a plan of care with and for the
|| || || || || || || || || || || || || || || || || || ||
patient that results in prevention, reduction, or resolution of health problems and meets
|| || || || || || || || || || || || ||
patient's expectations ||
What are the 3 basic steps to planning? - ✔✔Initial
|| || || || || || || || || ||
Ongoing
Discharge
Explain initial planning - ✔✔address problems listed in nursing diagnosis and identify
|| || || || || || || || || || || ||
goals and how to meet them || || || || ||
Explain ongoing planning - ✔✔using new data to make the plan more specific and accurate
|| || || || || || || || || || || || || ||
Explain discharge planning - ✔✔helping the patient and family develop sufficient
|| || || || || || || || || || ||
knowledge and skills to carry out self-care behaviors at home || || || || || || || || ||
Discuss SMART goals - ✔✔S -- specific || || || || || ||
M -- measurable
|| ||
A -- attainable
|| || ||
R -- reasonable
|| ||
T -- timebound
|| ||
What is the purpose of the implementation step? - ✔✔implement or carry out the agreed up
|| || || || || || || || || || || || || || ||
on goals during the planning step
|| || || || || ||
