NUR 104 FINAL EXAM 1 COMPREHENSIVE
QUESTIONS AND CORRECT ANSWERS
◉ Steps of the Nursing Process.
Answer: 1. Assessment
2. Diagnosis
3. Planning
4. Implementation
5. Evaluation
◉ Types of Assessments.
Answer: o Initial Comprehensive
o Ongoing or Partial
o Emergency
◉ Preparing for Assessment.
Answer: o Review client's record (learn basic info.)
o Review client's status with other health care team members
o Reflect on own personal biases
o Educate about client's diagnosis and tests performed
,◉ Steps in Data Analysis.
Answer: 1. Identify abnormalities
2. Cluster data
3. Draw inferences
4. Propose nursing diagnoses
5. Check defining characteristics
6. Confirm or rule out diagnoses
7. Document
◉ Data Clustering.
Answer: occurs when related cues are grouped together, also assists
in identification of nursing diagnosis
◉ The nurse is completing an admission database entry and must
include priority nursing diagnoses for the plan of care. Which
statement describes a nursing diagnosis?
a. The collection of subjective and objective data
b. A clinical judgment about client responses to health difficulties.
Answer: b; A clinical judgment about client responses to health
difficulties
,◉ A nurse is caring for three clients whose care involves complex
situations and multiple responsibilities. What is the key to resolving
problems for this nurse?.
Answer: Critical Thinking
◉ After a health assessment the nurse determines that a client
would benefit from health promotion interventions. Which item
should the nurse refer to when determining the best actions for the
client?
a. Healthy People 2020
b. the client's past medical history.
Answer: a; Healthy People 2020
◉ Phases of an Interview.
Answer: o Preparatory
o introductory
o working
o termination
◉ Working Phase.
Answer: The nurse then listens, observes cues, and uses critical
thinking skills to interpret and validate information received from
the client. The nurse and client collaborate to identify the client's
problems and goals.
, ◉ Types of Nonverbal Communication.
Answer: o Appearance
o Demeanor
o Facial Expression
o Attitude
o Silence
o Listening
◉ Types of Verbal Communication.
Answer: o Open-ended questions
o Close-ended questions
o Laundry List
o Rephrasing
o Well-placed phrases
o Inferring
o Providing info.
◉ Health History Components.
Answer: o Biographical data
o Reasons for seeking health care
o History of present health concern
QUESTIONS AND CORRECT ANSWERS
◉ Steps of the Nursing Process.
Answer: 1. Assessment
2. Diagnosis
3. Planning
4. Implementation
5. Evaluation
◉ Types of Assessments.
Answer: o Initial Comprehensive
o Ongoing or Partial
o Emergency
◉ Preparing for Assessment.
Answer: o Review client's record (learn basic info.)
o Review client's status with other health care team members
o Reflect on own personal biases
o Educate about client's diagnosis and tests performed
,◉ Steps in Data Analysis.
Answer: 1. Identify abnormalities
2. Cluster data
3. Draw inferences
4. Propose nursing diagnoses
5. Check defining characteristics
6. Confirm or rule out diagnoses
7. Document
◉ Data Clustering.
Answer: occurs when related cues are grouped together, also assists
in identification of nursing diagnosis
◉ The nurse is completing an admission database entry and must
include priority nursing diagnoses for the plan of care. Which
statement describes a nursing diagnosis?
a. The collection of subjective and objective data
b. A clinical judgment about client responses to health difficulties.
Answer: b; A clinical judgment about client responses to health
difficulties
,◉ A nurse is caring for three clients whose care involves complex
situations and multiple responsibilities. What is the key to resolving
problems for this nurse?.
Answer: Critical Thinking
◉ After a health assessment the nurse determines that a client
would benefit from health promotion interventions. Which item
should the nurse refer to when determining the best actions for the
client?
a. Healthy People 2020
b. the client's past medical history.
Answer: a; Healthy People 2020
◉ Phases of an Interview.
Answer: o Preparatory
o introductory
o working
o termination
◉ Working Phase.
Answer: The nurse then listens, observes cues, and uses critical
thinking skills to interpret and validate information received from
the client. The nurse and client collaborate to identify the client's
problems and goals.
, ◉ Types of Nonverbal Communication.
Answer: o Appearance
o Demeanor
o Facial Expression
o Attitude
o Silence
o Listening
◉ Types of Verbal Communication.
Answer: o Open-ended questions
o Close-ended questions
o Laundry List
o Rephrasing
o Well-placed phrases
o Inferring
o Providing info.
◉ Health History Components.
Answer: o Biographical data
o Reasons for seeking health care
o History of present health concern
