NUR 311 EXAM 1 STUDY GUIDE UPDATED QUESTIONS
AND CORRECT ANSWERS
Question:
1. Nursing process:
1 Assessment
Answer:
Collecting subjective (what the patient says) and objective (what you observe) data.
Question:
2. Nursing process:
2 Diagnosis
Answer:
Analyzing subjective and objective data to make a clinical judgement.
Question:
3. Nursing process:
3 Planning
Answer:
Determining outcome criteria and developing a plan.
Question:
4. Nursing process:
4 Implementa-tion
Answer:
Carrying out the plan
Question:
5. Nursing process:
5 Evaluation
Answer:
The assessing wheather outcome criteria have been met and revising the plan as necessary
Question:
6. Steps of the nurs-ing process
Answer:
Assessment Diagnosis Planning Implementation Evaluation
Question:
7. Comprehensive assessment
Answer:
It has subjective and objective data, family history, past health history, lifestyle, and health practices.
The frequency of this type of assessment depends on age, risk factors, health status, health promotion
practices, and lifestyle. Usually done on admission or first seen in out patient setting.
Question:
8. Partial assess-ment
, Answer:
Assumes an initial assessment was already done. Continued data collection after a comprehensive
assessment; therefore, you al-ready have a baseline. Mini overview, less in depth, reassed any
previously identified problems, deect any new problems. Ex: Reassessing lung sounds and O2 sat mid
shift on a pt w/ pnemonia.
Question:
9. Focused or prob-lem-oriented as-sessment
Answer:
Doesn't replace a comprehensive assessment (they should have one at some point for a database)
Provides a more in-depth assessment of the client's problem than the comprehen-sive assessment
Does not address areas not related to the problem
Question:
10. Emergency as-sessment
Answer:
Very rapid assessment in life thretening situations (ABC's) The goal is to provide prompt treatment
The main concern is preventing death
Question:
11. What does holis-tic assessment mean
Answer:
Body, mind, spirit, sociocultural (family), and developmental (age). Assesses the whole person, not
just the physical condition
Question:
12. What is included in a holistic as-sessment
Answer:
History of present health concern, personal health history, family history, lifestyle and health
practices, physical assessment, and objective data collection
Question:
13. Interview process: 1 Pre-introductory phase
Answer:
-Review client's record (don't skip) -Review client's status w/ other healthcare team members
-Become educated about the client's diagnosis and test performed -Reflect on your personal feelings
regarding the initial enountor withh client -Obtain and organize materials needed for assessment
Question:
14. Interview process: 2 Introductory phase
Answer:
-Introducing yourself, discussing the purpose of the interview, etc.
Question:
15. Interview process: 3 Working phase
AND CORRECT ANSWERS
Question:
1. Nursing process:
1 Assessment
Answer:
Collecting subjective (what the patient says) and objective (what you observe) data.
Question:
2. Nursing process:
2 Diagnosis
Answer:
Analyzing subjective and objective data to make a clinical judgement.
Question:
3. Nursing process:
3 Planning
Answer:
Determining outcome criteria and developing a plan.
Question:
4. Nursing process:
4 Implementa-tion
Answer:
Carrying out the plan
Question:
5. Nursing process:
5 Evaluation
Answer:
The assessing wheather outcome criteria have been met and revising the plan as necessary
Question:
6. Steps of the nurs-ing process
Answer:
Assessment Diagnosis Planning Implementation Evaluation
Question:
7. Comprehensive assessment
Answer:
It has subjective and objective data, family history, past health history, lifestyle, and health practices.
The frequency of this type of assessment depends on age, risk factors, health status, health promotion
practices, and lifestyle. Usually done on admission or first seen in out patient setting.
Question:
8. Partial assess-ment
, Answer:
Assumes an initial assessment was already done. Continued data collection after a comprehensive
assessment; therefore, you al-ready have a baseline. Mini overview, less in depth, reassed any
previously identified problems, deect any new problems. Ex: Reassessing lung sounds and O2 sat mid
shift on a pt w/ pnemonia.
Question:
9. Focused or prob-lem-oriented as-sessment
Answer:
Doesn't replace a comprehensive assessment (they should have one at some point for a database)
Provides a more in-depth assessment of the client's problem than the comprehen-sive assessment
Does not address areas not related to the problem
Question:
10. Emergency as-sessment
Answer:
Very rapid assessment in life thretening situations (ABC's) The goal is to provide prompt treatment
The main concern is preventing death
Question:
11. What does holis-tic assessment mean
Answer:
Body, mind, spirit, sociocultural (family), and developmental (age). Assesses the whole person, not
just the physical condition
Question:
12. What is included in a holistic as-sessment
Answer:
History of present health concern, personal health history, family history, lifestyle and health
practices, physical assessment, and objective data collection
Question:
13. Interview process: 1 Pre-introductory phase
Answer:
-Review client's record (don't skip) -Review client's status w/ other healthcare team members
-Become educated about the client's diagnosis and test performed -Reflect on your personal feelings
regarding the initial enountor withh client -Obtain and organize materials needed for assessment
Question:
14. Interview process: 2 Introductory phase
Answer:
-Introducing yourself, discussing the purpose of the interview, etc.
Question:
15. Interview process: 3 Working phase