NSG 122 STUDYSET Exam 1 Questions And Answers

Standards of Nursing Practice - ANS allows the nurse to carry out professional roles, serving as protection for the nurse, the client, and the institution. It allows the nurse to provide knowledgeable, safe, and comprehensive nursing care The Nurse Practice Act - ANS is laws made in each state to regulate nursing practice Code of Ethics - ANS are values that epitomize the caring professional nurse and include altruism, autonomy, human dignity, integrity, and social justice Nursing Process - ANS Assessment Diagnosis Planning Implementation Evaluation Assessment - ANS the collection of data about an individual's health state diagnosis - ANS the nurse uses the assessment data to identify problems need to be addressed Planning - ANS Identification of goals and outcomes Implementation - ANS intervening to assist the client to achieve the goals and outcomes that were identified during the planning process Evaluation - ANS The measurement of the effectiveness of nursing care Assessing client's knowledge level first - ANS in order for teaching to be successful, the nurse needs to first assess the level of knowledge a client has regarding their situation before intervening. Assess knowledge of different treatment options - ANS The assessment gives idea of the client's background knowledge which will guide the nurse on what information to provide the client Intitial Assessment - ANS performed after admission and should include a complete database from which the nurse can identify problems and plan care. This include for example; potential allergies, past medical and surgical history focused assessment - ANS only gathers data regarding a specific problem. Client Centered Assessment - ANS is used to assess client complexity including social environment, health literacy and communication skills time-lapsed nursing assessment - ANS allows the nurse to compare baseline data with current data objective data - ANS is information that the nurse collects that is observable and measurable. This information can be seen, heard, felt, or measured by the nurse. For example, facial expressions or body language. subjective data - ANS information that the client provides, like why did the client was admitted, feeling thirsty, or the client description of pain Where is subjective data obtained? - ANS subjective data is information perceived only by the affected person, so it is best obtained from the client. Recognizing significant data - ANS refers to the data that is abnormal or changes in the client's condition. For example; reviewing the data collected and compare with the laboratory results Recognizing Patterns or Clusters - ANS refers to grouping data that points to the existence of a health problem. Identifying potential complications - ANS focuses the analyzing data that could indicate complications from treatments, medications, and diagnosis. Identifying strengths and pt motivation - ANS determines if the client agrees with the nurse's identification and is motivated to work toward problem resolution Nursing Diagnosis - ANS reflects the cluster of client data that indicates the client's response to a health issue and actual or potential problem. Actual problems are prioritized higher than potential/risk problems. The parts of the nursing diagnosis reflect the data collected. Problem Statement - ANS the statement that describes the client's response to the health problem or state, such as altered breathing. It can be altered or potential Etiology - ANS refers to the factors that are the cause of the problem, for example, bronchial constriction Defining Characteristics - ANS refer to the subjective and objective data that supports the client's response to the health problem (symptom) such as, SOB, wheezing