N3632 Final Exam Review Questions And
Answers Latest Top Score.
What is an assessment? - correct answer.systematic and continuous collection,
analysis, validation, and communication of patient information
Differentiate between a medical and a nursing assessment. - correct answer.Medical --
focuses on pathologic conditions
Nursing -- focuses on patient's *response* to health problems
What are the characteristics of an assessment? - correct answer.Purposeful
Prioritized
Complete
Systematic
Factual and accurate
Relevant
Recorded in a standard measure
Identify the 4 types of nursing assessments - correct answer.Initial
Focused
Ongoing/partial
Emergency
When would an nurse complete an INITIAL assessment? - correct answer.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? - correct answer.after a
specific problem has been identified
When would a nurse complete an ONGOING assessment? - correct answer.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? - correct answer.when a
patient has a very severe/dire status
used to identify life-threatening problems
ABCs
What are 3 purposes of a nursing diagnosis? - correct answer.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? - correct answer.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. - correct answer.Medical:
myocardial infarction
Nursing: fear, altered health maintenance, deficient knowledge, and altered tissue
perfusion
What is ALFARO's rule? - correct answer.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
, What is the purpose of the planning step? - correct answer.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? - correct answer.Initial
Ongoing
Discharge
Explain initial planning - correct answer.address problems listed in nursing diagnosis
and identify goals and how to meet them
Explain ongoing planning - correct answer.using new data to make the plan more
specific and accurate
Explain discharge planning - correct answer.helping the patient and family develop
sufficient knowledge and skills to carry out self-care behaviors at home
Discuss SMART goals - correct answer.S -- specific
M -- measurable
A -- attainable
R -- reasonable
T -- timebound
What is the purpose of the implementation step? - correct answer.implement or carry
out the agreed up on goals during the planning step
help the patient achieve valued outcomes
could mean to promote health, prevent disease or illness, restore health, or cope with
altered functioning
What are the two types of interventions? - correct answer.Direct -- tx performed through
interaction with patient; include psychological and physiological needs
Indirect - performed away from patient, but on the /behalf/ of a patient; includes actions
aimed at management of patient care environment and interdisciplinary collaboration
What is the purpose of the evaluation step? - correct answer.to determine if the
planning interventions were successful
allow the patient's achievement to direct future nurse/patient interactions
What are the 5 elements of the evaluation? - correct answer.identify evaluative criteria
and standards
Answers Latest Top Score.
What is an assessment? - correct answer.systematic and continuous collection,
analysis, validation, and communication of patient information
Differentiate between a medical and a nursing assessment. - correct answer.Medical --
focuses on pathologic conditions
Nursing -- focuses on patient's *response* to health problems
What are the characteristics of an assessment? - correct answer.Purposeful
Prioritized
Complete
Systematic
Factual and accurate
Relevant
Recorded in a standard measure
Identify the 4 types of nursing assessments - correct answer.Initial
Focused
Ongoing/partial
Emergency
When would an nurse complete an INITIAL assessment? - correct answer.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? - correct answer.after a
specific problem has been identified
When would a nurse complete an ONGOING assessment? - correct answer.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? - correct answer.when a
patient has a very severe/dire status
used to identify life-threatening problems
ABCs
What are 3 purposes of a nursing diagnosis? - correct answer.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? - correct answer.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. - correct answer.Medical:
myocardial infarction
Nursing: fear, altered health maintenance, deficient knowledge, and altered tissue
perfusion
What is ALFARO's rule? - correct answer.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
, What is the purpose of the planning step? - correct answer.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? - correct answer.Initial
Ongoing
Discharge
Explain initial planning - correct answer.address problems listed in nursing diagnosis
and identify goals and how to meet them
Explain ongoing planning - correct answer.using new data to make the plan more
specific and accurate
Explain discharge planning - correct answer.helping the patient and family develop
sufficient knowledge and skills to carry out self-care behaviors at home
Discuss SMART goals - correct answer.S -- specific
M -- measurable
A -- attainable
R -- reasonable
T -- timebound
What is the purpose of the implementation step? - correct answer.implement or carry
out the agreed up on goals during the planning step
help the patient achieve valued outcomes
could mean to promote health, prevent disease or illness, restore health, or cope with
altered functioning
What are the two types of interventions? - correct answer.Direct -- tx performed through
interaction with patient; include psychological and physiological needs
Indirect - performed away from patient, but on the /behalf/ of a patient; includes actions
aimed at management of patient care environment and interdisciplinary collaboration
What is the purpose of the evaluation step? - correct answer.to determine if the
planning interventions were successful
allow the patient's achievement to direct future nurse/patient interactions
What are the 5 elements of the evaluation? - correct answer.identify evaluative criteria
and standards
