NUR 220 FINAL EXAM PRACTICE 2024/2025 VERIFIED
QUESTIONS AND ANSWERS GRADED A+
Definition of nursing process
A critical thinking 5 step process that professional nurses use to apply the best available evidence
to caregiving and promoting human functions and responses to health and illness.
5 Phases of the Nursing Process
Assessment, Diagnosis, Planning, Implementation, Evaluation
Assessment (nursing process)
collecting information from the patient and from secondary sources (family members), along
with interpreting and validating the information to form a complete database
Diagnosis (nursing process)
A statement that describes the client's actual/potential problem or an opportunity for
improvement to a health problem that the nurse is competent and licensed to treat.
Why is a nursing diagnosis important?
It helps identify health problems and provide direction for nursing care. It also places emphasis
on the nurse's independent practice.
,Problem-focused nursing diagnosis
a client problem that is present at the time of the nursing assessment
Risk nursing diagnosis
problem does not yet exist, but the presence of risk factors indicates a problem is likely to
develop without intervention
Health promotion nursing diagnosis
clinical judgement concerning a patient's motivation and desire to increase well-being and
actualize human health potential
How do you join the two parts of a nursing diagnosis statement?
"related to"
2 part nursing diagnosis statement includes...
statement of client problem, etiology of the problem
3 part nursing diagnosis statement includes...
statement of problem, etiology, defining characteristics
,Planning (nursing diagnosis)
develop a plan of care and determine how you are going to solve, lessen, or minimize the effects
of the client's problems
Establishing priorities
ordering of nursing diagnoses or patient problems
SMART goals
Specific, measurable, attainable, realistic, timed
Outcome classification
define when a client goal has been met and assist in evaluating the extent to which the nursing
diagnosis has been resolved, specific & measurable
List the outcome criteria for the given goal: The client's lungs will remain free from infection on
03/19.
-Client's sputum will remain white.
-Client will remain afebrile.
-Client's lungs will be clear to auscultation.
, Independent nursing intervention
actions that a nurse initiates
Dependent nursing intervention
Requires an order from a physician/other health care provider
Interdependent nursing intervention
Requires combined knowledge, skill, and expertise of multiple health care professionals
What is the blueprint for nursing action?
the care plan
Implementation (nursing diagnosis)
implement the interventions
Evaluation (nursing diagnosis)
the planned, ongoing, purposeful activity in which clients and healthcare personnel determine
Does evaluation include discontinuing of the plan of care?
QUESTIONS AND ANSWERS GRADED A+
Definition of nursing process
A critical thinking 5 step process that professional nurses use to apply the best available evidence
to caregiving and promoting human functions and responses to health and illness.
5 Phases of the Nursing Process
Assessment, Diagnosis, Planning, Implementation, Evaluation
Assessment (nursing process)
collecting information from the patient and from secondary sources (family members), along
with interpreting and validating the information to form a complete database
Diagnosis (nursing process)
A statement that describes the client's actual/potential problem or an opportunity for
improvement to a health problem that the nurse is competent and licensed to treat.
Why is a nursing diagnosis important?
It helps identify health problems and provide direction for nursing care. It also places emphasis
on the nurse's independent practice.
,Problem-focused nursing diagnosis
a client problem that is present at the time of the nursing assessment
Risk nursing diagnosis
problem does not yet exist, but the presence of risk factors indicates a problem is likely to
develop without intervention
Health promotion nursing diagnosis
clinical judgement concerning a patient's motivation and desire to increase well-being and
actualize human health potential
How do you join the two parts of a nursing diagnosis statement?
"related to"
2 part nursing diagnosis statement includes...
statement of client problem, etiology of the problem
3 part nursing diagnosis statement includes...
statement of problem, etiology, defining characteristics
,Planning (nursing diagnosis)
develop a plan of care and determine how you are going to solve, lessen, or minimize the effects
of the client's problems
Establishing priorities
ordering of nursing diagnoses or patient problems
SMART goals
Specific, measurable, attainable, realistic, timed
Outcome classification
define when a client goal has been met and assist in evaluating the extent to which the nursing
diagnosis has been resolved, specific & measurable
List the outcome criteria for the given goal: The client's lungs will remain free from infection on
03/19.
-Client's sputum will remain white.
-Client will remain afebrile.
-Client's lungs will be clear to auscultation.
, Independent nursing intervention
actions that a nurse initiates
Dependent nursing intervention
Requires an order from a physician/other health care provider
Interdependent nursing intervention
Requires combined knowledge, skill, and expertise of multiple health care professionals
What is the blueprint for nursing action?
the care plan
Implementation (nursing diagnosis)
implement the interventions
Evaluation (nursing diagnosis)
the planned, ongoing, purposeful activity in which clients and healthcare personnel determine
Does evaluation include discontinuing of the plan of care?
