NRSG 2220 EXAM 1 WITH COMPLETE SOLUTIONS
100% VERIFIED
Describe the nursing process and five steps - Answer trial and error problem solving
scientific problem solving
intuitive problem solving
critical thinking
five steps: assessing, diagnosing, planning, implementing, evaluating
you can always go back in the nursing process at any point
steps are dynamic and interrelated
characteristics - systematic (part of an ordered sequence of activities),
dynamic (great interaction and overlapping among the five steps),
interpersonal(human being is always at the heart of nursing),
outcome oriented (nurses and patients work together to identify outcomes),
,universally applicable (a framework for all nursing activities)
assessing (NP) - Answer collecting, validating, and communicating patient data
(subjective vs objective)
diagnosing (NP) - Answer analyzing patient data to identify patient strengths and
problems
hypothesis/conclusion of what is happening
planning (NP) - Answer specifying patient outcomes and related nursing interventions
plan your actions/interventions to address the problem
identify what you hope to accomplish by this plan
implementing - Answer carrying out the care plan
evaluating - Answer measuring extent to which patient achieved outcomes
identify patient and nurse benefits of using the nursing process in practice - Answer
Patient
- scientifically based, holistic individualized patient care/ continuity of care/ clear,
efficient, cost-effective plan of action
nurse
-opportunity to work collaboratively with other health care workers/ satisfaction of
making a difference in lives of patients/opportunity to grow professionally
explain the purpose of health assessment - Answer target data pointing to pathologic
conditions, and focuses on the patient's response to health problems
collects information about health status of patient: including health history and physical
assessment --> objective or subjective
compare and contrast the various types of assessments - Answer initial
focused health assessment
,emergency health assessment
time - lapsed
elements that determine the type-acuity of patient, urgency of problem, medical
diagnosis, prior medical care provided-reason for seeking care, appointment length
identify five elements of the health history- Response biographical data
reason for visit
present health or history of present illness
past health
family history
functional assessment or ADLs (activities of daily living)
reasons for seeking healthcare (CHH)-Response symptom-subjective sensation
sign-
objective abnormality, detectible on physical exam or in laboratory results
present health or history of present illness (CHH) - Answer characteristic of symptom:
- location
- character or quality
- quantity or severity
, - timing
- setting
- aggravating or relieving factors
- associated factors
- patient's perception
past health (HCC) - Answer - childhood illnesses
- accidents or injuries
- serious or chronic illnesses
- hospitalizations
- operations
- obstetric history
- immunizations
- last examination date
- allergies
- current medications
family history (HCC) - Answer - age and health or cause of death of blood relatives
sahsitory of famiy disease, including : heart disease, high blood pressure, stroke,
diabetes, blood disorders, cancer, obesity, mental illness
family tree (genogram)
functional assessment (HCC) - Answer - self-esteem, self-concept
activity/exercise
sleep/rest
nutrition/ elimination
stress/ adaptation
intimate partner violence
100% VERIFIED
Describe the nursing process and five steps - Answer trial and error problem solving
scientific problem solving
intuitive problem solving
critical thinking
five steps: assessing, diagnosing, planning, implementing, evaluating
you can always go back in the nursing process at any point
steps are dynamic and interrelated
characteristics - systematic (part of an ordered sequence of activities),
dynamic (great interaction and overlapping among the five steps),
interpersonal(human being is always at the heart of nursing),
outcome oriented (nurses and patients work together to identify outcomes),
,universally applicable (a framework for all nursing activities)
assessing (NP) - Answer collecting, validating, and communicating patient data
(subjective vs objective)
diagnosing (NP) - Answer analyzing patient data to identify patient strengths and
problems
hypothesis/conclusion of what is happening
planning (NP) - Answer specifying patient outcomes and related nursing interventions
plan your actions/interventions to address the problem
identify what you hope to accomplish by this plan
implementing - Answer carrying out the care plan
evaluating - Answer measuring extent to which patient achieved outcomes
identify patient and nurse benefits of using the nursing process in practice - Answer
Patient
- scientifically based, holistic individualized patient care/ continuity of care/ clear,
efficient, cost-effective plan of action
nurse
-opportunity to work collaboratively with other health care workers/ satisfaction of
making a difference in lives of patients/opportunity to grow professionally
explain the purpose of health assessment - Answer target data pointing to pathologic
conditions, and focuses on the patient's response to health problems
collects information about health status of patient: including health history and physical
assessment --> objective or subjective
compare and contrast the various types of assessments - Answer initial
focused health assessment
,emergency health assessment
time - lapsed
elements that determine the type-acuity of patient, urgency of problem, medical
diagnosis, prior medical care provided-reason for seeking care, appointment length
identify five elements of the health history- Response biographical data
reason for visit
present health or history of present illness
past health
family history
functional assessment or ADLs (activities of daily living)
reasons for seeking healthcare (CHH)-Response symptom-subjective sensation
sign-
objective abnormality, detectible on physical exam or in laboratory results
present health or history of present illness (CHH) - Answer characteristic of symptom:
- location
- character or quality
- quantity or severity
, - timing
- setting
- aggravating or relieving factors
- associated factors
- patient's perception
past health (HCC) - Answer - childhood illnesses
- accidents or injuries
- serious or chronic illnesses
- hospitalizations
- operations
- obstetric history
- immunizations
- last examination date
- allergies
- current medications
family history (HCC) - Answer - age and health or cause of death of blood relatives
sahsitory of famiy disease, including : heart disease, high blood pressure, stroke,
diabetes, blood disorders, cancer, obesity, mental illness
family tree (genogram)
functional assessment (HCC) - Answer - self-esteem, self-concept
activity/exercise
sleep/rest
nutrition/ elimination
stress/ adaptation
intimate partner violence
