NR226 EXAM 1 STUDY GUIDE- THE NURSING PROCESS- CH.
16, 17, 18, 19, 20, 21 (A SSESSMENT, DIAGNOSIS, PLANNING,
IMPLEMENTATION, EVALUATION, MANAGING PATIENT CARE)
QUESTIONS WITH CORRECT ANSWERS
medical diagnosis - VERIFIED ANSWER✔✔-identification of a disease condition based on a specific
evaluation of physical S/S, PT's medical history, and the results of diagnostic tests and procedures,
cannot be treated by nurses
nursing diagnosis - VERIFIED ANSWER✔✔-clinical judgment made by a nurse to describe a patient's
response or vulnerability to health conditions or life events that a nurse is licensed and competent to
treat, diagnostic label that classifies an individual's, family's, or community's response to illness
collaborative problems - VERIFIED ANSWER✔✔-problem that requires both medicine and nursing
interventions to treat, examples: seizures, bleeding
NANDA-I - VERIFIED ANSWER✔✔-provides standard, formal diagnostic statements (definitions, defining
characteristics, and related/risk factors)
Nursing Intervention Classification (NIC) - VERIFIED ANSWER✔✔-a comprehensive, research-based,
standardized classification of multidisciplinary interventions and associated activities
Nursing Outcome Classification (NOC) - VERIFIED ANSWER✔✔-system of organizing desired patient
outcomes according to categories, classes, labels, outcome indicators, and measurement activities for
outcomes. links outcomes to NANDA-I nursing diagnoses, standardized way of determining if nursing
interventions are successfulnur
International Classification for Nursing Practice (ICNP) - VERIFIED ANSWER✔✔-standard terminology
system for nursing diagnoses used around the world, includes 7 axes with definitions (focus, judgment,
client, action, means, location, and time). diagnoses are categorized as positive or negative with
associated outcomes
, risk diagnosis - VERIFIED ANSWER✔✔-type of diagnosis when there is an increased potential or
vulnerability for a patient to develop a problem or complication. statement has two parts: diagnostic
label and associated risk factors preceded by the phrase "as evidenced by"
problem-focused diagnosis - VERIFIED ANSWER✔✔-type of diagnosis when there is an identified
undesirable human response to existing problems or concerns of a patient. statement has three parts:
diagnostic label, related factors, and major defining characteristics
health promotion diagnosis - VERIFIED ANSWER✔✔-type of diagnosis where there is an identified desire
or motivation to improve health status through a positive behavioral change. statements have two
parts: diagnostic label and defining characteristics/assessment findings
data clusters - VERIFIED ANSWER✔✔-group of data elements, the signs or symptoms gathered during
assessment
data elements - VERIFIED ANSWER✔✔-objective or subjective signs, symptoms, or risk factors that leads
you into making a diagnostic conclusion, offer cues to a type of health problem
diagnostic label - VERIFIED ANSWER✔✔-component of a nursing diagnosis that names the nursing
diagnosis (approved by NANDA-I, ICNP, or another system)
related factors - VERIFIED ANSWER✔✔-components of a nursing diagnosis that identify the patient's
response to a health problem as related to a set of conditions that caused/influenced the response
(etiologies, circumstances, facts, etc.), can be pathophysiological, treatment-related, situational, or
maturational
planning - VERIFIED ANSWER✔✔-process of identifying a problem and making or carrying out a plan of
action that is goal oriented, involves setting priorities and identifying PT-centered goals and expected
outcomes, as well as prescribing nursing interventions appropriate for each nursing diagnosis
high priority - VERIFIED ANSWER✔✔-nursing diagnoses that result in harm to a patient or others if left
untreated, consider patients' immediate needs based on ABC, Maslow's hierarchy of needs
16, 17, 18, 19, 20, 21 (A SSESSMENT, DIAGNOSIS, PLANNING,
IMPLEMENTATION, EVALUATION, MANAGING PATIENT CARE)
QUESTIONS WITH CORRECT ANSWERS
medical diagnosis - VERIFIED ANSWER✔✔-identification of a disease condition based on a specific
evaluation of physical S/S, PT's medical history, and the results of diagnostic tests and procedures,
cannot be treated by nurses
nursing diagnosis - VERIFIED ANSWER✔✔-clinical judgment made by a nurse to describe a patient's
response or vulnerability to health conditions or life events that a nurse is licensed and competent to
treat, diagnostic label that classifies an individual's, family's, or community's response to illness
collaborative problems - VERIFIED ANSWER✔✔-problem that requires both medicine and nursing
interventions to treat, examples: seizures, bleeding
NANDA-I - VERIFIED ANSWER✔✔-provides standard, formal diagnostic statements (definitions, defining
characteristics, and related/risk factors)
Nursing Intervention Classification (NIC) - VERIFIED ANSWER✔✔-a comprehensive, research-based,
standardized classification of multidisciplinary interventions and associated activities
Nursing Outcome Classification (NOC) - VERIFIED ANSWER✔✔-system of organizing desired patient
outcomes according to categories, classes, labels, outcome indicators, and measurement activities for
outcomes. links outcomes to NANDA-I nursing diagnoses, standardized way of determining if nursing
interventions are successfulnur
International Classification for Nursing Practice (ICNP) - VERIFIED ANSWER✔✔-standard terminology
system for nursing diagnoses used around the world, includes 7 axes with definitions (focus, judgment,
client, action, means, location, and time). diagnoses are categorized as positive or negative with
associated outcomes
, risk diagnosis - VERIFIED ANSWER✔✔-type of diagnosis when there is an increased potential or
vulnerability for a patient to develop a problem or complication. statement has two parts: diagnostic
label and associated risk factors preceded by the phrase "as evidenced by"
problem-focused diagnosis - VERIFIED ANSWER✔✔-type of diagnosis when there is an identified
undesirable human response to existing problems or concerns of a patient. statement has three parts:
diagnostic label, related factors, and major defining characteristics
health promotion diagnosis - VERIFIED ANSWER✔✔-type of diagnosis where there is an identified desire
or motivation to improve health status through a positive behavioral change. statements have two
parts: diagnostic label and defining characteristics/assessment findings
data clusters - VERIFIED ANSWER✔✔-group of data elements, the signs or symptoms gathered during
assessment
data elements - VERIFIED ANSWER✔✔-objective or subjective signs, symptoms, or risk factors that leads
you into making a diagnostic conclusion, offer cues to a type of health problem
diagnostic label - VERIFIED ANSWER✔✔-component of a nursing diagnosis that names the nursing
diagnosis (approved by NANDA-I, ICNP, or another system)
related factors - VERIFIED ANSWER✔✔-components of a nursing diagnosis that identify the patient's
response to a health problem as related to a set of conditions that caused/influenced the response
(etiologies, circumstances, facts, etc.), can be pathophysiological, treatment-related, situational, or
maturational
planning - VERIFIED ANSWER✔✔-process of identifying a problem and making or carrying out a plan of
action that is goal oriented, involves setting priorities and identifying PT-centered goals and expected
outcomes, as well as prescribing nursing interventions appropriate for each nursing diagnosis
high priority - VERIFIED ANSWER✔✔-nursing diagnoses that result in harm to a patient or others if left
untreated, consider patients' immediate needs based on ABC, Maslow's hierarchy of needs
