NUR 221 EXAM 2- GILLAM UPDATED
ACTUAL Exam Questions and CORRECT
Answers
What are the steps of the nursing process in order? - CORRECT ANSWER - ADPIE
(Assessment/Diagnosis/Planning/Implementation/Evaluation)
Define "Assessment" in the nursing process. - CORRECT ANSWER - Gather and identify
relevant data
Define "Diagnosis" in the nursing process. - CORRECT ANSWER - Generate a
hypothesis based on data. Nursing diagnosis is the CLIENT'S RESPONSE to health problem.
Define "Planning" in the nursing process. - CORRECT ANSWER - Set up expected client
outcome's (ECO's) WITH the patient. Best interventions are "evidence based".
Define "Implementation" in the nursing process. - CORRECT ANSWER - Known as the
action phase. Able to delegate action to another member of the healthcare team. Document
actions and client's responses to them.
Define "Evaluation" in the nursing process. - CORRECT ANSWER - Determine whether
the ECO's have been met, partially met, or not met. Modify care plan as needed.
How do you cluster data? - CORRECT ANSWER - Part of the diagnosis phase, group
together cues that could lead to hypothesis.
What is theoretical knowledge? - CORRECT ANSWER - Science based. Includes
principles, facts, and theories.
What is practical knowledge? - CORRECT ANSWER - How to do something. Includes
skills, procedures, and processes.
, What is self knowledge? - CORRECT ANSWER - Personal feelings or reasons.
Awareness of your values, beliefs, and biases.
What is ethical knowledge? - CORRECT ANSWER - Sense of right vs. wrong.
Understanding your obligations.
What is subjective data? - CORRECT ANSWER - What the patient says. (symptoms, pain,
history)
What is objective data? - CORRECT ANSWER - What professional's observe. (Vitals,
tests, lab work)
What is a initial assessment? - CORRECT ANSWER - First time patient is assessed by
medical staff.
What is an ongoing assessment? - CORRECT ANSWER - Performed as needed or every
shift after initial assessment.
What is a comprehensive assessment? - CORRECT ANSWER - Holistic information
about client's overall health status. Includes observation, physical assessment, and interviewing.
Includes social/situational status and home support.
What is a focused assessment? - CORRECT ANSWER - Explores a single patient
complaint or symptom. May include 1 or more body system.
What are the three parts of a nursing diagnosis statement? - CORRECT ANSWER -
Problem, etiology, symptoms
How would you create a nursing diagnosis statement? - CORRECT ANSWER - Problem
related to Etiology as evidenced by Symptoms.
ACTUAL Exam Questions and CORRECT
Answers
What are the steps of the nursing process in order? - CORRECT ANSWER - ADPIE
(Assessment/Diagnosis/Planning/Implementation/Evaluation)
Define "Assessment" in the nursing process. - CORRECT ANSWER - Gather and identify
relevant data
Define "Diagnosis" in the nursing process. - CORRECT ANSWER - Generate a
hypothesis based on data. Nursing diagnosis is the CLIENT'S RESPONSE to health problem.
Define "Planning" in the nursing process. - CORRECT ANSWER - Set up expected client
outcome's (ECO's) WITH the patient. Best interventions are "evidence based".
Define "Implementation" in the nursing process. - CORRECT ANSWER - Known as the
action phase. Able to delegate action to another member of the healthcare team. Document
actions and client's responses to them.
Define "Evaluation" in the nursing process. - CORRECT ANSWER - Determine whether
the ECO's have been met, partially met, or not met. Modify care plan as needed.
How do you cluster data? - CORRECT ANSWER - Part of the diagnosis phase, group
together cues that could lead to hypothesis.
What is theoretical knowledge? - CORRECT ANSWER - Science based. Includes
principles, facts, and theories.
What is practical knowledge? - CORRECT ANSWER - How to do something. Includes
skills, procedures, and processes.
, What is self knowledge? - CORRECT ANSWER - Personal feelings or reasons.
Awareness of your values, beliefs, and biases.
What is ethical knowledge? - CORRECT ANSWER - Sense of right vs. wrong.
Understanding your obligations.
What is subjective data? - CORRECT ANSWER - What the patient says. (symptoms, pain,
history)
What is objective data? - CORRECT ANSWER - What professional's observe. (Vitals,
tests, lab work)
What is a initial assessment? - CORRECT ANSWER - First time patient is assessed by
medical staff.
What is an ongoing assessment? - CORRECT ANSWER - Performed as needed or every
shift after initial assessment.
What is a comprehensive assessment? - CORRECT ANSWER - Holistic information
about client's overall health status. Includes observation, physical assessment, and interviewing.
Includes social/situational status and home support.
What is a focused assessment? - CORRECT ANSWER - Explores a single patient
complaint or symptom. May include 1 or more body system.
What are the three parts of a nursing diagnosis statement? - CORRECT ANSWER -
Problem, etiology, symptoms
How would you create a nursing diagnosis statement? - CORRECT ANSWER - Problem
related to Etiology as evidenced by Symptoms.
