Questions and answers
NUR 155 Foundations to Nursing EXAM 2 Review
Questions and answers
**What is the nursing process?**
*Systematic, rational method of planning and providing individualized care.*
2. **What do you do in the nursing process?**
1. Assessing
2. Nursing Diagnosing
3. Planning
4. Implementing
5. Evaluating
3. **What is the Decision-Making Process?**
- *Choosing the best actions to meet a desired goal*
- *Make value decisions*
- *Time management decisions*
- *Scheduling decisions*
- *Priority decisions*
4. **The Nursing Process: Assessing**
- *Collecting, organizing, validating, and documenting a patient's health data*
- *collect data*
, - *organize data*
- *validate data*
- *Document data*
5. **The Nursing Process: Diagnosing**
- *Analyze data*
- *Identify health problems, risks, and strengths*
- *Formulate diagnostic statements*
6. **The Nursing Process: Planning**
- *Prioritize problems/diagnoses*
- *Formulate goals/desired outcomes*
- *Select nursing interventions*
- *Write nursing interventions*
7. **The Nursing Process: Implementing**
- *Reassess the client*
- *Determine the nurse's need for assistance*
- *Implement the nursing interventions*
- *Supervise delegated care*
- *Document nursing activities*
8. **The Nursing Process: Evaluating**
- *Collect data related to outcomes*
- *Compare data with outcomes*
- *Relate nursing actions to client goals/outcomes*
- *Draw conclusions about problem status*
, - *Continue, modify, or terminate the client's care plan*
9. **What is subjective?**
*What the patient says (e.g., "I have pain, nausea, fear")*
10. **What is objective?**
*Measurable data (e.g., vital signs, labs, drainage, etc.)*
11. **Methods of data collection?**
- *Observing*
- *Interviewing*
12. **Directive Approach to Interviewing?**
- *Nurse establishes purpose*
- *Nurse controls the interview*
- *Used to gather and give information when time is limited, e.g., in an emergency*
13. **Nondirective Approach to Interviewing**
- *Rapport-building*
- *Client controls the purpose, subject matter, and pacing*
- *Combination of directive and nondirective approaches usually appropriate during
the information-gathering interview*
14. **Types of questions: Closed**
*If you can answer with only "yes" or "no"*.
Examples:
- "Are you feeling better today?"
, - "May I use the bathroom?"
- "Is the prime rib a special tonight?"
- "Should I date him?"
- "Will you please do me a favor?"
15. **Types of questions: Open**
*Require more than one-word answers*.
Examples:
- "What were the most important wars fought in the history of the United States?"
- "What are you planning to buy today at the supermarket?"
- "How exactly did the fight between the two of you start?"
16. **Planning the Interview**
- *Time*
- *Place*
- *Seating*
- *Distance*
- *Language*
17. **What are the stages of an interview?**
1. The opening
2. The body of the interview
3. The closing
18. **What is a physical examination?**
- *Use techniques of inspection, auscultation, palpation, and percussion*
- *Systematic manner*