NR 410 exam #3 questions and
answers rated A+
information about a client can come from: - correct answer ✔✔patients, family or significant
others, patient records, assessment tech, other health care professionals
data sources, physical assessment, vital signs, environmental and individual safety, from the
client, from family, and from other healthcare professionals
what is clustering? - correct answer ✔✔multitasking; doing mulitple things for care at once
recognizing a pattern or trend; compare standards; make a conclusion
grouping related cues together to help identify patterns that will assist with the identification of
nursing diagnosis
what are Gordon's Functional Health Pattern classifications? - correct answer ✔✔1. health
perception/health management
2. nutrition/metabolic
3. elimination
4. activity/exercise
5. cognitive-perceptual
6. sleep-rest
7. self-perception/self concept
8. role-relationship
9. sexuality reproductive
,10. coping/stress tolerance
11. values/beliefs
what is subjective data? - correct answer ✔✔what the patient tells you; obtained through
interview
what is objective data? - correct answer ✔✔what you can observe or measure; what is learned
by staff and documentation
what is the primary source for assessment data? - correct answer ✔✔the patient
what is needed throughout the nursing process? - correct answer ✔✔reassessment
what is a time lapsed assessment? - correct answer ✔✔an assessment that would be compared
to an initial or baseline assessment
who is allowed to complete the assessment? - correct answer ✔✔only the nurse
what are examples if data that need to be validated? - correct answer ✔✔1. when there is a
discrepancy between what the person is saying and what you are observing, validation is
necessary to determine accuracy.
2. data also need verification when they lack objectivity. for example, you suspect that the
patient hears in one ear but does not seem to hear well in the other. you should validate the
data before proceeding and should determine whether the patient does indeed have a hearing
problem. suspicions are not objective.
when there is a discrepancy between what the person is saying and what you are observing,
________ is necessary to determine accuracy - correct answer ✔✔validation
, what is a nursing diagnosis? - correct answer ✔✔definition and defining characteristics; some
additionally include related factors, at-risk population, and associated condition
why do we give nursing diagnoses? - correct answer ✔✔to describe patient problems or issues
that nurses can treat independently, such as activity, pain and comfort, and tissue integrity and
perfusion problems
nursing diagnoses provide the basis for... - correct answer ✔✔selection of nursing interventions
to achieve outcomes for which the nurse is accountable
how do you write a nursing diagnosis? - correct answer ✔✔problem, etiology, symptoms
1. diagnosis
2. R/T; related factors
3. AEB; defining characteristics
...is related to ...as evidence by...
what are some errors in writing a nursing diagnosis? - correct answer ✔✔1. premature
diagnosis
2. error in diagnosis due to faulty data analysis
3. failure to tailor data collection and analysis to the unique needs of the patient
4. failure to modify diagnoses and to identify new diagnoses as the patient's status changes
use of a medical diagnosis and it is not a three part statement
answers rated A+
information about a client can come from: - correct answer ✔✔patients, family or significant
others, patient records, assessment tech, other health care professionals
data sources, physical assessment, vital signs, environmental and individual safety, from the
client, from family, and from other healthcare professionals
what is clustering? - correct answer ✔✔multitasking; doing mulitple things for care at once
recognizing a pattern or trend; compare standards; make a conclusion
grouping related cues together to help identify patterns that will assist with the identification of
nursing diagnosis
what are Gordon's Functional Health Pattern classifications? - correct answer ✔✔1. health
perception/health management
2. nutrition/metabolic
3. elimination
4. activity/exercise
5. cognitive-perceptual
6. sleep-rest
7. self-perception/self concept
8. role-relationship
9. sexuality reproductive
,10. coping/stress tolerance
11. values/beliefs
what is subjective data? - correct answer ✔✔what the patient tells you; obtained through
interview
what is objective data? - correct answer ✔✔what you can observe or measure; what is learned
by staff and documentation
what is the primary source for assessment data? - correct answer ✔✔the patient
what is needed throughout the nursing process? - correct answer ✔✔reassessment
what is a time lapsed assessment? - correct answer ✔✔an assessment that would be compared
to an initial or baseline assessment
who is allowed to complete the assessment? - correct answer ✔✔only the nurse
what are examples if data that need to be validated? - correct answer ✔✔1. when there is a
discrepancy between what the person is saying and what you are observing, validation is
necessary to determine accuracy.
2. data also need verification when they lack objectivity. for example, you suspect that the
patient hears in one ear but does not seem to hear well in the other. you should validate the
data before proceeding and should determine whether the patient does indeed have a hearing
problem. suspicions are not objective.
when there is a discrepancy between what the person is saying and what you are observing,
________ is necessary to determine accuracy - correct answer ✔✔validation
, what is a nursing diagnosis? - correct answer ✔✔definition and defining characteristics; some
additionally include related factors, at-risk population, and associated condition
why do we give nursing diagnoses? - correct answer ✔✔to describe patient problems or issues
that nurses can treat independently, such as activity, pain and comfort, and tissue integrity and
perfusion problems
nursing diagnoses provide the basis for... - correct answer ✔✔selection of nursing interventions
to achieve outcomes for which the nurse is accountable
how do you write a nursing diagnosis? - correct answer ✔✔problem, etiology, symptoms
1. diagnosis
2. R/T; related factors
3. AEB; defining characteristics
...is related to ...as evidence by...
what are some errors in writing a nursing diagnosis? - correct answer ✔✔1. premature
diagnosis
2. error in diagnosis due to faulty data analysis
3. failure to tailor data collection and analysis to the unique needs of the patient
4. failure to modify diagnoses and to identify new diagnoses as the patient's status changes
use of a medical diagnosis and it is not a three part statement
