NR 226 Exam #1 Study Guide: The Nursing Process- Ch.
16, 17, 18, 19, 20, 21 (Assessment, Diagnosis, Planning,
Implementation, Evaluation, Managing Patient Care) exam
questions and answers fully detailed
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 - answer ✔✔-medical
diagnosis
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 - answer ✔✔-nursing diagnosis
problem that requires both medicine and nursing interventions to treat, examples: seizures, bleeding -
answer ✔✔-collaborative problems
provides standard, formal diagnostic statements (definitions, defining characteristics, and related/risk
factors) - answer ✔✔-NANDA-I
a comprehensive, research-based, standardized classification of multidisciplinary interventions and
associated activities - answer ✔✔-Nursing Intervention Classification (NIC)
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 - answer ✔✔-Nursing
Outcome Classification (NOC)
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 - answer ✔✔-International Classification for Nursing
Practice (ICNP)
, 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" - answer ✔✔-risk diagnosis
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 - answer ✔✔-problem-focused diagnosis
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 - answer ✔✔-health promotion diagnosis
group of data elements, the signs or symptoms gathered during assessment - answer ✔✔-data clusters
objective or subjective signs, symptoms, or risk factors that leads you into making a diagnostic
conclusion, offer cues to a type of health problem - answer ✔✔-data elements
component of a nursing diagnosis that names the nursing diagnosis (approved by NANDA-I, ICNP, or
another system) - answer ✔✔-diagnostic label
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 - answer ✔✔-related factors
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 - answer ✔✔-planning
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 - answer ✔✔-high priority
nursing diagnoses that are non-emergent and non-life threatening - answer ✔✔-intermediate priority
16, 17, 18, 19, 20, 21 (Assessment, Diagnosis, Planning,
Implementation, Evaluation, Managing Patient Care) exam
questions and answers fully detailed
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 - answer ✔✔-medical
diagnosis
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 - answer ✔✔-nursing diagnosis
problem that requires both medicine and nursing interventions to treat, examples: seizures, bleeding -
answer ✔✔-collaborative problems
provides standard, formal diagnostic statements (definitions, defining characteristics, and related/risk
factors) - answer ✔✔-NANDA-I
a comprehensive, research-based, standardized classification of multidisciplinary interventions and
associated activities - answer ✔✔-Nursing Intervention Classification (NIC)
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 - answer ✔✔-Nursing
Outcome Classification (NOC)
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 - answer ✔✔-International Classification for Nursing
Practice (ICNP)
, 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" - answer ✔✔-risk diagnosis
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 - answer ✔✔-problem-focused diagnosis
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 - answer ✔✔-health promotion diagnosis
group of data elements, the signs or symptoms gathered during assessment - answer ✔✔-data clusters
objective or subjective signs, symptoms, or risk factors that leads you into making a diagnostic
conclusion, offer cues to a type of health problem - answer ✔✔-data elements
component of a nursing diagnosis that names the nursing diagnosis (approved by NANDA-I, ICNP, or
another system) - answer ✔✔-diagnostic label
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 - answer ✔✔-related factors
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 - answer ✔✔-planning
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 - answer ✔✔-high priority
nursing diagnoses that are non-emergent and non-life threatening - answer ✔✔-intermediate priority
