NURS 525 EXAM 1 STUDY GUIDE
Assessment - Answer -point of entry
Subjective Data
Objective Data
Diagnosis (Nursing Dx vs Medical Dx)
Plan
The Nursing Process - Answer -1. Assessment: collect data, use EBP techniques,
document relevant data
2. DX: compare clinical findins with normal and abnormal variations and developmental
events, interpret data, validate diagnosis, document diagnosis
3. GOAL (outcome identification), identify expected outcomes, individualize. realistic,
measurable, timeline (SMART)
4. Planning - establish priorities, develop outcomes, set timeline
5. Implementaion/Intervention -
6. Evaluation - revize, review,
Critical Thinking Skills - Answer -1. identify assumptions
2. identify and organized and comprehensive approach - faster and easier. not omit
things
3. validation - check for accuracy of data
4. distinguishing normal form abnormal
5. making inferences
6. clustering related cues
7. Relevant vs irrelevant
8. Recognize inconsistencies
9. Identifying patterns
10. identify missing information
11. promoting health
12. diagnosing actual and potent (risk) problems
13. setting priorities
14. identify patient-centered expected outcomes
15. determine specific interventios
16. evaluate and correct thinking
17. determine comprehensive plan
Archie Cochrane - Answer -in 1972 the british epidemiologies noted multiple clinical
tries published between 1972 and 1981 showing that corticosteroids to treat women in
premature labor reduced the incidence of infant mortality. the short course of fetal
corticosteroids stimulates fetal lung development, thus preventing respiratory distress
syndrome which is a common complication.
EBP: Bowel Sounds - Answer -auscultating bowel sounds was found not be be the best
indicator of returning GA motility in patients having abdominal surgery. The researchers
, suggested that early postoperative bowel sounds probably do not represent return to
normal motility and therefor listening to the abdomen is not useful in this situation.
research did show the primary markers for returning GI motility after abdominal surgery
to be the return for flatus and the first post operative bowel movement.
lag time for EBP to be implemented - Answer -17 years
barriers for EBP - Answer -- individual nurses lack research skills in evaluating quality
research studies, are isolated from other knowledgeable colleagues, lack more
confidence to implement change
- nurses lack time to go to the library, institutions have inadequate library files, and
organizational support is lacking when implementation is attempted.
Four types of data - Answer -1. Complete total health data base - includes a complete
health history and full physical exam. it describes the current and past health states and
forms a baseline against which all future changes can be measured. It yields the first
diagnosis (primary care setting, private practice, college health services, women's
health, community advocacy)
2. Focused or problem-centered data base - for a limited to a short-term problem. you
collect a mini data base, smaller in scope and more targeted than the complete
database. Usually one problem, one cue complex or one body system. used in all
settings.
3. follow up data base - the status of any identified problems should be evaluated at
regular/appropriate intervals.
4. emergency data base - rapid collection of the data, often complied concurrently with
lifesaving measures.
Three kins of nursing diagnosis - Answer -1. Actual - problems that are amenable to
independent interventions
2. Risk - potential problems that an individual does not currently have but is particularly
vulnerable to developing
3. Wellness - focus on the strengths and reflect an individuals transition to higher level
of wellness.
Nursing vs medical diagnosis (I'm sure it will be a test question) - Answer -medical
diagnosis is more diseases specific
nursing- what is going one, what could go on, how to discharge and how to keep
healthy
Assessment - Answer -point of entry
Subjective Data
Objective Data
Diagnosis (Nursing Dx vs Medical Dx)
Plan
The Nursing Process - Answer -1. Assessment: collect data, use EBP techniques,
document relevant data
2. DX: compare clinical findins with normal and abnormal variations and developmental
events, interpret data, validate diagnosis, document diagnosis
3. GOAL (outcome identification), identify expected outcomes, individualize. realistic,
measurable, timeline (SMART)
4. Planning - establish priorities, develop outcomes, set timeline
5. Implementaion/Intervention -
6. Evaluation - revize, review,
Critical Thinking Skills - Answer -1. identify assumptions
2. identify and organized and comprehensive approach - faster and easier. not omit
things
3. validation - check for accuracy of data
4. distinguishing normal form abnormal
5. making inferences
6. clustering related cues
7. Relevant vs irrelevant
8. Recognize inconsistencies
9. Identifying patterns
10. identify missing information
11. promoting health
12. diagnosing actual and potent (risk) problems
13. setting priorities
14. identify patient-centered expected outcomes
15. determine specific interventios
16. evaluate and correct thinking
17. determine comprehensive plan
Archie Cochrane - Answer -in 1972 the british epidemiologies noted multiple clinical
tries published between 1972 and 1981 showing that corticosteroids to treat women in
premature labor reduced the incidence of infant mortality. the short course of fetal
corticosteroids stimulates fetal lung development, thus preventing respiratory distress
syndrome which is a common complication.
EBP: Bowel Sounds - Answer -auscultating bowel sounds was found not be be the best
indicator of returning GA motility in patients having abdominal surgery. The researchers
, suggested that early postoperative bowel sounds probably do not represent return to
normal motility and therefor listening to the abdomen is not useful in this situation.
research did show the primary markers for returning GI motility after abdominal surgery
to be the return for flatus and the first post operative bowel movement.
lag time for EBP to be implemented - Answer -17 years
barriers for EBP - Answer -- individual nurses lack research skills in evaluating quality
research studies, are isolated from other knowledgeable colleagues, lack more
confidence to implement change
- nurses lack time to go to the library, institutions have inadequate library files, and
organizational support is lacking when implementation is attempted.
Four types of data - Answer -1. Complete total health data base - includes a complete
health history and full physical exam. it describes the current and past health states and
forms a baseline against which all future changes can be measured. It yields the first
diagnosis (primary care setting, private practice, college health services, women's
health, community advocacy)
2. Focused or problem-centered data base - for a limited to a short-term problem. you
collect a mini data base, smaller in scope and more targeted than the complete
database. Usually one problem, one cue complex or one body system. used in all
settings.
3. follow up data base - the status of any identified problems should be evaluated at
regular/appropriate intervals.
4. emergency data base - rapid collection of the data, often complied concurrently with
lifesaving measures.
Three kins of nursing diagnosis - Answer -1. Actual - problems that are amenable to
independent interventions
2. Risk - potential problems that an individual does not currently have but is particularly
vulnerable to developing
3. Wellness - focus on the strengths and reflect an individuals transition to higher level
of wellness.
Nursing vs medical diagnosis (I'm sure it will be a test question) - Answer -medical
diagnosis is more diseases specific
nursing- what is going one, what could go on, how to discharge and how to keep
healthy
