NUR 305 EXAM 1 QUESTIONS & ANSWERS
What are the four broad goal of the American Nurses Association? - Answer -1.
Promote health
2. To prevent illness
3. To treat responses to health or illness
4. To ADVOCATE for individuals, families, communities, and populations
What are some appropriate nursing interventions according to the ANA? - Answer --
implementing educational programs
-coordinating community resources
- patient/family teaching
What are four nursing care responsibilities according to the ANA? - Answer --
independent interventions
-patient teaching
-therapeutic communication
-physical procedures
What are a few things nurses must do to fulfill the role of being a member of a
profession? - Answer --stay up to date on scholarship and research
-advocacy
-fulfill nursing values
Give four examples of APRNs - Answer --Nurse practitioner
-Certified nurse midwife
-certified registered nurse anesthetist
-clinical nurse specialist
Define health assessment. - Answer -Gathering information about the health status of
the patient, analyzing and synthesizing those data, making judgments about nursing
interventions based on the findings and evaluating patient care outcomes
What does a health assessment include? - Answer --health history
-physical assessment
-additional necessary factors you assessed
-psychological, sociocultural, spiritual, and economic lifestyle
What is the difference between wellness and health? - Answer --Wellness: emotional,
spiritual and physical
-Health: physical
Wellness is an example of a reason nurses would __________.
What are some ways you can facilitate wellness? - Answer --collaborate
-health promotion and teaching
,What are the four main goals of "Healthy People"
What are their 10 areas of focus? - Answer --illness prevention, planning, intervening,
and evaluating
-physical activity
-obesity
-Tobacco use
-substance abuse
-responsible sexual behavior
-mental health
-injury and violence
-environmental quality
-immunization
access to health care
Explain the difference between primary, secondary and tertiary prevention.
Where would the U.S. fall? - Answer --Primary: strategies aimed at preventing the
problem (EDUCATION)
-Secondary: early diagnosis and prompt treatment (SCREENINGS)
-Tertiary: preventing complications of existing disease and promoting the highest health
level possible (THERAPY AND LIFE STYLE CHANGES)
What are the component to the nursing process?
What do they intel? - Answer --Assessing: complete accurate health data compilation
-Nursing Diagnosis:clustering data to determine pts condition and basis for selection of
nursing interventions to achieve outcomes for which you are accountable
-Planning (care plan): formulation of measurable, realistic patient-centered goals,
determine resources, target nurse interventions
-Implementing:any treatment based upon clinical judgement and knowledge that a
nurse performs to enhance patient outcomes
-Evaluating: judgement of nursing care efficacy in meeting patient goals and outcomes
based on patient responses to nursing interventions
Regarding nursing what are six characteristics of critical thinking? - Answer --
purposeful, outcome-directed thinking
-thinking driven by patient, family, and community needs
-thinking based on the nursing process, evidence based thinking, and scientific method
-thinking that requires specific knowledge, skills, and experience
-thinking guided by professional standards and code of ethics
-thinking continually reevaluating, self-correcting, and striving for improvement
What is diagnostic reasoning?
What are the seven steps? - Answer --gathering and clustering data to draw inferences
and propose diagnoses
1. identify strengths and abnormal data
2. cluster data
, 3. draw inferences
4. propose a possible nursing diagnosis
5. check for defining characteristics
6. confirm or rule out diagnosis
7. document conclusions
What are collaborative problems? - Answer -those in which the approach to treatment
involves multiple disciplines
What are the three types of assessments and when would you use them? - Answer --
Emergency: life threatening or unstable situations
-Comprehensive: (complete health history and physical assessment) upon hospital or
long term care admission, and annually for outpatients
-Focused: (smaller in scope but more in depth on a specific issue) occurs in all settings
Emergency assessments are based on the mnemonic ABCDE.... explain. - Answer -A-
Airway: cervical spine protection if suspected injury
B- Breathing: rate and depth and use of accessory muscles
C- Circulation: pulse rate and rythem; skin color
D- disability: pupils, movement , and LOC
E- exposure
What are three things to consider in a priority setting? - Answer --prioritize
assessments and care upon the patients health care situation
-life threatening situation is always TOP priority
-patient issue of top importance should be considered high priority
What are four variants on how often and in depth your assessment needs to be? -
Answer -- patients needs
-data collection purpose
-nurse's role
-healthcare setting (long term care, intensive care, focused assessments post-
treatment, outpatient)
When assessing a patient between birth and 10 yrs old you must monitor what? -
Answer -growth and development
When performing a comprehensive assessment what lifestyle issues would you assess
for? - Answer --cognitive development
-emotional development
-physical growth
-expected growth/development patterns
-expected variations, aberrations, and deviations
What are the four broad goal of the American Nurses Association? - Answer -1.
Promote health
2. To prevent illness
3. To treat responses to health or illness
4. To ADVOCATE for individuals, families, communities, and populations
What are some appropriate nursing interventions according to the ANA? - Answer --
implementing educational programs
-coordinating community resources
- patient/family teaching
What are four nursing care responsibilities according to the ANA? - Answer --
independent interventions
-patient teaching
-therapeutic communication
-physical procedures
What are a few things nurses must do to fulfill the role of being a member of a
profession? - Answer --stay up to date on scholarship and research
-advocacy
-fulfill nursing values
Give four examples of APRNs - Answer --Nurse practitioner
-Certified nurse midwife
-certified registered nurse anesthetist
-clinical nurse specialist
Define health assessment. - Answer -Gathering information about the health status of
the patient, analyzing and synthesizing those data, making judgments about nursing
interventions based on the findings and evaluating patient care outcomes
What does a health assessment include? - Answer --health history
-physical assessment
-additional necessary factors you assessed
-psychological, sociocultural, spiritual, and economic lifestyle
What is the difference between wellness and health? - Answer --Wellness: emotional,
spiritual and physical
-Health: physical
Wellness is an example of a reason nurses would __________.
What are some ways you can facilitate wellness? - Answer --collaborate
-health promotion and teaching
,What are the four main goals of "Healthy People"
What are their 10 areas of focus? - Answer --illness prevention, planning, intervening,
and evaluating
-physical activity
-obesity
-Tobacco use
-substance abuse
-responsible sexual behavior
-mental health
-injury and violence
-environmental quality
-immunization
access to health care
Explain the difference between primary, secondary and tertiary prevention.
Where would the U.S. fall? - Answer --Primary: strategies aimed at preventing the
problem (EDUCATION)
-Secondary: early diagnosis and prompt treatment (SCREENINGS)
-Tertiary: preventing complications of existing disease and promoting the highest health
level possible (THERAPY AND LIFE STYLE CHANGES)
What are the component to the nursing process?
What do they intel? - Answer --Assessing: complete accurate health data compilation
-Nursing Diagnosis:clustering data to determine pts condition and basis for selection of
nursing interventions to achieve outcomes for which you are accountable
-Planning (care plan): formulation of measurable, realistic patient-centered goals,
determine resources, target nurse interventions
-Implementing:any treatment based upon clinical judgement and knowledge that a
nurse performs to enhance patient outcomes
-Evaluating: judgement of nursing care efficacy in meeting patient goals and outcomes
based on patient responses to nursing interventions
Regarding nursing what are six characteristics of critical thinking? - Answer --
purposeful, outcome-directed thinking
-thinking driven by patient, family, and community needs
-thinking based on the nursing process, evidence based thinking, and scientific method
-thinking that requires specific knowledge, skills, and experience
-thinking guided by professional standards and code of ethics
-thinking continually reevaluating, self-correcting, and striving for improvement
What is diagnostic reasoning?
What are the seven steps? - Answer --gathering and clustering data to draw inferences
and propose diagnoses
1. identify strengths and abnormal data
2. cluster data
, 3. draw inferences
4. propose a possible nursing diagnosis
5. check for defining characteristics
6. confirm or rule out diagnosis
7. document conclusions
What are collaborative problems? - Answer -those in which the approach to treatment
involves multiple disciplines
What are the three types of assessments and when would you use them? - Answer --
Emergency: life threatening or unstable situations
-Comprehensive: (complete health history and physical assessment) upon hospital or
long term care admission, and annually for outpatients
-Focused: (smaller in scope but more in depth on a specific issue) occurs in all settings
Emergency assessments are based on the mnemonic ABCDE.... explain. - Answer -A-
Airway: cervical spine protection if suspected injury
B- Breathing: rate and depth and use of accessory muscles
C- Circulation: pulse rate and rythem; skin color
D- disability: pupils, movement , and LOC
E- exposure
What are three things to consider in a priority setting? - Answer --prioritize
assessments and care upon the patients health care situation
-life threatening situation is always TOP priority
-patient issue of top importance should be considered high priority
What are four variants on how often and in depth your assessment needs to be? -
Answer -- patients needs
-data collection purpose
-nurse's role
-healthcare setting (long term care, intensive care, focused assessments post-
treatment, outpatient)
When assessing a patient between birth and 10 yrs old you must monitor what? -
Answer -growth and development
When performing a comprehensive assessment what lifestyle issues would you assess
for? - Answer --cognitive development
-emotional development
-physical growth
-expected growth/development patterns
-expected variations, aberrations, and deviations
