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Intro to Nursing - Exam 1 Question & Answers ( Latest update).docx

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Intro to Nursing - Exam 1 Question &
Answers ( Latest update)
The foundation of the nursing profession; is the
systematic approach to problem-solving and providing
individualized care? - CORRECT ANSWERS ✔✔The
Nursing Process


The phases of the nursing process? - CORRECT
ANSWERS ✔✔Assessment, Diagnosis, Planning
(includes Outcome), Implementation, Evaluation


What is Assessment? - CORRECT ANSWERS
✔✔Collection of data to help establish a goal of making a
clinical nursing judgment.


Difference between subjective and objective data? -
CORRECT ANSWERS ✔✔Subjective, from the client;
Objective, from the nurse's senses.


Difference between primary, secondary and tertiary
sources? - CORRECT ANSWERS ✔✔Primary, can only
be the patient; Secondary, info from families, medical
records, or other health care professionals; Tertiary, info
from textbooks, nurse's and other health care team
responses to patient

,Intro to Nursing - Exam 1 Question &
Answers ( Latest update)
What must be done by the nurse on admission to a health
care facility? And what does it identify? - CORRECT
ANSWERS ✔✔In depth nursing history and physical
assessment must be done and it identifies the patient's
strengths and weakness/health problems.


When does data collection take place? - CORRECT
ANSWERS ✔✔Through observations, interviews,
physical assessment, and interpreting lab and diagnostic
results.


What is diagnosis? - CORRECT ANSWERS ✔✔The
clinical act of identifying problems using the assessment
data collected. This step identifies an individual, family or
group response to an actual or potential health problem.


What is the nursing diagnosis based on? - CORRECT
ANSWERS ✔✔The pathophysiology of the disease
process.


Who established the list of nursing diagnosis for
classifying nursing problems, standardizing language and
facilitating communication for nurses? - CORRECT
ANSWERS ✔✔North American Nursing Diagnosis
Association (NANDA)

, Intro to Nursing - Exam 1 Question &
Answers ( Latest update)

What is included in Outcome? - CORRECT ANSWERS
✔✔Development of patient focused goals...included in the
planning phase.


What are the guidelines on making goals? - CORRECT
ANSWERS ✔✔Must be patient-focused, specific to the
nursing diagnosis or patient problem, measurable,
realistic and have time frame.


What is involved in the Planning phase? - CORRECT
ANSWERS ✔✔Preparing the nursing care plan with
patient input in how to identify goals and interventions to
help with the identified problems.


What is included in the Planning phase? - CORRECT
ANSWERS ✔✔Patient goals/outcomes specific to the
problem, assessment, specific treatments (independent
and dependent), medications, teaching, and community
care.


What is a Joint Commission on Accreditation of Healthcare
Organizations (JACHO) requirement? - CORRECT
ANSWERS ✔✔The care plan is a written summary of
the care that a patient is to receive.

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