NUR 2995 Exam 2 ACTUAL UPDATED
QUESTIONS AND CORRECT ANSWERS
What are the steps in the nursing process? - CORRECT ANSWERS✅✅1. Assessment
2. Nursing Diagnoses
3. Outcome Identification
4. Planning
5. Implementing (Interventions)
6. Evaluation
Assessment - CORRECT ANSWERS✅✅deliberate and systematic collection of data to
determine a client's current and past health status
Subjective data - CORRECT ANSWERS✅✅- what the person tells you
- patient/patient family/ SO
Objective data - CORRECT ANSWERS✅✅- physical exam findings
- test results
- observations you make of the pt
Cues - CORRECT ANSWERS✅✅the subjective and objective data you identify
- cues that something may be wrong (red flag)
Cluster - CORRECT ANSWERS✅✅- grouping of cues that point to a problem
Inference - CORRECT ANSWERS✅✅- the judgement you reach about the cues (patient in
pain) is an inference
Data Interpretation and Analysis - CORRECT ANSWERS✅✅1. Recognizing significant
data
2. Recognizing Patterns or clusters
, 3. Identifying strengths and problems
4. Reaching Conclusions
Reaching conclusions - CORRECT ANSWERS✅✅- no problem - no nursing response is
indicated
- possible problem = more data is needed
- problem-oriented nursing diagnosis
- use PIE to resolve the problem
- problem other than nursing diagnosis
- work collaboratively with member of health care tema to help solve the problem
PIE - CORRECT ANSWERS✅✅Prevent , reduce or resolve the problem
Identifying strengths and problems - CORRECT ANSWERS✅✅- problem does not meet
standard
- potential benefit from professional nursing care
- determine if the problem represents a nursing diagnosis or collaborative problem or does the
problem need the involvement of the provider
- potential health problems have not occurred yet, but they need to be addressed
- ask the pt if they agree with your assessment of their problem
Inference drawn from clues = - CORRECT ANSWERS✅✅there is a problem
Recognizing patterns or clusters - CORRECT ANSWERS✅✅- data cluster: grouping of
significant data or cues signals a health problem
- nursing diagnosis derived from clusters of significant data, not from single clue
Recognizing significant data - CORRECT ANSWERS✅✅- a cue denotes "significant data"
- deviates from a standard or norm
- ex) a change in pt usual health pattern
QUESTIONS AND CORRECT ANSWERS
What are the steps in the nursing process? - CORRECT ANSWERS✅✅1. Assessment
2. Nursing Diagnoses
3. Outcome Identification
4. Planning
5. Implementing (Interventions)
6. Evaluation
Assessment - CORRECT ANSWERS✅✅deliberate and systematic collection of data to
determine a client's current and past health status
Subjective data - CORRECT ANSWERS✅✅- what the person tells you
- patient/patient family/ SO
Objective data - CORRECT ANSWERS✅✅- physical exam findings
- test results
- observations you make of the pt
Cues - CORRECT ANSWERS✅✅the subjective and objective data you identify
- cues that something may be wrong (red flag)
Cluster - CORRECT ANSWERS✅✅- grouping of cues that point to a problem
Inference - CORRECT ANSWERS✅✅- the judgement you reach about the cues (patient in
pain) is an inference
Data Interpretation and Analysis - CORRECT ANSWERS✅✅1. Recognizing significant
data
2. Recognizing Patterns or clusters
, 3. Identifying strengths and problems
4. Reaching Conclusions
Reaching conclusions - CORRECT ANSWERS✅✅- no problem - no nursing response is
indicated
- possible problem = more data is needed
- problem-oriented nursing diagnosis
- use PIE to resolve the problem
- problem other than nursing diagnosis
- work collaboratively with member of health care tema to help solve the problem
PIE - CORRECT ANSWERS✅✅Prevent , reduce or resolve the problem
Identifying strengths and problems - CORRECT ANSWERS✅✅- problem does not meet
standard
- potential benefit from professional nursing care
- determine if the problem represents a nursing diagnosis or collaborative problem or does the
problem need the involvement of the provider
- potential health problems have not occurred yet, but they need to be addressed
- ask the pt if they agree with your assessment of their problem
Inference drawn from clues = - CORRECT ANSWERS✅✅there is a problem
Recognizing patterns or clusters - CORRECT ANSWERS✅✅- data cluster: grouping of
significant data or cues signals a health problem
- nursing diagnosis derived from clusters of significant data, not from single clue
Recognizing significant data - CORRECT ANSWERS✅✅- a cue denotes "significant data"
- deviates from a standard or norm
- ex) a change in pt usual health pattern
