NSG2113 FINAL EXAM THE NURSING
PROCESS VERIFIED SOLUTIONS,
SCORED A+
What .is .the .nursing .process? .- .CORRECT .ANSWER-a .five-step .clinical
.decision-making .approach .that .consists .of .assessment, .diagnosis, .planning,
.implementation, .and .evaluation. .The .purpose .of .the .nursing .process .is .to
.assist .nurses .in .identifying .and .treating .patients' .health-related .concerns .and
.help .patients .attain .agreed-upon .health .outcomes
•Fundamental .to .how .nurses .practice
•
•An .iterative .process
Cognitive .framework .through .which .one .I .am .so .identify, .diagnose, .and .treat
.actual .and .potential .health .issues .and .challenges .of .clients .from .a .holistic
.perspective.
what .are .the .5 .stages .to .the .nursing .process? .- .CORRECT .ANSWER-
Assessment
Diagnosis
Planning
Implementation
Evaluation
nursing .assessment .- .CORRECT .ANSWER-is .the .deliberate .and .systematic
.collection .of .data .to .determine .a .client's .current .and .past .health .status .and
.functional .status .and .to .determine .the .client's .present .and .past .coping
.patterns
The .nursing .process .begins .with .the .first .step, .assessment, .which .is .the
.collection .of .pertinent .data .to .the .clients .health .status .or .situation.
what .are .the .steps .to .nursing .assessment? .- .CORRECT .ANSWER-•Collection .&
.verification .of .data
•Analysis .of .data
Nurses .begin .their .assistant .by .documenting .a .comprehensive .nursing .health
.history, .a .detailed .database .that .allows .them .to .Plant .and .curio .nursing .care .to
.meet .clients .needs. .The .goal .of .the .health .history .is .to .focus .on .the .client
.strengths .and .available .supports .will .also .highlighting .pricing .or .potential
.health .challenges.
, what .is .the .purpose .of .Nursing .assessment? .- .CORRECT .ANSWER-•To
.establish .a .database .about .the .client's .health .status .including .their .perceived
.needs .and .health .problems .that .will .inform .the .nurse's .clinical .decision-
making.
•
•Uncovers .experiences, .health .practices, .goals, .values, .and .expectations
what .are .the .two .types .of .data? .- .CORRECT .ANSWER-objective .data .and
.subjective .data
Nurses .learn .to .differentiate .important .data .from .the .total .data .collected. .What
.is .a .cue? .what .is .an .inference? .- .CORRECT .ANSWER-A .cue .is .information .the
.nurse .obtains .free .use .of .the .senses. .An .inference .is .one's .judgement .or
.interpretation .of .those .cues. .For .example, .a .clients .crying .is .a .cue .that .can
.imply .fear .or .sadness
objective .data .- .CORRECT .ANSWER--Observations, .clinical .measurements .or
.assessments
-Example:
•Afebrile
•Heart .rate: .98 .beats .per .minute
•Respirations: .20/min .(O2 .3L/min .by .nasal .prongs)
Blood .pressure:180/98 .mm .Hg
subjective .data .- .CORRECT .ANSWER--Client's .verbal .descriptions .of .condition
-Example:
"It .hurts .when .I .move."
sources .of .data: .explain .and .differentiate .primary, .secondary, .and .tertiary .-
.CORRECT .ANSWER-primary .source .= .client .
secondary .source .= .•Family .and .significant .others
•Health .care .team
•Medical .records
tertiary .source .= .•Literature
•Nurse's .experience
a .change .in .shift .report .would .be .an .example .of .which .source .of .data? .-
.CORRECT .ANSWER-secondary. .In .the .acute .care .setting, .the .change .of .shift
.report .is .away .for .nurses .from .one .shift .to .communicate .information .to .nurses
.on .the .next .shift. .When .nurses, .physicians, .or .other .staff .consult .about .a
.clients .condition, .it .typically .have .information .about .the .client.
Nursing .assessment: .Methods .of .data .collection
what .is .the .first .step .in .establishing .a .database?
PROCESS VERIFIED SOLUTIONS,
SCORED A+
What .is .the .nursing .process? .- .CORRECT .ANSWER-a .five-step .clinical
.decision-making .approach .that .consists .of .assessment, .diagnosis, .planning,
.implementation, .and .evaluation. .The .purpose .of .the .nursing .process .is .to
.assist .nurses .in .identifying .and .treating .patients' .health-related .concerns .and
.help .patients .attain .agreed-upon .health .outcomes
•Fundamental .to .how .nurses .practice
•
•An .iterative .process
Cognitive .framework .through .which .one .I .am .so .identify, .diagnose, .and .treat
.actual .and .potential .health .issues .and .challenges .of .clients .from .a .holistic
.perspective.
what .are .the .5 .stages .to .the .nursing .process? .- .CORRECT .ANSWER-
Assessment
Diagnosis
Planning
Implementation
Evaluation
nursing .assessment .- .CORRECT .ANSWER-is .the .deliberate .and .systematic
.collection .of .data .to .determine .a .client's .current .and .past .health .status .and
.functional .status .and .to .determine .the .client's .present .and .past .coping
.patterns
The .nursing .process .begins .with .the .first .step, .assessment, .which .is .the
.collection .of .pertinent .data .to .the .clients .health .status .or .situation.
what .are .the .steps .to .nursing .assessment? .- .CORRECT .ANSWER-•Collection .&
.verification .of .data
•Analysis .of .data
Nurses .begin .their .assistant .by .documenting .a .comprehensive .nursing .health
.history, .a .detailed .database .that .allows .them .to .Plant .and .curio .nursing .care .to
.meet .clients .needs. .The .goal .of .the .health .history .is .to .focus .on .the .client
.strengths .and .available .supports .will .also .highlighting .pricing .or .potential
.health .challenges.
, what .is .the .purpose .of .Nursing .assessment? .- .CORRECT .ANSWER-•To
.establish .a .database .about .the .client's .health .status .including .their .perceived
.needs .and .health .problems .that .will .inform .the .nurse's .clinical .decision-
making.
•
•Uncovers .experiences, .health .practices, .goals, .values, .and .expectations
what .are .the .two .types .of .data? .- .CORRECT .ANSWER-objective .data .and
.subjective .data
Nurses .learn .to .differentiate .important .data .from .the .total .data .collected. .What
.is .a .cue? .what .is .an .inference? .- .CORRECT .ANSWER-A .cue .is .information .the
.nurse .obtains .free .use .of .the .senses. .An .inference .is .one's .judgement .or
.interpretation .of .those .cues. .For .example, .a .clients .crying .is .a .cue .that .can
.imply .fear .or .sadness
objective .data .- .CORRECT .ANSWER--Observations, .clinical .measurements .or
.assessments
-Example:
•Afebrile
•Heart .rate: .98 .beats .per .minute
•Respirations: .20/min .(O2 .3L/min .by .nasal .prongs)
Blood .pressure:180/98 .mm .Hg
subjective .data .- .CORRECT .ANSWER--Client's .verbal .descriptions .of .condition
-Example:
"It .hurts .when .I .move."
sources .of .data: .explain .and .differentiate .primary, .secondary, .and .tertiary .-
.CORRECT .ANSWER-primary .source .= .client .
secondary .source .= .•Family .and .significant .others
•Health .care .team
•Medical .records
tertiary .source .= .•Literature
•Nurse's .experience
a .change .in .shift .report .would .be .an .example .of .which .source .of .data? .-
.CORRECT .ANSWER-secondary. .In .the .acute .care .setting, .the .change .of .shift
.report .is .away .for .nurses .from .one .shift .to .communicate .information .to .nurses
.on .the .next .shift. .When .nurses, .physicians, .or .other .staff .consult .about .a
.clients .condition, .it .typically .have .information .about .the .client.
Nursing .assessment: .Methods .of .data .collection
what .is .the .first .step .in .establishing .a .database?