NRSG 2220 Exam 3 Questions With
Correct Answers
steps bof bthe bnursing bprocess b- bcorrect banswer b✔✔ADPIE
Assessment
Diagnosis
Planning
Implementation
Evaluation
assessment b- bcorrect banswer b✔✔gather binformation babout bthe bpatient's bcondition
focuses bon bthe bpatient's bresponse bto bhealth bproblem
systematic band bcontinuous bcollection, banalysis, bvalidation, bcommunication bof
bpatient bdata b(data breflect bhow bhealth bfunctioning bis benhanced bby bhealth
bpromotion bor bcompromised bby billness/injury)
distinguishing bnormal bfrom babnormal bfindings band bidentifying bthe brisks bfor
babnormal bfindings
primary bsource bof binformation bis bthe bpatient
diagnosis b- bcorrect banswer b✔✔identify bthe bpatient's bproblems
planning b- bcorrect banswer b✔✔set bgoals bof bcare band bdesired boutcomes band
bidentify bappropriate bnursing bactions
implementation b- bcorrect banswer b✔✔perform bthe bnursing bactions bidentified bin
bplanning
evaluation b- bcorrect banswer b✔✔determine bif bgoals band bexpected boutcomes bare
bachieved
characteristics bof bassessments b- bcorrect banswer b✔✔Purposeful
,Prioritized
Complete
Systematic
Accurate
Relevant
Recorded bin ba bstandard bmanner
comprehensive binitial bassessment b- bcorrect banswer b✔✔performed bshortly bafter
bpatient bis badmitted bto bfacility
purpose: bestablish bcomplete bdatabase bfor bproblem bidentification band bcare bplanning
focused bassessment b- bcorrect banswer b✔✔nurse bgathers bdata babout bspecific
bproblem bthat bhas balready bbeen bidentified b
routinely bpart bof bongoing bdata bcollection
purpose: bidentify bnew bor boverlooked bproblems
quick bpriority bassessments b(QPA): bshort, bfocused, bprioritized, b"flag" bexisting
bproblems band brisks
emergency bassessment b- bcorrect banswer b✔✔patient bin bphysiological/psychological
bcrisis
purpose: bidentify blife-threatening bproblem
time-lapsed bassessment b- bcorrect banswer b✔✔compares bpatient's bcurrent bstatus bto
bthe bbaseline bdata bobtained bearlier
purpose: breassess bhealth bstatus, bmake bnecessary brevisions bin bplan
patient-centered bassessment bmethod b(PCAM) b- bcorrect banswer b✔✔used bto bassess
bpatient bcomplexity busing bsocial bdeterminants bof bhealth
purpose: bdiscover bfactors bthat bare baffecting bperson's bability bto bmanage bheatlh
objective bdata b- bcorrect banswer b✔✔observable band bmeasurable bdata
can bbe bseen, bheard, bor bfelt bby bsomeone bother bthan bthe bperson bexperiencing
bthem
elevated btemp, bskin bmoisture, bvomiting
subjective bdata b- bcorrect banswer b✔✔information bperceived bonly bby bthe baffected
bperson
, pain bexperience, bfeeling bdizzy, bfeeling banxious
establishing bassessment bpriorities b- bcorrect banswer b✔✔are bthere bany baspects bof
bthis bperson bto btheir blife/needs bthat bare bgoing bto baffect bhow bwe bproceed bwith bout
bassessment band bwith bout bplan bof bcare?
health borientation
developmental bstage
culture
need bfor bnursing
nursing bassessments b- bcorrect banswer b✔✔focuses bon bpatient's bresponse bto bhealth
bproblem
take bwhat bwas bdone bfrom bmedical bassessment band bcontinue bto bassess bto bsee
bhow bpatient bis bdoing, bdo bwe bneed bto bmake bany bchanges/ bare bthere bany
bproblems
medical bassessments b- bcorrect banswer b✔✔look bat bthe bpatient bas ba b"problem"/ bas
ba bdisease, bwhat blabs/tests bneed bto bbe bordered
target bdata bpointing bto bpathologic bconditions
problem-focused bnursing bdiagnosis b- bcorrect banswer b✔✔actual bnursing bdiagnosis
ex: bacute bpain
something bthat bis bactually bhappening
most bof bthe btime bthis bis bthe bpriority bbecause bit bis ban bactual bproblem
risk bnursing bdiagnosis b- bcorrect banswer b✔✔ex: brisk bfor bfalls
health bpromotion bnursing bdiagnosis b- bcorrect banswer b✔✔readiness bfor benhanced
bcoping bor breadiness bfor benhanced bbreastfeeding
1-part bnursing bdiagnosis b- bcorrect banswer b✔✔health bpromotion b
includes: bone bpart bstatement
examples:
readiness bfor benhanced bbreastfeeding
rape btrauma bsyndrome
readiness bfor benhanced bcoping
Correct Answers
steps bof bthe bnursing bprocess b- bcorrect banswer b✔✔ADPIE
Assessment
Diagnosis
Planning
Implementation
Evaluation
assessment b- bcorrect banswer b✔✔gather binformation babout bthe bpatient's bcondition
focuses bon bthe bpatient's bresponse bto bhealth bproblem
systematic band bcontinuous bcollection, banalysis, bvalidation, bcommunication bof
bpatient bdata b(data breflect bhow bhealth bfunctioning bis benhanced bby bhealth
bpromotion bor bcompromised bby billness/injury)
distinguishing bnormal bfrom babnormal bfindings band bidentifying bthe brisks bfor
babnormal bfindings
primary bsource bof binformation bis bthe bpatient
diagnosis b- bcorrect banswer b✔✔identify bthe bpatient's bproblems
planning b- bcorrect banswer b✔✔set bgoals bof bcare band bdesired boutcomes band
bidentify bappropriate bnursing bactions
implementation b- bcorrect banswer b✔✔perform bthe bnursing bactions bidentified bin
bplanning
evaluation b- bcorrect banswer b✔✔determine bif bgoals band bexpected boutcomes bare
bachieved
characteristics bof bassessments b- bcorrect banswer b✔✔Purposeful
,Prioritized
Complete
Systematic
Accurate
Relevant
Recorded bin ba bstandard bmanner
comprehensive binitial bassessment b- bcorrect banswer b✔✔performed bshortly bafter
bpatient bis badmitted bto bfacility
purpose: bestablish bcomplete bdatabase bfor bproblem bidentification band bcare bplanning
focused bassessment b- bcorrect banswer b✔✔nurse bgathers bdata babout bspecific
bproblem bthat bhas balready bbeen bidentified b
routinely bpart bof bongoing bdata bcollection
purpose: bidentify bnew bor boverlooked bproblems
quick bpriority bassessments b(QPA): bshort, bfocused, bprioritized, b"flag" bexisting
bproblems band brisks
emergency bassessment b- bcorrect banswer b✔✔patient bin bphysiological/psychological
bcrisis
purpose: bidentify blife-threatening bproblem
time-lapsed bassessment b- bcorrect banswer b✔✔compares bpatient's bcurrent bstatus bto
bthe bbaseline bdata bobtained bearlier
purpose: breassess bhealth bstatus, bmake bnecessary brevisions bin bplan
patient-centered bassessment bmethod b(PCAM) b- bcorrect banswer b✔✔used bto bassess
bpatient bcomplexity busing bsocial bdeterminants bof bhealth
purpose: bdiscover bfactors bthat bare baffecting bperson's bability bto bmanage bheatlh
objective bdata b- bcorrect banswer b✔✔observable band bmeasurable bdata
can bbe bseen, bheard, bor bfelt bby bsomeone bother bthan bthe bperson bexperiencing
bthem
elevated btemp, bskin bmoisture, bvomiting
subjective bdata b- bcorrect banswer b✔✔information bperceived bonly bby bthe baffected
bperson
, pain bexperience, bfeeling bdizzy, bfeeling banxious
establishing bassessment bpriorities b- bcorrect banswer b✔✔are bthere bany baspects bof
bthis bperson bto btheir blife/needs bthat bare bgoing bto baffect bhow bwe bproceed bwith bout
bassessment band bwith bout bplan bof bcare?
health borientation
developmental bstage
culture
need bfor bnursing
nursing bassessments b- bcorrect banswer b✔✔focuses bon bpatient's bresponse bto bhealth
bproblem
take bwhat bwas bdone bfrom bmedical bassessment band bcontinue bto bassess bto bsee
bhow bpatient bis bdoing, bdo bwe bneed bto bmake bany bchanges/ bare bthere bany
bproblems
medical bassessments b- bcorrect banswer b✔✔look bat bthe bpatient bas ba b"problem"/ bas
ba bdisease, bwhat blabs/tests bneed bto bbe bordered
target bdata bpointing bto bpathologic bconditions
problem-focused bnursing bdiagnosis b- bcorrect banswer b✔✔actual bnursing bdiagnosis
ex: bacute bpain
something bthat bis bactually bhappening
most bof bthe btime bthis bis bthe bpriority bbecause bit bis ban bactual bproblem
risk bnursing bdiagnosis b- bcorrect banswer b✔✔ex: brisk bfor bfalls
health bpromotion bnursing bdiagnosis b- bcorrect banswer b✔✔readiness bfor benhanced
bcoping bor breadiness bfor benhanced bbreastfeeding
1-part bnursing bdiagnosis b- bcorrect banswer b✔✔health bpromotion b
includes: bone bpart bstatement
examples:
readiness bfor benhanced bbreastfeeding
rape btrauma bsyndrome
readiness bfor benhanced bcoping
