NURS 5355 Final Exam QUESTONS AND ANSWERS
CRITICAL THINKING AND INTRO TO THE NURSING PROCESS - CORRECT ANSWER✅✅
Critical Thinking - CORRECT ANSWER✅✅APPLICATION of knowledge
Experience to identify patient problems
Clinical Reasoning - CORRECT ANSWER✅✅uses critical thinking, knowledge, and experience, to develop
SOLUTIONS to problems and make decisions in a CLINICAL setting
Problem Solve - CORRECT ANSWER✅✅systematic, analytic approach to finding a solution to a problem
Decision Making - CORRECT ANSWER✅✅choosing a SOLUTION or answer from among different
options, often considering a STEP in the problem solving process
Reasoning - CORRECT ANSWER✅✅LOGICAL thinking that links thoughts, ideas, and facts together in a
meaningful way
Judgement - CORRECT ANSWER✅✅RESULT or decision related to the processes of thinking and
reasoning
ATTITUDES FOR CRITICAL THINKING - CORRECT ANSWER✅✅Confidence, Fairness, Risk Taking,
Perseverance, Curiosity, thinking independently, humility, discipline, creativity, integrity, responsibility
INTRO TO WAY NURSES THINK - CORRECT ANSWER✅✅Nursing Process- 1950 labeled by Lydia Hall
How Nurses: - CORRECT ANSWER✅✅think, identify patient problems, determine patient OUTCOMES,
and PRIORITIZE patient care
STEPS OF NURSING PROCESS - CORRECT ANSWER✅✅5 step process based on scientific process
ADPIE
,1) - CORRECT ANSWER✅✅A- Assessment
2) - CORRECT ANSWER✅✅D- (nursing) Diagnosis
3) - CORRECT ANSWER✅✅P- Plan
4) - CORRECT ANSWER✅✅I- Implementation
5) - CORRECT ANSWER✅✅E-Evaluation
Critical Thinking and the Nursing Process - CORRECT ANSWER✅✅Critical thinking-power of the nursing
DIAGNOSIS and the nursing PROCESS
INTERVIEWING YOUR PATIENT TO OBTAIN A HEALTH HISTORY - CORRECT ANSWER✅✅
Sources of info for the Healthy History - CORRECT ANSWER✅✅
Primary Source - CORRECT ANSWER✅✅CLIENT-interview
Secondary Source - CORRECT ANSWER✅✅not conscious, too young, delusional, cognitive impairment
-other individuals (family)
-client records and CHARTS
** secondary source if primary source NOT possible
2 Primary components of health assessment: - CORRECT ANSWER✅✅HEALTH HISTORY --subjective
data (cannot use senses, what a patient is TELLING you)
PHYSICAL EXAM - objective data (you assess, can see/sense
health history = subjective
,-database used to create a PLAN, prevent disease, resolve problems, and minimize limitations
-If patient cant verbalize, use OBJECTIVE data to determine pain
COMPONENTS OF COMPREHENSIVE HEALTH HISTORY - CORRECT ANSWER✅✅Biographic data--initial
visit
REASON for seeking care (CC)
History of PRESENT illness
Present health status
PAST medical history
Family history
Personal and psychosocial history
Review of all body systems
** most of health history is SUBJECTIVE DATA
HISTORY OF PRESENT ILLNESS - CORRECT ANSWER✅✅Should include the following data:
O= onset
L=Location
D=duration
C=characteristics
A=alleviating and aggravating factors
R=related symptoms
T=treatments
S=severity (0-10)
PRESENT HEALTH STATUS - CORRECT ANSWER✅✅
Health Conditions - CORRECT ANSWER✅✅CHRONIC or recurring
-how does it affect their ADL's
, Allergies - CORRECT ANSWER✅✅Food, environment, and meds
-what does reaction look like?
ex. swelling, hives, rash
NK(no known) E=environmental
F=food D=med A=allergy
Medications - CORRECT ANSWER✅✅Name, route, dosage, WHY do they take this medication
PAST HISTORY - CORRECT ANSWER✅✅Childhood diseases
Immunizations
Blood Transfusions - reactions? blood type
Major ILLNESSES
SURGERIES
Injuries
Hospitalizations
CHILDBIRTHS (Gravity= how many times preg) (Perity=how many deliveries)
PSYCHOSOCIAL HISTORY - CORRECT ANSWER✅✅Personal status
Family and social
Education
FINANCES
Roles and Relationships
ETHNICITY and culture
Environment/safety issues
Access to care
Health Promotion activities
Spirituality relationsips
MENTAL health
CRITICAL THINKING AND INTRO TO THE NURSING PROCESS - CORRECT ANSWER✅✅
Critical Thinking - CORRECT ANSWER✅✅APPLICATION of knowledge
Experience to identify patient problems
Clinical Reasoning - CORRECT ANSWER✅✅uses critical thinking, knowledge, and experience, to develop
SOLUTIONS to problems and make decisions in a CLINICAL setting
Problem Solve - CORRECT ANSWER✅✅systematic, analytic approach to finding a solution to a problem
Decision Making - CORRECT ANSWER✅✅choosing a SOLUTION or answer from among different
options, often considering a STEP in the problem solving process
Reasoning - CORRECT ANSWER✅✅LOGICAL thinking that links thoughts, ideas, and facts together in a
meaningful way
Judgement - CORRECT ANSWER✅✅RESULT or decision related to the processes of thinking and
reasoning
ATTITUDES FOR CRITICAL THINKING - CORRECT ANSWER✅✅Confidence, Fairness, Risk Taking,
Perseverance, Curiosity, thinking independently, humility, discipline, creativity, integrity, responsibility
INTRO TO WAY NURSES THINK - CORRECT ANSWER✅✅Nursing Process- 1950 labeled by Lydia Hall
How Nurses: - CORRECT ANSWER✅✅think, identify patient problems, determine patient OUTCOMES,
and PRIORITIZE patient care
STEPS OF NURSING PROCESS - CORRECT ANSWER✅✅5 step process based on scientific process
ADPIE
,1) - CORRECT ANSWER✅✅A- Assessment
2) - CORRECT ANSWER✅✅D- (nursing) Diagnosis
3) - CORRECT ANSWER✅✅P- Plan
4) - CORRECT ANSWER✅✅I- Implementation
5) - CORRECT ANSWER✅✅E-Evaluation
Critical Thinking and the Nursing Process - CORRECT ANSWER✅✅Critical thinking-power of the nursing
DIAGNOSIS and the nursing PROCESS
INTERVIEWING YOUR PATIENT TO OBTAIN A HEALTH HISTORY - CORRECT ANSWER✅✅
Sources of info for the Healthy History - CORRECT ANSWER✅✅
Primary Source - CORRECT ANSWER✅✅CLIENT-interview
Secondary Source - CORRECT ANSWER✅✅not conscious, too young, delusional, cognitive impairment
-other individuals (family)
-client records and CHARTS
** secondary source if primary source NOT possible
2 Primary components of health assessment: - CORRECT ANSWER✅✅HEALTH HISTORY --subjective
data (cannot use senses, what a patient is TELLING you)
PHYSICAL EXAM - objective data (you assess, can see/sense
health history = subjective
,-database used to create a PLAN, prevent disease, resolve problems, and minimize limitations
-If patient cant verbalize, use OBJECTIVE data to determine pain
COMPONENTS OF COMPREHENSIVE HEALTH HISTORY - CORRECT ANSWER✅✅Biographic data--initial
visit
REASON for seeking care (CC)
History of PRESENT illness
Present health status
PAST medical history
Family history
Personal and psychosocial history
Review of all body systems
** most of health history is SUBJECTIVE DATA
HISTORY OF PRESENT ILLNESS - CORRECT ANSWER✅✅Should include the following data:
O= onset
L=Location
D=duration
C=characteristics
A=alleviating and aggravating factors
R=related symptoms
T=treatments
S=severity (0-10)
PRESENT HEALTH STATUS - CORRECT ANSWER✅✅
Health Conditions - CORRECT ANSWER✅✅CHRONIC or recurring
-how does it affect their ADL's
, Allergies - CORRECT ANSWER✅✅Food, environment, and meds
-what does reaction look like?
ex. swelling, hives, rash
NK(no known) E=environmental
F=food D=med A=allergy
Medications - CORRECT ANSWER✅✅Name, route, dosage, WHY do they take this medication
PAST HISTORY - CORRECT ANSWER✅✅Childhood diseases
Immunizations
Blood Transfusions - reactions? blood type
Major ILLNESSES
SURGERIES
Injuries
Hospitalizations
CHILDBIRTHS (Gravity= how many times preg) (Perity=how many deliveries)
PSYCHOSOCIAL HISTORY - CORRECT ANSWER✅✅Personal status
Family and social
Education
FINANCES
Roles and Relationships
ETHNICITY and culture
Environment/safety issues
Access to care
Health Promotion activities
Spirituality relationsips
MENTAL health
