and All Correct Answers 2025-2026
Updated.
What is an assessment? - Answer systematic and continuous collection, analysis, validation,
and communication of patient information
Differentiate between a medical and a nursing assessment. - Answer Medical -- focuses on
pathologic conditions
Nursing -- focuses on patient's *response* to health problems
What are the characteristics of an assessment? - Answer Purposeful
Prioritized
Complete
Systematic
Factual and accurate
Relevant
Recorded in a standard measure
Identify the 4 types of nursing assessments - Answer Initial
Focused
Ongoing/partial
Emergency
,When would an nurse complete an INITIAL assessment? - Answer when a person enters a
health care facility
used to establish baseline data for problem identification and care planning
When would a nurse complete a FOCUSED assessment? - Answer after a specific problem
has been identified
When would a nurse complete an ONGOING assessment? - Answer when a patient enters a
health care facility for a follow up visit
Used to compare a patient's current status to the baseline data obtained during the initial
assessment
When would a nurse complete an EMERGENCY assessment? - Answer when a patient has a
very severe/dire status
used to identify life-threatening problems
ABCs
What are 3 purposes of a nursing diagnosis? - Answer Identify *responses* to actual or
potential health and life processes
Identify *factors that contribute to or cause* health problems
Identify ways to *prevent or resolve* health problems
(Responses, factors, prevention)
What is a nursing diagnosis? - Answer intervention that prevents or resolves actual or
potential health problems
written in such a way that nurses can independently treat the patient problems
Examples: activity, pain or comfort, tissue integrity, and perfusion
, Give examples of a Medical diagnosis vs. Nursing diagnosis. - Answer Medical: myocardial
infarction
Nursing: fear, altered health maintenance, deficient knowledge, and altered tissue perfusion
What is ALFARO's rule? - Answer states that the word "diagnosis" implies there's a situation
or problem requiring appropriate, qualified treatment
If you /identify/ the problem, you must then decide if you are /qualified/ to treat it and willing
to accept /responsibility/ for treating it. If not, you are responsible for getting help
What is the purpose of the planning step? - Answer to design a plan of care with and for the
patient that results in prevention, reduction, or resolution of health problems and meets
patient's expectations
What are the 3 basic steps to planning? - Answer Initial
Ongoing
Discharge
Explain initial planning - Answer address problems listed in nursing diagnosis and identify
goals and how to meet them
Explain ongoing planning - Answer using new data to make the plan more specific and
accurate
Explain discharge planning - Answer helping the patient and family develop sufficient
knowledge and skills to carry out self-care behaviors at home
Discuss SMART goals - Answer S -- specific
M -- measurable
A -- attainable
R -- reasonable
T -- timebound
What is the purpose of the implementation step? - Answer implement or carry out the
agreed up on goals during the planning step