NURS 114 FINAL EXAM WITH ACTUAL QUESTIONS AND CORRECTLY DEFINED ANSWERS

ADPIE - correct answers assesment, diagnosis, planning, implementation, evaluation Assesment - correct answers collect lots of data based on what the client is telling you and your observations A- 3 levels of information - correct answers primary - what the patient is telling you secondary - what the family is telling you tertiary - what the textbook tells you A - Cue - correct answers information obtained through smelling, hearing, seeing, touching, feeling A- infrence - correct answers conclusions based on observation Subjective vs Objection - correct answers subjective - i have pain in my chest objective - *has high heart rate* data collected through numbers or visuals types of data collection - correct answers 1. interview 2. health history 3. physical examination steps in data analysis - correct answers 1. look at subjective and objective data 2. recognize pattern cues 3. compare to normal trends and cues 4. consalt health team 5. make a reasoned desicion D - Diagnosis - correct answers A clinical judgement about individual, family, or community responses to actual and potential health problems or life processes 3 types of diagnosis - correct answers Nursing - This diagnosis is a clinical judgment about the cause of a client's mental or physical condition Medical - identification of a disease condition based on specific evaluation of signs and symptoms Collaborative - An actual or potential complication that nurses monitor to detect a change in client status components of nursing diagnosis - correct answers Diagnostic label related factors defining characteristics risk factors 2 parts of the nursing diagnosis - correct answers 1. problem - identify, indicate what needs to change, suggest client goals 2. etiology - identify factors causing or contributing, suggest interventions 2 types of nursing diagnosis - correct answers Actual - acute pain, a humans response to levels of wellness that have a readiness for improvement ____ related to _____ as manifested by ____ Risk - human responces to health conditions that may occur Risk for ______ related to ____ as manifested by ____ keep in mind about nursing diagnosis - correct answers 1. related factors- what's causing it, actual or potential response 2. defining characteristics- signs and symptoms reported by patient or you P-Planning - correct answers The nurse uses critical thinking to establish patient-centered goals, priorities & best possible outcome(s), plans nursing interventions to resolve problems how to establish good goals - correct answers prioritize goals - high, medium, low Goal - the desired change in the client expected outcome - measurable and trackable outcomes client goal - have clients be at highest possible wellness level SMART goal - correct answers S - specific M - mesurable A - achiveable R- relevent T - time - based I - implementation - correct answers initiation of appropriate interventions designed to meet the unique needs of each patient 3 types of interventions - correct answers nurse initiated - independant, doesnt need orders from anyone Physician initiated - dependant on physician Collab - independant, multiple HCW work together on a plan 6 factors in Implementation - correct answers 1. characteristics of a nursing diagnosis- if you cannot change OG, focus on subsiding symptoms 2. goals and expected outcomes- evaluate intervention 3. evidence based interventions - 4. feasibility of the intervention - time , money 5. acceptability of the client - values, goals 6. nurses competency - know knowledge, using resources effectively and efficiently implementation process - correct answers 1. Reassessing the patient 2. Reviewing and revising the existing nursing care plan 3. Organizing resources and care delivery 4. Anticipating and preventing complications E - Evaluation - correct answers did anything change? 1. examine current situation 2. did interventions work? evaluation is always ongoing to record the changes in patients that need to be made evaluation process - correct answers 1. identify creteria and standards 2. collect data 3. interpret findings 4. document findings 5. revise, terminate or continue plan of care PCC - person centered care - correct answers attending to the person and understanding and working toward their goals and values for their quality of life Life limiting conditions, what can nurses do - correct answers - their history is principle, interacting with their family - Proving papliative care - suprise theory - would you be suprised if the paitent died in the next year what is papliative care - correct answers - recognizing the nature and limitations of one who suffers from LLC - understanding where that person is at in their mindset. Person centered care questions - correct answers 1. how are you doing 2. how is your care 3. what matters to you Quality of care assesments - correct answers - increases quality of life concerns within the hospital - guides more meaningful questions - empowers patients and their families Canadian health care system evolution - correct answers 1. British north american act 2. Municiplality act 3. Premier Tommy douglus act 4. Hospital insurance and diagnostic act 1. British north american act - correct answers responcibility for health, education and social services was given to provinces 2. Municiplality act - correct answers gave communities the power to pay taxes to pay physicians but