N3632 FINAL EXAM REVIEW- SET
WITH COMPLETE CORRECT ANSWERS
What are the characteristics of an assessment? - CORRECT
ANSWER- Purposeful
Prioritized
Complete
Systematic
Factual and accurate
Relevant
Recorded in a standard measure
What is an assessment? - CORRECT ANSWER- systematic and
continuous collection, analysis, validation, and communication of patient
information
Differentiate between a medical and a nursing assessment. -
CORRECT ANSWER- Medical -- focuses on pathologic conditions
Nursing -- focuses on patient's *response* to health problems
Identify the 4 types of nursing assessments - CORRECT ANSWER-
Initial
Focused
Ongoing/partial
,Emergency
When would an nurse complete an INITIAL assessment? - CORRECT
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? -
CORRECT ANSWER- after a specific problem has been identified
When would a nurse complete an ONGOING assessment? -
CORRECT 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? -
CORRECT 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? - CORRECT 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? - CORRECT 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. -
CORRECT ANSWER- Medical: myocardial infarction
Nursing: fear, altered health maintenance, deficient knowledge, and
altered tissue perfusion
What is ALFARO's rule? - CORRECT 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? - CORRECT 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? - CORRECT ANSWER-
Initial
Ongoing
Discharge
Explain initial planning - CORRECT ANSWER- address problems
listed in nursing diagnosis and identify goals and how to meet them
Explain ongoing planning - CORRECT ANSWER- using new data to
make the plan more specific and accurate
, Explain discharge planning - CORRECT ANSWER- helping the
patient and family develop sufficient knowledge and skills to carry out
self-care behaviors at home
Discuss SMART goals - CORRECT ANSWER- S -- specific
M -- measurable
A -- attainable
R -- reasonable
T -- timebound
What is the purpose of the implementation step? - CORRECT
ANSWER- implement or carry out the agreed up on goals during the
planning step
help the patient achieve valued outcomes
could mean to promote health, prevent disease or illness, restore health,
or cope with altered functioning
What are the two types of interventions? - CORRECT ANSWER-
Direct -- tx performed through interaction with patient; include
psychological and physiological needs
Indirect - performed away from patient, but on the /behalf/ of a patient;
includes actions aimed at management of patient care environment and
interdisciplinary collaboration
What is the purpose of the evaluation step? - CORRECT ANSWER-
to determine if the planning interventions were successful
allow the patient's achievement to direct future nurse/patient interactions
What are the 5 elements of the evaluation? - CORRECT ANSWER-
identify evaluative criteria and standards
Collect data to determine whether criteria & standards are met
Interpret and summarize findings
WITH COMPLETE CORRECT ANSWERS
What are the characteristics of an assessment? - CORRECT
ANSWER- Purposeful
Prioritized
Complete
Systematic
Factual and accurate
Relevant
Recorded in a standard measure
What is an assessment? - CORRECT ANSWER- systematic and
continuous collection, analysis, validation, and communication of patient
information
Differentiate between a medical and a nursing assessment. -
CORRECT ANSWER- Medical -- focuses on pathologic conditions
Nursing -- focuses on patient's *response* to health problems
Identify the 4 types of nursing assessments - CORRECT ANSWER-
Initial
Focused
Ongoing/partial
,Emergency
When would an nurse complete an INITIAL assessment? - CORRECT
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? -
CORRECT ANSWER- after a specific problem has been identified
When would a nurse complete an ONGOING assessment? -
CORRECT 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? -
CORRECT 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? - CORRECT 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? - CORRECT 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. -
CORRECT ANSWER- Medical: myocardial infarction
Nursing: fear, altered health maintenance, deficient knowledge, and
altered tissue perfusion
What is ALFARO's rule? - CORRECT 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? - CORRECT 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? - CORRECT ANSWER-
Initial
Ongoing
Discharge
Explain initial planning - CORRECT ANSWER- address problems
listed in nursing diagnosis and identify goals and how to meet them
Explain ongoing planning - CORRECT ANSWER- using new data to
make the plan more specific and accurate
, Explain discharge planning - CORRECT ANSWER- helping the
patient and family develop sufficient knowledge and skills to carry out
self-care behaviors at home
Discuss SMART goals - CORRECT ANSWER- S -- specific
M -- measurable
A -- attainable
R -- reasonable
T -- timebound
What is the purpose of the implementation step? - CORRECT
ANSWER- implement or carry out the agreed up on goals during the
planning step
help the patient achieve valued outcomes
could mean to promote health, prevent disease or illness, restore health,
or cope with altered functioning
What are the two types of interventions? - CORRECT ANSWER-
Direct -- tx performed through interaction with patient; include
psychological and physiological needs
Indirect - performed away from patient, but on the /behalf/ of a patient;
includes actions aimed at management of patient care environment and
interdisciplinary collaboration
What is the purpose of the evaluation step? - CORRECT ANSWER-
to determine if the planning interventions were successful
allow the patient's achievement to direct future nurse/patient interactions
What are the 5 elements of the evaluation? - CORRECT ANSWER-
identify evaluative criteria and standards
Collect data to determine whether criteria & standards are met
Interpret and summarize findings
