NURS 214 - EXAM 1 (IUP) QUESTIONS WITH
CORRECT ANSWERS
Subjective Data - ANSWER What the pt tells you
Objective Data - ANSWER what the health professional observes by inspecting,
palpating, percussing, and auscultating during the physical examination
Purpose of Assessment - ANSWER to make a judgement or diagnosis,
Diagnostic reasoning - ANSWER the process of analyzing health data and
drawing conclusions to identify diagnoses
Cue - ANSWER piece of information, a sign or symptom, or a piece of laboratory
data
Hypothesis - ANSWER A tentative explanation for a cue or set of cues that can
be used as a basis for further investigation
Four main components of diagnostic reasoning - ANSWER 1. Attending to
initially available cues
2. Formulating diagnostic hypotheses
3. Gathering data relative to the hypotheses
4. Evaluating each hypothesis with the new data collected
Nursing Process - ANSWER Assessment
Diagnosis
Planning
Implementation
Evaluation
Assessment - ANSWER Collecting data
Diagnosis - ANSWER Educated guess/diagnosis
Planning - ANSWER Working with the pt to make a plan of care
Implementation - ANSWER putting a planned program into action
Evaluation - ANSWER Looking at progress and changing plan based on results
Critical Thinking Skills - ANSWER - Avoid assumptions
-Validation
, - Distinguish norm from abnorm
-Cluster important information
First-level priority problems - ANSWER emergent, life-threatening, and
immediate, such as establishing an airway or supporting breathing
Second-level priority problems - ANSWER those that are next in urgency
requiring your prompt intervention to forestall further deterioration
Third-level priority problems - ANSWER those that are important to the patient's
health but can be addressed after more urgent health problems are addressed.
Third level example - ANSWER Knowledge deficit, altered family processes, and
low self esteem
collaborative problems - ANSWER approach to treatment involves multiple
disciplines
Once you have determined problems - ANSWER identify expected outcomes and
work with the pt to facilitate outcome achievement
Evidence based practice - ANSWER systematic approach to practice that
emphasizes the use of best evidence in combination with the clinician's
experience, as well as the pts preferences and value, to make decisions about
care and treatment
Complete Database - ANSWER a complete health history and full physical
examination
Focused database - ANSWER used for a limited or short-term problem; concerns
mainly one problem, one cue complex, or one body system
Follow-up database - ANSWER used in all settings to monitor progress of short-
term or chronic health problems
Emergency database - ANSWER rapid collection of the database, often compiled
concurrently with lifesaving measures
Holistic Health - ANSWER the view that the mind, body, and spirit are
interdependent and function as a whole within the environment
Individual and environment are - ANSWER open systems
Health promotion and disease prevention are - ANSWER the core of nursing
CORRECT ANSWERS
Subjective Data - ANSWER What the pt tells you
Objective Data - ANSWER what the health professional observes by inspecting,
palpating, percussing, and auscultating during the physical examination
Purpose of Assessment - ANSWER to make a judgement or diagnosis,
Diagnostic reasoning - ANSWER the process of analyzing health data and
drawing conclusions to identify diagnoses
Cue - ANSWER piece of information, a sign or symptom, or a piece of laboratory
data
Hypothesis - ANSWER A tentative explanation for a cue or set of cues that can
be used as a basis for further investigation
Four main components of diagnostic reasoning - ANSWER 1. Attending to
initially available cues
2. Formulating diagnostic hypotheses
3. Gathering data relative to the hypotheses
4. Evaluating each hypothesis with the new data collected
Nursing Process - ANSWER Assessment
Diagnosis
Planning
Implementation
Evaluation
Assessment - ANSWER Collecting data
Diagnosis - ANSWER Educated guess/diagnosis
Planning - ANSWER Working with the pt to make a plan of care
Implementation - ANSWER putting a planned program into action
Evaluation - ANSWER Looking at progress and changing plan based on results
Critical Thinking Skills - ANSWER - Avoid assumptions
-Validation
, - Distinguish norm from abnorm
-Cluster important information
First-level priority problems - ANSWER emergent, life-threatening, and
immediate, such as establishing an airway or supporting breathing
Second-level priority problems - ANSWER those that are next in urgency
requiring your prompt intervention to forestall further deterioration
Third-level priority problems - ANSWER those that are important to the patient's
health but can be addressed after more urgent health problems are addressed.
Third level example - ANSWER Knowledge deficit, altered family processes, and
low self esteem
collaborative problems - ANSWER approach to treatment involves multiple
disciplines
Once you have determined problems - ANSWER identify expected outcomes and
work with the pt to facilitate outcome achievement
Evidence based practice - ANSWER systematic approach to practice that
emphasizes the use of best evidence in combination with the clinician's
experience, as well as the pts preferences and value, to make decisions about
care and treatment
Complete Database - ANSWER a complete health history and full physical
examination
Focused database - ANSWER used for a limited or short-term problem; concerns
mainly one problem, one cue complex, or one body system
Follow-up database - ANSWER used in all settings to monitor progress of short-
term or chronic health problems
Emergency database - ANSWER rapid collection of the database, often compiled
concurrently with lifesaving measures
Holistic Health - ANSWER the view that the mind, body, and spirit are
interdependent and function as a whole within the environment
Individual and environment are - ANSWER open systems
Health promotion and disease prevention are - ANSWER the core of nursing
