NURS 204: Exam 2 ULL ACTUAL EXAMS
2025/2026 EXPERT VERIFIED WITH DETAILED
ANSWERS AND RATIONALES| GUARANTEED
PASS
Nurse's Legal Responsibilities - CORRECT ANSWES -- All aspects of nursing care to
clients/families, including:
- Documentation
- Referrals
Communication issues
- Professional liability
- Informed consent
- Confidentiality
Laws in healthcare: statutory, civil, criminal
Nursing Process - CORRECT ANSWES -- Assessment
Diagnosis
Planning
Implementation
Evaluation
Assessment - CORRECT ANSWES -- - collect data/info
- collection, analysis, & verification of information
- involves history and physical exam
Beginning of Assessment Process - CORRECT ANSWES -- Initial meeting between
nurse & client/family
Next step after Assessment Process - CORRECT ANSWES -- to obtain information
about the clients current and past problems
History - CORRECT ANSWES -- past records& test, other healthcare team members,
and family history
Physical Exam - CORRECT ANSWES -- observation, current tests, and
measurements
as new information becomes available - CORRECT ANSWES -- When must you refine
& update the original assessment?
Data Collection (Assessment) - CORRECT ANSWES -- Subjective & objective
,Subjective Data Collection - CORRECT ANSWES -- client's perception of data & what
client or family says about the data
Document: Patient states, "..."
Objective Data Collection - CORRECT ANSWES -- data directly observed or verified
through physical exam or tests
Document: specific, measurable terms
Analyze Data (Assessment) - CORRECT ANSWES -- organize cluster behaviors &
make inferences on Subjective & objective
Verify Data (Assessment) - CORRECT ANSWES -- validate data & inferences with
client
Diagnosis - CORRECT ANSWES -- - problem identification
- identify health care needs/problems
- analyze information received & identify gaps
- compare against normal health standards
- functional vs. dysfunctional patterns
Nursing Diagnosis - CORRECT ANSWES -- a comprehensive biopsychosocial
statement that captures the essence of the client's health care needs/problems
- developed & prioritized based on the client's most immediate needs in the current
health care situation
- describes the client's human responses to health issues & medical diagnosis
Problem-focused Nursing Diagnosis - CORRECT ANSWES -- - human response to
health conditions/life processes that can exist in a individual, family, or community
- supported by defining characteristics that cluster in patterns of related cues or
inferences
MAJOR: Problem-focused Nursing Diagnosis - CORRECT ANSWES -- must be
present
MINOR: Problem-focused Nursing Diagnosis - CORRECT ANSWES -- provide
support, but may or may not be present
Risk & High-risk Nursing Diagnosis - CORRECT ANSWES -- - human response to
health conditions/life processes that may develop in a vulnerable individual, family, or
community
- supported by risk factors that contribute to increased vulnerability
, Risk - CORRECT ANSWES -- expected or predictive diagnosis for all individuals who
are undergoing some situation
High-risk - CORRECT ANSWES -- for people with additional risk factors that may be
more vulnerable for the problem to occur
Possible Nursing Diagnosis - CORRECT ANSWES -- - describe a suspected problem
requiring additional data to confirm or rule out (r/o)
In possible nursing diagnosis, once additional data is collected the nurse can? -
CORRECT ANSWES -- - confirm presence of major s/s and label as Problem-focused
ND
- confirm presence of potential risk factors and label as Risk ND
- R/O presence of diagnosis at this time
Rule Out - CORRECT ANSWES -- r/o
Health-promotion Nursing Diagnosis - CORRECT ANSWES -- a clinical judgement of
a person's, family's, or community's motivation, desire, and readiness to increase well-
being and actualize human health potential as expressed in their readiness to enhance
specific health behaviors such as nutrition and exercise
- a desire for increased wellness
- effective present status or function in the specific health behavior - CORRECT
ANSWES -- Two cues that must be present to use Health-promotion ND:
Syndrome Nursing Diagnosis - CORRECT ANSWES -- - comprise a cluster of
predicted problem-focused (actual) or high-risk ND related to a certain event or situation
Syndrome Nursing Diagnosis - CORRECT ANSWES -- diagnostic statements with the
etiologic or contributing factors contained in the diagnostic label
Collaborative Problem Nursing Diagnosis (Risk for Complications) - CORRECT
ANSWES -- - certain physiologic complications that nurses monitor to detect onset or
changes in status
- nurses manage by using physician-prescribed and nursing-prescribed interventions to
minimize the complications of the events
Three Components of Nursing Diagnosis: - CORRECT ANSWES -- problem, cause,
evidence
Problem - CORRECT ANSWES -- label or diagnostic label
Cause - CORRECT ANSWES -- etiology or related to factor (r/t)
evidence - CORRECT ANSWES -- - signs and symptoms
2025/2026 EXPERT VERIFIED WITH DETAILED
ANSWERS AND RATIONALES| GUARANTEED
PASS
Nurse's Legal Responsibilities - CORRECT ANSWES -- All aspects of nursing care to
clients/families, including:
- Documentation
- Referrals
Communication issues
- Professional liability
- Informed consent
- Confidentiality
Laws in healthcare: statutory, civil, criminal
Nursing Process - CORRECT ANSWES -- Assessment
Diagnosis
Planning
Implementation
Evaluation
Assessment - CORRECT ANSWES -- - collect data/info
- collection, analysis, & verification of information
- involves history and physical exam
Beginning of Assessment Process - CORRECT ANSWES -- Initial meeting between
nurse & client/family
Next step after Assessment Process - CORRECT ANSWES -- to obtain information
about the clients current and past problems
History - CORRECT ANSWES -- past records& test, other healthcare team members,
and family history
Physical Exam - CORRECT ANSWES -- observation, current tests, and
measurements
as new information becomes available - CORRECT ANSWES -- When must you refine
& update the original assessment?
Data Collection (Assessment) - CORRECT ANSWES -- Subjective & objective
,Subjective Data Collection - CORRECT ANSWES -- client's perception of data & what
client or family says about the data
Document: Patient states, "..."
Objective Data Collection - CORRECT ANSWES -- data directly observed or verified
through physical exam or tests
Document: specific, measurable terms
Analyze Data (Assessment) - CORRECT ANSWES -- organize cluster behaviors &
make inferences on Subjective & objective
Verify Data (Assessment) - CORRECT ANSWES -- validate data & inferences with
client
Diagnosis - CORRECT ANSWES -- - problem identification
- identify health care needs/problems
- analyze information received & identify gaps
- compare against normal health standards
- functional vs. dysfunctional patterns
Nursing Diagnosis - CORRECT ANSWES -- a comprehensive biopsychosocial
statement that captures the essence of the client's health care needs/problems
- developed & prioritized based on the client's most immediate needs in the current
health care situation
- describes the client's human responses to health issues & medical diagnosis
Problem-focused Nursing Diagnosis - CORRECT ANSWES -- - human response to
health conditions/life processes that can exist in a individual, family, or community
- supported by defining characteristics that cluster in patterns of related cues or
inferences
MAJOR: Problem-focused Nursing Diagnosis - CORRECT ANSWES -- must be
present
MINOR: Problem-focused Nursing Diagnosis - CORRECT ANSWES -- provide
support, but may or may not be present
Risk & High-risk Nursing Diagnosis - CORRECT ANSWES -- - human response to
health conditions/life processes that may develop in a vulnerable individual, family, or
community
- supported by risk factors that contribute to increased vulnerability
, Risk - CORRECT ANSWES -- expected or predictive diagnosis for all individuals who
are undergoing some situation
High-risk - CORRECT ANSWES -- for people with additional risk factors that may be
more vulnerable for the problem to occur
Possible Nursing Diagnosis - CORRECT ANSWES -- - describe a suspected problem
requiring additional data to confirm or rule out (r/o)
In possible nursing diagnosis, once additional data is collected the nurse can? -
CORRECT ANSWES -- - confirm presence of major s/s and label as Problem-focused
ND
- confirm presence of potential risk factors and label as Risk ND
- R/O presence of diagnosis at this time
Rule Out - CORRECT ANSWES -- r/o
Health-promotion Nursing Diagnosis - CORRECT ANSWES -- a clinical judgement of
a person's, family's, or community's motivation, desire, and readiness to increase well-
being and actualize human health potential as expressed in their readiness to enhance
specific health behaviors such as nutrition and exercise
- a desire for increased wellness
- effective present status or function in the specific health behavior - CORRECT
ANSWES -- Two cues that must be present to use Health-promotion ND:
Syndrome Nursing Diagnosis - CORRECT ANSWES -- - comprise a cluster of
predicted problem-focused (actual) or high-risk ND related to a certain event or situation
Syndrome Nursing Diagnosis - CORRECT ANSWES -- diagnostic statements with the
etiologic or contributing factors contained in the diagnostic label
Collaborative Problem Nursing Diagnosis (Risk for Complications) - CORRECT
ANSWES -- - certain physiologic complications that nurses monitor to detect onset or
changes in status
- nurses manage by using physician-prescribed and nursing-prescribed interventions to
minimize the complications of the events
Three Components of Nursing Diagnosis: - CORRECT ANSWES -- problem, cause,
evidence
Problem - CORRECT ANSWES -- label or diagnostic label
Cause - CORRECT ANSWES -- etiology or related to factor (r/t)
evidence - CORRECT ANSWES -- - signs and symptoms
