NUR 112 QUESTIONS WITH ACCURATE ANSWERS
- *Clinical decision-making skills separate professional nurses
from technical and supportive staff.*
- No two patients have the identical health problems, which
challenges nurses.
- *Nurses need to utilize knowledge, act quickly, and make sound
clinical decisions.*
- Examples of decisions nurses make daily: "Which client should I
see first?" correct answer Clinical Decision-Making:
- Assessment
- (Nursing) Diagnosis
- Planning
- Implementation
- Evaluation
"A Delicious Pie" correct answer *The Phases of the Nursing
Process:*
- Assessment (history, physical exam, diagnostics /labs) (data
collection)
- Data collection includes observing, interviewing, and examining.
- Then organize the data, validate the data, and interpret the
data. correct answer Phase 1-Assessment Steps:
- Assessments to observe for changes in client status
- Preventing complications
- Reduction of risk factors
- Treating through teaching & physical care
- Improvement of health correct answer Interventions focus on:
- Client centered
- Single, specific action
- Measurable
- Appropriate for client
- Realistic & Attainable
- Time-limited correct answer Types of Goals/Outcomes:
,- Client-centered
- Specific, single action
- Detailed (who, when, how, where, frequency/time)
- Realistic
- Relevant
- (Include Rationale)
Examples:
RN will monitor VS q 4 hours
RN will administer O2 @ 2LPM via NC as ordered by MD correct
answer Writing an Intervention:
- Date/Time
- Conclusion statement (goal met, partially met, or not met)
- Supporting statement with results
Examples:
3/7 @1100: Goal met: Pt able to ambulate 20 ft. using walker.
3/7 @1100: Goal partially met: Pt intake increased to 2000
mL/day.
3/7 @1100: Goal not met: Pt not able to self administer insulin.
correct answer Writing an Evaluation:
- Get information
- Identify problems
- Evaluate Change
- Teach
- Provide support, counseling, or therapy correct answer Purpose
of an interview:
- Identify a client's health status & actual or potential healthcare
needs.
- Deliver specific nursing interventions to meet those needs.
- To evaluate the success of the interventions. correct answer The
nursing process is used to:
- Independent thinking
- Intellectual curiosity
- Intellectual humility
- Intellectual empathy
, - Intellectual courage
- Fairmindedness correct answer Critical Thinking Attitudes:
- Know the scientific rationale or reason for the intervention; Why
did you choose this intervention?
- Possess the technical, cognitive, and interpersonal skills to
perform the interventions.
- Include client's input
The nurse selects interventions that are most likely to achieve
desired outcomes.
Example: Recording intake and output for a pt. who needs
increased fluid intake. correct answer To select interventions you
need to:
- Objectively gathering information on a problem or issue.
- Recognizing the need for more information.
- Evaluating the credibility and usefulness of sources of
information.
- Recognizing gaps in one's own knowledge
- Listening carefully; reading thoughtfully
- Separating relevant from irrelevant data and important from
unimportant data.
- Organizing or grouping information in meaningful ways
- Making inferences (tentative conclusions) about the meaning of
the information.
- Visualizing potential solutions to a problem
- Exploring the advantages, disadvantages, and consequences of
each potential action.
- Evaluating the credibility and usefulness of sources of
information.
- Recognizing differences and similarities among things or
situations.
- Prioritizing or ranking data as needed. correct answer Critical
Thinking Skills:
- Observing
- Interviewing
- Examining correct answer Collecting Data: