Fundamentals test 2 adPIe eXam WItH CORReCt aCtual
QuestIOns and CORReCtlY Well deFIned ansWeRs latest
alReadY GRaded a+
The client states, "My lips feel numb, and I can't see very well." What is the type and
source of this data? - ansWeR-subjective data from a primary source
Which step of the nursing process is being used when the nurse says to a newly
admitted patient, "You look tired"? - ansWeR-Assessment
What information supports the appropriateness of a nursing diagnosis?
-Defining characteristics
-Planned interventions
-Diagnostic statement
-Related Risk factors - ansWeR-Defining characteristics
A nurse collects information about a patient. Which should the nurse do next? -
ansWeR-Determine significance of the data
When two nursing diagnoses appear closely related, which should the nurse do first to
determine which diagnosis most accurately reflects the needs of the patient? - ansWeR-
Review the defining characteristics
A nurse is collecting subjective data associated with a patient's anxiety. Which
assessment method should be sued to collect this information? - ansWeR-Interviewing
,Which component is missing for the goal: Client performs self-monitoring of blood sugar
level? (subject, verb, modifier, desired performance) - ansWeR-desired performance
(what do you want BS to be)
What is missing from the following desired outcome: "Client will ambulate by 6/1/2017?"
(subject, action, criterion/modifier, performance criterion) - ansWeR-Conditions or
modifiers (how far)
What is missing from the following desired outcome: "Client will be able to climb one
flight of stairs without shortness of breath?" (subject, action, condition/modifier, criterion
of desired performance) - ansWeR-criterion of desired performance (how)
Foundation for Dx is - ansWeR-assessment
____ is Putting together pieces of information to make a judgment - ansWeR-Inductive
reasoning
____ is Breaking down a concept into smaller parts to clarify - ansWeR-Deductive
reasoning
The Nursing Process purpose #1 - ansWeR-Identify the client's health(strengths and
weaknesses)
The Nursing Process purpose #2 - ansWeR-Establish a plan to meet client needs
The Nursing Process purpose #3 - ansWeR-Deliver nursing actions to meet client needs
ADPIE part = analysis of data to determine client strengths and/or problems. - ansWeR-
Diagnosing
ADPIE part= determine how to reinforce strengths or prevent, reduce, or resolve
identified problems. - ansWeR-Planning
, Purpose of assessing: - ansWeR-To establish a database about the client's response to
a health concern
Steps of assessing in order - ansWeR-collecting, organizing, validating, documenting
data
This step of assessing requires a framework (i.e. Gordon's Functional Health patterns) -
ansWeR-Organizing Data
Type of data can be described only by the person affected - ansWeR-subjective
Type of data can be detected by an observer. - ansWeR-objective
Cues are - ansWeR-subjective/objective data
inferences are - ansWeR-nurse's interpretations of cues
What's more important cues or inferences? - ansWeR-cues
descriptive data is - ansWeR-factual
Interpretive data is - ansWeR-judgmental
NANDA stands for - ansWeR-North American Nursing Diagnosis Association
What is a Nursing Diagnosis? - ansWeR-a clinical judgment about individual, family or
community responses to actual and potential health problems or life processes.
QuestIOns and CORReCtlY Well deFIned ansWeRs latest
alReadY GRaded a+
The client states, "My lips feel numb, and I can't see very well." What is the type and
source of this data? - ansWeR-subjective data from a primary source
Which step of the nursing process is being used when the nurse says to a newly
admitted patient, "You look tired"? - ansWeR-Assessment
What information supports the appropriateness of a nursing diagnosis?
-Defining characteristics
-Planned interventions
-Diagnostic statement
-Related Risk factors - ansWeR-Defining characteristics
A nurse collects information about a patient. Which should the nurse do next? -
ansWeR-Determine significance of the data
When two nursing diagnoses appear closely related, which should the nurse do first to
determine which diagnosis most accurately reflects the needs of the patient? - ansWeR-
Review the defining characteristics
A nurse is collecting subjective data associated with a patient's anxiety. Which
assessment method should be sued to collect this information? - ansWeR-Interviewing
,Which component is missing for the goal: Client performs self-monitoring of blood sugar
level? (subject, verb, modifier, desired performance) - ansWeR-desired performance
(what do you want BS to be)
What is missing from the following desired outcome: "Client will ambulate by 6/1/2017?"
(subject, action, criterion/modifier, performance criterion) - ansWeR-Conditions or
modifiers (how far)
What is missing from the following desired outcome: "Client will be able to climb one
flight of stairs without shortness of breath?" (subject, action, condition/modifier, criterion
of desired performance) - ansWeR-criterion of desired performance (how)
Foundation for Dx is - ansWeR-assessment
____ is Putting together pieces of information to make a judgment - ansWeR-Inductive
reasoning
____ is Breaking down a concept into smaller parts to clarify - ansWeR-Deductive
reasoning
The Nursing Process purpose #1 - ansWeR-Identify the client's health(strengths and
weaknesses)
The Nursing Process purpose #2 - ansWeR-Establish a plan to meet client needs
The Nursing Process purpose #3 - ansWeR-Deliver nursing actions to meet client needs
ADPIE part = analysis of data to determine client strengths and/or problems. - ansWeR-
Diagnosing
ADPIE part= determine how to reinforce strengths or prevent, reduce, or resolve
identified problems. - ansWeR-Planning
, Purpose of assessing: - ansWeR-To establish a database about the client's response to
a health concern
Steps of assessing in order - ansWeR-collecting, organizing, validating, documenting
data
This step of assessing requires a framework (i.e. Gordon's Functional Health patterns) -
ansWeR-Organizing Data
Type of data can be described only by the person affected - ansWeR-subjective
Type of data can be detected by an observer. - ansWeR-objective
Cues are - ansWeR-subjective/objective data
inferences are - ansWeR-nurse's interpretations of cues
What's more important cues or inferences? - ansWeR-cues
descriptive data is - ansWeR-factual
Interpretive data is - ansWeR-judgmental
NANDA stands for - ansWeR-North American Nursing Diagnosis Association
What is a Nursing Diagnosis? - ansWeR-a clinical judgment about individual, family or
community responses to actual and potential health problems or life processes.
