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Intro to Nursing - Exam 1 COMPLETE QUESTIONS AND SOLUTIONS GRADED A+

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Intro to Nursing - Exam 1 COMPLETE QUESTIONS AND SOLUTIONS GRADED A+

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Dallas College BIOL 2401



Intro to Nursing - Exam 1 COMPLETE
QUESTIONS AND SOLUTIONS GRADED A+


Terms in this set (149)



The foundation of the nursing profession; is The Nursing Process
the systematic approach to problem-solving
and providing individualized care?


The phases of the nursing process? Assessment, Diagnosis, Planning (includes Outcome),
Implementation, Evaluation


What is Assessment? Collection of data to help establish a goal of making a clinical
nursing judgment.


Difference between subjective and Subjective, from the client; Objective, from the nurse's senses.
objective data?


Difference between primary, secondary and Primary, can only be the patient; Secondary, info from families,
tertiary sources? medical records, or other health care professionals; Tertiary,
info from textbooks, nurse's and other health care team
responses to patient

, What must be done by the nurse on In depth nursing history and physical assessment must be
admission to a health care facility? And what done and it identifies the patient's strengths and
does it identify? weakness/health problems.


When does data collection take place? Through observations, interviews, physical assessment, and
interpreting lab and diagnostic results.


What is diagnosis? The clinical act of identifying problems using the assessment
data collected. This step identifies an individual, family or
group response to an actual or potential health problem.


What is the nursing diagnosis based on? The pathophysiology of the disease process.


Who established the list of nursing diagnosis North American Nursing Diagnosis Association (NANDA)
for classifying nursing problems,
standardizing language and facilitating
communication for nurses?


What is included in Outcome? Development of patient focused goals...included in the
planning phase.


What are the guidelines on making goals? Must be patient-focused, specific to the nursing diagnosis or
patient problem, measurable, realistic and have time frame.


What is involved in the Planning phase? Preparing the nursing care plan with patient input in how to
identify goals and interventions to help with the identified
problems.


What is included in the Planning phase? Patient goals/outcomes specific to the problem, assessment,
specific treatments (independent and dependent),
medications, teaching, and community care.


What is a Joint Commission on Accreditation The care plan is a written summary of the care that a patient is
of Healthcare Organizations (JACHO) to receive.
requirement?


What is the action phase? Implementatio/Intervention


Why are nursing actions goal oriented? To help the patient reach maximum health potential


What is crucial in the implementation Documentation
phase?


What is determined in the Evaluation phase? The patient's reactions to nursing interventions and judging
whether the goals of the plan of care were achieved.


What is ongoing and continuous process Evaluation..."revised or reassessed"
performed throughout the process?


Vital signs are a________mechanism? Homeostatic

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