NURSING 1140 PRACTICE TEST
· Nursing process - ANSWER-´Assessment
´Diagnosis
´Outcome identification
´Planning
´Implementation
´Evaluation
assessment - ANSWER-´Review of clinical record
´Interview
´Health history
´Physical examination
´Functional assessment
´Cultural and spiritual assessment
´Consultation
´Review of the literature
diagnosis - ANSWER-a statement of the high risk or actual problems in the
client's health status that the nurse is licensed and competent to treat
diagnostic statement diagram - ANSWER-#___ ___________ r/t __________ e/b
_____________
Priority Patient's this is the cause these are signs/ symptoms needs/problem
(etiology) that come from the assessment (what you see that
supports the problem)
,r/t= related to
e/b or m/b= evidenced by or manifested by
Patient's needs/problem= NANDA approved statement found in book
outcome identification - ANSWER-´Identify expected outcomes related to
patient individualization
´Ensure outcomes are realistic and measurable
´Specify short-term and long-term goal measurement criteria
Planning - ANSWER-´Establish priorities based on meeting identified patient
care goals
´Develop outcomes and set time frames for meeting proposed outcomes
´Identify relevant interventions and utilize interdisciplinary health care team
members in the care planning process for the patient
´Document plan of care
Implementation - ANSWER-´Determine patient readiness and involve
patient(s) in health care process
´Review planned interventions with interdisciplinary health care team
members to facilitate collaborative effort
´Utilize principles of delegation, being mindful of supervision and evaluation
´Counsel person and significant others
´Refer for continuing care
´Document care provided
Evaluation - ANSWER-´Refer to established outcomes
, ´Evaluate individual's condition and compare actual outcomes with expected
outcomes
´Summarize results of evaluation
´Identify reasons for failure to achieve expected outcomes
´Take corrective action to modify plan of care
´Document evaluation in plan of care
Complete total health database - ANSWER-ØDescribes current and past
health state and forms baseline to measure all future changes.
Episodic or problem-centered database - ANSWER-ØCollect "mini" database,
smaller scope and more focused than complete database.
Follow-up database - ANSWER-ØStatus of all identified problems should be
evaluated at regular and appropriate intervals.
Emergency database - ANSWER-ØRapid collection of data often compiled
concurrently with lifesaving measures.
´First-level priority - ANSWER-´Emergent, life threatening, and immediate
´Second-level priority - ANSWER-´Next in urgency, requiring attention so as
to avoid further deterioration
´Third-level priority - ANSWER-´Important to patient's health but can be
addressed after more urgent problems are addressed
´Collaborative problems - ANSWER-´Collaborative problems
´Approach to treatment involves multiple disciplines
· Nursing process - ANSWER-´Assessment
´Diagnosis
´Outcome identification
´Planning
´Implementation
´Evaluation
assessment - ANSWER-´Review of clinical record
´Interview
´Health history
´Physical examination
´Functional assessment
´Cultural and spiritual assessment
´Consultation
´Review of the literature
diagnosis - ANSWER-a statement of the high risk or actual problems in the
client's health status that the nurse is licensed and competent to treat
diagnostic statement diagram - ANSWER-#___ ___________ r/t __________ e/b
_____________
Priority Patient's this is the cause these are signs/ symptoms needs/problem
(etiology) that come from the assessment (what you see that
supports the problem)
,r/t= related to
e/b or m/b= evidenced by or manifested by
Patient's needs/problem= NANDA approved statement found in book
outcome identification - ANSWER-´Identify expected outcomes related to
patient individualization
´Ensure outcomes are realistic and measurable
´Specify short-term and long-term goal measurement criteria
Planning - ANSWER-´Establish priorities based on meeting identified patient
care goals
´Develop outcomes and set time frames for meeting proposed outcomes
´Identify relevant interventions and utilize interdisciplinary health care team
members in the care planning process for the patient
´Document plan of care
Implementation - ANSWER-´Determine patient readiness and involve
patient(s) in health care process
´Review planned interventions with interdisciplinary health care team
members to facilitate collaborative effort
´Utilize principles of delegation, being mindful of supervision and evaluation
´Counsel person and significant others
´Refer for continuing care
´Document care provided
Evaluation - ANSWER-´Refer to established outcomes
, ´Evaluate individual's condition and compare actual outcomes with expected
outcomes
´Summarize results of evaluation
´Identify reasons for failure to achieve expected outcomes
´Take corrective action to modify plan of care
´Document evaluation in plan of care
Complete total health database - ANSWER-ØDescribes current and past
health state and forms baseline to measure all future changes.
Episodic or problem-centered database - ANSWER-ØCollect "mini" database,
smaller scope and more focused than complete database.
Follow-up database - ANSWER-ØStatus of all identified problems should be
evaluated at regular and appropriate intervals.
Emergency database - ANSWER-ØRapid collection of data often compiled
concurrently with lifesaving measures.
´First-level priority - ANSWER-´Emergent, life threatening, and immediate
´Second-level priority - ANSWER-´Next in urgency, requiring attention so as
to avoid further deterioration
´Third-level priority - ANSWER-´Important to patient's health but can be
addressed after more urgent problems are addressed
´Collaborative problems - ANSWER-´Collaborative problems
´Approach to treatment involves multiple disciplines
