NURS 1522 ACTUAL TEST ANSWERS AND
QUESTIONS SET A+
Assessment - ✔✔gathering information
✔✔Why do we assess? - ✔✔to create a plan of care for patient
✔✔Initial Assessment - ✔✔done on admission to establish a complete data base for
problem identification and care planning
✔✔Focused Assessment - ✔✔completed as often as necessary depending on pts
status, focusing on specific problems
✔✔Emergency Assessment - ✔✔focus on life threatening issue first, then may go back
and complete rest of the assessment
✔✔Characteristics of data: - ✔✔-complete
-factual and accurate
-relevant
✔✔Diagnosis - ✔✔identifying pt problem
✔✔Data Interpretation & Analysis - ✔✔-recognizing patterns
- identify strengths and problems
✔✔Formulations & Validating Nursing Diagnosis - ✔✔writing nursing diagnosis, actual,
potential and possible nursing diagnosis
✔✔Actual Problem - ✔✔a problem that is present (ex. pain,nausea,skin break down)
✔✔Potential Problem - ✔✔a problem that might happen in the future (ex.risk for falls,
risk for skin breakdown)
✔✔Diagnosis example include... - ✔✔-due to
, -associated with
✔✔NANDA - ✔✔North American Nursing Diagnosis Association
✔✔What did NANDA do? - ✔✔developed to differentiate nursing diagnosis from
medical diagnosis
✔✔Planning - ✔✔setting goals and deciding how to achieve them
✔✔What are types of goals? - ✔✔-cognitive and psychomotor
-short term and long term
✔✔Planning steps - ✔✔1. set client centered goals
2. prioritize goals
3. outline expected outcomes
✔✔Plan statements always start with... - ✔✔"the client will"
✔✔Writing a plan should include... - ✔✔SMART criteria
✔✔SMART - ✔✔-specific
-measurable
-achievable
-realistic
-timely
✔✔Types of nursing interventions - ✔✔-nurse initiated (independant)
-physician initiated (dependant)
-collaborative
✔✔Components of Therapeutic Relationship - ✔✔-
power,empathy,respect,trust,professional intimacy
✔✔Client-Centered Care - ✔✔-right to know
-right to choose
-right to participate
-right to have an opinion
✔✔Maintaining Boundaries - ✔✔-do not get involved with clients personal relationship
-do not disclose info
-beware of co-relationships
-ensure its all about the client
-abstain from financial involvement
QUESTIONS SET A+
Assessment - ✔✔gathering information
✔✔Why do we assess? - ✔✔to create a plan of care for patient
✔✔Initial Assessment - ✔✔done on admission to establish a complete data base for
problem identification and care planning
✔✔Focused Assessment - ✔✔completed as often as necessary depending on pts
status, focusing on specific problems
✔✔Emergency Assessment - ✔✔focus on life threatening issue first, then may go back
and complete rest of the assessment
✔✔Characteristics of data: - ✔✔-complete
-factual and accurate
-relevant
✔✔Diagnosis - ✔✔identifying pt problem
✔✔Data Interpretation & Analysis - ✔✔-recognizing patterns
- identify strengths and problems
✔✔Formulations & Validating Nursing Diagnosis - ✔✔writing nursing diagnosis, actual,
potential and possible nursing diagnosis
✔✔Actual Problem - ✔✔a problem that is present (ex. pain,nausea,skin break down)
✔✔Potential Problem - ✔✔a problem that might happen in the future (ex.risk for falls,
risk for skin breakdown)
✔✔Diagnosis example include... - ✔✔-due to
, -associated with
✔✔NANDA - ✔✔North American Nursing Diagnosis Association
✔✔What did NANDA do? - ✔✔developed to differentiate nursing diagnosis from
medical diagnosis
✔✔Planning - ✔✔setting goals and deciding how to achieve them
✔✔What are types of goals? - ✔✔-cognitive and psychomotor
-short term and long term
✔✔Planning steps - ✔✔1. set client centered goals
2. prioritize goals
3. outline expected outcomes
✔✔Plan statements always start with... - ✔✔"the client will"
✔✔Writing a plan should include... - ✔✔SMART criteria
✔✔SMART - ✔✔-specific
-measurable
-achievable
-realistic
-timely
✔✔Types of nursing interventions - ✔✔-nurse initiated (independant)
-physician initiated (dependant)
-collaborative
✔✔Components of Therapeutic Relationship - ✔✔-
power,empathy,respect,trust,professional intimacy
✔✔Client-Centered Care - ✔✔-right to know
-right to choose
-right to participate
-right to have an opinion
✔✔Maintaining Boundaries - ✔✔-do not get involved with clients personal relationship
-do not disclose info
-beware of co-relationships
-ensure its all about the client
-abstain from financial involvement
