NUR 202 Exam 1 Questions with 100% Correct Answers

Data clustering Correct Answer determining what out of all data is significant Components that add to the ability to critically think Correct Answer knowledge, experience, attitudes, and standards Nursing process steps Correct Answer Assessment Diagnosis Planning Implementation Evaluation Assessment Correct Answer observation, collection of information, and data which is analyzed, validated organized, and documented Primary, secondary, subjective, and objective data Correct Answer primary:patient interview Secondary: family, medical record Subjective: symptoms Objective: signs, labs, tests Signs vs. Symptoms Correct Answer Signs = Objective information; can be seen, measured, heard, or felt - Color, pulse, edema Symptoms = Subjective information - Dyspnea, pain, nausea Nursing Diagnosis Correct Answer Analyze the data and identify actual and potential problems. Create a clear statement of the problem. Immediate Priorities Correct Answer abcs, Airway, Breathing, Circulation- think about Maslow's Hierarchy of Needs Actual health problem Correct Answer existing problems or concerns Risk diagnosis Correct Answer increased potential or vulnerability of the patient for a problem or complication Health promotion diagnosis Correct Answer expression of desire to change health Medical diagnosis vs nursing diagnosis Correct Answer Medical Diagnosis: is used to evaluate the cause or etiology of disease Nursing Diagnosis: clinical judements about a persons response to an actual or potential health state