NUR 321 Foundations of Nursing Exam 1
Questions and Answers
Evaluation ✅identify the nursing process:
Measurement of the extent to which the patient has achieved the goals specified in the
plan of care; factors that positively or negatively influence goal achievement are
identified, and the plan of care is terminated or revised
Nursing diagnosis ✅identify the nursing process:
Actual or potential health problem that an independent nursing intervention can prevent
or resolve.
Teaching-learning process ✅identify the nursing process:
Process of patient teaching that encompasses critical steps necessary to provide
teaching and to measure learning; the teaching-learning process models the nursing
process
Goal ✅identify the nursing process:
An aim or an end
Patient outcome ✅identify the nursing process:
Measurable changes in patient behavior or state of health
Medical diagnosis ✅identify the nursing process:
Statement about a specific disease process using terminology from a well-developed
classification system accepted by the medical profession.
Standardized care plan ✅identifies the nursing diagnoses, patient goals, and related
nursing orders common to a specific population or problem.
Nursing intervention ✅any treatment, based on clinical judgment and knowledge that a
nurse performs to enhance patient outcomes; types include nurse-initiated physician-
initiated, and collaborative
Learning readiness ✅patient's willingness to engage in the teaching-learning process
(emotional readiness) and experiential readiness to begin the challenge of learning.
Expected outcome ✅specific, measurable criteria used to evaluate whether the patient
goal has been met
Evaluation ✅which phase of the nursing process includes:
Final phase of the process where progress to goals and outcomes is examined, and any
need for a change in the plan is indicated?
, Assessment ✅which phase of the nursing process includes:
Initial phase where data is gathered, the patient interview takes place, confidentiality of
the patient is maintained, and data is organized.
Diagnosis ✅which phase of the nursing process includes:
Patient problems that can be addressed with nursing practice and where problems and
priorities are identified as a result of the disease process.
Planning ✅which phase of the nursing process includes:
Identifying patient long and short-term goals, goal agreement between patient and
nurse, and formulating goals using three domains.
Interventions and outcomes ✅which phase of the nursing process includes:
Nursing mediation is carried out, including activities such as managing pain, educating,
and monitoring.
Independent ✅independent or dependent nursing intervention?
Teaching a patient how to breastfeed an infant
Independent ✅independent or dependent nursing intervention?
Providing music therapy
Dependent ✅independent or dependent nursing intervention?
Giving a medication
Dependent ✅independent or dependent nursing intervention?
Changing a dressing
Independent ✅independent or dependent nursing intervention?
Instructing a patient on coughing and deep breathing
Independent ✅independent or dependent nursing intervention?
Assessing the lungs
Independent ✅independent or dependent nursing intervention?
Elevating hob to 45 degrees
Dependent ✅independent or dependent nursing intervention?
Suctioning a patient's mouth
Dependent ✅independent or dependent nursing intervention?
Inserting a foley
Questions and Answers
Evaluation ✅identify the nursing process:
Measurement of the extent to which the patient has achieved the goals specified in the
plan of care; factors that positively or negatively influence goal achievement are
identified, and the plan of care is terminated or revised
Nursing diagnosis ✅identify the nursing process:
Actual or potential health problem that an independent nursing intervention can prevent
or resolve.
Teaching-learning process ✅identify the nursing process:
Process of patient teaching that encompasses critical steps necessary to provide
teaching and to measure learning; the teaching-learning process models the nursing
process
Goal ✅identify the nursing process:
An aim or an end
Patient outcome ✅identify the nursing process:
Measurable changes in patient behavior or state of health
Medical diagnosis ✅identify the nursing process:
Statement about a specific disease process using terminology from a well-developed
classification system accepted by the medical profession.
Standardized care plan ✅identifies the nursing diagnoses, patient goals, and related
nursing orders common to a specific population or problem.
Nursing intervention ✅any treatment, based on clinical judgment and knowledge that a
nurse performs to enhance patient outcomes; types include nurse-initiated physician-
initiated, and collaborative
Learning readiness ✅patient's willingness to engage in the teaching-learning process
(emotional readiness) and experiential readiness to begin the challenge of learning.
Expected outcome ✅specific, measurable criteria used to evaluate whether the patient
goal has been met
Evaluation ✅which phase of the nursing process includes:
Final phase of the process where progress to goals and outcomes is examined, and any
need for a change in the plan is indicated?
, Assessment ✅which phase of the nursing process includes:
Initial phase where data is gathered, the patient interview takes place, confidentiality of
the patient is maintained, and data is organized.
Diagnosis ✅which phase of the nursing process includes:
Patient problems that can be addressed with nursing practice and where problems and
priorities are identified as a result of the disease process.
Planning ✅which phase of the nursing process includes:
Identifying patient long and short-term goals, goal agreement between patient and
nurse, and formulating goals using three domains.
Interventions and outcomes ✅which phase of the nursing process includes:
Nursing mediation is carried out, including activities such as managing pain, educating,
and monitoring.
Independent ✅independent or dependent nursing intervention?
Teaching a patient how to breastfeed an infant
Independent ✅independent or dependent nursing intervention?
Providing music therapy
Dependent ✅independent or dependent nursing intervention?
Giving a medication
Dependent ✅independent or dependent nursing intervention?
Changing a dressing
Independent ✅independent or dependent nursing intervention?
Instructing a patient on coughing and deep breathing
Independent ✅independent or dependent nursing intervention?
Assessing the lungs
Independent ✅independent or dependent nursing intervention?
Elevating hob to 45 degrees
Dependent ✅independent or dependent nursing intervention?
Suctioning a patient's mouth
Dependent ✅independent or dependent nursing intervention?
Inserting a foley
