N3632 Final Exam Review questions with answers
What is an assessment? - ** VERIFIED ANSWERS **✔✔systematic and continuous collection,
analysis, validation, and communication of patient information
Differentiate between a medical and a nursing assessment. - ** VERIFIED ANSWERS **✔✔Medical
-- focuses on pathologic conditions
Nursing -- focuses on patient's *response* to health problems
What are the characteristics of an assessment? - ** VERIFIED ANSWERS **✔✔Purposeful
Prioritized
Complete
Systematic
Factual and accurate
Relevant
Recorded in a standard measure
Identify the 4 types of nursing assessments - ** VERIFIED ANSWERS **✔✔Initial
Focused
,Ongoing/partial
Emergency
When would an nurse complete an INITIAL assessment? - ** VERIFIED ANSWERS **✔✔when a
person enters a health care facility
used to establish baseline data for problem identification and care planning
When would a nurse complete a FOCUSED assessment? - ** VERIFIED ANSWERS **✔✔after a
specific problem has been identified
When would a nurse complete an ONGOING assessment? - ** VERIFIED ANSWERS **✔✔when a
patient enters a health care facility for a follow up visit
Used to compare a patient's current status to the baseline data obtained during the initial assessment
When would a nurse complete an EMERGENCY assessment? - ** VERIFIED ANSWERS **✔✔when
a patient has a very severe/dire status
used to identify life-threatening problems
ABCs
What are 3 purposes of a nursing diagnosis? - ** VERIFIED ANSWERS **✔✔Identify *responses* to
actual or potential health and life processes
Identify *factors that contribute to or cause* health problems
Identify ways to *prevent or resolve* health problems
,(Responses, factors, prevention)
What is a nursing diagnosis? - ** VERIFIED ANSWERS **✔✔intervention that prevents or resolves
actual or potential health problems
written in such a way that nurses can independently treat the patient problems
Examples: activity, pain or comfort, tissue integrity, and perfusion
Give examples of a Medical diagnosis vs. Nursing diagnosis. - ** VERIFIED ANSWERS
**✔✔Medical: myocardial infarction
Nursing: fear, altered health maintenance, deficient knowledge, and altered tissue perfusion
What is ALFARO's rule? - ** VERIFIED ANSWERS **✔✔states that the word "diagnosis" implies
there's a situation or problem requiring appropriate, qualified treatment
If you /identify/ the problem, you must then decide if you are /qualified/ to treat it and willing to
accept /responsibility/ for treating it. If not, you are responsible for getting help
What is the purpose of the planning step? - ** VERIFIED ANSWERS **✔✔to design a plan of care
with and for the patient that results in prevention, reduction, or resolution of health problems and
meets patient's expectations
What are the 3 basic steps to planning? - ** VERIFIED ANSWERS **✔✔Initial
Ongoing
Discharge
, Explain initial planning - ** VERIFIED ANSWERS **✔✔address problems listed in nursing
diagnosis and identify goals and how to meet them
Explain ongoing planning - ** VERIFIED ANSWERS **✔✔using new data to make the plan more
specific and accurate
Explain discharge planning - ** VERIFIED ANSWERS **✔✔helping the patient and family develop
sufficient knowledge and skills to carry out self-care behaviors at home
Discuss SMART goals - ** VERIFIED ANSWERS **✔✔S -- specific
M -- measurable
A -- attainable
R -- reasonable
T -- timebound
What is the purpose of the implementation step? - ** VERIFIED ANSWERS **✔✔implement or
carry out the agreed up on goals during the planning step
help the patient achieve valued outcomes
could mean to promote health, prevent disease or illness, restore health, or cope with altered
functioning
What are the two types of interventions? - ** VERIFIED ANSWERS **✔✔Direct -- tx performed
through interaction with patient; include psychological and physiological needs
Indirect - performed away from patient, but on the /behalf/ of a patient; includes actions aimed at
management of patient care environment and interdisciplinary collaboration
What is the purpose of the evaluation step? - ** VERIFIED ANSWERS **✔✔to determine if the
planning interventions were successful
What is an assessment? - ** VERIFIED ANSWERS **✔✔systematic and continuous collection,
analysis, validation, and communication of patient information
Differentiate between a medical and a nursing assessment. - ** VERIFIED ANSWERS **✔✔Medical
-- focuses on pathologic conditions
Nursing -- focuses on patient's *response* to health problems
What are the characteristics of an assessment? - ** VERIFIED ANSWERS **✔✔Purposeful
Prioritized
Complete
Systematic
Factual and accurate
Relevant
Recorded in a standard measure
Identify the 4 types of nursing assessments - ** VERIFIED ANSWERS **✔✔Initial
Focused
,Ongoing/partial
Emergency
When would an nurse complete an INITIAL assessment? - ** VERIFIED ANSWERS **✔✔when a
person enters a health care facility
used to establish baseline data for problem identification and care planning
When would a nurse complete a FOCUSED assessment? - ** VERIFIED ANSWERS **✔✔after a
specific problem has been identified
When would a nurse complete an ONGOING assessment? - ** VERIFIED ANSWERS **✔✔when a
patient enters a health care facility for a follow up visit
Used to compare a patient's current status to the baseline data obtained during the initial assessment
When would a nurse complete an EMERGENCY assessment? - ** VERIFIED ANSWERS **✔✔when
a patient has a very severe/dire status
used to identify life-threatening problems
ABCs
What are 3 purposes of a nursing diagnosis? - ** VERIFIED ANSWERS **✔✔Identify *responses* to
actual or potential health and life processes
Identify *factors that contribute to or cause* health problems
Identify ways to *prevent or resolve* health problems
,(Responses, factors, prevention)
What is a nursing diagnosis? - ** VERIFIED ANSWERS **✔✔intervention that prevents or resolves
actual or potential health problems
written in such a way that nurses can independently treat the patient problems
Examples: activity, pain or comfort, tissue integrity, and perfusion
Give examples of a Medical diagnosis vs. Nursing diagnosis. - ** VERIFIED ANSWERS
**✔✔Medical: myocardial infarction
Nursing: fear, altered health maintenance, deficient knowledge, and altered tissue perfusion
What is ALFARO's rule? - ** VERIFIED ANSWERS **✔✔states that the word "diagnosis" implies
there's a situation or problem requiring appropriate, qualified treatment
If you /identify/ the problem, you must then decide if you are /qualified/ to treat it and willing to
accept /responsibility/ for treating it. If not, you are responsible for getting help
What is the purpose of the planning step? - ** VERIFIED ANSWERS **✔✔to design a plan of care
with and for the patient that results in prevention, reduction, or resolution of health problems and
meets patient's expectations
What are the 3 basic steps to planning? - ** VERIFIED ANSWERS **✔✔Initial
Ongoing
Discharge
, Explain initial planning - ** VERIFIED ANSWERS **✔✔address problems listed in nursing
diagnosis and identify goals and how to meet them
Explain ongoing planning - ** VERIFIED ANSWERS **✔✔using new data to make the plan more
specific and accurate
Explain discharge planning - ** VERIFIED ANSWERS **✔✔helping the patient and family develop
sufficient knowledge and skills to carry out self-care behaviors at home
Discuss SMART goals - ** VERIFIED ANSWERS **✔✔S -- specific
M -- measurable
A -- attainable
R -- reasonable
T -- timebound
What is the purpose of the implementation step? - ** VERIFIED ANSWERS **✔✔implement or
carry out the agreed up on goals during the planning step
help the patient achieve valued outcomes
could mean to promote health, prevent disease or illness, restore health, or cope with altered
functioning
What are the two types of interventions? - ** VERIFIED ANSWERS **✔✔Direct -- tx performed
through interaction with patient; include psychological and physiological needs
Indirect - performed away from patient, but on the /behalf/ of a patient; includes actions aimed at
management of patient care environment and interdisciplinary collaboration
What is the purpose of the evaluation step? - ** VERIFIED ANSWERS **✔✔to determine if the
planning interventions were successful
