NUR 245 Exam 1 Questions with Verified
Answers
The concept of health and healing has evolved in recent years. Which is the best description of health?
a. health is the absence of disease
b. health is a dynamic process toward optimal functioning
c. health depends on an interaction of mind, body, and spirit within environment
d. health is the prevention of disease - Answer-d. health is the prevention of disease
Which would be included in the database for a new patient admission to a surgical unit?
a. all subjective and objective data gathered by a health practitioner from a patient
b. all objective data obtained from a patient through inspection, percussion, palpation, and auscultation
c. a summary of a patients record, including laboratory studies
d. all subjective and objective data gathered from a patient, and the results of any laboratory or
diagnostic studies completed - Answer-d. all subjective and objective data gathered from a patient and
the results of any laboratory or diagnostic studies completed
You are reviewing assessment data of a 45-yr old male patient and note pain of 8 on a scale of 10,
labored breathing, and pale skin color on the electronic health record. This documentation is an
example of:
a. hypothetical reasoning
,b. diagnostic reasoning
c. data. cluster
d. signs and symptoms - Answer-c. data cluster
a patient is is the emergency department with nausea and vomiting. which would you include in the
database?
a. a complete health history and full physical exam
b. diet and GI history
c. previously identified problems
d. start collection of data in conjunction with lifesaving measures - Answer-b. diet and GI history
a patient has recently received health insurance and would like to know how often he should visit the
provider. How do you respond
a. "it would be most efficient if you visit on an annual basis"
b. "there is no recommendation for the frequency of health care visits."
c. "your visits may vary, depending on your level of wellness."
D. "You visits will be based on your preference." - Answer-c. "you visits may vary depending on your
level of wellness."
You are reviewing concepts related to steps in the nursing process for determining prioritization and
developing patient outcomes. To what are these actions attributed?
a. planning
b. assessment
c. implementation
d. diagnosis - Answer-a. planning
What does the nursing process ADPIE stand for? - Answer-A: assessment
,D: diagnosis
P: planning
I: implementation
E: evaluation
nursing process assesement - Answer-collect data:
review clinical record
health history
physical exam
functional assessment
risk assessment
review of the literature
use evidence based techniques
document relative data
nursing process Diagnosis - Answer-compare clinical findings with normal and abnormal variation and
developmental events
interpret data:
-identify clusters of clues
-make hypothesis
-test hypothesis
-derrive diagnosis
, validate diagnosis
document diagnosis
nursing process planning - Answer--establish priorities
-develop outcomes
-set timelines for outcomes
- IDENTIFY INTERVENTIONS
-integrate evidence based trends
-document plan of care
Nursing Process: Implementation - Answer--implement in safe and timely manner
-use evidence-based interventions
-collaborate with colleagues
-use community resources
-provide health teaching and health promotion
-document implementation and any modification
nursing process: evaluation - Answer--progress toward outcomes
-conduct systematic, ongoing criterian based evaluation
-include patient and significant others
-use ongoing assessment to revise diagnosis, outcomes, plan
Which best describes evidence-based nursing practice?
a. combining clinical expertise with the use of nursing research to provide the best care for patients
while considering the patients values and circumstances
Answers
The concept of health and healing has evolved in recent years. Which is the best description of health?
a. health is the absence of disease
b. health is a dynamic process toward optimal functioning
c. health depends on an interaction of mind, body, and spirit within environment
d. health is the prevention of disease - Answer-d. health is the prevention of disease
Which would be included in the database for a new patient admission to a surgical unit?
a. all subjective and objective data gathered by a health practitioner from a patient
b. all objective data obtained from a patient through inspection, percussion, palpation, and auscultation
c. a summary of a patients record, including laboratory studies
d. all subjective and objective data gathered from a patient, and the results of any laboratory or
diagnostic studies completed - Answer-d. all subjective and objective data gathered from a patient and
the results of any laboratory or diagnostic studies completed
You are reviewing assessment data of a 45-yr old male patient and note pain of 8 on a scale of 10,
labored breathing, and pale skin color on the electronic health record. This documentation is an
example of:
a. hypothetical reasoning
,b. diagnostic reasoning
c. data. cluster
d. signs and symptoms - Answer-c. data cluster
a patient is is the emergency department with nausea and vomiting. which would you include in the
database?
a. a complete health history and full physical exam
b. diet and GI history
c. previously identified problems
d. start collection of data in conjunction with lifesaving measures - Answer-b. diet and GI history
a patient has recently received health insurance and would like to know how often he should visit the
provider. How do you respond
a. "it would be most efficient if you visit on an annual basis"
b. "there is no recommendation for the frequency of health care visits."
c. "your visits may vary, depending on your level of wellness."
D. "You visits will be based on your preference." - Answer-c. "you visits may vary depending on your
level of wellness."
You are reviewing concepts related to steps in the nursing process for determining prioritization and
developing patient outcomes. To what are these actions attributed?
a. planning
b. assessment
c. implementation
d. diagnosis - Answer-a. planning
What does the nursing process ADPIE stand for? - Answer-A: assessment
,D: diagnosis
P: planning
I: implementation
E: evaluation
nursing process assesement - Answer-collect data:
review clinical record
health history
physical exam
functional assessment
risk assessment
review of the literature
use evidence based techniques
document relative data
nursing process Diagnosis - Answer-compare clinical findings with normal and abnormal variation and
developmental events
interpret data:
-identify clusters of clues
-make hypothesis
-test hypothesis
-derrive diagnosis
, validate diagnosis
document diagnosis
nursing process planning - Answer--establish priorities
-develop outcomes
-set timelines for outcomes
- IDENTIFY INTERVENTIONS
-integrate evidence based trends
-document plan of care
Nursing Process: Implementation - Answer--implement in safe and timely manner
-use evidence-based interventions
-collaborate with colleagues
-use community resources
-provide health teaching and health promotion
-document implementation and any modification
nursing process: evaluation - Answer--progress toward outcomes
-conduct systematic, ongoing criterian based evaluation
-include patient and significant others
-use ongoing assessment to revise diagnosis, outcomes, plan
Which best describes evidence-based nursing practice?
a. combining clinical expertise with the use of nursing research to provide the best care for patients
while considering the patients values and circumstances
