Answers Latest 2025/25
Nursing process-ADPIE - AnswerA-Assessment
D-Diagnosis
P-Planning
I-Implementation
E- Evaluation
Purpose of assessment - Answeridentify wellness, strengths, problems, evaluate plan
of care and interventions
Gordon's functional health patterns - Answerholistic focus on patients-assessment
*health perception/management
*nutrition-metabolism
*elimination
*activity-exercise
*sleep-rest
*cognitive-perceptual
*self perception-self concept
*role-relationship
*sexuality-reproduction
*coping-stress
*value-belief
Exam techniques-IPPA, IAPP - AnswerIPPA-inspection,palpitation, percussion,
auscultation
IAPP-inspection, auscultation, palpitation, percussion-abdomen
NANDA - AnswerNorth American Nursing Diagnosis Association- Nursing diagnosis
HIPAA - AnswerHealth care insurance portability and accountability act
informed consent - Answerclient informed by physician procedure/treatment, surgery
and risks. RN gives written consent to be signed. example: shared decision making
critical thinking - Answerprocess of information: knowledge, experiences,
competencies, attitudes, and standards.*helps to form nursing diagnosis, *using
evidenced based rationale
clinical reasoning - Answerworst possible scenario, be prepared
, health perception - Answerverifies client understanding of conditions and maintaining
health
*appearance
*current complaint
*history
*past hospitalization
*allergies
*current medications
3 levels of health promotion - Answer*primary prevent disease and promote healthy
lifestyles
*secondary screening for early detection
*tertiary minimize disability from acute/chronic to maximum health
performing visual assessment - Answer*appearance
*grooming, dress, hygiene
*mobility
*LOC
*facial expressions
* head to toe assessment
clinical reasoning and inferences - Answermost important competencies-critical
thinking-like a nurse
clinical judgment-done after data collection - Answerconclusion about a patient
through noticing, interpreting, responding, and reflecting
data organization - AnswerGordon's Functional health problems and NANDA
First row on care plan - Answer*Nursing diagnosis
*definition
*defining characteristics(observations)
*risk factors
*related factors
actual nursing diagnosis - Answerpresence of defining characteristics, term, definition,
characteristics, related factors(etiology)
Risk nursing diagnosis - Answerclient more vulnerable to develop problem, risk for
problem, focus on prevention
health promotion diagnosis - Answerdesire to increase wellness and human potential,
readiness for enhancement