FUNdamentals of
Nursing - Exam 1
,What are the most important roles of the nurse (5) - CORRECT ANSWERS-Caregiver
Advocate
Educator
Researcher
Leader
What are the 5 steps in the nursing process? - CORRECT ANSWERS-(1) Assessment
(2) Nursing Diagnosis
(3) Planning
(4) Implementation
(5) Evaluation
*** All of the above require critical thinking!
Define Assessment - CORRECT ANSWERS-Collects comprehensive data pertinent to
the patient's health and/or situation.
- info medical personnel can look at
- begins the moment you walk through the door
Can the RN provide subjective information about patient? - CORRECT ANSWERS-NO!
Only the patient can give subjective info.
OBJECTIVE info is what the RN sees, hears, or smells
What is the Diagnosis phase? - CORRECT ANSWERS-Analyze the assessment and
make a clinical judgement related to an ACTUAL or POTENTIAL health problem.
** Nurses have to be aware of potential risks based on health problems.
** Also collaborate with other specialists to manage the problem(s)
What are the three phases of a Nursing Diagnosis? - CORRECT ANSWERS-First info
→ Related to → as evidence by
WHAT is the problem?
WHY is it a problem?
, WHAT is the evidence of that problem?
Ex:
"Acute pain → related to surgical incision → as evidence by patient report (or as
evidence by crying)"
What are the OUTCOMES IDENTIFICATION? - CORRECT ANSWERS-This is the
statement of how a patient's status will change once interventions have been
successfully instituted
Identify the expected outcomes when planning for the patient's individual situation.
Interventions must be measurable criterion indicating that objectives have been met.
Define the PLANNING stage of the nursing process - CORRECT ANSWERS-Develops
a plan that prescribes strategies and alternatives to attain expected outcomes.
- Prioritize strategies
- Goals (statement that describes the aim if the nursing care) should be short term and
long term
Describe IMPLEMENTATION of the nursing process - CORRECT ANSWERS-The
actions to facilitate positive patient outcomes
What three skills are needed in order to implement goals? - CORRECT ANSWERS-
Cognitive
Personal
Psychomotor
Describe the EVALUATION phase of the nursing process - CORRECT ANSWERS-This
describes how well the patients needs were met (or not met).
Done through reassessment
What percentage of all communication is nonverbal? - CORRECT ANSWERS-90%
What two characteristics should nurses always exude? - CORRECT ANSWERS-
CARING
COMPETENCE
How is communication used in the Assessment phase of the nursing process? -
CORRECT ANSWERS-Verbal interviewing and history taking
Nursing - Exam 1
,What are the most important roles of the nurse (5) - CORRECT ANSWERS-Caregiver
Advocate
Educator
Researcher
Leader
What are the 5 steps in the nursing process? - CORRECT ANSWERS-(1) Assessment
(2) Nursing Diagnosis
(3) Planning
(4) Implementation
(5) Evaluation
*** All of the above require critical thinking!
Define Assessment - CORRECT ANSWERS-Collects comprehensive data pertinent to
the patient's health and/or situation.
- info medical personnel can look at
- begins the moment you walk through the door
Can the RN provide subjective information about patient? - CORRECT ANSWERS-NO!
Only the patient can give subjective info.
OBJECTIVE info is what the RN sees, hears, or smells
What is the Diagnosis phase? - CORRECT ANSWERS-Analyze the assessment and
make a clinical judgement related to an ACTUAL or POTENTIAL health problem.
** Nurses have to be aware of potential risks based on health problems.
** Also collaborate with other specialists to manage the problem(s)
What are the three phases of a Nursing Diagnosis? - CORRECT ANSWERS-First info
→ Related to → as evidence by
WHAT is the problem?
WHY is it a problem?
, WHAT is the evidence of that problem?
Ex:
"Acute pain → related to surgical incision → as evidence by patient report (or as
evidence by crying)"
What are the OUTCOMES IDENTIFICATION? - CORRECT ANSWERS-This is the
statement of how a patient's status will change once interventions have been
successfully instituted
Identify the expected outcomes when planning for the patient's individual situation.
Interventions must be measurable criterion indicating that objectives have been met.
Define the PLANNING stage of the nursing process - CORRECT ANSWERS-Develops
a plan that prescribes strategies and alternatives to attain expected outcomes.
- Prioritize strategies
- Goals (statement that describes the aim if the nursing care) should be short term and
long term
Describe IMPLEMENTATION of the nursing process - CORRECT ANSWERS-The
actions to facilitate positive patient outcomes
What three skills are needed in order to implement goals? - CORRECT ANSWERS-
Cognitive
Personal
Psychomotor
Describe the EVALUATION phase of the nursing process - CORRECT ANSWERS-This
describes how well the patients needs were met (or not met).
Done through reassessment
What percentage of all communication is nonverbal? - CORRECT ANSWERS-90%
What two characteristics should nurses always exude? - CORRECT ANSWERS-
CARING
COMPETENCE
How is communication used in the Assessment phase of the nursing process? -
CORRECT ANSWERS-Verbal interviewing and history taking