NURS 251 PHARMACOLOGY ACTUAL EXAM 1 | WITH COMPRELE
QUESTIONS AND ANSWERS | 2025/206 LATEST UPDATED | 100 %
RATED AND VERIFIED SOLUTIONS | GET AN A+
list and describe steps of the nursing process - (ANSWER)1. Assessment: gathering and
analyzing data
2. Diagnosis: determine what is wrong withe the patient
3. Planning: what can we do to help patient meet goals/set goals for patient
4. Implementation: carry out plans
5. Evaluation: have patient meet goals
What is the first step in determining priorities to individualize care? - (ANSWER)assessment
what is the purpose of an assessment - (ANSWER)to establish baseline data about the client
-gives you important information like risk factors, baseline is what you will compare to when
changes occur
what is an important factor when assessing a patient - (ANSWER)*individualize
systematic collection and verification of data - (ANSWER)assessment
what are some data collection methods during an assessment? - (ANSWER)-Observation:
looking
-Interview: asking questions - 4 stages
-Examination
-Medical record review
-Analysis
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what are the different phases of an interview with the purpose to collect data - (ANSWER)1.
Pre-interaction phase: look at chart, medical record review, gather data, obtain a brief history of
what is going on with the patient
2. Orientation phase: introduce yourself, build some rapport, "tell me a little bit about yourself.."
3. Working phase: start data collection, interview, observe, examine
4. Termination phase: set expectation and boundary of when you are leaving - "close the loop"
basis of the clients plan of care - (ANSWER)assessment
*analysis - piecing everything together
piecing everything together that fits - (ANSWER)analysis
describe Maslows hierarchy - (ANSWER)(bottom of pyramid to top)
1. physiological needs: food, water, hydration, shelter, cardiac, temp.
2. Safety/security: getting correct medication, correct procedure
3. Love and belonging
4. Self esteem: making sure that they feel good about themselves, feel confident
5. Self-actualization: older people, often dying and reflecting on their life about everything they
are proud of *very few reach
what do you use to reach the nursing diagnosis - (ANSWER)maslows and ABCs
types of data you can collect? - (ANSWER)subjective and objective
what is subjective data? - (ANSWER)what patient tells you - "my pain is 6/10"
what is objective data? - (ANSWER)vital signs, lab values, input/output, height, weight,
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sources of data? - (ANSWER)-client
-family and significant others
-health care team members
-medical records/other records
-literature review
-nurse's experiences
-other records: HIPPA, ROI
*go with patient first - use family and s/o to supplement the info
what are parts of a client's health history - (ANSWER)-biological
-expectations
-family history
-past medical history
-present medical history
-environmental: where they work, home
-spiritual
-review of systems
-psyhcological: do you feel safe at home
-reasons for seeking health care
The client's _______ or ______ response to a health problem used as a basis for nursing
intervention to achieve outcomes - (ANSWER)actual, potential
*nursing diagnosis
*states problems we want to address
what are some advantages of nursing diagnosis - (ANSWER)-defines nursing domain
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-facilitates communication: b/t shifts, facilities, teammates
-helps prioritize needs of the client (maslows)
-useful in documentation
-provides coordination and continuity of nursing care
-helpful in quality improvement of nursing care
-improve patient care in terms of meeting client's needs or preventing potential problems
-provides and INDIVIDUALIZATION of care for each client
medical vs. nursing diagnosis
what is the difference between the two? - (ANSWER)medical: identified illness and design
treatment plan to CURE patient
*doctors are "one in done"
nursing: clinical judgement about the patient is used to direct a plan of care and assist clients and
families to adapt to their illness and resolve health related problems
*be more forward thinking, more holistic, follow them through the whole process
what are parts of analysis and interpretation of data - (ANSWER)-validation of info
-clustering data; finding things that are similar and putting them together in a "bucket"
-defining characteristics: PROOF of problem
the nursing diagnosis must be supported by? - (ANSWER)assessment data
(clinical signs and symptoms)
what is the proof of your problem? - (ANSWER)DEFINING CHARACTERISTICS
*subjective and objective data
when it is a potential problem that you wish to avoid - what is this called ? - (ANSWER)at risk
for - hasn't happened yet