INTRO TO NURSING - EXAM 1 QUESTIONS
WITH CORRECT ANSWERS
The foundation of the nursing profession; is the systematic approach to problem-
solving and providing individualized care?-correct-answer-The Nursing Process
The phases of the nursing process?-correct-answer-Assessment, Diagnosis,
Planning (includes Outcome), Implementation, Evaluation
What is Assessment?-correct-answer-Collection of data to help establish a goal of
making a clinical nursing judgment.
Difference between subjective and objective data?-correct-answer-Subjective,
from the client; Objective, from the nurse's senses.
Difference between primary, secondary and tertiary sources?-correct-answer-
Primary, can only be the patient; Secondary, info from families, medical records, or
other health care professionals; Tertiary, info from textbooks, nurse's and other
health care team responses to patient
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What must be done by the nurse on admission to a health care facility? And what
does it identify?-correct-answer-In depth nursing history and physical assessment
must be done and it identifies the patient's strengths and weakness/health
problems.
When does data collection take place?-correct-answer-Through observations,
interviews, physical assessment, and interpreting lab and diagnostic results.
What is diagnosis?-correct-answer-The clinical act of identifying problems using
the assessment data collected. This step identifies an individual, family or group
response to an actual or potential health problem.
What is the nursing diagnosis based on?-correct-answer-The pathophysiology of
the disease process.
Who established the list of nursing diagnosis for classifying nursing problems,
standardizing language and facilitating communication for nurses?-correct-
answer-North American Nursing Diagnosis Association (NANDA)
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What is included in Outcome?-correct-answer-Development of patient focused
goals...included in the planning phase.
What are the guidelines on making goals?-correct-answer-Must be patient-
focused, specific to the nursing diagnosis or patient problem, measurable, realistic
and have time frame.
What is involved in the Planning phase?-correct-answer-Preparing the nursing
care plan with patient input in how to identify goals and interventions to help with
the identified problems.
What is included in the Planning phase?-correct-answer-Patient goals/outcomes
specific to the problem, assessment, specific treatments (independent and
dependent), medications, teaching, and community care.
What is a Joint Commission on Accreditation of Healthcare Organizations (JACHO)
requirement?-correct-answer-The care plan is a written summary of the care that
a patient is to receive.
What is the action phase?-correct-answer-Implementatio/Intervention