NRSG 2220 Exam 3 with correct |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
answers
steps of the nursing process - correct answer✔✔ADPIE
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Assessment
Diagnosis
Planning
Implementation
Evaluation
assessment - correct answer✔✔gather information about the patient's condition
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
focuses on the patient's response to health problem
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
systematic and continuous collection, analysis, validation, communication of patient data (data
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
reflect how health functioning is enhanced by health promotion or compromised by
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
illness/injury)
distinguishing normal from abnormal findings and identifying the risks for abnormal findings |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
primary source of information is the patient
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
diagnosis - correct answer✔✔identify the patient's problems
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
planning - correct answer✔✔set goals of care and desired outcomes and identify appropriate
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
nursing actions |||\\\
,implementation - correct answer✔✔perform the nursing actions identified in planning |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
evaluation - correct answer✔✔determine if goals and expected outcomes are achieved
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
characteristics of assessments - correct answer✔✔Purposeful |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Prioritized
Complete
Systematic
Accurate
Relevant
Recorded in a standard manner |||\\\ |||\\\ |||\\\ |||\\\
comprehensive initial assessment - correct answer✔✔performed shortly after patient is |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
admitted to facility |||\\\ |||\\\
purpose: establish complete database for problem identification and care planning
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
focused assessment - correct answer✔✔nurse gathers data about specific problem that has
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
already been identified
|||\\\ |||\\\ |||\\\
routinely part of ongoing data collection
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\
purpose: identify new or overlooked problems
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\
quick priority assessments (QPA): short, focused, prioritized, "flag" existing problems and risks
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
, emergency assessment - correct answer✔✔patient in physiological/psychological crisis
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
purpose: identify life-threatening problem |||\\\ |||\\\ |||\\\
time-lapsed assessment - correct answer✔✔compares patient's current status to the baseline
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
data obtained earlier |||\\\ |||\\\
purpose: reassess health status, make necessary revisions in plan
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
patient-centered assessment method (PCAM) - correct answer✔✔used to assess patient |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
complexity using social determinants of health |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
purpose: discover factors that are affecting person's ability to manage heatlh
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
objective data - correct answer✔✔observable and measurable data
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
can be seen, heard, or felt by someone other than the person experiencing them
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
elevated temp, skin moisture, vomiting |||\\\ |||\\\ |||\\\ |||\\\
subjective data - correct answer✔✔information perceived only by the affected person
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
pain experience, feeling dizzy, feeling anxious
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establishing assessment priorities - correct answer✔✔are there any aspects of this person to
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
their life/needs that are going to affect how we proceed with out assessment and with out plan
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
of care?
|||\\\ |||\\\
answers
steps of the nursing process - correct answer✔✔ADPIE
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Assessment
Diagnosis
Planning
Implementation
Evaluation
assessment - correct answer✔✔gather information about the patient's condition
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
focuses on the patient's response to health problem
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
systematic and continuous collection, analysis, validation, communication of patient data (data
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
reflect how health functioning is enhanced by health promotion or compromised by
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
illness/injury)
distinguishing normal from abnormal findings and identifying the risks for abnormal findings |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
primary source of information is the patient
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
diagnosis - correct answer✔✔identify the patient's problems
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
planning - correct answer✔✔set goals of care and desired outcomes and identify appropriate
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
nursing actions |||\\\
,implementation - correct answer✔✔perform the nursing actions identified in planning |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
evaluation - correct answer✔✔determine if goals and expected outcomes are achieved
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
characteristics of assessments - correct answer✔✔Purposeful |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Prioritized
Complete
Systematic
Accurate
Relevant
Recorded in a standard manner |||\\\ |||\\\ |||\\\ |||\\\
comprehensive initial assessment - correct answer✔✔performed shortly after patient is |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
admitted to facility |||\\\ |||\\\
purpose: establish complete database for problem identification and care planning
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
focused assessment - correct answer✔✔nurse gathers data about specific problem that has
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
already been identified
|||\\\ |||\\\ |||\\\
routinely part of ongoing data collection
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\
purpose: identify new or overlooked problems
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\
quick priority assessments (QPA): short, focused, prioritized, "flag" existing problems and risks
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
, emergency assessment - correct answer✔✔patient in physiological/psychological crisis
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
purpose: identify life-threatening problem |||\\\ |||\\\ |||\\\
time-lapsed assessment - correct answer✔✔compares patient's current status to the baseline
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
data obtained earlier |||\\\ |||\\\
purpose: reassess health status, make necessary revisions in plan
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
patient-centered assessment method (PCAM) - correct answer✔✔used to assess patient |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
complexity using social determinants of health |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
purpose: discover factors that are affecting person's ability to manage heatlh
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
objective data - correct answer✔✔observable and measurable data
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
can be seen, heard, or felt by someone other than the person experiencing them
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
elevated temp, skin moisture, vomiting |||\\\ |||\\\ |||\\\ |||\\\
subjective data - correct answer✔✔information perceived only by the affected person
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
pain experience, feeling dizzy, feeling anxious
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\
establishing assessment priorities - correct answer✔✔are there any aspects of this person to
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
their life/needs that are going to affect how we proceed with out assessment and with out plan
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
of care?
|||\\\ |||\\\
