2220 - Final Exam with correct |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
answers
Characteristics of the nursing assessment (7) - correct answer✔✔Purposeful |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Prioritized
Complete
Systematic
Factual/accurate
Relevant
Recorded in a standard manner |||\\\ |||\\\ |||\\\ |||\\\
Nursing diagnosis - problem - correct answer✔✔What is unhealthy about the patient
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Nursing diagnosis - etiology - correct answer✔✔Determine what the problem is caused by or
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related to (R/T) - what is maintaining the unhealthy state
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Nursing diagnosis - defining characteristics - correct answer✔✔The subjective and objective
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data that signal the existence of the problem
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How many parts are there in a nursing diagnosis? - correct answer✔✔1 part in health
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promotion dx |||\\\
2 parts in risk for dx
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3 parts in actual dx (dx, related to, s/s)
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PES format (in nursing diagnosis) - correct answer✔✔Problem, etiology, signs and symptoms.
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,Problem: from NANDA label (north american nursing diagnosis association)
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Etiology: starts with the phrase "related to..."
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Signs and symptoms: "as evidenced by" or "as manifested by."
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Maslow's Hierarchy - correct answer✔✔1. Physiologic needs (the most urgent problem)
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2. Safety needs
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3. Love and belonging needs
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4. Self-esteem needs
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5. Self-actualization needs
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IOM's quality of care goals (6) - correct answer✔✔1. Safe (avoid injury)
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2. Effective (avoid under- or overuse)
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3. Patient-centered
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4. Timely
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5. Efficient
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6. Equitable
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Cognitive outcomes - correct answer✔✔Describes increases in patient knowledge or
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intellectual behaviors |||\\\
Psychomotor outcomes - correct answer✔✔Describes patient's achievement of new skills
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Affective outcomes - correct answer✔✔Describes changes in patient values, beliefs, and
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attitudes
Physiologic outcomes - correct answer✔✔Physical changes in the patient
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, Ex: ambulation, pain improvement
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Clinical outcomes - correct answer✔✔Describe the expected status of health issues after
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
treatment is complete - address whether the problems are resolved or to what degree they are
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
improved.
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Functional outcomes - correct answer✔✔Describe the patient's ability to function in relation
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
to the desired usual activities
|||\\\ |||\\\ |||\\\ |||\\\
Quality of life outcomes - correct answer✔✔Focus on key factors that affect someone's ability
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
to enjoy life and achieve personal goals
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SMART goals - correct answer✔✔Specific, Measurable, Attainable, Realistic, Timely
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Nurse-initiated interventions - correct answer✔✔Actions performed independently by a nurse |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
based on a nursing diagnosis
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Ex: list someone as a falls risk and help them avoid injury
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Mostly related to ADLs, health education, monitoring, promoting well-being
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Physician-initiated interventions - correct answer✔✔Actions initiated by a physician in |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
response to a medical diagnosis but carried out by a nurse under doctor's orders
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Ex: medication administration
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Collaborative interventions - correct answer✔✔Treatments initiated by other providers (PT, OT, |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
social work, etc.) and carried out by a nurse
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
answers
Characteristics of the nursing assessment (7) - correct answer✔✔Purposeful |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Prioritized
Complete
Systematic
Factual/accurate
Relevant
Recorded in a standard manner |||\\\ |||\\\ |||\\\ |||\\\
Nursing diagnosis - problem - correct answer✔✔What is unhealthy about the patient
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Nursing diagnosis - etiology - correct answer✔✔Determine what the problem is caused by or
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
related to (R/T) - what is maintaining the unhealthy state
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Nursing diagnosis - defining characteristics - correct answer✔✔The subjective and objective
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
data that signal the existence of the problem
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
How many parts are there in a nursing diagnosis? - correct answer✔✔1 part in health
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
promotion dx |||\\\
2 parts in risk for dx
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\
3 parts in actual dx (dx, related to, s/s)
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
PES format (in nursing diagnosis) - correct answer✔✔Problem, etiology, signs and symptoms.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
,Problem: from NANDA label (north american nursing diagnosis association)
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Etiology: starts with the phrase "related to..."
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Signs and symptoms: "as evidenced by" or "as manifested by."
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Maslow's Hierarchy - correct answer✔✔1. Physiologic needs (the most urgent problem)
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
2. Safety needs
|||\\\ |||\\\
3. Love and belonging needs
|||\\\ |||\\\ |||\\\ |||\\\
4. Self-esteem needs
|||\\\ |||\\\
5. Self-actualization needs
|||\\\ |||\\\
IOM's quality of care goals (6) - correct answer✔✔1. Safe (avoid injury)
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
2. Effective (avoid under- or overuse)
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\
3. Patient-centered
|||\\\
4. Timely
|||\\\
5. Efficient
|||\\\
6. Equitable
|||\\\
Cognitive outcomes - correct answer✔✔Describes increases in patient knowledge or
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
intellectual behaviors |||\\\
Psychomotor outcomes - correct answer✔✔Describes patient's achievement of new skills
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Affective outcomes - correct answer✔✔Describes changes in patient values, beliefs, and
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
attitudes
Physiologic outcomes - correct answer✔✔Physical changes in the patient
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
, Ex: ambulation, pain improvement
|||\\\ |||\\\ |||\\\
Clinical outcomes - correct answer✔✔Describe the expected status of health issues after
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
treatment is complete - address whether the problems are resolved or to what degree they are
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
improved.
|||\\\
Functional outcomes - correct answer✔✔Describe the patient's ability to function in relation
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
to the desired usual activities
|||\\\ |||\\\ |||\\\ |||\\\
Quality of life outcomes - correct answer✔✔Focus on key factors that affect someone's ability
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
to enjoy life and achieve personal goals
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
SMART goals - correct answer✔✔Specific, Measurable, Attainable, Realistic, Timely
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Nurse-initiated interventions - correct answer✔✔Actions performed independently by a nurse |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
based on a nursing diagnosis
|||\\\ |||\\\ |||\\\ |||\\\
Ex: list someone as a falls risk and help them avoid injury
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Mostly related to ADLs, health education, monitoring, promoting well-being
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Physician-initiated interventions - correct answer✔✔Actions initiated by a physician in |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
response to a medical diagnosis but carried out by a nurse under doctor's orders
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Ex: medication administration
|||\\\ |||\\\
Collaborative interventions - correct answer✔✔Treatments initiated by other providers (PT, OT, |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
social work, etc.) and carried out by a nurse
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
