NURS 171 Unit 1 Exam
Study online at https://quizlet.com/_hrww7k
1. Maslow's Hierarchy of needs: Physiological: water, oxygen, food, shelter.
Safety and Security: safe from falls and treatment side effects
Love and Belonging: family, social supports
Esteem and Self-esteem: body image, pride in achievements, admiration from others
Cognitive: need for knowledge, understanding, exploration.
Aesthetic: symmetry, order, and beauty.
Self-actualization: need to achieve one's potential: need for growth and change. Role Performance.
2. Steps of Nursing Process: 1. Assessment
2. Diagnosis
3. Planning outcomes/interventions
4. Implementation
5. Evaluating
3. Assessment: Collect, validate, organize, and record data.
4. subjective data: What the patient says.
aka covert data or symptoms data
information communicated by the patient, family, or community.
5. objective data: data gathered by physical assessment and from laboratory or diagnostic tests.
aka overt data or signs data.
can be measure or observed by another nurse.
may be used to check subjective data.
6. Primary data: the subjective and objective information obtained directly from the patient in what the patient
says or what you observe.
7. Secondary Data: Obtained "secondhand".
from the medical record or from another caregiver
8. Diagnosis: RN analyzes assessment data to determine actual or potential diagnoses, problems, and issues.
Describes patients present health status.
9. Diagnostic Reasoning: the thinking process that enables you to make sense of data gathered during a
comprehensive patient assessment. AKA diagnostic process.
10. Basic two part statement: Problem - NANFA list - r/t Etiology - related factors
i.e. Nausea r/t anxiety, Risk for Deficient Fluid Volume r/t excessive vomitting, Possible Constipation r/t patients
statement of no BM for 2 days.
, NURS 171 Unit 1 Exam
Study online at https://quizlet.com/_hrww7k
11. Basic three part statement: Problem r/t etiology as manifested by signs or symptoms.
i.e. Constipation r/t inadequate intake of fluids and fiber-rich food as manifested by painful, hard stool and bowel
movement every 3 or 4 days.
12. Planning Outcomes: select standardized care plans, create individualized care plans, identify outcomes
and goals.
13. Formal planning: is a conscious, deliberate activity involving decision making, critical thinking, and creativity
14. Informal planning: occurs while you are performing other nursing process steps.
15. Initial planning: begins with the first patient contact. refers to the development of the initial comprehensive
care plan, which should be written asap after initial assessment.
16. Ongoing planning: refers to changes in the plan: 1. as you evaluate the patient response to care. 2. as
you obtain new data and make new diagnoses.
17. Discharge planning: the process of planning for self-care and continuity of care after the patient leaves
the healthcare setting
Purpose: promote the patient progress toward health or disease management outside of facility, and to reduce early
readmission to hospital care
18. Discharge Planning for Older Adults: Especially important to start discharge planning at the initia
admission assessment.
Functional abilities, cognition, vision, hearing, social support, and psychological well-being must be a part of the initia
assessment so you can identify needed services at discharge.
19. Planning Interventions: are actions based on clinical judgement and nursing knowledge that the nurses
perform to achieve patient outcomes.
20. Direct-care interventions: are performed through interaction with the patient: physical care, emotiona
support, patient teaching
21. Indirect-care interventions: are performs away from the patient but on behalf of patient: advocacy,
managing environment, consulting with other members of healthcare team, and making referrals.
22. Independent Interventions: RN's are accountable for and are licensed to prescribe, perform, or
delegate based on their knowledge and skills.
Knowing how, when, and why to perform an activity make the action autonomous - independent.
23. Dependent Interventions: order that is prescribed by a physician or advanced practice nurse but
carried out by nurse.
usually prescriptions for diagnostic tests, medications, treatments, IV therapy, diet, and activity.
Study online at https://quizlet.com/_hrww7k
1. Maslow's Hierarchy of needs: Physiological: water, oxygen, food, shelter.
Safety and Security: safe from falls and treatment side effects
Love and Belonging: family, social supports
Esteem and Self-esteem: body image, pride in achievements, admiration from others
Cognitive: need for knowledge, understanding, exploration.
Aesthetic: symmetry, order, and beauty.
Self-actualization: need to achieve one's potential: need for growth and change. Role Performance.
2. Steps of Nursing Process: 1. Assessment
2. Diagnosis
3. Planning outcomes/interventions
4. Implementation
5. Evaluating
3. Assessment: Collect, validate, organize, and record data.
4. subjective data: What the patient says.
aka covert data or symptoms data
information communicated by the patient, family, or community.
5. objective data: data gathered by physical assessment and from laboratory or diagnostic tests.
aka overt data or signs data.
can be measure or observed by another nurse.
may be used to check subjective data.
6. Primary data: the subjective and objective information obtained directly from the patient in what the patient
says or what you observe.
7. Secondary Data: Obtained "secondhand".
from the medical record or from another caregiver
8. Diagnosis: RN analyzes assessment data to determine actual or potential diagnoses, problems, and issues.
Describes patients present health status.
9. Diagnostic Reasoning: the thinking process that enables you to make sense of data gathered during a
comprehensive patient assessment. AKA diagnostic process.
10. Basic two part statement: Problem - NANFA list - r/t Etiology - related factors
i.e. Nausea r/t anxiety, Risk for Deficient Fluid Volume r/t excessive vomitting, Possible Constipation r/t patients
statement of no BM for 2 days.
, NURS 171 Unit 1 Exam
Study online at https://quizlet.com/_hrww7k
11. Basic three part statement: Problem r/t etiology as manifested by signs or symptoms.
i.e. Constipation r/t inadequate intake of fluids and fiber-rich food as manifested by painful, hard stool and bowel
movement every 3 or 4 days.
12. Planning Outcomes: select standardized care plans, create individualized care plans, identify outcomes
and goals.
13. Formal planning: is a conscious, deliberate activity involving decision making, critical thinking, and creativity
14. Informal planning: occurs while you are performing other nursing process steps.
15. Initial planning: begins with the first patient contact. refers to the development of the initial comprehensive
care plan, which should be written asap after initial assessment.
16. Ongoing planning: refers to changes in the plan: 1. as you evaluate the patient response to care. 2. as
you obtain new data and make new diagnoses.
17. Discharge planning: the process of planning for self-care and continuity of care after the patient leaves
the healthcare setting
Purpose: promote the patient progress toward health or disease management outside of facility, and to reduce early
readmission to hospital care
18. Discharge Planning for Older Adults: Especially important to start discharge planning at the initia
admission assessment.
Functional abilities, cognition, vision, hearing, social support, and psychological well-being must be a part of the initia
assessment so you can identify needed services at discharge.
19. Planning Interventions: are actions based on clinical judgement and nursing knowledge that the nurses
perform to achieve patient outcomes.
20. Direct-care interventions: are performed through interaction with the patient: physical care, emotiona
support, patient teaching
21. Indirect-care interventions: are performs away from the patient but on behalf of patient: advocacy,
managing environment, consulting with other members of healthcare team, and making referrals.
22. Independent Interventions: RN's are accountable for and are licensed to prescribe, perform, or
delegate based on their knowledge and skills.
Knowing how, when, and why to perform an activity make the action autonomous - independent.
23. Dependent Interventions: order that is prescribed by a physician or advanced practice nurse but
carried out by nurse.
usually prescriptions for diagnostic tests, medications, treatments, IV therapy, diet, and activity.
