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Exam (elaborations)

NUR 303 Exam 1 Questions With Complete Solutions

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NUR 303 Exam 1 Questions With Complete Solutions

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NUR 303 Exam 1 Questions With Complete Solutions

-The order of priorities changes as a patient's condition changes.
-Priority setting begins at a holistic level when you identify and
prioritize a patient's main diagnoses or problems.
-Patient-centered care requires you to know a patient's
preferences, values, and expressed needs.
-Ethical care is a part of priority setting

-always talk with patients when setting their individualized goals
-Mutual goal setting includes the patient and family (when
appropriate) in prioritizing the goals of care and developing a
plan of action
-Act as a patient advocate correct answers what is the role of
the patient in goal/outcome setting?

-assess patient
-identify problems
-prioritize problems
-identify desired outcomes
-identify interventions for achieving outcomes
-prioritize interventions
-deliver patient care
-evaluate interventions correct answers what are the 8 steps to
the priority setting model?

-biographical information (age, address, occupation, working
status, marital status, insurance, etc)
-Chief concern for reason for seeking health care (record
response in quotations)
-patient expectations of health care providers

,-present illness or health concerns (collect data on symptoms,
etc)
--> use PQRST
-health history
-family history
-psychosocial history
-spiritual health
-review of systems correct answers what are the 9 components
of the nursing health history?

-pathophysiological: biological or psychological
-treatment: related
-situational: environmental or personal
-Maturational correct answers what are the four categories of
related factors

:) correct answers nursing care process is non linear

"patient will" correct answers goals are patient oriented so you
always start out with what?

1. begin with your understanding of the patient's problem
2. direct the consultation to the right professional (another nurse
or social worker)
3. provide a consultant with relevant info about the problem area
and seek a solution (summary, methods used to date, and
outcomes)
4. do not influence consultants
5. be available to discuss the consultant's findings
6. incorporate suggestions correct answers what are the 6 steps
to "how to consult"?

,1. collection and verification of data
2. Analysis of data correct answers what are the two stages of
assessment?

1. collection of information from a primary source (patient) and
secondary sources (family, friends, medical record, etc)
2. the interpretation and validation of data to ensure a complete
database correct answers nursing assessment includes what two
steps?

1. desired patient outcomes
2. characteristics of the nursing diagnosis
3. research base knowledge for the intervention
4. feasibility for doing the intervention
5. acceptability to the patient
6. your own competency correct answers when considering
interventions, what 6 factors should be considered

1. domain (7)
2. classes (30)
3. interventions (554) correct answers what does the three levels
of the NIC model contain?

1. educate the patient/family about the necessary care techniques
and precautions
2. teach a patient/family how to integrate care within family
activities
3. guide patient/family on how to assume a greater percentage of
care over time correct answers planning care for patina in
community based settings involve what three things?

, 1. identify, label and validate and classify patient outcomes
2. field test and validate classification
3. define and test measurement procedures for the outcomes and
indicators using clinical data correct answers what are the
purposes of the NOC

1. know the scientific rationale for the intervention
2. possess the necessary psychomotor and interpersonal skills
3. be able to function within a setting to use health care
resources effectively correct answers what three things do
nurses need to know when critical thinking in planning nursing
care (interventions)

1. reassess the patient
2. reviewing and revising the existing nursing care plan
3. organizing services and care delivery
4. anticipating and preventing complicaitons
5. implementing nursing interventions correct answers what are
the 5 preparatory activities for preparing implementation to
ensure efficient, safe and effective nursing care?

1. resolve: actual nursing diagnosis/health problems
2. prevent: potential problems/ risk factors
3. maintain a healthy state correct answers what are the three
standards for evaluation?

1. revise data in assessment column to reflect patient's current
status (data any new data)
2. revise the nursing diagnosis--delete old and add new; revise
related factors and patient's goals, outcomes, and priorities

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