NUR 170 REAL FINAL EXAM | QUESTIONS AND ANSWERS |
VERIFIED ANSWERS | EXAM ALREADY GRADED A+ | LATEST
EXAM
The nursing process is - CORRECT ANSWER - a critical thinking method
used by nurses to provide nursing care that is individualized and holistic.
5 steps of the nursing process - CORRECT ANSWER - 1. assessment/data
collection
2. analysis/ diagnosis
3. planning
4. implementation
5. evaluation
Times a nurse can collect data - CORRECT ANSWER - 1. initial assessment
(baseline data)
2. Focused assessment
3. Ongoing assessments
Methods of data collection include: - CORRECT ANSWER - Observation,
interviews with clients and families, medical history, comprehensive or focused
physical examination, diagnostic and laboratory reports, and collaboration with
other members of the health care team.
subjective data - CORRECT ANSWER - what the person says about himself
or herself during history taking
objective data - CORRECT ANSWER - information that is seen, heard, felt, or
smelled by an observer; signs
,Analysis/diagnosis - CORRECT ANSWER - - identify patterns or trends
- compare data with expected standards or reference ranges
- arrive at conclusions to guide nursing care
Planning - CORRECT ANSWER - - must establish priorities and optimal
outcomes of care they can readily measure and evaluate
- direction interventions to include in a plan of care to promote, maintain, or
restore health of clients
Three types of planning - CORRECT ANSWER - - comprehensive: on
admission, after assessment
- ongoing: throughout provision of care
- discharge: needs for after discharge
What guidelines are used to set priorities? - CORRECT ANSWER - Maslow's
Hierarchy of needs
Maslow's Hierarchy of Needs Levels - CORRECT ANSWER - (level 1)
Physiological Needs, (level 2) Safety and Security, (level 3) Relationships, Love
and Affection, (level 4) Self Esteem, (level 5) Self Actualization
Nurse-initiated/independent interventions - CORRECT ANSWER - nursing
actions initiated by the nurse that do not require direction or an order from a
health care provider
Provider-initiated/dependent interventions - CORRECT ANSWER -
Interventions nurses initiate as a result of a provider's prescription (written,
standing, or verbal) or the facility's protocol, such as blood administration
procedures.
, collaborative interventions - CORRECT ANSWER - interdependent nursing
actions performed jointly by nurses and other members of the health care team
Implementation - CORRECT ANSWER - - nurses perform nursing actions,
delegate tasks, supervise other healthcare staff, document delivery of care and
client responses
- put plan into action
Evaluation - CORRECT ANSWER - - nurses evaluate client responses to
nursing interventions to determine if any modifications to nursing care plan is
needed
Asepsis - CORRECT ANSWER - is the absence of illness-producing micro-
organisms
Medical asespsis - CORRECT ANSWER - clean technique: techniques that
inhibit the growth & spread of pathogenic microorganisms...example hand
washing, changing pts beds
Surgical Asepsis - CORRECT ANSWER - sterile technique
3 essential components to hand hygiene - CORRECT ANSWER - -soap
-water
-friction
Hand hygiene process - CORRECT ANSWER - - wash for at least 15 seconds
with warm water
- wet hands first
- use towel to turn water off
VERIFIED ANSWERS | EXAM ALREADY GRADED A+ | LATEST
EXAM
The nursing process is - CORRECT ANSWER - a critical thinking method
used by nurses to provide nursing care that is individualized and holistic.
5 steps of the nursing process - CORRECT ANSWER - 1. assessment/data
collection
2. analysis/ diagnosis
3. planning
4. implementation
5. evaluation
Times a nurse can collect data - CORRECT ANSWER - 1. initial assessment
(baseline data)
2. Focused assessment
3. Ongoing assessments
Methods of data collection include: - CORRECT ANSWER - Observation,
interviews with clients and families, medical history, comprehensive or focused
physical examination, diagnostic and laboratory reports, and collaboration with
other members of the health care team.
subjective data - CORRECT ANSWER - what the person says about himself
or herself during history taking
objective data - CORRECT ANSWER - information that is seen, heard, felt, or
smelled by an observer; signs
,Analysis/diagnosis - CORRECT ANSWER - - identify patterns or trends
- compare data with expected standards or reference ranges
- arrive at conclusions to guide nursing care
Planning - CORRECT ANSWER - - must establish priorities and optimal
outcomes of care they can readily measure and evaluate
- direction interventions to include in a plan of care to promote, maintain, or
restore health of clients
Three types of planning - CORRECT ANSWER - - comprehensive: on
admission, after assessment
- ongoing: throughout provision of care
- discharge: needs for after discharge
What guidelines are used to set priorities? - CORRECT ANSWER - Maslow's
Hierarchy of needs
Maslow's Hierarchy of Needs Levels - CORRECT ANSWER - (level 1)
Physiological Needs, (level 2) Safety and Security, (level 3) Relationships, Love
and Affection, (level 4) Self Esteem, (level 5) Self Actualization
Nurse-initiated/independent interventions - CORRECT ANSWER - nursing
actions initiated by the nurse that do not require direction or an order from a
health care provider
Provider-initiated/dependent interventions - CORRECT ANSWER -
Interventions nurses initiate as a result of a provider's prescription (written,
standing, or verbal) or the facility's protocol, such as blood administration
procedures.
, collaborative interventions - CORRECT ANSWER - interdependent nursing
actions performed jointly by nurses and other members of the health care team
Implementation - CORRECT ANSWER - - nurses perform nursing actions,
delegate tasks, supervise other healthcare staff, document delivery of care and
client responses
- put plan into action
Evaluation - CORRECT ANSWER - - nurses evaluate client responses to
nursing interventions to determine if any modifications to nursing care plan is
needed
Asepsis - CORRECT ANSWER - is the absence of illness-producing micro-
organisms
Medical asespsis - CORRECT ANSWER - clean technique: techniques that
inhibit the growth & spread of pathogenic microorganisms...example hand
washing, changing pts beds
Surgical Asepsis - CORRECT ANSWER - sterile technique
3 essential components to hand hygiene - CORRECT ANSWER - -soap
-water
-friction
Hand hygiene process - CORRECT ANSWER - - wash for at least 15 seconds
with warm water
- wet hands first
- use towel to turn water off
