NUR 160 Exam 1
Steps of the Nursing Process - correct answer1.Assessment
2.Diagnosis (problem)
3.Planning (outcomes & interventions)
4.Implementation
5.Evaluation
Assessment - correct answer*1st step of the nursing process
*gathering of data
*helps you decide what news to be done for the patient
*must be done by RN
Subjective - correct answerwhat the patient actually says to you
Objective - correct answerinformation the nurse gains by performing an assessment or
laboratory/diagnostic tests
Ex. BP 160/78; slight redness noted to sacrum, CXR negative for pneumonia
Types of Assessment - correct answer*initial (admission)
*ongoing (shift assessment)
*comprehensive
*focused (area of complaint)
*special needs (death & blind)
Diagnosis (problem) - correct answeronce you have gathered all the data you need/want, then it is time
to create a diagnosis or identify the problem
-want to use a NANDA-I approved nursing diagnosis
, NANDA-I - correct answerorganization to submit new & revised diagnosis
Types of Nursing Diagnosis - correct answer1. Actual: actively having problem
2. Risk: have the potential of falling
Diagnostic Reasoning - correct answer*components of diagnostic reasoning
*draw conclusions about health status
*verify conclusions with the patient
*write the diagnostic statements
*prioritize the problem
*analyze and interpret data
prioritizing problem - correct answermaslow's hierarchy of needs
Maslow - correct answerPhysiological
Safety
Love/belonging
Esteem
Self-actualization
Physiological - correct answerbreathing, food, water, sex, sleep, homeostasis, and excretion
Safety - correct answersecurity of body, employment, resources, morality, the family, health, property
Love/belonging - correct answerfriendship, family, sexual intimacy
Esteem - correct answerself-esteem, confidence, achievement, respect of others, respect by others
Steps of the Nursing Process - correct answer1.Assessment
2.Diagnosis (problem)
3.Planning (outcomes & interventions)
4.Implementation
5.Evaluation
Assessment - correct answer*1st step of the nursing process
*gathering of data
*helps you decide what news to be done for the patient
*must be done by RN
Subjective - correct answerwhat the patient actually says to you
Objective - correct answerinformation the nurse gains by performing an assessment or
laboratory/diagnostic tests
Ex. BP 160/78; slight redness noted to sacrum, CXR negative for pneumonia
Types of Assessment - correct answer*initial (admission)
*ongoing (shift assessment)
*comprehensive
*focused (area of complaint)
*special needs (death & blind)
Diagnosis (problem) - correct answeronce you have gathered all the data you need/want, then it is time
to create a diagnosis or identify the problem
-want to use a NANDA-I approved nursing diagnosis
, NANDA-I - correct answerorganization to submit new & revised diagnosis
Types of Nursing Diagnosis - correct answer1. Actual: actively having problem
2. Risk: have the potential of falling
Diagnostic Reasoning - correct answer*components of diagnostic reasoning
*draw conclusions about health status
*verify conclusions with the patient
*write the diagnostic statements
*prioritize the problem
*analyze and interpret data
prioritizing problem - correct answermaslow's hierarchy of needs
Maslow - correct answerPhysiological
Safety
Love/belonging
Esteem
Self-actualization
Physiological - correct answerbreathing, food, water, sex, sleep, homeostasis, and excretion
Safety - correct answersecurity of body, employment, resources, morality, the family, health, property
Love/belonging - correct answerfriendship, family, sexual intimacy
Esteem - correct answerself-esteem, confidence, achievement, respect of others, respect by others
