NDSU Nursing 251 Exam 1 Questions With Complete
Solutions
4 Steps in an Interview Correct Answer 1. Pre-interaction
phase- look at chart, talk to previous nurse
2. Orientation phase- develop trust, get to know the patient
3. Working phase- working with the patient to improve health,
discuss interventions, make goals
4. Termination phase- end the relationship, introduce them to the
next nurse
Actual Problem Correct Answer nursing diagnosis must be
supported by assessment data ( signs and symptoms)
Advantages of Nursing Diagnosis Correct Answer - defines
nursing domain
-facilitates communication
-helps prioritize the needs of the client
-provides coordination
-provides an individualization of care for each patient
Assessment Correct Answer -Systemic collection and
verification of data
-Gives the nurse necessary information about risk factors so care
can be individualized
-data is analyzed to develop a nursing diagnosis
- data must be documented in a retrievable form
Assessment Components Correct Answer Observation
Interview
Examination
, Medical records
(OIEM)
Concept Care Map Correct Answer diagram of patient
problems and nursing strategies to eliminate those problems
Continuity of Care Correct Answer Nurse is responsible for
continuing care...
between nursing personnel
between services within the care setting
between the care setting and the community
Delegated interventions Correct Answer protocols, certain
medications, tests and treatments to CNAs or other nurses
Diagnosis Correct Answer the patients actual or potential
response to a health problem used as a basis for nursing
intervention to achieve outcomes/goals
Diagnostic Formula Correct Answer Nursing diagnosis (word
for word)
r/t...
Etiology (can have more than one, can use for 2 different
diagnostics)
amb....
Defining Characteristics (3+)
Direct care Correct Answer Treatments performed through
interactions with patients
ex: medication, tilting, bed baths, wound care
Solutions
4 Steps in an Interview Correct Answer 1. Pre-interaction
phase- look at chart, talk to previous nurse
2. Orientation phase- develop trust, get to know the patient
3. Working phase- working with the patient to improve health,
discuss interventions, make goals
4. Termination phase- end the relationship, introduce them to the
next nurse
Actual Problem Correct Answer nursing diagnosis must be
supported by assessment data ( signs and symptoms)
Advantages of Nursing Diagnosis Correct Answer - defines
nursing domain
-facilitates communication
-helps prioritize the needs of the client
-provides coordination
-provides an individualization of care for each patient
Assessment Correct Answer -Systemic collection and
verification of data
-Gives the nurse necessary information about risk factors so care
can be individualized
-data is analyzed to develop a nursing diagnosis
- data must be documented in a retrievable form
Assessment Components Correct Answer Observation
Interview
Examination
, Medical records
(OIEM)
Concept Care Map Correct Answer diagram of patient
problems and nursing strategies to eliminate those problems
Continuity of Care Correct Answer Nurse is responsible for
continuing care...
between nursing personnel
between services within the care setting
between the care setting and the community
Delegated interventions Correct Answer protocols, certain
medications, tests and treatments to CNAs or other nurses
Diagnosis Correct Answer the patients actual or potential
response to a health problem used as a basis for nursing
intervention to achieve outcomes/goals
Diagnostic Formula Correct Answer Nursing diagnosis (word
for word)
r/t...
Etiology (can have more than one, can use for 2 different
diagnostics)
amb....
Defining Characteristics (3+)
Direct care Correct Answer Treatments performed through
interactions with patients
ex: medication, tilting, bed baths, wound care
