NUR 216 Questions with 100% Correct
Answers
Health assessment means assessing the whole patient. This includes:— Correct
Answer: A method to establish a baseline health history by collecting pertinent
patient health status data.
An organized, systematic, ongoing process of collecting, validating, and
clustering data.
Collecting different types of data about the individual's past and present
health.
Assessing factors influencing health and well-being, including:
Physical health
Behavioral aspects of health
Spirituality
Social factors
Economic-political aspects of health
Cultural variations
Lifespan and developmental considerations
Performing and documenting a physical examination.
The nursing process is— Correct Answer: a systematic, problem-solving process
that assists the nurse in organizing the assessment to identify information about
,an individual's health and risk factors and develop a plan of care. This essential
process collects information about the health status of the individual.
The five steps of the nursing process are as follows:— Correct Answer: The five
steps of the nursing process are as follows:
Assessment— Correct Answer: is the first, essential step requiring the nurse to
collect and analyze data about the whole individual. This information includes
physiological, psychological, psychosocial, economical, spiritual, and cultural
practices and beliefs.
Diagnosis— Correct Answer: involves analyzing potential or actual health
problems or needs with a patient using both subjective and objective data.
These data are used to develop a nursing assessment and identify nursing
priorities. Nursing diagnosis reflects the individual's actual or potential health risks
or problems; the nurse uses clinical judgment and critical thinking to analyze all
the information about the individual, synthesize and cluster the information, and
hypothesize about the individual's health status
Planning/Outcomes— Correct Answer: involves working with the individual as a
copartner in care to meet the needs or short- and long-term goals of the
individual. The goals must be measurable and achievable. A nursing care plan
is developed to meet these goals. The plan of care is shared with other health
care team members to achieve optimal health care outcomes.
Implementation— Correct Answer: Interventions include the nursing and
individual actions and plan of care to meet the individual's goals. This phase is
not time-limited and can vary from hours or days to months.
Evaluation— Correct Answer: is the ongoing process that assesses whether the
short- and long-term goals have been met or are unmet; this phase of the
nursing process involves clinical judgment to analyze whether the plan of care is
effective or needs to be re-evaluated and modified.
,Critical Thinking— Correct Answer: A combination of reasoned thinking,
openness to alternatives, an ability to reflect, and a desire to seek truth
(Wilkinson et al., 2020).
A process of purposeful and creative thinking about resolving problems.
A multidimensional thinking process.
Reflective thinking.
Thinking "outside of the box."
Questioning, interpreting information, and analyzing the situation and then
synthesizing the information.
Development of alternative solutions to a problem.
Nurses have to be able to use critical thinking when reviewing patient data from
all sources, recognizing patient cues, and performing a thorough patient
assessment.
Clinical reasoning— Correct Answer: uses an individual's history, physical signs,
symptoms, laboratory data, and diagnostic imaging to arrive at a diagnosis and
assess and formulate a treatment plan (Venes, 2021). Nurses collect these data
to identify normal and abnormal findings, risk factors, health promotion and
prevention behaviors. Physical assessment findings are used to problem solve
and develop the appropriate plan of care.
Clinical judgment— Correct Answer: is defined as "an interpretation or
conclusion about a patient's needs, concerns, or health problems and/or the
decision to take action (or not), use or modify standard approaches, or
improvise new ones as deemed appropriate by the patient's response" (Tanner,
2006). Sound clinical judgment is the foundation of quality nursing care. Nurses
, make a multitude of decisions in clinical practice daily that call for careful
thought because the decisions may impact patient outcomes (Manetti, 2019).
Intuitive Thinking— Correct Answer: Intuitive thinking can be a "gut feeling" that
something may be wrong or that the nurse should do something, even if there is
no real evidence to support that feeling. Intuitive patient encounters emerge as
the nurse is open and receptive to the person's subtle cues (Dossey et al., 2016).
This is a skill that develops with experience. Intuition has a direct influence on the
quality of patient care and outcomes in nursing practice (Sari & Akbiyik, 2019).
The four techniques of physical assessment are:— Correct Answer: 1. Inspection,
looking.
2. Percussion, tapping different areas of the body to assess underlying structures.
3. Palpation, using your hands to feel surface characteristics.
4. Auscultation, listening for sounds.
1 Prevention— Correct Answer: vaccine, education. e.g. ( seat belt and
helmet.)
2 Screenings— Correct Answer: This is specific to a condition, focused.
3 treatment— Correct Answer: e.g. regan insulin, turning a pt. They have a
condition but what can we do to stop additional problems from occurring?
QSEN— Correct Answer: quality and safety education
comprehensive— Correct Answer: routine everyday
focused— Correct Answer: this is specific to something
objective— Correct Answer: measurable
Answers
Health assessment means assessing the whole patient. This includes:— Correct
Answer: A method to establish a baseline health history by collecting pertinent
patient health status data.
An organized, systematic, ongoing process of collecting, validating, and
clustering data.
Collecting different types of data about the individual's past and present
health.
Assessing factors influencing health and well-being, including:
Physical health
Behavioral aspects of health
Spirituality
Social factors
Economic-political aspects of health
Cultural variations
Lifespan and developmental considerations
Performing and documenting a physical examination.
The nursing process is— Correct Answer: a systematic, problem-solving process
that assists the nurse in organizing the assessment to identify information about
,an individual's health and risk factors and develop a plan of care. This essential
process collects information about the health status of the individual.
The five steps of the nursing process are as follows:— Correct Answer: The five
steps of the nursing process are as follows:
Assessment— Correct Answer: is the first, essential step requiring the nurse to
collect and analyze data about the whole individual. This information includes
physiological, psychological, psychosocial, economical, spiritual, and cultural
practices and beliefs.
Diagnosis— Correct Answer: involves analyzing potential or actual health
problems or needs with a patient using both subjective and objective data.
These data are used to develop a nursing assessment and identify nursing
priorities. Nursing diagnosis reflects the individual's actual or potential health risks
or problems; the nurse uses clinical judgment and critical thinking to analyze all
the information about the individual, synthesize and cluster the information, and
hypothesize about the individual's health status
Planning/Outcomes— Correct Answer: involves working with the individual as a
copartner in care to meet the needs or short- and long-term goals of the
individual. The goals must be measurable and achievable. A nursing care plan
is developed to meet these goals. The plan of care is shared with other health
care team members to achieve optimal health care outcomes.
Implementation— Correct Answer: Interventions include the nursing and
individual actions and plan of care to meet the individual's goals. This phase is
not time-limited and can vary from hours or days to months.
Evaluation— Correct Answer: is the ongoing process that assesses whether the
short- and long-term goals have been met or are unmet; this phase of the
nursing process involves clinical judgment to analyze whether the plan of care is
effective or needs to be re-evaluated and modified.
,Critical Thinking— Correct Answer: A combination of reasoned thinking,
openness to alternatives, an ability to reflect, and a desire to seek truth
(Wilkinson et al., 2020).
A process of purposeful and creative thinking about resolving problems.
A multidimensional thinking process.
Reflective thinking.
Thinking "outside of the box."
Questioning, interpreting information, and analyzing the situation and then
synthesizing the information.
Development of alternative solutions to a problem.
Nurses have to be able to use critical thinking when reviewing patient data from
all sources, recognizing patient cues, and performing a thorough patient
assessment.
Clinical reasoning— Correct Answer: uses an individual's history, physical signs,
symptoms, laboratory data, and diagnostic imaging to arrive at a diagnosis and
assess and formulate a treatment plan (Venes, 2021). Nurses collect these data
to identify normal and abnormal findings, risk factors, health promotion and
prevention behaviors. Physical assessment findings are used to problem solve
and develop the appropriate plan of care.
Clinical judgment— Correct Answer: is defined as "an interpretation or
conclusion about a patient's needs, concerns, or health problems and/or the
decision to take action (or not), use or modify standard approaches, or
improvise new ones as deemed appropriate by the patient's response" (Tanner,
2006). Sound clinical judgment is the foundation of quality nursing care. Nurses
, make a multitude of decisions in clinical practice daily that call for careful
thought because the decisions may impact patient outcomes (Manetti, 2019).
Intuitive Thinking— Correct Answer: Intuitive thinking can be a "gut feeling" that
something may be wrong or that the nurse should do something, even if there is
no real evidence to support that feeling. Intuitive patient encounters emerge as
the nurse is open and receptive to the person's subtle cues (Dossey et al., 2016).
This is a skill that develops with experience. Intuition has a direct influence on the
quality of patient care and outcomes in nursing practice (Sari & Akbiyik, 2019).
The four techniques of physical assessment are:— Correct Answer: 1. Inspection,
looking.
2. Percussion, tapping different areas of the body to assess underlying structures.
3. Palpation, using your hands to feel surface characteristics.
4. Auscultation, listening for sounds.
1 Prevention— Correct Answer: vaccine, education. e.g. ( seat belt and
helmet.)
2 Screenings— Correct Answer: This is specific to a condition, focused.
3 treatment— Correct Answer: e.g. regan insulin, turning a pt. They have a
condition but what can we do to stop additional problems from occurring?
QSEN— Correct Answer: quality and safety education
comprehensive— Correct Answer: routine everyday
focused— Correct Answer: this is specific to something
objective— Correct Answer: measurable
