Fundamentals of Nursing: Chapter 5
Fundamentals of Nursing: Chapter 5
Study online at https://quizlet.com/_1w0edb
Answer key
1. What is subjective Data obtained from the patient verbally. They are SYMPTOMS.
data? Examples = headache, tingling in the feet, pain, nauseated
2. What is objective Info obtained through the senses and hands-on physical examination. They are
data? SIGNS.
Examples = vital signs, physical examination findings (bruises), results of diag-
nostic tests, patient inability to support themselves, number of visitors
3. What is the initial Find out the patient's major complaints, performs a physical examination, and
goal of the patient determine the patient's overall health status.
interview?
4. When/how often After the admission assessment, each patient should be visited and assessed
do you assess pa- during the first hour of each shift. Perform a head-to-toe examination, which
tients during your should take about 10 minutes.
shift?
5. What is NANDA-I? North American Nursing Diagnosis Association-International.
Formulates diagnostic labels. The list of diagnostic labels is used to form the first
part (stem) of the nursing diagnoses used in nursing care plans and is revised
every 2 years.
6. What does a nurs- It is a statement that indicates the patient's actual health status or the risk of
ing diagnosis con- a problem developing, the causative or related factors, and specific defining
sist of? characteristics (signs and symptoms).
7. What is the con- Problem + Etiology (cause) + signs and symptoms
struction of a
nursing diagno-
sis?
8. What is an etiolo- Cause of the problem.
gy factor?
1/5
, Fundamentals of Nursing: Chapter 5
Fundamentals of Nursing: Chapter 5
Study online at https://quizlet.com/_1w0edb
Answer key
9. What is a sign? Abnormalities that can be verified by repeat examination and are objective data.
Example = bruise
10. What is a symp- Factors the patient has said are occurring that cannot be verified by examination;
tom? they are subjective data.
Example = headache
11. How are nursing Priorities of care are set so that the most important interventions for the high-pri-
diagnosis priori- ority problems for each patient are attended first. Then, as time permits, the
tized? lower-priority problems are considered.
Once the nursing diagnosis have been formulated, they are ranked according to
their importance. This order can be guided by the hierarchy of needs adopted
from Maslow, by the patient's beliefs regarding the importance of each problem,
and by what is most life threatening or problematic for the patient.
12. True or false?: True
Physiological
needs (basic
survival needs)
take precedence
over everything.
One of the first
rules concerning
priorities of care
is that the airway
ALWAYS comes
first.
13. A __________ is goal
a broad idea of
what is to be
achieved through
2/5
Fundamentals of Nursing: Chapter 5
Study online at https://quizlet.com/_1w0edb
Answer key
1. What is subjective Data obtained from the patient verbally. They are SYMPTOMS.
data? Examples = headache, tingling in the feet, pain, nauseated
2. What is objective Info obtained through the senses and hands-on physical examination. They are
data? SIGNS.
Examples = vital signs, physical examination findings (bruises), results of diag-
nostic tests, patient inability to support themselves, number of visitors
3. What is the initial Find out the patient's major complaints, performs a physical examination, and
goal of the patient determine the patient's overall health status.
interview?
4. When/how often After the admission assessment, each patient should be visited and assessed
do you assess pa- during the first hour of each shift. Perform a head-to-toe examination, which
tients during your should take about 10 minutes.
shift?
5. What is NANDA-I? North American Nursing Diagnosis Association-International.
Formulates diagnostic labels. The list of diagnostic labels is used to form the first
part (stem) of the nursing diagnoses used in nursing care plans and is revised
every 2 years.
6. What does a nurs- It is a statement that indicates the patient's actual health status or the risk of
ing diagnosis con- a problem developing, the causative or related factors, and specific defining
sist of? characteristics (signs and symptoms).
7. What is the con- Problem + Etiology (cause) + signs and symptoms
struction of a
nursing diagno-
sis?
8. What is an etiolo- Cause of the problem.
gy factor?
1/5
, Fundamentals of Nursing: Chapter 5
Fundamentals of Nursing: Chapter 5
Study online at https://quizlet.com/_1w0edb
Answer key
9. What is a sign? Abnormalities that can be verified by repeat examination and are objective data.
Example = bruise
10. What is a symp- Factors the patient has said are occurring that cannot be verified by examination;
tom? they are subjective data.
Example = headache
11. How are nursing Priorities of care are set so that the most important interventions for the high-pri-
diagnosis priori- ority problems for each patient are attended first. Then, as time permits, the
tized? lower-priority problems are considered.
Once the nursing diagnosis have been formulated, they are ranked according to
their importance. This order can be guided by the hierarchy of needs adopted
from Maslow, by the patient's beliefs regarding the importance of each problem,
and by what is most life threatening or problematic for the patient.
12. True or false?: True
Physiological
needs (basic
survival needs)
take precedence
over everything.
One of the first
rules concerning
priorities of care
is that the airway
ALWAYS comes
first.
13. A __________ is goal
a broad idea of
what is to be
achieved through
2/5
