Nurs 326 Exam 1 Review Questions
and Answers
ADPIE - ANSWER-assess, diagnosis, plan, implement, evaluate
Nursing Process - ANSWER-a method to practice in organized systematic way
leads to inferences about the meaning of patient's response to a health problem or the
patient's functional state of health
Assessment - ANSWER-collection and verification of data from patients & secondary
sources as family
then analysis
purpose of assessment - ANSWER-establish database about the patients needs health
problems and responses to these problems
- nurse need to assess all factors that influence content, ability to learn and available
resources
What is the best source of data collection? - ANSWER-PATIENT
then family
Subjective data - ANSWER-what the patient states
nonverbal communication
eye contact
comprehensive assessment approaches - ANSWER-systematic
use structured data base
Gordon's model of functional health
assessment move general to specific
Steps in interview process - ANSWER-set the stage
collect information
assure the patient of confidentiality
terminate the interview
Diagnostic reasoning process - ANSWER-using the assessment data gathered about a
patient to logically explain a clinical judgment or a nursing diagnosis
sources of diagnostic error - ANSWER-data collection
data clustering
interpretation and analysis of data
, labeling the diagnosis/ the diagnostic statement
documentation and informatics
3 types of nursing Dx - ANSWER--risk
-actual-problem focused
-health maintence/ promotion
which of the following is an example of a clinical criterion for Heart Disease? (select all)
A. hypertension
B. fatigue
C.food preference
D. High Cholesterol - ANSWER-A,B,C
related factor - ANSWER-condition, historical factor or causative event
which of the following are four types of nursing diagnoses (Select all)
A. actual diagnoses
B. risk diagnosis
C. Wellness diagnoses
D.Health promotion diagnoses
E. Disease prevention diagnoses - ANSWER-B. C. D.
For a student to avoid a data collection error, the student should
A. assess the patient and if unsure of a finding ask a faculty member to assess the
patient
B.Review his or her own comfort level and competency with assessment skills
C. ask another student to perform the assessment
D. Consider whether the diagnosis should be actual, potential, or risk - ANSWER-A.
Concept mapping is one way to
A. connect concepts to a central subject
B. relate ideas to patient health problems
C. challenge a nurse's thinking about patient needs and problems
D. Graphically display ideas by organizing data
E. all of the above - ANSWER-E. all of the above
Patient centered care requires - ANSWER-known a patient's preferences, values, and
expressed needs
Patient centered goal - ANSWER-a specific and measurable behavior or response that
reflects a patient's highest possible level of wellness and independence in function
Short term goal - ANSWER-an objective behavior or response expected within hours to
a week- accommplish during hospital stay!
and Answers
ADPIE - ANSWER-assess, diagnosis, plan, implement, evaluate
Nursing Process - ANSWER-a method to practice in organized systematic way
leads to inferences about the meaning of patient's response to a health problem or the
patient's functional state of health
Assessment - ANSWER-collection and verification of data from patients & secondary
sources as family
then analysis
purpose of assessment - ANSWER-establish database about the patients needs health
problems and responses to these problems
- nurse need to assess all factors that influence content, ability to learn and available
resources
What is the best source of data collection? - ANSWER-PATIENT
then family
Subjective data - ANSWER-what the patient states
nonverbal communication
eye contact
comprehensive assessment approaches - ANSWER-systematic
use structured data base
Gordon's model of functional health
assessment move general to specific
Steps in interview process - ANSWER-set the stage
collect information
assure the patient of confidentiality
terminate the interview
Diagnostic reasoning process - ANSWER-using the assessment data gathered about a
patient to logically explain a clinical judgment or a nursing diagnosis
sources of diagnostic error - ANSWER-data collection
data clustering
interpretation and analysis of data
, labeling the diagnosis/ the diagnostic statement
documentation and informatics
3 types of nursing Dx - ANSWER--risk
-actual-problem focused
-health maintence/ promotion
which of the following is an example of a clinical criterion for Heart Disease? (select all)
A. hypertension
B. fatigue
C.food preference
D. High Cholesterol - ANSWER-A,B,C
related factor - ANSWER-condition, historical factor or causative event
which of the following are four types of nursing diagnoses (Select all)
A. actual diagnoses
B. risk diagnosis
C. Wellness diagnoses
D.Health promotion diagnoses
E. Disease prevention diagnoses - ANSWER-B. C. D.
For a student to avoid a data collection error, the student should
A. assess the patient and if unsure of a finding ask a faculty member to assess the
patient
B.Review his or her own comfort level and competency with assessment skills
C. ask another student to perform the assessment
D. Consider whether the diagnosis should be actual, potential, or risk - ANSWER-A.
Concept mapping is one way to
A. connect concepts to a central subject
B. relate ideas to patient health problems
C. challenge a nurse's thinking about patient needs and problems
D. Graphically display ideas by organizing data
E. all of the above - ANSWER-E. all of the above
Patient centered care requires - ANSWER-known a patient's preferences, values, and
expressed needs
Patient centered goal - ANSWER-a specific and measurable behavior or response that
reflects a patient's highest possible level of wellness and independence in function
Short term goal - ANSWER-an objective behavior or response expected within hours to
a week- accommplish during hospital stay!
