Questions Fully Solved.
subjective data - Answer what the person says about himself or herself during history taking
objective data - Answer what the health professional observes by inspecting, palpating,
percussing, and auscultating during the physical examination
Data base - Answer Subjective data, objective data, labs
Diagnostic reasoning - Answer the process of analyzing health data and drawing conclusions
to identify diagnoses
What are the 6 phases of the nursing process? - Answer Assessment, diagnosis, outcome
identification, planning, implementation and evaluation.
What does the assessment part of the nursing process involve? - Answer Collect data, use
evidence based assessment techniques, document relevant data
What does the diagnosis part of the nursing process entail? - Answer Compare clinical finding
with normal and abnormal variation and developmental events, interpret data, validate
diagnoses, document diagnoses
What does the outcome identification part of the nursing process entail? - Answer Identify
expected outcomes, individualize to the person, identify expected culturally appropriate
outcomes, establish realistic and measurable outcomes, develop a timeline.
What does the planning part of the nursing diagnosis entail? - Answer Establish priorities,
develop outcomes, set timelines for outcomes, identify interventions, integrated evidence
based trends and research, document pla of care
What does the implementation part of the nursing process entail? - Answer Implement in a
safe and timely manner, use evidence based interventions, collaborate with colleagues, use
community resources, coordinate care delivery, provide health teaching and health promotion,
document implementation and any modification.
What does the evaluation part of the nursing process entail? - Answer Progress toward
outcomes, conduct systematic, ongoing, criterion-based evaluation, include patient and
, significant others, use ongoing assessment to revises diagnoses outcomes, plan, disseminate
results to patient and family.
What is a first level priority? - Answer Airway, breathing and circulation.
What is a second level priority? - Answer Mental status changes, acute pain, infection risk,
abnormal laboratory values and elimination problems.
What is a third level priority? - Answer Lack of knowledge, mobility problems, family coping.
What are the 5 steps to evidence based practice? - Answer Ask the clinical question, acquire
sources of evidence, appraise and synthesize evidence, apply relevant evidence in practice,
assess the outcomes.
What are the 4 types of patient data? - Answer Complete database, focused or problem
centered database, follow up database, and emergency database.
What is the complete database? - Answer a complete health history and full physical
examination
What is a focused or problem centered database? - Answer a database used for a limited or
short-term problem. it is smaller in scope and more targeted than the complete. it concerns
mainly one problem or body system.
What is a follow up data base? - Answer Status of all identified problems should be evaluated
at regular and appropriate intervals
Note changes that have occurred
Evaluate whether problem is getting better or worse
Identify coping strategies being used.
What is an emergency database? - Answer a database that requires rapid collection of data
often compiled along with lifesaving measures. diagnosis must be swift and sure.
What is holistic health? - Answer views the mind, body, and spirit as interdependent and
functioning as a whole within the environment
What is a health disparity? - Answer a particular type of health difference that is closely
linked with social, economic, and/or environmental disadvantage