Nursing Process/ Evidence Based Practice MCC
1155 Exam With Complete Solutions
What is the Nursing Process used for? - ANSWER To identify the patient's healthcare
needs and strengths, to establish and carry out a plan of care to meet those needs and
to evaluate the effectiveness of the plan to meet established outcomes.
What are the 6 steps of the Nursing process? - ANSWER -Assessment
-Diagnosis
-Outcome Identification
-Planning
-Implementation
-Evaluation
What are Maslow's hierarchy of needs? - ANSWER Physiological
Security/Safety
Love/Belonging
Self-Esteem
Self-Actualization
What is Assessment - ANSWER Systematic continuous collection, validation and
communication of data.
What are the six human dimensions that nurses should be aware of? - ANSWER
Physical
Intellectual
Emotional
Environmental
Sociocultural
Spiritual
What is defined as the act of noticing patient cues? - ANSWER Observation
What do you do in Assessment? - ANSWER -Identify the priority areas to be assessed
-Determine the types of data needed
-Establish a database
-Analyze the data
, -Follow up on cues
-Analyze the patient's symptoms
What is defined as the interaction and communication process for gathering data by
questioning and information exchange? - ANSWER Interviewing
What is the Purpose of a Initial assessment? - ANSWER To establish a complete
database for problem identification, reference, and future comparison.
What is the Purpose of a Problem-focused assessment? - ANSWER To determine the
status of a specific problem identified in an earlier assessment.
What is the Purpose of a Emergency assessment? - ANSWER To identify life-
threatening problems.
To identify new or overlooked problems.
What is the Purpose of a Time-lapsed reassessment? - ANSWER To compare the
patients current status to baseline data previously obtained.
What is defined as the analysis of bodily functioning using the techniques of inspection,
palpation, percussion and auscultation? - ANSWER Physical examination
What does assessment focus on? - ANSWER Solving problems.
What is defined as the use of insights, instincts, or clinical experience to make
judgments about patient care? - ANSWER Intuition
What are the 6 types of Nursing Diagnoses? - ANSWER Actual/Individual
Risk/Individual
Actual/Family/Home
Risk/Family/Home
Health Promotion/Wellness
Collaborative Problems/Risk for Complication (RC)
What are two forms of subjective data? - ANSWER Primary and Secondary
What is an Actual Nursing Diagnosis? - ANSWER Describes responses to health
conditions/life processes that exist in an individual, family, or community.
What are defining Characteristics of Actual Nursing Diagnosis? - ANSWER Signs and
Symptoms that, when seen together represent Nursing Diagnoses.
What are the three parts of an actual nursing diagnosis? - ANSWER 1) Problem
(NANDA label)
1155 Exam With Complete Solutions
What is the Nursing Process used for? - ANSWER To identify the patient's healthcare
needs and strengths, to establish and carry out a plan of care to meet those needs and
to evaluate the effectiveness of the plan to meet established outcomes.
What are the 6 steps of the Nursing process? - ANSWER -Assessment
-Diagnosis
-Outcome Identification
-Planning
-Implementation
-Evaluation
What are Maslow's hierarchy of needs? - ANSWER Physiological
Security/Safety
Love/Belonging
Self-Esteem
Self-Actualization
What is Assessment - ANSWER Systematic continuous collection, validation and
communication of data.
What are the six human dimensions that nurses should be aware of? - ANSWER
Physical
Intellectual
Emotional
Environmental
Sociocultural
Spiritual
What is defined as the act of noticing patient cues? - ANSWER Observation
What do you do in Assessment? - ANSWER -Identify the priority areas to be assessed
-Determine the types of data needed
-Establish a database
-Analyze the data
, -Follow up on cues
-Analyze the patient's symptoms
What is defined as the interaction and communication process for gathering data by
questioning and information exchange? - ANSWER Interviewing
What is the Purpose of a Initial assessment? - ANSWER To establish a complete
database for problem identification, reference, and future comparison.
What is the Purpose of a Problem-focused assessment? - ANSWER To determine the
status of a specific problem identified in an earlier assessment.
What is the Purpose of a Emergency assessment? - ANSWER To identify life-
threatening problems.
To identify new or overlooked problems.
What is the Purpose of a Time-lapsed reassessment? - ANSWER To compare the
patients current status to baseline data previously obtained.
What is defined as the analysis of bodily functioning using the techniques of inspection,
palpation, percussion and auscultation? - ANSWER Physical examination
What does assessment focus on? - ANSWER Solving problems.
What is defined as the use of insights, instincts, or clinical experience to make
judgments about patient care? - ANSWER Intuition
What are the 6 types of Nursing Diagnoses? - ANSWER Actual/Individual
Risk/Individual
Actual/Family/Home
Risk/Family/Home
Health Promotion/Wellness
Collaborative Problems/Risk for Complication (RC)
What are two forms of subjective data? - ANSWER Primary and Secondary
What is an Actual Nursing Diagnosis? - ANSWER Describes responses to health
conditions/life processes that exist in an individual, family, or community.
What are defining Characteristics of Actual Nursing Diagnosis? - ANSWER Signs and
Symptoms that, when seen together represent Nursing Diagnoses.
What are the three parts of an actual nursing diagnosis? - ANSWER 1) Problem
(NANDA label)
