NU 155 EXAM 1 COMPREHENSIVE QUESTIONS AND SOLUTIONS
◉ Diagnosing
Answer: To identify client strengths and health
problems that can be prevented
or resolved by collaborative and
independent nursing interventions
To develop a list of nursing and
collaborative problems
◉ Planning
Answer: To develop an individualized care plan
that specifies client goals/desired out-
comes, and related nursing interventions
,◉ Implementing
Answer: To assist the client to meet desired goals/
outcomes; promote wellness; prevent
illness and disease; restore health; and
facilitate coping with altered functioning
◉ Evaluating
Answer: To determine whether to continue,
modify, or terminate the plan of care
◉ Nursing ABC's
Answer: airway, breathing, circulation
◉ Maslows level 1: physiologic needs
,Answer: oxygen, food, water, sex, rest, physical activity; physiologic needs are highest priority
◉ Maslows level 2: safety and security needs
Answer: both physical and emotional components; being protected from potential or actual harm
◉ Maslows level 3: love and belonging needs
Answer: understanding and acceptance of others in both giving and receiving love; feeling of
belonging; unmet needs produce loneliness and isolation
◉ Maslows level 4: self-esteem needs
Answer: Need for a person to feel good about oneself, to feel pride and a sense of accomplishment and
to believe that others also respect and appreciate those accomplishments
-Positive self-esteem facilitates the person's confidence and independence
◉ Maslows level 5: Self-Actualization
, Answer: acceptance of self and others as they are; each lower level must be met; focus of interest on
problems outside oneself; respect for all people; focus on strengths and possibilities vs problems
◉ Macule
Answer: flat, colored spot on the skin ex- birthmark
◉ papule
Answer: small, solid, raised lesion on surface of the skin - less then 1cm ex- wart, acne
◉ plaque
Answer: a solid mass greater than 1 cm in diameter and limited to the surface of the skin ex- psoriasis,
rubeola
◉ nodule
Answer: solid, round or oval elevated lesion 1 cm or more in diameter ex- squamous cell carcinoma
◉ Diagnosing
Answer: To identify client strengths and health
problems that can be prevented
or resolved by collaborative and
independent nursing interventions
To develop a list of nursing and
collaborative problems
◉ Planning
Answer: To develop an individualized care plan
that specifies client goals/desired out-
comes, and related nursing interventions
,◉ Implementing
Answer: To assist the client to meet desired goals/
outcomes; promote wellness; prevent
illness and disease; restore health; and
facilitate coping with altered functioning
◉ Evaluating
Answer: To determine whether to continue,
modify, or terminate the plan of care
◉ Nursing ABC's
Answer: airway, breathing, circulation
◉ Maslows level 1: physiologic needs
,Answer: oxygen, food, water, sex, rest, physical activity; physiologic needs are highest priority
◉ Maslows level 2: safety and security needs
Answer: both physical and emotional components; being protected from potential or actual harm
◉ Maslows level 3: love and belonging needs
Answer: understanding and acceptance of others in both giving and receiving love; feeling of
belonging; unmet needs produce loneliness and isolation
◉ Maslows level 4: self-esteem needs
Answer: Need for a person to feel good about oneself, to feel pride and a sense of accomplishment and
to believe that others also respect and appreciate those accomplishments
-Positive self-esteem facilitates the person's confidence and independence
◉ Maslows level 5: Self-Actualization
, Answer: acceptance of self and others as they are; each lower level must be met; focus of interest on
problems outside oneself; respect for all people; focus on strengths and possibilities vs problems
◉ Macule
Answer: flat, colored spot on the skin ex- birthmark
◉ papule
Answer: small, solid, raised lesion on surface of the skin - less then 1cm ex- wart, acne
◉ plaque
Answer: a solid mass greater than 1 cm in diameter and limited to the surface of the skin ex- psoriasis,
rubeola
◉ nodule
Answer: solid, round or oval elevated lesion 1 cm or more in diameter ex- squamous cell carcinoma
