NUR 371 Acute questions with correct answers
Nursing Process Correct Answer-Problem-solving approach to identify,
diagnose, and treat health issues; framework that organizes knowledge,
judgment, actions; goal: to optimize level of function
Steps:
1) Assessment
2) Diagnosis
3) Planning
4) Implementation
5) Evaluation
*non-linear (continuous and cyclical)
Importance of Nursing Process Correct Answer-- reflects practice
standards
- promotes individualized care and continuity through collaboration
- promotes efficiency
- framework for critical thinking/inquiry
Assessment Phase Correct Answer-Gathering subject and objective data,
medical records, collaborating w health care team, referring to prior
clinical experience and literature
,Diagnosis Phase Correct Answer-Sort through, organize, and analyze
data; identify health problem(s); create nursing diagnosis statements;
focus on symptom mgmt; consider NANDA when formulating
diagnoses
Nursing Diagnosis Correct Answer-Act of identifying and labelling
human responses to actual/potential health problems; provides basis for
selection of nursing interventions to achieve outcomes for which the
nurse has accountability
2 Types:
1) Actual problems
2) Potential problems (at risk for)
Medical vs. Nursing Diagnosis Correct Answer-Medical: identify
disease conditions or pathological processes
Nursing: identify specific client responses to actual or potential health
problems or life processes
NANDA Correct Answer-North American Nursing Diagnosis
Association
Framework that is useful for formulating nursing diagnoses; organizes
diagnoses into domains and classes
,Nursing Diagnostic Statement Correct Answer-3 Parts:
1) Problem: state actual or potential health problem
2) Etiology - description of probable case of problem
3) Signs and symptoms - list of objective and subjective data
Planning Phase Correct Answer-- set priorities (highest priority is
intervention); priorities may change; consider client perception
- identify outcomes/SMART goals
- determine nursing interventions (usually directed at altering etiology
["related to"])
- determine what intervention is, when it should be implemented, how it
should be performed and who should be involved
SMART Goal Correct Answer-Specific, Measurable, Achievable,
Relevant, Timely
6 Intervention Considerations Correct Answer-1) Goals and desired
outcomes
2) Nursing diagnosis
3) Evidence-based
4) Feasibility
5) Acceptability
6) Competence of RN
, Types of Nursing Interventions Correct Answer-1) Nurse-initiated:
independent interventions; do not require directions/orders from other
HPs
2) Physician-initiated: dependent interventions; requires orders; directed
toward treating or managing a medical diagnosis
3) Collaborative: interdependent interventions; therapies that require
combined knowledge of HPs
Implementation Phase Correct Answer-Perform interventions or
designate and supervise others who are qualified to implement them
Evaluation Phase Correct Answer-Occurs after implementation; were
goals met? Are any revisions required?
Incorporating Evidence-Informed Practice Correct Answer-Steps:
1) Ask clinical questions using PICO format (population, intervention,
comparison, outcome)
2) Collect relevant and best evidence
3) Critically appraise and synthesize evidence
4) Evaluate practice/decision
5) Share outcomes
Documentation Correct Answer-Evidence of nursing care/work; reflects
client's perspective; communicates to all health providers; demonstrates
safe, ethical, effective care; demonstrates application of knowledge,
skill, and judgment; meets legislative requirements
Nursing Process Correct Answer-Problem-solving approach to identify,
diagnose, and treat health issues; framework that organizes knowledge,
judgment, actions; goal: to optimize level of function
Steps:
1) Assessment
2) Diagnosis
3) Planning
4) Implementation
5) Evaluation
*non-linear (continuous and cyclical)
Importance of Nursing Process Correct Answer-- reflects practice
standards
- promotes individualized care and continuity through collaboration
- promotes efficiency
- framework for critical thinking/inquiry
Assessment Phase Correct Answer-Gathering subject and objective data,
medical records, collaborating w health care team, referring to prior
clinical experience and literature
,Diagnosis Phase Correct Answer-Sort through, organize, and analyze
data; identify health problem(s); create nursing diagnosis statements;
focus on symptom mgmt; consider NANDA when formulating
diagnoses
Nursing Diagnosis Correct Answer-Act of identifying and labelling
human responses to actual/potential health problems; provides basis for
selection of nursing interventions to achieve outcomes for which the
nurse has accountability
2 Types:
1) Actual problems
2) Potential problems (at risk for)
Medical vs. Nursing Diagnosis Correct Answer-Medical: identify
disease conditions or pathological processes
Nursing: identify specific client responses to actual or potential health
problems or life processes
NANDA Correct Answer-North American Nursing Diagnosis
Association
Framework that is useful for formulating nursing diagnoses; organizes
diagnoses into domains and classes
,Nursing Diagnostic Statement Correct Answer-3 Parts:
1) Problem: state actual or potential health problem
2) Etiology - description of probable case of problem
3) Signs and symptoms - list of objective and subjective data
Planning Phase Correct Answer-- set priorities (highest priority is
intervention); priorities may change; consider client perception
- identify outcomes/SMART goals
- determine nursing interventions (usually directed at altering etiology
["related to"])
- determine what intervention is, when it should be implemented, how it
should be performed and who should be involved
SMART Goal Correct Answer-Specific, Measurable, Achievable,
Relevant, Timely
6 Intervention Considerations Correct Answer-1) Goals and desired
outcomes
2) Nursing diagnosis
3) Evidence-based
4) Feasibility
5) Acceptability
6) Competence of RN
, Types of Nursing Interventions Correct Answer-1) Nurse-initiated:
independent interventions; do not require directions/orders from other
HPs
2) Physician-initiated: dependent interventions; requires orders; directed
toward treating or managing a medical diagnosis
3) Collaborative: interdependent interventions; therapies that require
combined knowledge of HPs
Implementation Phase Correct Answer-Perform interventions or
designate and supervise others who are qualified to implement them
Evaluation Phase Correct Answer-Occurs after implementation; were
goals met? Are any revisions required?
Incorporating Evidence-Informed Practice Correct Answer-Steps:
1) Ask clinical questions using PICO format (population, intervention,
comparison, outcome)
2) Collect relevant and best evidence
3) Critically appraise and synthesize evidence
4) Evaluate practice/decision
5) Share outcomes
Documentation Correct Answer-Evidence of nursing care/work; reflects
client's perspective; communicates to all health providers; demonstrates
safe, ethical, effective care; demonstrates application of knowledge,
skill, and judgment; meets legislative requirements
