Exam 1) NR 222: Questions & Answers; Health &
Wellness
Which nursing leader is the founder of public health? - ANSWER:Lillian Wald
Which of the following is not a nursing association? - ANSWER:AMA
Competent nurses can rely on advanced planning and organizational skills acquired - ANSWER:True
Barry suffered a hemorrhagic stroke, but is no longer in the acute phase. He has a trach & PEG that
needs management. - ANSWER:extended/longterm acute care
five-step systematic method for giving patient care; involves assessing, diagnosing, planning,
implementing, and evaluating - ANSWER:Nursing Process
where nurses collect data and gather information about the client - ANSWER:Step 1: Assessment
things a person tells you about that you cannot observe through your senses; symptoms
-data that is stated by the client - ANSWER:subjective data
what the health professional observes by inspecting, palpating, percussing, and auscultating during the
physical examination i.e blood pressure reading, temperature reading, large bruising, head to toe
assessment, taking vital signs
analyze-assess - ANSWER:objective data
patient or client - ANSWER:primary source
someone other than patient i.e family member or healthcare provider - ANSWER:secondary source
-able to do because of data collected during nursing assessment step - ANSWER:Step 2:
Diagnosis/Identify The Problem
nursing diagnosis is made in this step - ANSWER:Step 2/Diagnosis
Who can make a medical diagnosis? - ANSWER:physicians
North American Nursing Diagnosis Association, purpose is to define, refine, and promote a taxonomy of
nursing diagnostic terminology of general use to professional nurses.
-list of EBP nursing diagnosis' used in practice to determine patient interventions
i,e, risk for impaired skin integrity - ANSWER:NANDA
to create a nursing diagnosis we must - ANSWER:analyze the data
-determine goals/outcomes for patient
-develop PLAN OF CARE (POC): assessment/teaching, concealing, must be individualized to patient
, -communicate/document plan
THIS IS WHERE WE CREATE SMART GOALS - ANSWER:Step 3: planning
what are SMART goals that are made in the planning stage? - ANSWER:Specific
Measureable
Achievable
Realistic
Timebound
goals
is it clear?
is it specific?
is it measureable/quantifiable?
is it obtainable?
achievable?
relevant?
timely?
tied to a deadline?
i.e. Mrs Smith will drink 8 ounces of water with a meal per week. - ANSWER:SMART goals
In this stage the nurse will work with the client to set goals - ANSWER:Step 3/Planing
perform nursing interventions based upon client's diagnosis and plan of care - ANSWER:Step 4:
Implementation
in this stage the nurse performs direct care - ANSWER:Step 4/Implementation
reassessing
administering meds
inserting urinary catheter
providing discharge instructions - ANSWER:examples of direct care
managing a safe client environment
Wellness
Which nursing leader is the founder of public health? - ANSWER:Lillian Wald
Which of the following is not a nursing association? - ANSWER:AMA
Competent nurses can rely on advanced planning and organizational skills acquired - ANSWER:True
Barry suffered a hemorrhagic stroke, but is no longer in the acute phase. He has a trach & PEG that
needs management. - ANSWER:extended/longterm acute care
five-step systematic method for giving patient care; involves assessing, diagnosing, planning,
implementing, and evaluating - ANSWER:Nursing Process
where nurses collect data and gather information about the client - ANSWER:Step 1: Assessment
things a person tells you about that you cannot observe through your senses; symptoms
-data that is stated by the client - ANSWER:subjective data
what the health professional observes by inspecting, palpating, percussing, and auscultating during the
physical examination i.e blood pressure reading, temperature reading, large bruising, head to toe
assessment, taking vital signs
analyze-assess - ANSWER:objective data
patient or client - ANSWER:primary source
someone other than patient i.e family member or healthcare provider - ANSWER:secondary source
-able to do because of data collected during nursing assessment step - ANSWER:Step 2:
Diagnosis/Identify The Problem
nursing diagnosis is made in this step - ANSWER:Step 2/Diagnosis
Who can make a medical diagnosis? - ANSWER:physicians
North American Nursing Diagnosis Association, purpose is to define, refine, and promote a taxonomy of
nursing diagnostic terminology of general use to professional nurses.
-list of EBP nursing diagnosis' used in practice to determine patient interventions
i,e, risk for impaired skin integrity - ANSWER:NANDA
to create a nursing diagnosis we must - ANSWER:analyze the data
-determine goals/outcomes for patient
-develop PLAN OF CARE (POC): assessment/teaching, concealing, must be individualized to patient
, -communicate/document plan
THIS IS WHERE WE CREATE SMART GOALS - ANSWER:Step 3: planning
what are SMART goals that are made in the planning stage? - ANSWER:Specific
Measureable
Achievable
Realistic
Timebound
goals
is it clear?
is it specific?
is it measureable/quantifiable?
is it obtainable?
achievable?
relevant?
timely?
tied to a deadline?
i.e. Mrs Smith will drink 8 ounces of water with a meal per week. - ANSWER:SMART goals
In this stage the nurse will work with the client to set goals - ANSWER:Step 3/Planing
perform nursing interventions based upon client's diagnosis and plan of care - ANSWER:Step 4:
Implementation
in this stage the nurse performs direct care - ANSWER:Step 4/Implementation
reassessing
administering meds
inserting urinary catheter
providing discharge instructions - ANSWER:examples of direct care
managing a safe client environment
