NR226 NURSING PROCESS EXAM QUESTIONS WITH
CORRECT ANSWERS
ASSESSMENT - VERIFIED ANSWER✔✔-the deliberate and systematic collection of information about a
patient to determine his or her current and past health and functional status and his or her present and
past coping patterns
Includes 2 steps: - VERIFIED ANSWER✔✔--Collection of information from a primary source (the patient)
and secondary sources (e.g., family members, health professionals, and medical record)
-The interpretation and validation of data to ensure a complete database
Purpose of assessment is to: - VERIFIED ANSWER✔✔-establish a database about the patient's perceived
needs, health problems, and responses to these problems.
Cue - VERIFIED ANSWER✔✔-information that you obtain through use of the senses
Inference - VERIFIED ANSWER✔✔-your judgment or interpretation of these cues
Subjective data - VERIFIED ANSWER✔✔--patients' verbal descriptions of their health problems
-only patients provide subjective data
Objective data - VERIFIED ANSWER✔✔--observations or measurements of a patient's health status.
-ex: inspecting the condition of a surgical incision or wound, describing an observed behavior, measuring
blood pressure
Initial patient center interview - VERIFIED ANSWER✔✔-(1) setting the stage
(2) gathering information about the patient's chief concerns or problems and setting an agenda
(3) collecting the assessment or a nursing health history
(4) terminating the interview.
, Concomitant symptoms - VERIFIED ANSWER✔✔-Does the patient experience other symptoms along
with the primary symptom? For example, does nausea accompany pain?
DIAGNOSIS - VERIFIED ANSWER✔✔-clinical judgment about individual, family, or community responses
to actual and potential health problems or life processes that the nurse is licensed and competent to
treat
Collaborative problem - VERIFIED ANSWER✔✔-an actual or potential physiological complication that
nurses monitor to detect the onset of changes in a patient's statu
Data cluster - VERIFIED ANSWER✔✔-set of signs or symptoms gathered during assessment that you
group together in a logical way
Risk nursing diagnosis - VERIFIED ANSWER✔✔-describes human responses to health conditions or life
processes that may develop in a vulnerable individual, family, or community. These diagnoses do not
have related factors or defining characteristics because they have not occurred yet
Health Promotion nursing diagnosis - VERIFIED ANSWER✔✔-clinical judgment of a person's, family's, or
community's motivation, desire, and readiness to increase well-being and actualize human health
potential as expressed in their readiness to enhance specific health behaviors such as nutrition and
exercise
Diagnostic label - VERIFIED ANSWER✔✔-describes the patient's response to a health condition in as few
words as possible
Related factors - VERIFIED ANSWER✔✔--The reason the patient is displaying the nursing diagnosis.
-It is not cause and effect.
-Indicates etiology that contributes to the diagnosis.
A related factor is: - VERIFIED ANSWER✔✔-a condition, historical factor, or causative event that gives a
context for the defining characteristics and shows a type of relationship with the nursing diagnosis
CORRECT ANSWERS
ASSESSMENT - VERIFIED ANSWER✔✔-the deliberate and systematic collection of information about a
patient to determine his or her current and past health and functional status and his or her present and
past coping patterns
Includes 2 steps: - VERIFIED ANSWER✔✔--Collection of information from a primary source (the patient)
and secondary sources (e.g., family members, health professionals, and medical record)
-The interpretation and validation of data to ensure a complete database
Purpose of assessment is to: - VERIFIED ANSWER✔✔-establish a database about the patient's perceived
needs, health problems, and responses to these problems.
Cue - VERIFIED ANSWER✔✔-information that you obtain through use of the senses
Inference - VERIFIED ANSWER✔✔-your judgment or interpretation of these cues
Subjective data - VERIFIED ANSWER✔✔--patients' verbal descriptions of their health problems
-only patients provide subjective data
Objective data - VERIFIED ANSWER✔✔--observations or measurements of a patient's health status.
-ex: inspecting the condition of a surgical incision or wound, describing an observed behavior, measuring
blood pressure
Initial patient center interview - VERIFIED ANSWER✔✔-(1) setting the stage
(2) gathering information about the patient's chief concerns or problems and setting an agenda
(3) collecting the assessment or a nursing health history
(4) terminating the interview.
, Concomitant symptoms - VERIFIED ANSWER✔✔-Does the patient experience other symptoms along
with the primary symptom? For example, does nausea accompany pain?
DIAGNOSIS - VERIFIED ANSWER✔✔-clinical judgment about individual, family, or community responses
to actual and potential health problems or life processes that the nurse is licensed and competent to
treat
Collaborative problem - VERIFIED ANSWER✔✔-an actual or potential physiological complication that
nurses monitor to detect the onset of changes in a patient's statu
Data cluster - VERIFIED ANSWER✔✔-set of signs or symptoms gathered during assessment that you
group together in a logical way
Risk nursing diagnosis - VERIFIED ANSWER✔✔-describes human responses to health conditions or life
processes that may develop in a vulnerable individual, family, or community. These diagnoses do not
have related factors or defining characteristics because they have not occurred yet
Health Promotion nursing diagnosis - VERIFIED ANSWER✔✔-clinical judgment of a person's, family's, or
community's motivation, desire, and readiness to increase well-being and actualize human health
potential as expressed in their readiness to enhance specific health behaviors such as nutrition and
exercise
Diagnostic label - VERIFIED ANSWER✔✔-describes the patient's response to a health condition in as few
words as possible
Related factors - VERIFIED ANSWER✔✔--The reason the patient is displaying the nursing diagnosis.
-It is not cause and effect.
-Indicates etiology that contributes to the diagnosis.
A related factor is: - VERIFIED ANSWER✔✔-a condition, historical factor, or causative event that gives a
context for the defining characteristics and shows a type of relationship with the nursing diagnosis
