Test Bank -
Essentials for
Nursing Practice,
9th Edition (Potter,
Perry, 2025) All
Chapters
Diagnosis - ANSWER-Identifies the actual
problem. Differentiates into 2 part and 3 part
system.
,Nursing Diagnoses for Restraints - ANSWER-
Powerlessness,
Chronic confusion,
Hopelessness,
Risk for falls,
Risk for Loneliness,
Chronic/situational low self esteem,
Social isolation,
Seizures - ANSWER-Sudden, disorderly
discharge of cerebral neurons
Generalized seizures - ANSWER-Sustained
Involuntary muscle contractions
Tonic: rigid muscles
Clonic: muscular jerking
grand mal seizure (tonic-clonic seizure) -
ANSWER-2-5 minutes, cry, loss of
consciousness, tonic-clonic movement,
incontinence,
During: shallow breathing, cyanosis,
incontinence,
,Postictal phase: disoriented, no recall of event,
deep sleep
Nursing Interventions for Seizures - ANSWER-
Before: ensure the environment is safe
During: Positioning, no objects in mouth, do not
restrain, time seizure, privacy
After: Post ictal,
Reorient ,
Assessment
Planning - ANSWER-the nurse prioritizes a
patient's various nursing diagnoses, establishes
short- and long-term goals, chooses outcome
indicators, and identifies interventions to
address patient goals.
Implementation - ANSWER-focuses on initiation
of appropriate interventions designed to meet
the unique needs of each patient
, Evaluate - ANSWER-focuses on the patient and
the patient's response to nursing interventions
and goal or outcome attainment.
Difference between nursing diagnosis and
medical diagnosis - ANSWER-Medical
Diagnosis: Identify and label medical illnesses.
Can be Physical or Psychological.
Nursing Diagnosis: Broader in focus-Consider
patient's response to medical diagnoses to life
situations-Make clinical judgments based on
medical diagnoses and conditions.
Infection - ANSWER-the invasion of a
susceptible host by pathogens or
microorganisms; results in disease.
Colonization - ANSWER-presence and growth
of microorganisms within a host without tissue
invasion or damage.
Health Care Associated Infections - ANSWER-
Patients at greater risk for health care-
associated infections (HAIs)
Essentials for
Nursing Practice,
9th Edition (Potter,
Perry, 2025) All
Chapters
Diagnosis - ANSWER-Identifies the actual
problem. Differentiates into 2 part and 3 part
system.
,Nursing Diagnoses for Restraints - ANSWER-
Powerlessness,
Chronic confusion,
Hopelessness,
Risk for falls,
Risk for Loneliness,
Chronic/situational low self esteem,
Social isolation,
Seizures - ANSWER-Sudden, disorderly
discharge of cerebral neurons
Generalized seizures - ANSWER-Sustained
Involuntary muscle contractions
Tonic: rigid muscles
Clonic: muscular jerking
grand mal seizure (tonic-clonic seizure) -
ANSWER-2-5 minutes, cry, loss of
consciousness, tonic-clonic movement,
incontinence,
During: shallow breathing, cyanosis,
incontinence,
,Postictal phase: disoriented, no recall of event,
deep sleep
Nursing Interventions for Seizures - ANSWER-
Before: ensure the environment is safe
During: Positioning, no objects in mouth, do not
restrain, time seizure, privacy
After: Post ictal,
Reorient ,
Assessment
Planning - ANSWER-the nurse prioritizes a
patient's various nursing diagnoses, establishes
short- and long-term goals, chooses outcome
indicators, and identifies interventions to
address patient goals.
Implementation - ANSWER-focuses on initiation
of appropriate interventions designed to meet
the unique needs of each patient
, Evaluate - ANSWER-focuses on the patient and
the patient's response to nursing interventions
and goal or outcome attainment.
Difference between nursing diagnosis and
medical diagnosis - ANSWER-Medical
Diagnosis: Identify and label medical illnesses.
Can be Physical or Psychological.
Nursing Diagnosis: Broader in focus-Consider
patient's response to medical diagnoses to life
situations-Make clinical judgments based on
medical diagnoses and conditions.
Infection - ANSWER-the invasion of a
susceptible host by pathogens or
microorganisms; results in disease.
Colonization - ANSWER-presence and growth
of microorganisms within a host without tissue
invasion or damage.
Health Care Associated Infections - ANSWER-
Patients at greater risk for health care-
associated infections (HAIs)
