N125 Midterm Study Guide: Nursing
Concepts and Practices-with 100%
Correct Solutions
Maslow's Hierarchy
Prioritize basic physiological needs first.
ABCs
Airway, Breathing, Circulation prioritization method.
Airway obstruction signs
Changed voice, see-saw respirations, stridor.
Respiratory assessment
Monitor abnormal rate, accessory muscles, cyanosis.
Capillary refill time
Indicator of peripheral circulation efficiency.
Level of consciousness (LOC)
Assess patient's awareness and responsiveness.
,S.M.A.R.T. Goals
Specific, Measurable, Achievable, Relevant, Time-bound objectives.
Non-pharmacological interventions
Preferred initial approach before medications.
Patient-centered assessment
Gather subjective and objective patient information.
Open-ended questions
Encourage detailed patient responses during assessment.
Physical examination
Observation and interpretation of client behavior.
Objective data
Observable facts collected during assessment.
Subjective data
Patient-reported information regarding their condition.
Documentation
Crucial for legal and professional accountability.
Concept mapping
Visual tool for connecting health problems and interventions.
Medical diagnosis
Identification of disease based on signs/symptoms.
,Nursing diagnosis
Clinical judgment on patient responses to health issues.
Collaborative problem
Potential complications monitored by nursing staff.
Actual vs Risk nursing diagnosis
Actual describes current issues; risk indicates potential.
Diagnostic tools
NANDA-I, NIC, NOC for nursing assessments.
Diagnostic statements
Include definitions, related factors, and risk factors.
Examples of Nursing Diagnoses
Impaired comfort, disturbed body image, fluid volume deficit.
Classification of Priorities
High, Intermediate, Low importance in nursing care.
High Importance
Untreated nursing diagnoses causing patient harm.
Intermediate Importance
Non-emergent, not life-threatening issues.
Low Importance
Affects future well-being, not directly related to illness.
, ABC's
Airway, Breathing, Circulation assessment framework.
Airway Obstruction Signs
Changed voice, stridor, 'see-saw' respirations.
Respiratory Rate Abnormalities
Use of accessory muscles, cyanosis observed.
Capillary Refill Time
Indicator of peripheral circulation and oxygenation.
Level of Consciousness (LOC)
Decreased awareness affecting patient assessment.
Maslow's Hierarchy of Needs
Framework prioritizing physiological to psychological needs.
Physiological Need
Basic survival requirements for human functioning.
Goal in Nursing
Broad statement describing desired client change.
Expected Outcome
Specific criteria to evaluate goal achievement.
Client-centered Goal
Specific, measurable behavior or response expected.
Concepts and Practices-with 100%
Correct Solutions
Maslow's Hierarchy
Prioritize basic physiological needs first.
ABCs
Airway, Breathing, Circulation prioritization method.
Airway obstruction signs
Changed voice, see-saw respirations, stridor.
Respiratory assessment
Monitor abnormal rate, accessory muscles, cyanosis.
Capillary refill time
Indicator of peripheral circulation efficiency.
Level of consciousness (LOC)
Assess patient's awareness and responsiveness.
,S.M.A.R.T. Goals
Specific, Measurable, Achievable, Relevant, Time-bound objectives.
Non-pharmacological interventions
Preferred initial approach before medications.
Patient-centered assessment
Gather subjective and objective patient information.
Open-ended questions
Encourage detailed patient responses during assessment.
Physical examination
Observation and interpretation of client behavior.
Objective data
Observable facts collected during assessment.
Subjective data
Patient-reported information regarding their condition.
Documentation
Crucial for legal and professional accountability.
Concept mapping
Visual tool for connecting health problems and interventions.
Medical diagnosis
Identification of disease based on signs/symptoms.
,Nursing diagnosis
Clinical judgment on patient responses to health issues.
Collaborative problem
Potential complications monitored by nursing staff.
Actual vs Risk nursing diagnosis
Actual describes current issues; risk indicates potential.
Diagnostic tools
NANDA-I, NIC, NOC for nursing assessments.
Diagnostic statements
Include definitions, related factors, and risk factors.
Examples of Nursing Diagnoses
Impaired comfort, disturbed body image, fluid volume deficit.
Classification of Priorities
High, Intermediate, Low importance in nursing care.
High Importance
Untreated nursing diagnoses causing patient harm.
Intermediate Importance
Non-emergent, not life-threatening issues.
Low Importance
Affects future well-being, not directly related to illness.
, ABC's
Airway, Breathing, Circulation assessment framework.
Airway Obstruction Signs
Changed voice, stridor, 'see-saw' respirations.
Respiratory Rate Abnormalities
Use of accessory muscles, cyanosis observed.
Capillary Refill Time
Indicator of peripheral circulation and oxygenation.
Level of Consciousness (LOC)
Decreased awareness affecting patient assessment.
Maslow's Hierarchy of Needs
Framework prioritizing physiological to psychological needs.
Physiological Need
Basic survival requirements for human functioning.
Goal in Nursing
Broad statement describing desired client change.
Expected Outcome
Specific criteria to evaluate goal achievement.
Client-centered Goal
Specific, measurable behavior or response expected.
