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NUR 155
FOUNDATION
S TO NURSING
EXAM 2
, NUR 155 Foundations to Nursing EXAM 2
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1. What Is The Nursing Process? Systematic, Rational Method Of Planning And
Proving Individualized Care.
2. What Do You Do In The Nursing 1. Assessing
P rocess? 2. Nursing Diagnosing
3. Planning
4. Implementing
5. Evaluating
3. What Is The Decision-Making Process? -Choosing The Best Actions To Meet A Desired Goal
-Make Value Decisions
-Time Management Decisions
-Scheduling Decisions
-Priority Decisions
4. T he N ursing Process: As- Sessing -Collecting, Organizing, Validating And Docu- Menting A Patient's
Health Data
-Collect Data
-Organize Data
-Validate Data
-Document Data
5. T he N ursing Process: Diag- Nosing -Analyze Date
-Identify Health Problems, Risks, And Strengths
-Formulate Diagnostic Statements
6. T he N ursing Process: Plan- Ning -Prioritize Problems/Diagnoses
-Formulate Goals/Desired Outcomes
-Select Nursing Interventions
-Write Nursing Interventions
7. T he N ursing Process: Imple- Menting -Reassess The Client
-Determine The Nurse's Need For Assistance
-Implementing The Nursing Interventions
, NUR 155 Foundations to Nursing EXAM 2
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-Supervise Delegated Care
-Document Nursing Activités
8. T he N ursing Process: Evalu- Ating -Collect Data Related To Outcomes
-Compare Data With Outcomes
-Relate Nursing Actions To Client Goals/Out- Comes
-Draw Conclusions About Problem Status
-Continue, Modify, Or Terminate The Client's Care Plan
9. What Is Subjective? What The Patient Says
Ex: "I Have Pain, Nausea, Fear"
10. What Is Objective? -Measurable
Ex: Vital Signs, Labs, Drainage, Etc.
11. Methods Of Data Collection? -Observing
-Interviewing
12. Directive Approach To Inter- Viewing? -Nurse Establishes Purpose
-Nurse Controls The Interview
-Used To Gather And Give Information When Time Is Limited, E.G.,
An Emergency
13. N ondirective Approach To In- Terviewing -Rapport-Building
-Client Controls The Purpose, Subject Matter, And Pacing
-Combination Of Directive And N ondirective Approaches
Usually Appropriate During The Inform ation-Gathering
Interview
14. T ypes Of Questions: Closed If You Can Answer A Question With Only A
"Yes" Or "No" Response, Then You Are Answer- Ing A Close-Ended
Type Of Question.
, NUR 155 Foundations to Nursing EXAM 2
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Examples Of Close-Ended Questions Are:
Are You Feeling Better Today? May I Use The
Bathroom?
Is The Prime Rib A Special Tonight? Should I Date Him?
Will You Please Do Me A Favor?
15. T ypes Of Questions: Open Open-Ended Questions Are Ones That Require
More Than One Word Answers. The Answers Could Come In The For
Of A List, A Few Sentences Or Something Longer Such As A Speech,
Paragraph Or Essay.
Here Are Some Examples Of Open-Ended Questions:
What Were The Most Important Wars Fought In The History Of
The United States?
What Are You Planning To Buy Today At The Supermarket?
How Exactly Did The Fight Between The Two Of You Start?
16. P lanning T he Interview -Time
-Place
-Seating
-Distance
-Language
17. What Are T he Stages Of An In- T erview? 1. The Opening
2. The Body Of The Interview
3. The Closing
18. What Is A Physical Examina- T ion? -Use Techniques Of Inspection, Auscultation, Palpation, And Percuss
-Systematic Manner
-Ongoing nursing data collection and exami-