correct answers 2025
DefinevthevnursingvprocessvCORRECTvANSWERSvavsystematicvproblemvsolvingvapproac
hvtowardvprovidingvindividualizedvnursingvcare.
WhatvisvNANDA-IvCORRECTvANSWERSvNorthvAmericanvNursing
DiagnosisvAssociationvInternational
Whatvarevthevcharacteristicsvofvthevnursingvprocess?vCORRECTvANSWERSv1-
frameworkvforvcarevtovindiv,vfamilies,v&vcommunitiesv2-orderlyv&vsystematicv3-
interdependentv4-providesvspecificvcarevforvthevindiv,vfam,v&vcommv5-vclientvcenteredv6-
appropriatevforvusevthroughoutvlifespanv7-usedvinvALLvsettings
Whatvarevthevstepsvofvthevnursingvprocess?vCORRECTvANSWERSvADPIEvA=assessmen
tvD=diagnosisvP=planningvI=implementationvE=evaluation
Howvdoesvthevnursevobtainvassessmentvinfo?vCORRECTvANSWERSv1-
vinitialv(orvadmissionvassessment)v2-vfocusedvassessmentv3-vemergencyvassesment
Howvdoesvthevnursevobtainvassessmentvinfo?vCORRECTvANSWERSvpastvmedicalvhxv-
vfamilyvhxv-vreasonvforvadmissionv-vcurrentvmedsv-vpreviousvhospitalizationsv&vsurgeriesv-
vpsychosocialvassessmentv-vnutritionv-vcompletevphysicalvassessment
, focusedvassessmentvCORRECTvANSWERSvCollectsvdatavaboutvavproblemvthatvhasvalrea
dyvbeenvidentified.vThisvtypevofvassessmentvdeterminesvwhether
thevproblemvstillvexists,vorvanyvchanges.
focusedvassessmentvquestionsvCORRECTvANSWERSv‐vWhatvarevyourvsymptoms?
‐vWhenvdidvtheyvstart?
‐vWhatvactivityvwerevyouvdoingv?
‐vWhatvmakesvitvbettervorvworse?
‐vWhatvarevyouvdoingvtovrelievevthevsymptom?
EmergencyvassessmentvCORRECTvANSWERSvPerformedvtovidentifyvavlife‐
threateningvproblemv(choking,vstabvwound,vheartvattack).
subjectivevdatavCORRECTvANSWERSvInformationvverbalizedvorvstatedvbyvthevclient.
objectivevdatavCORRECTvANSWERSv‐vObservablevandvmeasurablevinformation.
‐vRemembervtovincludevyourvsenses:vsmell,vhearing,vtouchvandvsight.
signvCORRECTvANSWERSvAnvobjectivevfindingvperceivedvbyvthevexaminervex.v(fever,vras
h,vetc.)
symptomvCORRECTvANSWERSvSubjectivevfindingsvverbalizedvorvstatedvbyvthevclientvex.v
("Ivhavevavheadache"v"vIvfeelvsickvinvmyvstomach.")
signsvarevCORRECTvANSWERSvobjective
symptomsvarevCORRECTvANSWERSvsubjective
2vsourcesvofvdatavCORRECTvANSWERSvprimaryv&v2ndary
primaryvsourcevofvdatavCORRECTvANSWERSv‐
Informationvobtainedvfromvthevpatientv(only)
secondaryvsourcesvofvdatavCORRECTvANSWERSv‐vFamilyvmembers
‐vSignificantvothers
‐
vPastv&vcurrentvhealthvrecords,vlaboratoryvtests,diagnosticvprocedures,vconsultationsvfromv
othervhealthcarevprofessionals.
collectvthevdatavthenvBLANKvthevdatavCORRECTvANSWERSvVALIDATE
‐Confirmvandvverifyvthevinformation.
‐vKeepvitvfreevfromverrors,vbias,vorvmisinterpretation.
Datavisv1,2,3vCORRECTvANSWERSvcollected,vvalidated,vthenvclustered