QUESTIONS WITH ANSWERS
◉ Prioritization. Answer: The process of deciding which problems
need to be addressed first based on factors such as problem urgency,
future consequences, patient preference, and computer-assisted
diagnosing.
◉ Scope of Practice. Answer: The range of responsibilities and
activities that a nurse is legally permitted to perform.
◉ Actions without a Doctor's Order. Answer: Turning a patient,
providing comfort, raising the head of the bed, grooming/bathing,
applying ice packs/heat pads (with some exceptions), patient
education, assisting in ADLs, preventing falls, and promoting
hydration and nourishment (with some exceptions).
◉ Out of Scope Actions. Answer: If asked to perform out of scope,
refer to the facility's policies and procedures. If they cover the
action, it is within scope; if not, it may not be.
◉ Primary Prevention. Answer: Designed to prevent or slow the
onset of disease through actions such as eating healthy foods,
exercising, wearing sunscreen, obeying seat belt laws, using car
seats, using condoms, and keeping up with immunizations.
,◉ Secondary Prevention. Answer: Screening activities and education
for detecting illnesses in the early stages, including breast self-
exams, testicular exams, regular physical exams, BP and diabetic
screenings, bone density screenings, and TB skin tests.
◉ Tertiary Prevention. Answer: Focuses on stopping the disease
from progressing and returning the individual to the pre-illness
phase, with rehab as the main intervention during this stage,
including preventing pressure ulcers, cardiac stent procedures,
support groups, physical rehab, and speech therapy.
◉ Nursing Process. Answer: A systematic approach to patient care
consisting of Assessment, Diagnosis, Planning, Implementation, and
Evaluation (ADPIE).
◉ Non-linear Nursing Process. Answer: The nursing process is not a
linear sequence; it involves continuous assessment and adjustment.
◉ Assessment. Answer: Involves gathering data about the patient
and their health status; Info is related to the physiological,
psychological, sociocultural, developmental, and spiritual status of
the individual.
◉ Primary data. Answer: Data obtained directly from the patient.
, ◉ Subjective data. Answer: What the patient SAYS/TELLS you.
◉ Objective data. Answer: What you can SEE for yourself.
◉ Secondary Data. Answer: Data obtained secondhand, from the
medical record or another care provider.
◉ Diagnosis. Answer: Using critical-thinking skills, the nurse
analyzes the Assessment to identify patterns in the data and draw
conclusions about the client's health status (strengths, problems,
and factors contributing to the problem).
◉ Nursing diagnosis. Answer: A statement of patient health status
that nurses can identify, prevent, or treat independently.
◉ Medical diagnosis. Answer: Describes a disease, illness, or injury;
Purpose is to identify a pathology so appropriate treatment can be
given to cure the condition.
◉ Planning. Answer: Encompasses identifying goals and outcomes,
choosing interventions, and creating nursing care plans.