ACTUAL Exam Questions and CORRECT
Answers
5 Steps of the nursing process and how they interact with each other-ADPIE - CORRECT
ANSWER - *A*ssessment - Collecting and examining data
*D*iagnosis - Analyzing data to identify health problems and strengths
*P*lanning -Developing a plan
*I*mplementation - Putting the plan into action and observing initial response
*E*valuation - Determining how well the plan has worked and whether there is still a problem
Problem-Solving Method - CORRECT ANSWER - *You encounter a problem* of some
sort and begin to collect information to see if you can understand the problem clearly.
*You study the information and identify just what the problem is* and what resources might be
able to help you.
*You make a plan of action:* "This is what I'm going to do about this problem."
*You carry out the plan of action* and observe the initial response.
*You evaluate whether the plan has worked* or whether you still have a problem.
*You ask yourself, "Is this problem really better?* What else should I be doing to solve this
problem?"
THE NURSING PROCESS - CORRECT ANSWER - Way of thinking and acting based
on a scientific method
, Lydia Hall (1955) - CORRECT ANSWER - -coined the term 'nursing process'.
3 aspects of nursing: care, core, cure
3 steps of nursing process: observation, administration of care, validation
Johnson (1959), Orlando (1961), Wiedenbach (1963) - CORRECT ANSWER - introduced
a 3 step nursing process:
3 steps of nursing process: assessment, decision and nursing action 3 steps of nursing process:
patient's behavior, nurses reaction, action
Henderson (1966) - CORRECT ANSWER - *identified the nursing process as the same
steps used in the scientific method:
*Observation, measuring, gathering data, and analyzing the findings 4 step model:
Assessment
planning
intervention
evaluation
ANA (1973) - CORRECT ANSWER - published Standards of Clinical Nursing Practice
Nursing Process evolves into 5 steps
Holistic view - CORRECT ANSWER - considers the biologic, psychological, sociologic,
and spiritual aspects and needs of the person
*THE UNIFIED WHOLE IS MORE THAN THE SUM OF ITS PARTS* - The holistic view
considers the relationship between the person, health, nursing, and environment
Self care concept - CORRECT ANSWER - Orem believed that health meant being able to
meet one's own needs