NUR-111 FINAL EXAM | QUESTIONS | WITH
ACCURATE ANSWERS!!
The nursing process is - .....ANSWER ...✔✔ a critical
thinking method used by nurses to provide nursing care
that is individualized and holistic.
5 steps of the nursing process - .....ANSWER ...✔✔ 1.
assessment/data collection
2. analysis/ diagnosis
3. planning
4. implementation
5. evaluation
Times a nurse can collect data - .....ANSWER ...✔✔ 1.
initial assessment (baseline data)
2. Focused assessment
3. Ongoing assessments
Methods of data collection include: - .....ANSWER
...✔✔ Observation, interviews with clients and
families, medical history, comprehensive or focused
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physical examination, diagnostic and laboratory
reports, and collaboration with other members of the
health care team.
subjective data - .....ANSWER ...✔✔ what the person
says about himself or herself during history taking
objective data - .....ANSWER ...✔✔ information that is
seen, heard, felt, or smelled by an observer; signs
Analysis/diagnosis - .....ANSWER ...✔✔ - identify
patterns or trends
- compare data with expected standards or reference
ranges
- arrive at conclusions to guide nursing care
Planning - .....ANSWER ...✔✔ - must establish
priorities and optimal outcomes of care they can readily
measure and evaluate
- direction interventions to include in a plan of care to
promote, maintain, or restore health of clients
Three types of planning - .....ANSWER ...✔✔ -
comprehensive: on admission, after assessment
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- ongoing: throughout provision of care
- discharge: needs for after discharge
What guidelines are used to set priorities? - .....ANSWER
...✔✔ Maslow's Hierarchy of needs
Maslow's Hierarchy of Needs Levels - .....ANSWER
...✔✔ (level 1) Physiological Needs, (level 2) Safety
and Security, (level 3) Relationships, Love and Affection,
(level 4) Self Esteem, (level 5) Self Actualization
Nurse-initiated/independent interventions - .....ANSWER
...✔✔ nursing actions initiated by the nurse that do
not require direction or an order from a health care
provider
Provider-initiated/dependent interventions -
.....ANSWER ...✔✔ Interventions nurses initiate as a
result of a provider's prescription (written, standing, or
verbal) or the facility's protocol, such as blood
administration procedures.
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collaborative interventions - .....ANSWER ...✔✔
interdependent nursing actions performed jointly by
nurses and other members of the health care team
Implementation - .....ANSWER ...✔✔ - nurses perform
nursing actions, delegate tasks, supervise other
healthcare staff, document delivery of care and client
responses
- put plan into action
Evaluation - .....ANSWER ...✔✔ - nurses evaluate
client responses to nursing interventions to determine if
any modifications to nursing care plan is needed
Asepsis - .....ANSWER ...✔✔ is the absence of illness-
producing micro-organisms
Medical asespsis - .....ANSWER ...✔✔ clean
technique: techniques that inhibit the growth & spread of
pathogenic microorganisms...example hand washing,
changing pts beds
Surgical Asepsis - .....ANSWER ...✔✔ sterile technique