WITH SOLUTIONS GRADED A+
◉ To enter the nursing profession, an individual must successfully
complete: Answer: Licensure examination
◉ What group is primarily protected under the laws that regulate
the nursing practice? Answer: The public
◉ The goal of the professional nurse in the team leader role is:
Answer: Positive outcomes and patient satisfaction.
◉ Professionalism exemplars related to leadership include: Answer:
Influential
Inspired
Proficient
◉ The Nursing Process Answer: an organizing framework for
professional nursing practice, promotes critical thinking process for
the nurses to utilize to give the best care possible to the client.
Continuous and cyclical
◉ Nursing process parts: Answer: Assessment
,Nursing Diagnosis
Planning
Implementing
Evaluation
◉ Assessment Answer: Establishes a data base about the client
Observation , interview (medical history) and physical exam.
Collecting, organizing, validate and record data.
Subjective and objective data.
Recognize trends/patterns in the data and compare to standards.
◉ Subjective data Answer: "symptoms"
What the patient tells you.
(obtained verbally from client)
◉ Objective data Answer: Information obtained by performing
physical assessment, vital signs, lab results.
Measurable data
"signs"
,◉ Nursing Diagnosis Answer: Nurse begins clustering info within
the client story and formulates an evaluative judgment about client's
health status. (using clinical reasoning)
◉ Formulating a nursing diagnosis: Answer: A working diagnosis
may have 2 or 3 parts.
The 2 part system consists of nursing diagnosis and the "related to"
(r/t) statement.
"related factors are factors that appear to show some type of
patterned relationship with the nursing diagnosis.
◉ One-part system (nursing diagnosis) Answer: Wellness- begins
with "readiness for enhanced ____"
◉ "Readiness for enhanced nutrition" is an example of which type of
nursing diagnosis? Answer: One-part; wellness
◉ Two-Part Diagnosis: Answer: Often used when the defining
characteristics (signs and symptoms) are obvious to those caring for
the patient.
◉ "Risk for falls related to (R/t) side effects of antihypertensive
medication" is an example of which type of nursing diagnosis?
Answer: Two-part; Risk
, ◉ Three-part system (PES system) Answer: Consists of the nursing
diagnosis, the r/t statement, and the defining characteristics which
are observable cues/inferences that cluster as manifestations of an
actual or wellness nursing diagnosis.
◉ Problem (P) Answer: The nursing diagnosis label: a concise term
or phrase that represents a pattern of related cues. Taken from the
NANDA-I label list.
◉ Etiology (E) Answer: "related to" (r/t) phrase, the cause or
contributor to the problem.
often complementary to medical diagnosis, but the nursing
diagnosis is ideally something that can be treated independently by
a nurse.
◉ Symptoms (S) Answer: Defining characteristics phrase: things the
nurse identified in the assessment.
◉ Nursing diagnosis label: Answer: 4 different kinds of labels:
-Actual
-Health promotion
-Risk
-Syndrome