NURS 202 exam 2
During the nursing assessment process, the nurse gathers information needed to make
a diagnostic _______ about patient care. - answer conclusion
What are the 5 parts of the nursing process? - answer Assessment
Diagnosis
Planning
Implementation
Evaluation
Identification of a disease condition based on specific evaluation of physical signs,
symptoms, the patient's medical history and the results of diagnostic tests and
procedures. - answer Medical diagnosis
Physicians are licensed to treat diseases and conditions described in _______
statements. - answer medical
A clinical judgment about individual, family, or community responses to actual and
potential health problems or life processes that the nurse is licensed and competent to
treat. - answerNursing diagnosis
What are the 2 components of a nursing diagnosis
(2 part) - answerDiagnostic label
Related factor
What are the 3 components of a nursing diagnosis
(3 part) - answerDiagnostic label
Related factor
Defining characteristics
is an actual or potential complication that nurses monitor to detect onset of changes in a
patient's status.(the nurse works with other health care teams to resolve the problem) -
answercollaborative problem
*The name of the nursing diagnosis as approved by NANDA International.
*Describes the essence of a patient's response to health conditions in as few words as
possible. - answerdiagnostic label
ex: impaired physical mobility = Diagnostic Label
, ______ _______- a condition, historical factor or etiology that gives a context for the
defining characteristics and shows a type of relationship with the nursing diagnosis. -
answerrelated factor
impaired physical mobility(Diagnostic Label)
Related to
abdominal incision(related factor or etiology)
*Related factor of a nursing diagnosis always within the domain of nursing practice
*A condition that responds to nursing interventions - answeretiology
Impaired physical mobility(diagnostic label) related to (related to) acute incision
pain(related factor or etiology)
The clinical criteria that are observable and verifiable
(an objective or subjective sign or symptom that leads to a diagnostic conclusion) -
answerDefining characteristics
Impaired physical mobility related to acute incisional pain **as evidenced by patient's
report of pain level of 7 on a scale of 0 to 10 and moving slowly from bed to
chair**(stared part is example of this)
*Involves setting priorities, identifying patient-centered goals and expected outcomes,
and prescribing individualized nursing interventions
*Requires critical thinking through deliberate decision making and problem solving -
answerplanning
*A single patient will have more than one nursing diagnosis
Nurses must be able to set ______ for a single patient or group of patients that ensures
timeliest, relevant, and appropriate care - answerpriorities
______ ______ the ordering of nursing diagnoses or patient problems using
determinations of urgency/importance to establish a list of nursing actions -
answerpriority setting
_____ and _____ ______ are specific statements of patient behavior or physiologic
responses that you set to resolve a nursing diagnosis - answergoals and expected
outcomes
_____: a broad statement that describes a desired change in a patient's condition or
behavior. - answergoal
*______ ______: a measurable criterion to evaluate goal achieved
*Once an outcome is met, you know that a goal has been AT LEAST partially achieved -
answerexpected outcome
*____ _____ _____: an objective behavior or response that you expect a patient to
achieve in a short time, usually less than a week.
During the nursing assessment process, the nurse gathers information needed to make
a diagnostic _______ about patient care. - answer conclusion
What are the 5 parts of the nursing process? - answer Assessment
Diagnosis
Planning
Implementation
Evaluation
Identification of a disease condition based on specific evaluation of physical signs,
symptoms, the patient's medical history and the results of diagnostic tests and
procedures. - answer Medical diagnosis
Physicians are licensed to treat diseases and conditions described in _______
statements. - answer medical
A clinical judgment about individual, family, or community responses to actual and
potential health problems or life processes that the nurse is licensed and competent to
treat. - answerNursing diagnosis
What are the 2 components of a nursing diagnosis
(2 part) - answerDiagnostic label
Related factor
What are the 3 components of a nursing diagnosis
(3 part) - answerDiagnostic label
Related factor
Defining characteristics
is an actual or potential complication that nurses monitor to detect onset of changes in a
patient's status.(the nurse works with other health care teams to resolve the problem) -
answercollaborative problem
*The name of the nursing diagnosis as approved by NANDA International.
*Describes the essence of a patient's response to health conditions in as few words as
possible. - answerdiagnostic label
ex: impaired physical mobility = Diagnostic Label
, ______ _______- a condition, historical factor or etiology that gives a context for the
defining characteristics and shows a type of relationship with the nursing diagnosis. -
answerrelated factor
impaired physical mobility(Diagnostic Label)
Related to
abdominal incision(related factor or etiology)
*Related factor of a nursing diagnosis always within the domain of nursing practice
*A condition that responds to nursing interventions - answeretiology
Impaired physical mobility(diagnostic label) related to (related to) acute incision
pain(related factor or etiology)
The clinical criteria that are observable and verifiable
(an objective or subjective sign or symptom that leads to a diagnostic conclusion) -
answerDefining characteristics
Impaired physical mobility related to acute incisional pain **as evidenced by patient's
report of pain level of 7 on a scale of 0 to 10 and moving slowly from bed to
chair**(stared part is example of this)
*Involves setting priorities, identifying patient-centered goals and expected outcomes,
and prescribing individualized nursing interventions
*Requires critical thinking through deliberate decision making and problem solving -
answerplanning
*A single patient will have more than one nursing diagnosis
Nurses must be able to set ______ for a single patient or group of patients that ensures
timeliest, relevant, and appropriate care - answerpriorities
______ ______ the ordering of nursing diagnoses or patient problems using
determinations of urgency/importance to establish a list of nursing actions -
answerpriority setting
_____ and _____ ______ are specific statements of patient behavior or physiologic
responses that you set to resolve a nursing diagnosis - answergoals and expected
outcomes
_____: a broad statement that describes a desired change in a patient's condition or
behavior. - answergoal
*______ ______: a measurable criterion to evaluate goal achieved
*Once an outcome is met, you know that a goal has been AT LEAST partially achieved -
answerexpected outcome
*____ _____ _____: an objective behavior or response that you expect a patient to
achieve in a short time, usually less than a week.
