NUR 2058 DIMENSIONS OF NURSING FINAL
EXAM 2026 EXAM SCRIPT QUESTIONS WITH
FULL SOLUTIONS GRADED A+
◉ Information needed for ISBARR. Answer: - client's chart or EHR
open
- current medications, allergies, IV fluids
- most recent vital signs
- code status
- most recent lab results and previous lab results for comparison
◉ Florence Nightingale. Answer: - focused on research and data
collection
- kept careful statistics on diseases/mortality and analyzed data to
make recommendations about hygiene
◉ Bertha Harmer. Answer: - nurses prescribe nursing care just as
physicians prescribe medical care
- visionary about the value of documenting nursing data to improve
care and outcomes
◉ Outcomes potentially sensitive to nursing (OSPN). Answer: -
nursing measured by adverse events
,- studied patient outcomes and their relationship to nurse-patient
ratio
- more RNs = fewer adverse outcomes
◉ Nursing interventions classification (NIC). Answer: nursing
education; a comprehensive, research-based, standardized
classification of interventions that nurses perform.
◉ Standard nursing language. Answer: captures the complexities of
communication, research, and documentation
◉ Standardized terminology: minimum data sets. Answer: - Nursing
Minimum Data Set (NMDS) ***
- Nursing Management Minimum Data Set (NMMDS)
◉ Standardized terminology: interface terminologies. Answer: -
Clinical Care Classification (CCC)
- International Classification of - Nursing Practice (ICNP)
- North American Nursing Diagnosis Association International
(NANDA-I) ***
- Nursing Interventions Classification (NIC)
- Nursing Outcome Classification (NOC)
- Omaha Home Health Care System
- Perioperative Nursing Data Set (PNDS)
,- ABC Codes
◉ Standardized terminology: reference terminologies. Answer: -
Logical Observation Identifiers Names and Codes (LOINC)
- SNOMED Clinical Terms (SNOMED CT) ***
◉ Documentation guidelines. Answer: - Factual
- Accurate
- Complete
- Current
- Organized
◉ Granularity. Answer: the amount of detail that is captured by a
term or phrase
- more granularity = more detail
- different levels of granularity needed for different purposes
- very granular data needed at clinical level
- less granular data needed for billing and research
◉ Mapping. Answer: matching a concept in one standardized
terminology with a concept in another standardized terminology
, ◉ Nomenclature. Answer: lowest level of classification; words in a
dictionary are examples of a list organized alphabetically for ease of
use
- ex. "pick list"
◉ Ontology. Answer: highest level of classification; allows terms to
be represented and linked to multiple concepts
◉ Secondary data. Answer: the re-use of nursing data to analyze
effectiveness of nursing care
◉ Paper record strengths. Answer: - Light, transportable
- No waiting at computer terminal
- No log in
- No electricity, maintenance, or down time
◉ Paper record weaknesses. Answer: - No backup system
- Easily damaged or destroyed
- Legibility issues
- Tedious to trend data; prone to error/may be incomplete/no
patient access
- Large, heavy, and difficult to store if stay is lengthy
EXAM 2026 EXAM SCRIPT QUESTIONS WITH
FULL SOLUTIONS GRADED A+
◉ Information needed for ISBARR. Answer: - client's chart or EHR
open
- current medications, allergies, IV fluids
- most recent vital signs
- code status
- most recent lab results and previous lab results for comparison
◉ Florence Nightingale. Answer: - focused on research and data
collection
- kept careful statistics on diseases/mortality and analyzed data to
make recommendations about hygiene
◉ Bertha Harmer. Answer: - nurses prescribe nursing care just as
physicians prescribe medical care
- visionary about the value of documenting nursing data to improve
care and outcomes
◉ Outcomes potentially sensitive to nursing (OSPN). Answer: -
nursing measured by adverse events
,- studied patient outcomes and their relationship to nurse-patient
ratio
- more RNs = fewer adverse outcomes
◉ Nursing interventions classification (NIC). Answer: nursing
education; a comprehensive, research-based, standardized
classification of interventions that nurses perform.
◉ Standard nursing language. Answer: captures the complexities of
communication, research, and documentation
◉ Standardized terminology: minimum data sets. Answer: - Nursing
Minimum Data Set (NMDS) ***
- Nursing Management Minimum Data Set (NMMDS)
◉ Standardized terminology: interface terminologies. Answer: -
Clinical Care Classification (CCC)
- International Classification of - Nursing Practice (ICNP)
- North American Nursing Diagnosis Association International
(NANDA-I) ***
- Nursing Interventions Classification (NIC)
- Nursing Outcome Classification (NOC)
- Omaha Home Health Care System
- Perioperative Nursing Data Set (PNDS)
,- ABC Codes
◉ Standardized terminology: reference terminologies. Answer: -
Logical Observation Identifiers Names and Codes (LOINC)
- SNOMED Clinical Terms (SNOMED CT) ***
◉ Documentation guidelines. Answer: - Factual
- Accurate
- Complete
- Current
- Organized
◉ Granularity. Answer: the amount of detail that is captured by a
term or phrase
- more granularity = more detail
- different levels of granularity needed for different purposes
- very granular data needed at clinical level
- less granular data needed for billing and research
◉ Mapping. Answer: matching a concept in one standardized
terminology with a concept in another standardized terminology
, ◉ Nomenclature. Answer: lowest level of classification; words in a
dictionary are examples of a list organized alphabetically for ease of
use
- ex. "pick list"
◉ Ontology. Answer: highest level of classification; allows terms to
be represented and linked to multiple concepts
◉ Secondary data. Answer: the re-use of nursing data to analyze
effectiveness of nursing care
◉ Paper record strengths. Answer: - Light, transportable
- No waiting at computer terminal
- No log in
- No electricity, maintenance, or down time
◉ Paper record weaknesses. Answer: - No backup system
- Easily damaged or destroyed
- Legibility issues
- Tedious to trend data; prone to error/may be incomplete/no
patient access
- Large, heavy, and difficult to store if stay is lengthy
