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What is the most reliable indicator of a patient's experience of pain? - CORRECT
ANSWER-Self report
Besides the client's rating of the intensity of the pain, what other things should
the nurse ask? - CORRECT ANSWER-Location?
Onset?
Timing?
Type?
Associated Symptoms?
Alleviating factors?
Radiation?
Precipitating event?
LOTTAARP
What is data analysis? - CORRECT ANSWER-using diagnostic reasoning skills to
interpret data accurately.
Why is data analysis difficult? - CORRECT ANSWER-It involves critical thinking
NURS 3320 Exam 2 questions with correct answers
,What is critical thinking? - CORRECT ANSWER-thinking in a rational, self-directed,
intelligent, and purposeful manner to come to the necessary conclusion
What happens in the "identify abnormal data and strengths" step? - CORRECT
ANSWER--Compare collected assessment data with findings in reliable charts and
references that provide standards and values for physical and psychological
norms (i.e., height, nutritional requirements, growth and development).
-Have a basic knowledge of risk factors for the client. Risk factors are based on
client data such as gender, age, ethnic background, genetic predisposition, family
history, lifestyle, health practices, and occupation.
What happens in the "cluster data" step? - CORRECT ANSWER--look at the
identified strengths and abnormal findings for cues that are related. Cluster both
abnormal cues and strength cues.
-you may find that certain cues support a problem but that more data are needed
to support the determination of that problem
What happens in the "draw inferences" step? - CORRECT ANSWER-document
inferences (hunches or assumptions) about each cue cluster.
What happens in the "propose possible nursing diagnoses" step? - CORRECT
ANSWER-If resolution of the situation requires primarily nursing interventions,
you would hypothesize and generate possible nursing diagnoses. The nursing
diagnoses may be wellness, or health promotion diagnoses; risk diagnoses; or
actual diagnoses; and syndrome diagnoses.
What happens in the "check for presence of defining characteristics" step? -
CORRECT ANSWER-check for defining characteristics for the data clusters and
hypothesized diagnoses in order to choose the most accurate diagnoses and
delete those diagnoses that are not valid or accurate for the client
NURS 3320 Exam 2 questions with correct answers
,What happens in the "confirm or rule out nursing diagnoses" step? - CORRECT
ANSWER-If the cue cluster data do not meet the defining characteristics, you can
rule out that particular diagnosis. If the cue cluster data do meet the defining
characteristics, the diagnosis should be verified with the client and other health
care professionals who are caring for the client. Tell the client what you perceive
the diagnosis to be.
How can you improve your critical thinking skills? - CORRECT ANSWER-many
books (some with practice exercises) are available on how to think critically as a
nurse. Such books can help the nurse to learn and continue to develop critical
thinking skills.
What are the seven steps of the diagnostic reasoning process? - CORRECT
ANSWER-1. Identify abnormal data and strengths.
2. Cluster data.
3. Draw inferences.
4. Propose possible nursing diagnoses.
5. Check for presence of defining characteristics.
6. Confirm or rule out nursing diagnoses.
7. Document conclusions.
What happens in the "document conclusions" step? - CORRECT ANSWER-
document all of your professional observations and the data that support the
diagnoses, collaborative problems, and referrals
NURS 3320 Exam 2 questions with correct answers
, What are the 5 types of diagnoses? - CORRECT ANSWER-1. Actual
2. Risk
3. Health Promotion
4. Collaboration
5. Referral
What types of diagnoses can a provider (other than nurse) identify? - CORRECT
ANSWER--collaborative
-referral
What does first part of conclusion statement look like in a health promotion
diagnosis? - CORRECT ANSWER-Readiness for enhanced ...
Example: Readiness for enhanced sleep pattern r/t ...
What does first part of conclusion statement look like in a actual diagnosis? -
CORRECT ANSWER-Taxonomy label or other descriptive label
Example: Fatigue r/t ....
What does first part of conclusion statement look like in a risk diagnosis? -
CORRECT ANSWER-"Risk for taxonomy label..."
Example: Risk for Infection r/t...
NURS 3320 Exam 2 questions with correct answers