Adult Nursing 1 Exam 1 Study guide Questions With
Complete Solutions
5 steps of the nursing process Correct Answers Assessment
Diagnosis
Planning
Implementation
Evaluation
Acuity records Correct Answers Patients are ranked from high-
low acuity based on their condition and need for nursing
assistance or intervention
after implementation Correct Answers Modify nursing
interventions according to the patient's:
-developmental and psychosocial background
-ability and willingness to participate in the plan of care
-responses to previous nursing measures and progress toward
goal/outcome achievement.
Assessment: Data collection methods Correct Answers -
observation
-nursing history
-patient interview
-physical assessment
Assessment: identifying abnormal data and information Correct
Answers Questions to ask:
-how does the patient's data compare with standards for
someone in this age group, culture, disease process, and
lifestyle?
,-what medications may influence normal functionings?
-how does the current data compare with any baseline data?
Assessment: Patient interview Correct Answers -Profile: name,
age, sex, race/ethnicity, marital status, religion, occupation,
education
-Reason for seeking healthcare
-unusual health habits/patterns and related needs for nursing
assistance
-cultural considerations in relation to diet, decision making,
activities
-current state of health, degree of pain, past surgeries
-current medications and allergies
-advance directive, of so what type, if not do they need help
completing one
-potential for injury
-patient and family's educational needs
Assessment: validating data Correct Answers necessary when
there are discrepancies or lack objectivity.
Bedside report Correct Answers Oncoming and outgoing nurse
seeing the patient together, reviewing medication records and
the HCP's and nursing orders, and establishing patient goals for
the shift.
Before implementation Correct Answers reassess the patient to
determine whether the action is still needed
care plan Correct Answers Includes nursing diagnosis, goals
and expected outcomes, and nursing interventions.
, causes of increase in chronic conditions Correct Answers -
Decrease in mortality from infectious diseases
-Lifestyle factors
-Obesity
-Longer lifespans
-Improved screening, diagnostic procedures
Change of shift report Correct Answers Includes:
-Basic information about each patient (name, room, bed,
diagnosis, consulting physicians)
-Current appraisal of each patient's health status
-Current orders
-Abnormal occurrences during shift
-Any unfilled orders that need to be continued onto next shift
-Patient's questions, concerns, needs
-Reports on transfers/discharge
characteristics of chronic conditions Correct Answers -causes,
or is caused by, irreversible alterations in normal anatomy and
physiology.
-It is a permanent change.
-requires special patient education for rehabilitation
-requires long period of care or support
-usually slow onset
-may have periods of remission and exacerbation
Charting by exception Correct Answers only documenting
abnormal findings/issues
-everything is normal except for...
Complete Solutions
5 steps of the nursing process Correct Answers Assessment
Diagnosis
Planning
Implementation
Evaluation
Acuity records Correct Answers Patients are ranked from high-
low acuity based on their condition and need for nursing
assistance or intervention
after implementation Correct Answers Modify nursing
interventions according to the patient's:
-developmental and psychosocial background
-ability and willingness to participate in the plan of care
-responses to previous nursing measures and progress toward
goal/outcome achievement.
Assessment: Data collection methods Correct Answers -
observation
-nursing history
-patient interview
-physical assessment
Assessment: identifying abnormal data and information Correct
Answers Questions to ask:
-how does the patient's data compare with standards for
someone in this age group, culture, disease process, and
lifestyle?
,-what medications may influence normal functionings?
-how does the current data compare with any baseline data?
Assessment: Patient interview Correct Answers -Profile: name,
age, sex, race/ethnicity, marital status, religion, occupation,
education
-Reason for seeking healthcare
-unusual health habits/patterns and related needs for nursing
assistance
-cultural considerations in relation to diet, decision making,
activities
-current state of health, degree of pain, past surgeries
-current medications and allergies
-advance directive, of so what type, if not do they need help
completing one
-potential for injury
-patient and family's educational needs
Assessment: validating data Correct Answers necessary when
there are discrepancies or lack objectivity.
Bedside report Correct Answers Oncoming and outgoing nurse
seeing the patient together, reviewing medication records and
the HCP's and nursing orders, and establishing patient goals for
the shift.
Before implementation Correct Answers reassess the patient to
determine whether the action is still needed
care plan Correct Answers Includes nursing diagnosis, goals
and expected outcomes, and nursing interventions.
, causes of increase in chronic conditions Correct Answers -
Decrease in mortality from infectious diseases
-Lifestyle factors
-Obesity
-Longer lifespans
-Improved screening, diagnostic procedures
Change of shift report Correct Answers Includes:
-Basic information about each patient (name, room, bed,
diagnosis, consulting physicians)
-Current appraisal of each patient's health status
-Current orders
-Abnormal occurrences during shift
-Any unfilled orders that need to be continued onto next shift
-Patient's questions, concerns, needs
-Reports on transfers/discharge
characteristics of chronic conditions Correct Answers -causes,
or is caused by, irreversible alterations in normal anatomy and
physiology.
-It is a permanent change.
-requires special patient education for rehabilitation
-requires long period of care or support
-usually slow onset
-may have periods of remission and exacerbation
Charting by exception Correct Answers only documenting
abnormal findings/issues
-everything is normal except for...
