QUESTIONS AND CORRECT ANSWERS
Ch. 1 The Nurse's Role in Health Assessment - CORRECT ANSWER
Purpose of Health Assessment - CORRECT ANSWER Provider of care: care to
individuals, families, populations, communities
Manager of care: taking care of patient, population, community, and their needs
Member of a profession: serve as an advocate for patients
Nursing Process - CORRECT ANSWER 1. Assessment - gather complete and accurate
data from client through interview, physical exam, and observation to make judgements
2. Diagnosis/Analysis - take info to make a judgement abt patient's condition, including
actual and potential problems
3. Outcomes Identification
4. Planning - use problem-solving and decision-making skills to prioritize outcomes and
goals, targeted nursing intervention/care plan
5. Implementation - perform clinical intervention, use clinical judgement to monitor the
client's progress towards achieving their goals
6. Evaluate - assess the effectiveness of goals and the need for interventions to be adjusted -
did we meet the goal? Is there anything to do differently?
Clinical Judgement Model - CORRECT ANSWER 1. Assessment
2. Analyze cues
3. Prioritize hypotheses
4. Generate solutions
5. Take action
6. Evaluate outcomes
Code of ethics - CORRECT ANSWER autonomy, beneficence, justice, non-
maleficence
,Autonomy - CORRECT ANSWER having self control
Beneficence - CORRECT ANSWER helping others in a positive manner
Justice - CORRECT ANSWER being open and fair
Non-maleficence - CORRECT ANSWER avoiding hurt or harm to others
Primary prevention - CORRECT ANSWER interventions designed to prevent the onset
of future incidence of a specific problem
ex. immunization, health diet
Secondary prevention - CORRECT ANSWER an early prevention that decreases the
prevalence of a specific problem
ex. BP screenings, mammograms, scoliosis screenings
Tertiary prevention - CORRECT ANSWER treatment designed to improve the quality
of life and reduce the symptoms after a disease or disorder has developed. Does not reduce
incidence or prevalence
ex. mitigate risks associated w an existing condition
Nursing process relies on ___ - CORRECT ANSWER evidence based thinking
Critical Thinking (7 step process) - CORRECT ANSWER 1. Identify strengths and
abnormal data
2. Cluster data
, 3. Draw inferences
4. Propose nursing diagnoses
5. Check for defining characteristics
6. Confirm or remove nursing diagnosis
7. Document conclusions - in a progress note or SBAR (Situation background Assessment
and Recommendation)
Diagnostic reasoning - CORRECT ANSWER the process of analyzing health data and
drawing conclusions to identify diagnoses
Clinical judgement - CORRECT ANSWER nursing process +. critical thinking +
diagnostic reasoning
Emergency Assessment - CORRECT ANSWER life threatening or unstable (A -
airway, B - breathing, C - circulation, D - disability/level of consciousness, E - exposure to
chemical); gather RELEVANT INFO only
Comprehensive Assessment - CORRECT ANSWER overall health history and physical
assessment; happens typically once a year
Focused Assessment - CORRECT ANSWER focused on one issue/concern; can
happen frequently
Lifespan Variations - CORRECT ANSWER care for ppl from the moment they're born
til the moment they die
Cultural Variations - CORRECT ANSWER consider cultural background, beliefs
Culture - CORRECT ANSWER Beliefs, customs, and traditions of a specific group of
people.