NURS-100 EXAM 1 - CWI WEES
QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS 100%
CORRECT !!!
Question: What is the fundamental difference between the role of a
Physician and a Nurse?
Answer: A physician focuses on the biological aspect of a condition; they
identify, diagnose, and treat the specific disease. In contrast, a nurse focuses on
the human element; they identify, diagnose, and treat the patient's physical,
emotional, and psychological reactions to that disease. ✔✔
Question: How do medical diagnoses and nursing diagnoses differ?
Answer: * Medical Diagnosis: Concentrates strictly on the pathology or
illness (e.g., Diabetes Mellitus). It remains constant as long as the disease is
present.
Nursing Diagnosis: Focuses on the patient’s response to their health
condition (e.g., "Impaired Skin Integrity" or "Knowledge Deficit").
These can change frequently as the patient's response to the illness
evolves. ✔✔
Question: What is ADPIE, and what does each letter represent?
Answer: ADPIE is the systematic framework used in the nursing process to
ensure comprehensive patient care.
Assessment: Gathering subjective data (what the patient says) and
objective data (what the nurse observes).
Diagnosis: Identifying the patient’s health needs or problems.
Planning: Setting SMART (Specific, Measurable, Attainable, Realistic,
Timely) goals for the patient’s recovery.
Implementation: Executing the nursing actions, which can be direct
(e.g., giving a shot) or indirect (e.g., documenting).
Evaluation: Determining if the interventions were successful or if the
plan needs modification.
✔✔
Question: What are the key observations a nurse should make during an
initial "First Glance" or "Doorway" assessment?
,Answer: Upon first entering a patient's room, a nurse should quickly evaluate
the following:
Level of Consciousness: Is the patient awake and alert?
Emotional State: What is their facial expression? Do they appear to be
in acute pain or distress?
Environment: Is there food or water present? Are they currently eating?
Equipment: Are they connected to any clinical devices such as IV
pumps, supplemental oxygen, suction, or do they have visible surgical
dressings? ✔✔
What elements make up the assessment part of the nursing process?
Data collection methods:
Observation
Interview
Examination
Documenting history and physical during assessment
Examples of assessment data
Age, sex, race
Appearance
General status of patient
Anything that stands out (tubes, drains, IVs, dressings)
Mental status/emotional state (alert, oriented to time, person, place)
Vision
Hearing
Physical findings in any body system
(You can see much of it)
Consider cultural and economic status
What are nursing diagnosis?
,"Actual or potential health problems which nurses, by virtue of their education
and experience, are capable and licensed to treat"
Why do we use nursing diagnosis?
Unifies our language (North American Nursing Diagnosis Association
(NANDA))
Helps set nursing priorities/ interventions
Helps identify how client responds, and identifies resources to prevent or
resolve problems.
Provides a system to evaluate nursing care for effectiveness
Nursing diagnoses are an effective teaching tool to help sharpen their problem-
solving and critical thinking skills.
What are the four types of NANDA diagnosis?
Actual (Problem-Focused)
Risk
Health promotion
Syndrome
What is a collaborative problem?
Potential problems that nurses manage using both independent and physican-
prescribed interventions. These are problems or conditions that require both
medical and nursing interventions with the nursing aspect focused on
monitoring the client's condition and preventing development of the potential
complication.
What is the format of a nursing diagnosis?
_______________r/t_____________AEB________________
Inconsistent attendance related to (r/t) crummy car as evidenced by (AEB)
missing lectures
Actual diagnosis vs potential diagnosis
Actual diagnosis
, Constipation r/t decreased fluid intake and decreased activity AEB No BM in 4
days
Potential diagnosis
Risk for Falls r/t RLE weakness
(Risk for dx: NEVER have an AEB)
A nursing diagnosis is NOT
1. Statement of equipment used in medical regimen (e.g. "Large blood pressure
cuff needed for...")
2. Statement of medical regimen (e.g. "Give antibiotic as ordered by doctor")
3. Statement of a diagnostic procedure
4. A statement of a nursing activity.
5. A statement that includes the care required by the patient/client
6. Astatement of an interpersonal problem the nurse has with the patient/client
(e.g "Pt uses call light too much")
7. A statement of a nursing need (e.g. "Give meds after break")
8. The same as a medical diagnosis ("Pneumonia related to respiratory
congestion")
9. A statement that no problems exist that require nursing intervention.
10. A statement of a nursing problem ("Difficult to transfer to wheel chair...")
What elements make up the planning part of the Nursing Process?
Planning is aimed at preventing, reducing, eliminating, the client's health
problems.
How to plan goals?
Related to diagnosis
Include time frame (May by short term or long term)
Example
Nursing Dx:
Impaired physical mobility, inability to bear weight on left leg r/t total knee
replacement AEB inflammation of knee joint
QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS 100%
CORRECT !!!
Question: What is the fundamental difference between the role of a
Physician and a Nurse?
Answer: A physician focuses on the biological aspect of a condition; they
identify, diagnose, and treat the specific disease. In contrast, a nurse focuses on
the human element; they identify, diagnose, and treat the patient's physical,
emotional, and psychological reactions to that disease. ✔✔
Question: How do medical diagnoses and nursing diagnoses differ?
Answer: * Medical Diagnosis: Concentrates strictly on the pathology or
illness (e.g., Diabetes Mellitus). It remains constant as long as the disease is
present.
Nursing Diagnosis: Focuses on the patient’s response to their health
condition (e.g., "Impaired Skin Integrity" or "Knowledge Deficit").
These can change frequently as the patient's response to the illness
evolves. ✔✔
Question: What is ADPIE, and what does each letter represent?
Answer: ADPIE is the systematic framework used in the nursing process to
ensure comprehensive patient care.
Assessment: Gathering subjective data (what the patient says) and
objective data (what the nurse observes).
Diagnosis: Identifying the patient’s health needs or problems.
Planning: Setting SMART (Specific, Measurable, Attainable, Realistic,
Timely) goals for the patient’s recovery.
Implementation: Executing the nursing actions, which can be direct
(e.g., giving a shot) or indirect (e.g., documenting).
Evaluation: Determining if the interventions were successful or if the
plan needs modification.
✔✔
Question: What are the key observations a nurse should make during an
initial "First Glance" or "Doorway" assessment?
,Answer: Upon first entering a patient's room, a nurse should quickly evaluate
the following:
Level of Consciousness: Is the patient awake and alert?
Emotional State: What is their facial expression? Do they appear to be
in acute pain or distress?
Environment: Is there food or water present? Are they currently eating?
Equipment: Are they connected to any clinical devices such as IV
pumps, supplemental oxygen, suction, or do they have visible surgical
dressings? ✔✔
What elements make up the assessment part of the nursing process?
Data collection methods:
Observation
Interview
Examination
Documenting history and physical during assessment
Examples of assessment data
Age, sex, race
Appearance
General status of patient
Anything that stands out (tubes, drains, IVs, dressings)
Mental status/emotional state (alert, oriented to time, person, place)
Vision
Hearing
Physical findings in any body system
(You can see much of it)
Consider cultural and economic status
What are nursing diagnosis?
,"Actual or potential health problems which nurses, by virtue of their education
and experience, are capable and licensed to treat"
Why do we use nursing diagnosis?
Unifies our language (North American Nursing Diagnosis Association
(NANDA))
Helps set nursing priorities/ interventions
Helps identify how client responds, and identifies resources to prevent or
resolve problems.
Provides a system to evaluate nursing care for effectiveness
Nursing diagnoses are an effective teaching tool to help sharpen their problem-
solving and critical thinking skills.
What are the four types of NANDA diagnosis?
Actual (Problem-Focused)
Risk
Health promotion
Syndrome
What is a collaborative problem?
Potential problems that nurses manage using both independent and physican-
prescribed interventions. These are problems or conditions that require both
medical and nursing interventions with the nursing aspect focused on
monitoring the client's condition and preventing development of the potential
complication.
What is the format of a nursing diagnosis?
_______________r/t_____________AEB________________
Inconsistent attendance related to (r/t) crummy car as evidenced by (AEB)
missing lectures
Actual diagnosis vs potential diagnosis
Actual diagnosis
, Constipation r/t decreased fluid intake and decreased activity AEB No BM in 4
days
Potential diagnosis
Risk for Falls r/t RLE weakness
(Risk for dx: NEVER have an AEB)
A nursing diagnosis is NOT
1. Statement of equipment used in medical regimen (e.g. "Large blood pressure
cuff needed for...")
2. Statement of medical regimen (e.g. "Give antibiotic as ordered by doctor")
3. Statement of a diagnostic procedure
4. A statement of a nursing activity.
5. A statement that includes the care required by the patient/client
6. Astatement of an interpersonal problem the nurse has with the patient/client
(e.g "Pt uses call light too much")
7. A statement of a nursing need (e.g. "Give meds after break")
8. The same as a medical diagnosis ("Pneumonia related to respiratory
congestion")
9. A statement that no problems exist that require nursing intervention.
10. A statement of a nursing problem ("Difficult to transfer to wheel chair...")
What elements make up the planning part of the Nursing Process?
Planning is aimed at preventing, reducing, eliminating, the client's health
problems.
How to plan goals?
Related to diagnosis
Include time frame (May by short term or long term)
Example
Nursing Dx:
Impaired physical mobility, inability to bear weight on left leg r/t total knee
replacement AEB inflammation of knee joint
