NR 226 Exam 1 Question and answers
verified to pass 2025/2026
medical diagnosis - correct answer ✔identification of a disease based on specific evaluation of physical
s/s, pt's medical hx, and results of diagnostic tests and procedures
nursing diagnosis - correct answer ✔clinical judgment about individual, family, or community
responses to actual/potential health problems/life processes that nurse is licensed/competent to treat
focuses on pt's actual/potential response to health problem not physiological
event/disease/complication
nursing diagnostic process - correct answer ✔see photo
data cluster - correct answer ✔set of s/s gathered during assessment that nurse groups together
logically
defining characteristics - correct answer ✔clinical criteria that are observable/verifiable
clinical criteria - correct answer ✔subjective sign, symptom, or risk factor
related factor - correct answer ✔condition, historical factor, or etiology that gives a context for the
defining characteristics and shows type of relationship w/ nursing diagnosis (can individualize for pt.)
actual nursing diagnosis - correct answer ✔describes human responses to health conditions/life
processes that exist in an individual/family/community
, risk nursing diagnosis - correct answer ✔describes human responses to health conditions/life processes
that may develop in an individual/family/community, has risk factors
health promotion diagnosis - correct answer ✔clinical judgment of person's/family's/community's
motivation, desire, & readiness to increase well-being/actualize human health potential as expressed in
their readiness to increase specific health behaviors
4 related factors categories - correct answer ✔pathophysiology
treatment related
situational (environmental or personal)
maturational
PES label format - correct answer ✔Problem (e.g. impaired physical mobility)
Etiology (e.g. incisional pain)
Symptoms/defining characteristics (e.g. AEB restricted turning and positioning)
pt. centered goal - correct answer ✔pt.'s highest level of wellness/independence in function
realistic/based on pt.'s needs and resources
short-term = less than a week
nursing sensitive pt. outcome - correct answer ✔measurable pt./family/community state/behavior/or
perception largely influenced by and sensitive to nursing interventions
guidelines for writing goals/expected outcomes - correct answer ✔pt. centered
singular
observable
verified to pass 2025/2026
medical diagnosis - correct answer ✔identification of a disease based on specific evaluation of physical
s/s, pt's medical hx, and results of diagnostic tests and procedures
nursing diagnosis - correct answer ✔clinical judgment about individual, family, or community
responses to actual/potential health problems/life processes that nurse is licensed/competent to treat
focuses on pt's actual/potential response to health problem not physiological
event/disease/complication
nursing diagnostic process - correct answer ✔see photo
data cluster - correct answer ✔set of s/s gathered during assessment that nurse groups together
logically
defining characteristics - correct answer ✔clinical criteria that are observable/verifiable
clinical criteria - correct answer ✔subjective sign, symptom, or risk factor
related factor - correct answer ✔condition, historical factor, or etiology that gives a context for the
defining characteristics and shows type of relationship w/ nursing diagnosis (can individualize for pt.)
actual nursing diagnosis - correct answer ✔describes human responses to health conditions/life
processes that exist in an individual/family/community
, risk nursing diagnosis - correct answer ✔describes human responses to health conditions/life processes
that may develop in an individual/family/community, has risk factors
health promotion diagnosis - correct answer ✔clinical judgment of person's/family's/community's
motivation, desire, & readiness to increase well-being/actualize human health potential as expressed in
their readiness to increase specific health behaviors
4 related factors categories - correct answer ✔pathophysiology
treatment related
situational (environmental or personal)
maturational
PES label format - correct answer ✔Problem (e.g. impaired physical mobility)
Etiology (e.g. incisional pain)
Symptoms/defining characteristics (e.g. AEB restricted turning and positioning)
pt. centered goal - correct answer ✔pt.'s highest level of wellness/independence in function
realistic/based on pt.'s needs and resources
short-term = less than a week
nursing sensitive pt. outcome - correct answer ✔measurable pt./family/community state/behavior/or
perception largely influenced by and sensitive to nursing interventions
guidelines for writing goals/expected outcomes - correct answer ✔pt. centered
singular
observable
