NSG 2317 Midterm – Lectures 1 & 2 Health Assessment Nursing Review
Questions
Diagnostic reasoning - ANS ✔✔- attending
- formulating
- gathering
- evaluating
Nursing process - ANS ✔✔- assessment
- diagnosis
- outcome identification
Nursing process - ANS ✔✔- planning
- implementation
- evaluation
Nursing process: assessment - ANS ✔✔Collect data:
- review of the clinical record
- interview
- health history
- physical exam
- functional assessment
- consultation
- review of the literature
Nursing process: assessment - ANS ✔✔Collect data:
,- functional assessment
- consultation
- review of the literature
Nursing process: diagnosis - ANS ✔✔- interpret data-> identify clusters of cues & make
inferences
- validate inferences
Nursing process: diagnosis - ANS ✔✔- compare clusters of cues w definitions & defining
characteristics
- identify related factors
- document the ____
Actual diagnosis - ANS ✔✔clinical judgment that the nurse has validated due to the presence of
a major defining characteristic(s)
Actual diagnosis - ANS ✔✔diagnostic label + contributing factors (related to) + as evidence by
(signs and symptoms in individual to indicate the diagnosis is present)
Risk diagnosis - ANS ✔✔clinical judgement that an individual or group is more vulnerable to
develop due to risk factors
Risk diagnosis - ANS ✔✔diagnostic label + contributing factors (related to)
Wellness diagnosis - ANS ✔✔clinical judgement about an individual, family, or community in
transition from a specific level of wellness to a higher level of wellness (NANDA)
Wellness diagnosis - ANS ✔✔includes just diagnostic Label
, Nursing Process: Outcome Identification - ANS ✔✔- identify expected outcomes
- individualize to the person
Nursing Process: Outcome Identification - ANS ✔✔- ensure outcomes are realistic & measurable
- include a time frame
Nursing Process: Planning - ANS ✔✔- establish priorities
- develop outcomes
Nursing Process: Planning - ANS ✔✔- set time frames for outcomes
- identify interventions
- document the plan of care
Nursing Process: Implementation - ANS ✔✔- review planned interventions
- schedule & coordinate total health care
- collaborate w other team members
Nursing Process: Implementation - ANS ✔✔- supervise implementation of care plan
- counsel person and significant others
Nursing Process: Implementation - ANS ✔✔- involve person in health care
- refer for continuing care
- document care provided
Nursing Process: Evaluation - ANS ✔✔- refer to established outcomes
Questions
Diagnostic reasoning - ANS ✔✔- attending
- formulating
- gathering
- evaluating
Nursing process - ANS ✔✔- assessment
- diagnosis
- outcome identification
Nursing process - ANS ✔✔- planning
- implementation
- evaluation
Nursing process: assessment - ANS ✔✔Collect data:
- review of the clinical record
- interview
- health history
- physical exam
- functional assessment
- consultation
- review of the literature
Nursing process: assessment - ANS ✔✔Collect data:
,- functional assessment
- consultation
- review of the literature
Nursing process: diagnosis - ANS ✔✔- interpret data-> identify clusters of cues & make
inferences
- validate inferences
Nursing process: diagnosis - ANS ✔✔- compare clusters of cues w definitions & defining
characteristics
- identify related factors
- document the ____
Actual diagnosis - ANS ✔✔clinical judgment that the nurse has validated due to the presence of
a major defining characteristic(s)
Actual diagnosis - ANS ✔✔diagnostic label + contributing factors (related to) + as evidence by
(signs and symptoms in individual to indicate the diagnosis is present)
Risk diagnosis - ANS ✔✔clinical judgement that an individual or group is more vulnerable to
develop due to risk factors
Risk diagnosis - ANS ✔✔diagnostic label + contributing factors (related to)
Wellness diagnosis - ANS ✔✔clinical judgement about an individual, family, or community in
transition from a specific level of wellness to a higher level of wellness (NANDA)
Wellness diagnosis - ANS ✔✔includes just diagnostic Label
, Nursing Process: Outcome Identification - ANS ✔✔- identify expected outcomes
- individualize to the person
Nursing Process: Outcome Identification - ANS ✔✔- ensure outcomes are realistic & measurable
- include a time frame
Nursing Process: Planning - ANS ✔✔- establish priorities
- develop outcomes
Nursing Process: Planning - ANS ✔✔- set time frames for outcomes
- identify interventions
- document the plan of care
Nursing Process: Implementation - ANS ✔✔- review planned interventions
- schedule & coordinate total health care
- collaborate w other team members
Nursing Process: Implementation - ANS ✔✔- supervise implementation of care plan
- counsel person and significant others
Nursing Process: Implementation - ANS ✔✔- involve person in health care
- refer for continuing care
- document care provided
Nursing Process: Evaluation - ANS ✔✔- refer to established outcomes
