NSC 114 EXAM #2 EXAM WITH CORRECT
ACTUAL QUESTIONS AND CORRECTLY
WELL DEFINED ANSWERS LATEST
ALREADY GRADED A+
Maslow's Hierarchy of Needs
In creating his hierarchy, Maslow (1943, 1954) first divided
human needs into five categories: physiological needs, safety
and security, love and belonging, self-esteem, and self-
actualization. He then proposed that these needs could be
ranked by how important or basic to human functioning
describe the third step in the nursing process
planning
set goals to achieve a purpose
provide planning interventions, evaluate progress
enable patient and nurse to determine when the problem
was resolved
motivate patient and nurse
describe the standards of an appropriate goal
demonstrates NANDA
is an opposite, healthy response of the problem
short or long term
,describe the 4 components of a goal
- the subject of the goal should always be the patient
- a measurable action verb describing what the patient will do
to achieve the goal
- performance criteria necessary to meet goal
- set a target time to meet the goal
describe the criteria for choosing the correct nursing
interventions
- safe & and appropriate for patient
- achievable with resources available
- follows patients values, beliefs, cultures, and other
therapies
- based on nursing knowledge and experience
- within established standards of care
describe the 3 different types of nursing interventions
- independent- nurse can initiate on their knowledge or skills
- dependent- nurse carries out under orders or supervision of
an authorized doctor
- collaborative- collaborating with members of the healthcare
team
each nursing intervention should have a _____ for why it is
being done
rationale
describe the 3 components of evidence-based clinical
decision making
,- external evidence from research, theories, opinion leaders,
and expert panels
- clinical expertise
- patient preferences and values
describe the fourth step of the nursing process
implementation -
implementing a plan that will improve patients well-being
and care
describe the implementation process
- reassess patient
- determine any need for nursing assistance
- implement nursing intervention
- supervise delegated care
- document nursing activities
describe the 5th step in the nursing process
evaluation
evaluating is planned, ongoing process to determine patient's
achievement of goals and effectiveness of nursing plan
nurse should ____________ for continuation, modification,
or termination of diagnosis, goals, and interventions
always re-evaluate the plan of patient care
when should a report be given by a nurse?
at the beginning and end of their shifts, preferably at bedside
with the patient
, describe the definition of a record
also called chart or patient record
a formal, legal document that provides evidence of patient
care
written or electronic
when charting on paper, what type of ink should be used?
black or blue ink
what should be done with all unneeded computer-
generated patient documents?
shredded and discarded in a lockbox
a patients record is protected legally as a _________ of
patient care
a private record
describe components of ensuring computer record
confidentiality
- never share personal password
- never leave computer unattended after logging in -- always
log out when you leave
- dont leave patient info displayed on the monitor where
others may see
- shred all unneeded computer-generated info
describe the purposes of patient records
- communicate to prevent fragmentation, repetition, and
delays in care
ACTUAL QUESTIONS AND CORRECTLY
WELL DEFINED ANSWERS LATEST
ALREADY GRADED A+
Maslow's Hierarchy of Needs
In creating his hierarchy, Maslow (1943, 1954) first divided
human needs into five categories: physiological needs, safety
and security, love and belonging, self-esteem, and self-
actualization. He then proposed that these needs could be
ranked by how important or basic to human functioning
describe the third step in the nursing process
planning
set goals to achieve a purpose
provide planning interventions, evaluate progress
enable patient and nurse to determine when the problem
was resolved
motivate patient and nurse
describe the standards of an appropriate goal
demonstrates NANDA
is an opposite, healthy response of the problem
short or long term
,describe the 4 components of a goal
- the subject of the goal should always be the patient
- a measurable action verb describing what the patient will do
to achieve the goal
- performance criteria necessary to meet goal
- set a target time to meet the goal
describe the criteria for choosing the correct nursing
interventions
- safe & and appropriate for patient
- achievable with resources available
- follows patients values, beliefs, cultures, and other
therapies
- based on nursing knowledge and experience
- within established standards of care
describe the 3 different types of nursing interventions
- independent- nurse can initiate on their knowledge or skills
- dependent- nurse carries out under orders or supervision of
an authorized doctor
- collaborative- collaborating with members of the healthcare
team
each nursing intervention should have a _____ for why it is
being done
rationale
describe the 3 components of evidence-based clinical
decision making
,- external evidence from research, theories, opinion leaders,
and expert panels
- clinical expertise
- patient preferences and values
describe the fourth step of the nursing process
implementation -
implementing a plan that will improve patients well-being
and care
describe the implementation process
- reassess patient
- determine any need for nursing assistance
- implement nursing intervention
- supervise delegated care
- document nursing activities
describe the 5th step in the nursing process
evaluation
evaluating is planned, ongoing process to determine patient's
achievement of goals and effectiveness of nursing plan
nurse should ____________ for continuation, modification,
or termination of diagnosis, goals, and interventions
always re-evaluate the plan of patient care
when should a report be given by a nurse?
at the beginning and end of their shifts, preferably at bedside
with the patient
, describe the definition of a record
also called chart or patient record
a formal, legal document that provides evidence of patient
care
written or electronic
when charting on paper, what type of ink should be used?
black or blue ink
what should be done with all unneeded computer-
generated patient documents?
shredded and discarded in a lockbox
a patients record is protected legally as a _________ of
patient care
a private record
describe components of ensuring computer record
confidentiality
- never share personal password
- never leave computer unattended after logging in -- always
log out when you leave
- dont leave patient info displayed on the monitor where
others may see
- shred all unneeded computer-generated info
describe the purposes of patient records
- communicate to prevent fragmentation, repetition, and
delays in care
