NSG 110 (foundations/fundamentals)
Exam With Complete Solutions
during assessment, what are methods of data collection? - ANSWER observation
interview with clients and families
medical history
comprehensive or focused physical examination
lab reports
collaboration with other members of health care team
Subjective data - ANSWER (what client tells nurse)
patients symptoms.. only that person can describe and verify
feelings, descriptions for health status, perception
objective data - ANSWER (data the nurse obtains)
signs during an physical examination
what nurse:
sees
feels
hears
smells
through observation or physical assessment
when does nurse validate/ interprets data? - ANSWER during the assessment/
data collection
documentation should be? - ANSWER focused on facts and highly descriptive
During (diagnosis) analysis/data collection - ANSWER nurses look at data to
recognized patterns and trends
compare data with expected standards
arrive at conclusion to guide nursing care
RNs make multiple analysis based on their interpretations of collected data
, Discharge planning must begin - ANSWER during admission
NCP (nursing care plan) is end product of planning step - ANSWER nurses
organize ncp for quick identification of problems
outcomes and intervention to implement
when do nurses perform nursing actions, delegate tasks, supervise other health
care staff, and document the care and clients responses - ANSWER
IMPLEMENTATION
when do nurses evaluate the clients responses to nursing interventions and
form a clinical judgment about the extent to which clients have met the goals and
outcomes - ANSWER evaluation
questions to consider in evaluation - ANSWER did the client meet the planned
outcomes?
should i modify the outcomes or interventions?
what do nursing assessments focus on? - ANSWER On clients responses to
illness and stressors rather than on identifying disease processes
ANA standards of practice state that professional nurses are what? - ANSWER
responsible for assessing clients
which assessment provides information about clients overall health? - ANSWER
comprehensive assessment
which assessment provides data about particular topic, body part, or functional
ability? - ANSWER Focused assessment
WHich assessments provides in-depth information about a particular area of
client functioning (nutrition, pain, lifestyle) - ANSWER special needs
assessments
data that can be perceived only by the client - ANSWER subjective data
data that is measurable or observable by nurse or other provider - ANSWER
objective data
Nursing health history essentially have what components? - ANSWER chief
complaint
family history
review of body systems
Exam With Complete Solutions
during assessment, what are methods of data collection? - ANSWER observation
interview with clients and families
medical history
comprehensive or focused physical examination
lab reports
collaboration with other members of health care team
Subjective data - ANSWER (what client tells nurse)
patients symptoms.. only that person can describe and verify
feelings, descriptions for health status, perception
objective data - ANSWER (data the nurse obtains)
signs during an physical examination
what nurse:
sees
feels
hears
smells
through observation or physical assessment
when does nurse validate/ interprets data? - ANSWER during the assessment/
data collection
documentation should be? - ANSWER focused on facts and highly descriptive
During (diagnosis) analysis/data collection - ANSWER nurses look at data to
recognized patterns and trends
compare data with expected standards
arrive at conclusion to guide nursing care
RNs make multiple analysis based on their interpretations of collected data
, Discharge planning must begin - ANSWER during admission
NCP (nursing care plan) is end product of planning step - ANSWER nurses
organize ncp for quick identification of problems
outcomes and intervention to implement
when do nurses perform nursing actions, delegate tasks, supervise other health
care staff, and document the care and clients responses - ANSWER
IMPLEMENTATION
when do nurses evaluate the clients responses to nursing interventions and
form a clinical judgment about the extent to which clients have met the goals and
outcomes - ANSWER evaluation
questions to consider in evaluation - ANSWER did the client meet the planned
outcomes?
should i modify the outcomes or interventions?
what do nursing assessments focus on? - ANSWER On clients responses to
illness and stressors rather than on identifying disease processes
ANA standards of practice state that professional nurses are what? - ANSWER
responsible for assessing clients
which assessment provides information about clients overall health? - ANSWER
comprehensive assessment
which assessment provides data about particular topic, body part, or functional
ability? - ANSWER Focused assessment
WHich assessments provides in-depth information about a particular area of
client functioning (nutrition, pain, lifestyle) - ANSWER special needs
assessments
data that can be perceived only by the client - ANSWER subjective data
data that is measurable or observable by nurse or other provider - ANSWER
objective data
Nursing health history essentially have what components? - ANSWER chief
complaint
family history
review of body systems
