NR 222 Exam 1 Study Guide
ANA Scope and Standards- List the 5 Tenets of Nursing
1. Caring and health care central to the practice of RNs
Promote healing and health in a way bonds relationship between nurse and patient
While helping others, important to promote self-care and care for the environment
and society
2. Nursing Practice is individualized
Nursing respects diversity and focuses on identifying and meeting the unique needs of
the patient
3. RNs use the Nursing Process to plan and provide individualized care for healthcare
customers(patients)
Use theoretical and evidenced based knowledge of human experience and responses
to collaborate with the nursing process
Actions intend to promote beneficial effects, contribute to quality outcomes and
above all do not harm
Nurses evaluate the effectiveness of care in relation to identified outcomes and used
evidence based practice to improve care
4. Nurses coordinate care by establishing partnerships
Work with person, families groups, support systems and other providers.
Utilize in-person and electronic communication to reach shared goals of delivering
safe quality healthcare to address health care needs of patients
Responsible and accountable for communicating and advocating for planning and
care coordination focused on patient, families and support system
Collaborative planning is based on each individual professions value , contribution,
trust, respect, open discussion, and shared decision making
5. A strong link exists between the professional work environment and the RNs ability
to provide quality healthcare and to achieve optimal outcomes.
Nurses have the obligation to maintain and improve healthcare practice environment
conductive to provision of quality care
Negative demoralizing and unsafe work place add to errors, ineffective delivery of
care, work place conflicts, stress, and moral distress
NANDA (Nursing Diagnosis) definition
Nursing diagnosis is the naming of individual, family, and community responses to actual
or potential health problems or life processes???????
The correct statement for a NANDA-I nursing diagnosis would be: Risk for
_____________ as evidenced by __________________________ (Risk Factors).
Are the majority of the defining characteristics/risk factors present in the patient?
Are there etiological factors ("related factors") for the diagnosis evident in your patient?
Have you validated the diagnosis with the patient / family or with another nurse peer
(when possible)?
Subjective info over Objective info
o Identifies nursing functions
o Creates classification system
o Establishes diagnostic labels
, List 6 steps in Nursing Process (AD-O-PIE)
Assessment: Gather information about the clients condition. Get information from
patient -centered interview during health history & physical examination. Collect
subjective and objective data
Diagnosis: Use the data collected to determine actual or potential diagnosis
Objective Data: Refers to formulating and documenting measurable, realistic and client-
focused goals that will provide the basis for evaluating nursing diagnosis
Planning: When the nurse organizes a nursing care plan based on the nursing diagnoses.
Nurse and client formulate goals and appropriate outcomes to help the client with their
problems. Prioritize list of client’s nursing diagnoses using Maslow hierarchy.
Implementation: Perform the nursing actions identified in planning. Carrying out
nursing interventions (orders). This includes monitoring, teaching, further assessing,
incorporating physicians orders and monitoring cost effectiveness of interventions
Evaluation: Determine if goals and expected outcomes are achieved. If not continue plan
of care.
Nursing diagnosis vs Medical diagnosis
Nursing diagnosis
o Human response to potential or actual health problem
Example: Highly anxiety= patient has anxiety
Impaired nutrition more that body needs=obese
Medical Diagnosis
o Concept that defines a disease process or injury
Example: myocardial infraction
Ethics Provision 1
1.1 Respect for Human Dignity
Dignity, worth, unique attributes and human right to all individuals
Everyone has the need for and the right to universal healthcare
Nurses will consider the needs for and will respect the values of all persons
in all of the professional relationships and setting.
Provide leadership in development and implementation of changes in the
public and health policy that support this duty
1.2 Relationships with Patients
Establish trust, provide services according to need
o Set aside any bias/ prejudice
Factors are considered when planning care
o Culture, values systems, religious/ spiritual belief, lifestyle, social
support system, sexual orientation/gender, primary language
Must promote health and wellness, address problems and respect patient
decisions
When patients choices are risky nurses can address behavior and offer
opportunities and resources to modify the behavior
1.3 The Nature of Health
Respect ALL patient regardless factors to persons health.
o Worth not affected by illness, ability or proximity to death
ANA Scope and Standards- List the 5 Tenets of Nursing
1. Caring and health care central to the practice of RNs
Promote healing and health in a way bonds relationship between nurse and patient
While helping others, important to promote self-care and care for the environment
and society
2. Nursing Practice is individualized
Nursing respects diversity and focuses on identifying and meeting the unique needs of
the patient
3. RNs use the Nursing Process to plan and provide individualized care for healthcare
customers(patients)
Use theoretical and evidenced based knowledge of human experience and responses
to collaborate with the nursing process
Actions intend to promote beneficial effects, contribute to quality outcomes and
above all do not harm
Nurses evaluate the effectiveness of care in relation to identified outcomes and used
evidence based practice to improve care
4. Nurses coordinate care by establishing partnerships
Work with person, families groups, support systems and other providers.
Utilize in-person and electronic communication to reach shared goals of delivering
safe quality healthcare to address health care needs of patients
Responsible and accountable for communicating and advocating for planning and
care coordination focused on patient, families and support system
Collaborative planning is based on each individual professions value , contribution,
trust, respect, open discussion, and shared decision making
5. A strong link exists between the professional work environment and the RNs ability
to provide quality healthcare and to achieve optimal outcomes.
Nurses have the obligation to maintain and improve healthcare practice environment
conductive to provision of quality care
Negative demoralizing and unsafe work place add to errors, ineffective delivery of
care, work place conflicts, stress, and moral distress
NANDA (Nursing Diagnosis) definition
Nursing diagnosis is the naming of individual, family, and community responses to actual
or potential health problems or life processes???????
The correct statement for a NANDA-I nursing diagnosis would be: Risk for
_____________ as evidenced by __________________________ (Risk Factors).
Are the majority of the defining characteristics/risk factors present in the patient?
Are there etiological factors ("related factors") for the diagnosis evident in your patient?
Have you validated the diagnosis with the patient / family or with another nurse peer
(when possible)?
Subjective info over Objective info
o Identifies nursing functions
o Creates classification system
o Establishes diagnostic labels
, List 6 steps in Nursing Process (AD-O-PIE)
Assessment: Gather information about the clients condition. Get information from
patient -centered interview during health history & physical examination. Collect
subjective and objective data
Diagnosis: Use the data collected to determine actual or potential diagnosis
Objective Data: Refers to formulating and documenting measurable, realistic and client-
focused goals that will provide the basis for evaluating nursing diagnosis
Planning: When the nurse organizes a nursing care plan based on the nursing diagnoses.
Nurse and client formulate goals and appropriate outcomes to help the client with their
problems. Prioritize list of client’s nursing diagnoses using Maslow hierarchy.
Implementation: Perform the nursing actions identified in planning. Carrying out
nursing interventions (orders). This includes monitoring, teaching, further assessing,
incorporating physicians orders and monitoring cost effectiveness of interventions
Evaluation: Determine if goals and expected outcomes are achieved. If not continue plan
of care.
Nursing diagnosis vs Medical diagnosis
Nursing diagnosis
o Human response to potential or actual health problem
Example: Highly anxiety= patient has anxiety
Impaired nutrition more that body needs=obese
Medical Diagnosis
o Concept that defines a disease process or injury
Example: myocardial infraction
Ethics Provision 1
1.1 Respect for Human Dignity
Dignity, worth, unique attributes and human right to all individuals
Everyone has the need for and the right to universal healthcare
Nurses will consider the needs for and will respect the values of all persons
in all of the professional relationships and setting.
Provide leadership in development and implementation of changes in the
public and health policy that support this duty
1.2 Relationships with Patients
Establish trust, provide services according to need
o Set aside any bias/ prejudice
Factors are considered when planning care
o Culture, values systems, religious/ spiritual belief, lifestyle, social
support system, sexual orientation/gender, primary language
Must promote health and wellness, address problems and respect patient
decisions
When patients choices are risky nurses can address behavior and offer
opportunities and resources to modify the behavior
1.3 The Nature of Health
Respect ALL patient regardless factors to persons health.
o Worth not affected by illness, ability or proximity to death
