Nursing process (ADPIE) - correct answer-assessment
diagnosis
planning
implementation
evaluation
A-assessment - correct answer--Collect data about patient's physical, psychological,
social, cultural, developmental, and spiritual needs from patient, family, diagnostic tests,
medical record, nursing history, and literature
D-diagnosis - correct answer--Identify appropriate nursing diagnoses based on
assessment findings
P-planning - correct answer--Develop an individualized care plan. Set diagnosis priorities
based on patient's immediate needs, expected outcomes, and patient-centered goals.
Collaborate with patient on care plan
I-implementation - correct answer--Perform nursing care therapies. Include patient as
active participant in care. Involve family/significant other in care as appropriate
E-evaluation - correct answer--Identify success in meeting desired outcomes and goals of
nursing care. Alter interventions as indicated when goals are not met
Evidence based practice - correct answer--when nurses or other clinicians use research
findings and the best evidence possible to make decisions
-is defined as the conscientious ,explicit and judicious use of current best evidence in
making decisions about the care of individual
-means integrating individual clinical expertise from systemic research
Health education components (3) - correct answer-1. involves the use of teaching-learning
strategies
2.learners maintain voluntary control over the decision to make changes in their actions
3.focuses on behavior changes that have been found to improve health status
Level of prevention (3) - correct answer-Primary
secondary
, tertiary
Primary prevention - correct answer--precedes disease/dysfunction
*interventions
--health promotion(ex:health edu about risk factors for heart disease)
--health protection( ex:immunizations, reducing exposure to carcinogens,occupational
hazards)
Purpose-to decrease vulnerability of the individual/pop to disease/dysfunction
focus-maintain/improve general/individual/family/community health
Passive-not personally involved (public health efforts-clean water/sewer)
Active-personally involved-lifestyle changes
Secondary prevention - correct answer--ranges from providing screening activities and
treating early stages of disease to limiting disability by averting or delaying the
consequences of advanced disease
Goal- identify individuals in early,detectable stages of disease
-treating early stages of disease
-limiting disability
-interventions similar to primary but applied to individuals / populations with disease
Tertiary prevention - correct answer--occurs when a defect or disability is permanent and
irreversible
-involves minimizing the effects of disease and disability by surveillance and maintenance
activities aimed at preventing complications and deterioration
-focuses on rehabilitation to help people attain and retain an optimal level of functioning
regardless of their disabling condition