NSG 501 EXAM 1 QUESTIONS AND VERIFIED CORRECT
ANSWERS 2024/2025
ADPIE
Assessment
Diagnosis/Analysis
Planning
Implementation
Evaluation
dependent nursing interventions
actions that require an order from a physician or another health care professional
independent nursing interventions
actions that a nurse initiates. These do not require an order from another health care
professional.
inter-dependent nursing interventions
nurses work in collaboration with primary health care providers to implement dependent
nursing interventions
critical thinking
an analytic process that uses specific thinking skills to make complex (clinical) decisions
clinical reasoning
a way of thinking about patient care issues (determining, preventing, managing patient
problems).
,clinical judgement
refers to the result (outcome) of critical thinking or clinical reasoning; the conclusion,
decision, or opinion a nurse makes
nursing action
result of clinical reasoning and critical thinking - what the nurse does
Tanner's model of clinical reasoning
Noticing, Interpreting, Responding, Reflecting
assessment - what do you know?
encounter problem and collect data
- subjective and objective data collection
- cultural considerations?
diagnose - what are you thinking?
Identify problem and determine priorities of human response to illness and effect on
ADLs
- provides basis to interventions
- Risk
- pain
- health promotion
plan - what will you do about it?
determine goals and interventions
- Use Maslow's hierarchy
- patient-centered
implement - why are you doing that?
,perform appropriate interventions, informed by
- diagnosis
- expected outcomes
- research base
- feasibility
- acceptability to client
- competency of nurse
evaluate - how did that work out for the patient?
determine effectiveness of actions to achieving patient's goal
- ongoing and intermittent
patient-centered goal
A patient's highest possible level of wellness and independence in function, based on
patient needs, abilities, and resources
Nursing-sensitive patient outcome
A measurable patient, family, or community state, behavior, or perception largely
influenced by and sensitive to nursing interventions (falls, skin-breakdown)
SMART goal
Specific, Measurable, Attainable, Realistic, Timely
ACT implementation model
Assess
Care
Teach
direct care
, hands-on
(ADLs, instrumental ADLs, psychomotor skills, lifesaving measures, counseling,
teaching, controlling for adverse reactions, preventative measures)
indirect care
hands-off
(managing environment, documentation, delegating, interdisciplinary collaboration)
5 rights of delegation
right task
right circumstance
right person
right communication
right supervision
Elevated BP
120-129/less than 80
Stage 1 hypertension
130-139/80-89
Stage 2 hypertension
>140/>90
Blood glucose normal
70-110
Donning
gown, mask, goggles, gloves
Doffing
ANSWERS 2024/2025
ADPIE
Assessment
Diagnosis/Analysis
Planning
Implementation
Evaluation
dependent nursing interventions
actions that require an order from a physician or another health care professional
independent nursing interventions
actions that a nurse initiates. These do not require an order from another health care
professional.
inter-dependent nursing interventions
nurses work in collaboration with primary health care providers to implement dependent
nursing interventions
critical thinking
an analytic process that uses specific thinking skills to make complex (clinical) decisions
clinical reasoning
a way of thinking about patient care issues (determining, preventing, managing patient
problems).
,clinical judgement
refers to the result (outcome) of critical thinking or clinical reasoning; the conclusion,
decision, or opinion a nurse makes
nursing action
result of clinical reasoning and critical thinking - what the nurse does
Tanner's model of clinical reasoning
Noticing, Interpreting, Responding, Reflecting
assessment - what do you know?
encounter problem and collect data
- subjective and objective data collection
- cultural considerations?
diagnose - what are you thinking?
Identify problem and determine priorities of human response to illness and effect on
ADLs
- provides basis to interventions
- Risk
- pain
- health promotion
plan - what will you do about it?
determine goals and interventions
- Use Maslow's hierarchy
- patient-centered
implement - why are you doing that?
,perform appropriate interventions, informed by
- diagnosis
- expected outcomes
- research base
- feasibility
- acceptability to client
- competency of nurse
evaluate - how did that work out for the patient?
determine effectiveness of actions to achieving patient's goal
- ongoing and intermittent
patient-centered goal
A patient's highest possible level of wellness and independence in function, based on
patient needs, abilities, and resources
Nursing-sensitive patient outcome
A measurable patient, family, or community state, behavior, or perception largely
influenced by and sensitive to nursing interventions (falls, skin-breakdown)
SMART goal
Specific, Measurable, Attainable, Realistic, Timely
ACT implementation model
Assess
Care
Teach
direct care
, hands-on
(ADLs, instrumental ADLs, psychomotor skills, lifesaving measures, counseling,
teaching, controlling for adverse reactions, preventative measures)
indirect care
hands-off
(managing environment, documentation, delegating, interdisciplinary collaboration)
5 rights of delegation
right task
right circumstance
right person
right communication
right supervision
Elevated BP
120-129/less than 80
Stage 1 hypertension
130-139/80-89
Stage 2 hypertension
>140/>90
Blood glucose normal
70-110
Donning
gown, mask, goggles, gloves
Doffing
