Questions With All Correct Answers
what is the nursing process? correct answer -a cyclical, critical thinking
process.
it is dynamic, continuous, client-centered, problem-solving, and decision
making framework that is foundational to the nursing practice.
five steps of the nursing process correct answer -1. assessment/data
collection
2. analysis
3. planning
4. implementation
5. evaluation
methods of data collection correct answer -1. observation
2. interviews
3. medical history
4. comprehensive or focused physical exam
5. diagnostic and laboratory reports
6. collaboration
what is involved in collecting data effectively? correct answer -1. ask
appropriate questions
2. listen carefully to responses
3. develop good head to toe assessment skills
4. employ critical thinking and clinical judgment
5. recognize the need to collect data prior to interventions
when do you collect subjective data (symptoms)? correct answer -during
the nursing history
what does subjective data include? correct answer -1. symptoms
2. patients feelings
3. patients perceptions
4. description of health status
, when is objective data (signs) obtained? correct answer -during the
physical assessment
how do nurses obtain objective data? correct answer -"nurses feel, see,
hear, and smell objective data through observation or physical assessment of
the client"
primary sources of data correct answer -this is what the patients tells the
nurse (subjective) or what the nurse observes.
secondary sources of data correct answer -what others tell the nurse
based on what the client has told them (subjective; "she told me that her
shoulder is sore every morning") and the objective data is obtained from
another source such as, family, friends, health care professional, or records.
what three things does the nurse do during assessment? correct answer -
1. validate
2. interpret
3. cluster data
analysis correct answer -use of critical thinking to identify health status or
problems, interpret, or monitor the collected data base, reach an appropriate
nursing judgment about health status and coping mechanisms, and provide
direction for nursing care.
what does analysis requires the nurse to do ..? correct answer -1.
recognize patterns or trends
2. compare the data with expected standards or reference pages
3. arrive at conclusions to guid nursing care
documentation correct answer -documentation is essential. it should focus
on facts and should be very descriptive.
what does planning involve? correct answer -1. establish priorities and
outcomes that can be measured and evaluated
2. these priorities and outcomes are what directs selection of interventions
3. three types of planning
4. develop plan of care based on assessment