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Exam (elaborations) Nursing Process

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ENTAILS QUESTIONS AND ANSWERS

Institution
Nursing Process
Course
Nursing Process

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, Define the nursing process - CORRECT ANSWERS-a systematic problem solving
approach toward providing individualized nursing care.

What is NANDA-I - CORRECT ANSWERS-North American Nursing
Diagnosis Association International

What are the characteristics of the nursing process? - CORRECT ANSWERS-1-
framework for care to indiv, families, & communities 2-orderly & systematic 3-
interdependent 4-provides specific care for the indiv, fam, & comm 5- client centered 6-
appropriate for use throughout lifespan 7-used in ALL settings

What are the steps of the nursing process? - CORRECT ANSWERS-ADPIE
A=assessment D=diagnosis P=planning I=implementation E=evaluation

How does the nurse obtain assessment info? - CORRECT ANSWERS-1- initial (or
admission assessment) 2- focused assessment 3- emergency assesment

How does the nurse obtain assessment info? - CORRECT ANSWERS-past medical hx
- family hx - reason for admission - current meds - previous hospitalizations & surgeries
- psychosocial assessment - nutrition - complete physical assessment

focused assessment - CORRECT ANSWERS-Collects data about a problem that has
already been identified. This type of assessment determines whether
the problem still exists, or any changes.

focused assessment questions - CORRECT ANSWERS-‐ What are your symptoms?
‐ When did they start?
‐ What activity were you doing ?
‐ What makes it better or worse?
‐ What are you doing to relieve the symptom?

Emergency assessment - CORRECT ANSWERS-Performed to identify a life‐
threatening problem (choking, stab wound, heart attack).

subjective data - CORRECT ANSWERS-Information verbalized or stated by the client.

objective data - CORRECT ANSWERS-‐ Observable and measurable information.
‐ Remember to include your senses: smell, hearing, touch and sight.

sign - CORRECT ANSWERS-An objective finding perceived by the examiner ex. (fever,
rash, etc.)

symptom - CORRECT ANSWERS-Subjective findings verbalized or stated by the client
ex. ("I have a headache" " I feel sick in my stomach.")

signs are - CORRECT ANSWERS-objective

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Institution
Nursing Process
Course
Nursing Process

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