NR222 Health and Wellness Midterm exam | | | | | |
with precise detailed answers
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what are the steps of the nursing process? - Correct answer ✔Assessment
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Diagnosis/Analysis
Planning/Goals/Outcome identification |
Implementation/Interventions
Evaluation
what is the nursing process? - Correct answer ✔a systematic universal
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approach to critical thinking in the nursing profession
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describe the assessment phase of the nursing process - Correct answer
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✔gathering information |
collecting data both subjective (verbal) and objective (measurable)
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may come from patient, records, family, friends
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describe the diagnosis/analysis phase of the nursing process - Correct answer
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✔taking the gathered information and data and identifying the problem based
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on those
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determine actual/potential diagnosis, problems, and issues
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describe the outcome identification/planning phase of the nursing process -
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Correct answer ✔identify long and short-term goals
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, write a collaborative care plan to meet goals
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Goals should be: specific, measurable or Meaningful, attainable or Action-
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Oriented, realistic or Results-Oriented, timely or Time-Oriented
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describe the outcome implementation/interventions phase of the nursing
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process - Correct answer ✔implementation of plan
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ex. applying a cardiac monitor or oxygen, direct or indirect care, medication
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administration, standard treatment protocols | | |
describe the outcome evaluation phase of the nursing process - Correct
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answer ✔determine if goals were reached
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evaluate to ensure the desired outcome has been met reassessment may be
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needed depending on results
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what is objective data - Correct answer ✔information collected using the 5
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senses
ex. wound appearance, vital signs, labs
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what is subjective data - Correct answer ✔info the client tells the nurse
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ex. pain is 5/10, diarrhea for past 5 days, dizzy, short of breath
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cannot measure or be confirmed
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What is the TeachBack method - Correct answer ✔have the client explain back
| | | | | | | | | | | | |
the procedure or summarize the conversation
| | | | |
ensures patient understands material
| | |
with precise detailed answers
| | |
what are the steps of the nursing process? - Correct answer ✔Assessment
| | | | | | | | | | |
Diagnosis/Analysis
Planning/Goals/Outcome identification |
Implementation/Interventions
Evaluation
what is the nursing process? - Correct answer ✔a systematic universal
| | | | | | | | | | |
approach to critical thinking in the nursing profession
| | | | | | |
describe the assessment phase of the nursing process - Correct answer
| | | | | | | | | | |
✔gathering information |
collecting data both subjective (verbal) and objective (measurable)
| | | | | | |
may come from patient, records, family, friends
| | | | | |
describe the diagnosis/analysis phase of the nursing process - Correct answer
| | | | | | | | | | |
✔taking the gathered information and data and identifying the problem based
| | | | | | | | | | |
on those
|
determine actual/potential diagnosis, problems, and issues
| | | | |
describe the outcome identification/planning phase of the nursing process -
| | | | | | | | | |
Correct answer ✔identify long and short-term goals
| | | | | |
, write a collaborative care plan to meet goals
| | | | | | |
Goals should be: specific, measurable or Meaningful, attainable or Action-
| | | | | | | | |
Oriented, realistic or Results-Oriented, timely or Time-Oriented
| | | | | |
describe the outcome implementation/interventions phase of the nursing
| | | | | | | |
process - Correct answer ✔implementation of plan
| | | | | |
ex. applying a cardiac monitor or oxygen, direct or indirect care, medication
| | | | | | | | | | | |
administration, standard treatment protocols | | |
describe the outcome evaluation phase of the nursing process - Correct
| | | | | | | | | | |
answer ✔determine if goals were reached
| | | | |
evaluate to ensure the desired outcome has been met reassessment may be
| | | | | | | | | | | |
needed depending on results
| | |
what is objective data - Correct answer ✔information collected using the 5
| | | | | | | | | | | |
senses
ex. wound appearance, vital signs, labs
| | | | |
what is subjective data - Correct answer ✔info the client tells the nurse
| | | | | | | | | | | |
ex. pain is 5/10, diarrhea for past 5 days, dizzy, short of breath
| | | | | | | | | | | |
cannot measure or be confirmed
| | | |
What is the TeachBack method - Correct answer ✔have the client explain back
| | | | | | | | | | | | |
the procedure or summarize the conversation
| | | | |
ensures patient understands material
| | |
