Exam 1 latest updated ver sion
w ith 159 exper t cur ated
questions and answ er s |
GUARANTEED SUCCESS
What are the most important roles of the nurse (5) - answer
Caregiver
Advocate
Educator
Researcher
Leader
What are the 5 steps in the nursing process? - answer (1)
Assessment
,(2) Nursing Diagnosis
(3) Planning
(4) Implementation
(5) Evaluation
*** All of the above require critical thinking!
Define Assessment - answer Collects comprehensive data
pertinent to the patient's health and/or situation.
- info medical personnel can look at
- begins the moment you walk through the door
Can the RN provide subjective information about patient? -
answer NO! Only the patient can give subjective info.
OBJECTIVE info is what the RN sees, hears, or smells
,What is the Diagnosis phase? - answer Analyze the assessment
and make a clinical judgement related to an ACTUAL or
POTENTIAL health problem.
** Nurses have to be aware of potential risks based on health
problems.
** Also collaborate with other specialists to manage the
problem(s)
What are the three phases of a Nursing Diagnosis? - answer First
info → Related to → as evidence by
WHAT is the problem?
WHY is it a problem?
WHAT is the evidence of that problem?
Ex:
"Acute pain → related to surgical incision → as evidence by
patient report (or as evidence by crying)"
, What are the OUTCOMES IDENTIFICATION? - answer This is
the statement of how a patient's status will change once
interventions have been successfully instituted
Identify the expected outcomes when planning for the patient's
individual situation.
Interventions must be measurable criterion indicating that
objectives have been met.
Define the PLANNING stage of the nursing process - answer
Develops a plan that prescribes strategies and alternatives to
attain expected outcomes.
- Prioritize strategies
- Goals (statement that describes the aim if the nursing care)
should be short term and long term
Describe IMPLEMENTATION of the nursing process - answer
The actions to facilitate positive patient outcomes