NUR 3130 Foundations Exam 1 UPDATED
QUESTIONS AND CORRECT ANSWERS
Nursing Process Characteristics - CORRECT ANSWER systematic, dynamic,
interpersonal, outcome oriented, universally applicable
Every care plan must have... - CORRECT ANSWER knowledge deficit
Nursing Process - CORRECT ANSWER Assessment - Diagnosis - Planning -
Implementation - Evaluation
Assessment - CORRECT ANSWER systematice, dynamic way to collect and analyze
data about client
includes physicological, psychological, sociocultural, spiritual, economic, and life-style
factors
Primary source of information if from he client
Types of Assessments - CORRECT ANSWER Initial - Focused - Ongoing -
Emergency - Time-lapsed
Initial Nursing Assessment - CORRECT ANSWER shortly performs after client is
admitted to the health care facility
Focused Assessment - CORRECT ANSWER information gathered about a diagnosed
condition
specific part of the body
Emergency Assessment - CORRECT ANSWER client presents with physiological
crisis to identify life-threatening problem
ex. ABCD
,Time- Lapsed Assessment - CORRECT ANSWER compares a current assessment to a
baseline assessment
ex. hospital stay every 8 hours
Data Collection Purpose - CORRECT ANSWER health statue and health problem
identification
Data Collection Types - CORRECT ANSWER subjective - feelings
objective - facts
Data Collection Methods - CORRECT ANSWER examination, observation,
interviewing
Data Collection Characteristics - CORRECT ANSWER purposeful, complete, factual
and accurate, and relevant
Data Collection Sources - CORRECT ANSWER client, family, health records, other
health care professionals
Skill of Nursing Observation - CORRECT ANSWER determines the clients current
responses, current ability to manage care, immediate environment and its safety, and the later
environment
Successful Interview Techniques - CORRECT ANSWER focus not eh client during the
interview
listen to the client attentively - eye contact-
ask about the clients main problem first
post questions and comments in an appropriate manner
avoid comments and questions that impede conversation
use silence and touch appropriately
, Type of questions used in interview - CORRECT ANSWER open-ended
closed
validating
clarifying
reflective
sequencing
directing
Types of Diagnoses - CORRECT ANSWER Nursing diagnoses- problems nurses can
treat independently
medical diagnosis- problems the physician directs the primary treatment
collaborative problems- managed by using physician-prescribed and nursing-perscribed
interventions
Data interpretation and analysis - CORRECT ANSWER recognizing significant data
recognizing patterns or clusters
identifying strengths and problems
reaching conclusions
(1 finding doesn't indicate treatment)
Formulation of Nursing Diagnoses - CORRECT ANSWER Problem—identifies what
is unhealthy about patient
Etiology—identifies factors maintaining the unhealthy state
Defining characteristics—identify the subjective and objective data that signal the existence
of a problem
r/t - CORRECT ANSWER relating to
QUESTIONS AND CORRECT ANSWERS
Nursing Process Characteristics - CORRECT ANSWER systematic, dynamic,
interpersonal, outcome oriented, universally applicable
Every care plan must have... - CORRECT ANSWER knowledge deficit
Nursing Process - CORRECT ANSWER Assessment - Diagnosis - Planning -
Implementation - Evaluation
Assessment - CORRECT ANSWER systematice, dynamic way to collect and analyze
data about client
includes physicological, psychological, sociocultural, spiritual, economic, and life-style
factors
Primary source of information if from he client
Types of Assessments - CORRECT ANSWER Initial - Focused - Ongoing -
Emergency - Time-lapsed
Initial Nursing Assessment - CORRECT ANSWER shortly performs after client is
admitted to the health care facility
Focused Assessment - CORRECT ANSWER information gathered about a diagnosed
condition
specific part of the body
Emergency Assessment - CORRECT ANSWER client presents with physiological
crisis to identify life-threatening problem
ex. ABCD
,Time- Lapsed Assessment - CORRECT ANSWER compares a current assessment to a
baseline assessment
ex. hospital stay every 8 hours
Data Collection Purpose - CORRECT ANSWER health statue and health problem
identification
Data Collection Types - CORRECT ANSWER subjective - feelings
objective - facts
Data Collection Methods - CORRECT ANSWER examination, observation,
interviewing
Data Collection Characteristics - CORRECT ANSWER purposeful, complete, factual
and accurate, and relevant
Data Collection Sources - CORRECT ANSWER client, family, health records, other
health care professionals
Skill of Nursing Observation - CORRECT ANSWER determines the clients current
responses, current ability to manage care, immediate environment and its safety, and the later
environment
Successful Interview Techniques - CORRECT ANSWER focus not eh client during the
interview
listen to the client attentively - eye contact-
ask about the clients main problem first
post questions and comments in an appropriate manner
avoid comments and questions that impede conversation
use silence and touch appropriately
, Type of questions used in interview - CORRECT ANSWER open-ended
closed
validating
clarifying
reflective
sequencing
directing
Types of Diagnoses - CORRECT ANSWER Nursing diagnoses- problems nurses can
treat independently
medical diagnosis- problems the physician directs the primary treatment
collaborative problems- managed by using physician-prescribed and nursing-perscribed
interventions
Data interpretation and analysis - CORRECT ANSWER recognizing significant data
recognizing patterns or clusters
identifying strengths and problems
reaching conclusions
(1 finding doesn't indicate treatment)
Formulation of Nursing Diagnoses - CORRECT ANSWER Problem—identifies what
is unhealthy about patient
Etiology—identifies factors maintaining the unhealthy state
Defining characteristics—identify the subjective and objective data that signal the existence
of a problem
r/t - CORRECT ANSWER relating to
