Nursing Exam 1: Intro to Nursing Practice Review
The Nursing Process
1. The foundation of the nursing profession; is the
systematic approach to problem-solving and pro-
viding individualized care?
2. The phases of the nursing process? Assessment, Diagnosis, Plan-
ning (includes Outcome), Im-
plementation, Evaluation
3. What is Assessment? Collection of data to help estab-
lish a goal of making a clinical
nursing judgment.
4. Difference between subjective and objective data? Subjective, from the client; Ob-
jective, from the nurse's senses.
5. Difference between primary, secondary and ter-
tiary sources?
6. What must be
, Nursing Exam 1: Intro to Nursing Practice Review
done by the nurse on admission to a health care Primary, can only be the pa-
facility? And what does it identify? tient; Secondary, info from fam-
ilies, medical records, or oth-
er health care professionals;
Tertiary, info from textbooks,
nurse's and other health care
team responses to patient
In depth nursing history and
physical assessment must be
done and it identifies the pa-
tient's strengths and weak-
ness/health problems.
7. When does data collection take place? Through observations, inter-
views, physical assessment, and
interpreting lab and diagnostic
results.
, Nursing Exam 1: Intro to Nursing Practice Review
8. What is diagnosis? The clinical act of identifying
problems using the assessment
data collected. This step iden-
tifies an individual, family or
group response to an actual or
potential health problem.
9. What is the nursing diagnosis based on? The pathophysiology of the dis-
ease process.
10. Who established the list of nursing diagnosis for North American Nursing Diag-
classifying nursing problems, standardizing lan- nosis Association (NANDA)
guage and facilitating communication for nurses?
11. What is included in Outcome? Development of patient focused
goals...included in the planning
phase.
12. What are the guidelines on making goals? Must be patient-focused, specif-
ic to the nursing diagnosis or
patient problem, measurable,
realistic and have time frame.
13. What is involved in the Planning phase? Preparing the nursing care plan
with patient input in how to
identify goals and interventions
to help with the identified prob-
lems.
14. What is included in the Planning phase? Patient goals/outcomes specif-
ic to the problem, assessment,
specific treatments (indepen-
The Nursing Process
1. The foundation of the nursing profession; is the
systematic approach to problem-solving and pro-
viding individualized care?
2. The phases of the nursing process? Assessment, Diagnosis, Plan-
ning (includes Outcome), Im-
plementation, Evaluation
3. What is Assessment? Collection of data to help estab-
lish a goal of making a clinical
nursing judgment.
4. Difference between subjective and objective data? Subjective, from the client; Ob-
jective, from the nurse's senses.
5. Difference between primary, secondary and ter-
tiary sources?
6. What must be
, Nursing Exam 1: Intro to Nursing Practice Review
done by the nurse on admission to a health care Primary, can only be the pa-
facility? And what does it identify? tient; Secondary, info from fam-
ilies, medical records, or oth-
er health care professionals;
Tertiary, info from textbooks,
nurse's and other health care
team responses to patient
In depth nursing history and
physical assessment must be
done and it identifies the pa-
tient's strengths and weak-
ness/health problems.
7. When does data collection take place? Through observations, inter-
views, physical assessment, and
interpreting lab and diagnostic
results.
, Nursing Exam 1: Intro to Nursing Practice Review
8. What is diagnosis? The clinical act of identifying
problems using the assessment
data collected. This step iden-
tifies an individual, family or
group response to an actual or
potential health problem.
9. What is the nursing diagnosis based on? The pathophysiology of the dis-
ease process.
10. Who established the list of nursing diagnosis for North American Nursing Diag-
classifying nursing problems, standardizing lan- nosis Association (NANDA)
guage and facilitating communication for nurses?
11. What is included in Outcome? Development of patient focused
goals...included in the planning
phase.
12. What are the guidelines on making goals? Must be patient-focused, specif-
ic to the nursing diagnosis or
patient problem, measurable,
realistic and have time frame.
13. What is involved in the Planning phase? Preparing the nursing care plan
with patient input in how to
identify goals and interventions
to help with the identified prob-
lems.
14. What is included in the Planning phase? Patient goals/outcomes specif-
ic to the problem, assessment,
specific treatments (indepen-
