NUR 215 MODULE 1-2 EXAM
ABC's - answer airway, breathing, circulation
WHAT TYPES OF THINGS CAN A NURSE DO WITHOUT A DOCTORS ORDER? -
answer-TURNING A PATIENT
-PROVIDNG COMFORT
-GROOMING/BATHING
-PATIENT EDUCATION
-PREVENTING FALLS
-ICEPACKS/HEAT PADS
What can a nurse do if he/she is asked to do something out of their scope? - answer
nurses should refuse to practice beyond their legal scope of practice and use the formal
chain of command to verbalize concerns related to these assignments
3 levels of prevention - answer Primary Prevention
Secondary Prevention
Tertiary Prevention
primary - answerFirst or most significant(designed to prevent or slow the onset of
disease)
secondary - answerScreening activities and education for detecting illnesses in the early
stages
territory - answerFocuses on stopping the disease from progressing and returning the
individual to the pre-illness phase
5 steps of the nursing process - answer1. Assessment
2. Diagnosis
3. Planning
4. Implementation
5. Evaluation
Assessment - answerInvolves gathering data about the patient and their health status;
Info is related to the physiological, psychological, sociocultural, developmental, and
spiritual status of the individual
Analysis/Diagnosis - answeruse information/data from the assessment phase to identify
the specific problem
, planning - answerencompasses identifying goals and outcomes, choosing interventions,
and creating nursing care plans
Nursing Diagnosis vs Medical Diagnosis - answer*Nursing Diagnosis: Focus on patient
response & Identify potential problems
*Medical Diagnosis:Disease process
Primary emphasis on identifying
the current problem
*Both use physical assessment, interviewing and observing as ways
to derive the diagnosis
*Both are designed for planning patient care
Inital Planning - answerBegins with the first patient contact; Refers to the development
of the initial comprehensive care plan
ongoing planning - answerChanges made in the plan; Allows you to prioritize the
problem(s) the patient has
discharge planning - answerProcess of planning a self-care and continuity of care after
the patient leaves the healthcare setting
subjective data and objective data - answersubjective: what the patient says/tells you
objective: what you see for your self
nursing care plan - answerincludes nursing diagnoses, goals and/or expected
outcomes, specific nursing interventions, and a section for evaluation findings so any
nurse is able to quickly identify a patient's clinical needs and situation.
Implementation - answerInvolves performing/delegating planned interventions; Carry
out the care plan
"It's doing, documenting, and delegating"
evaluation - answerLast step of the nursing process; Involves making judgements about
the patient's progress towards desired health outcomes, the effectiveness of the nursing
care plan, and the quality of nursing care in the healthcare setting
structure evaluation - answerfocuses on the environment in which care is provided; also
known as an audit
process evaluation - answerdetermines whether a program is being implemented as
intended
outcomes evaluation - answerFocuses on observable or measurable changes in the
patient's health status that result from the care given
Maslow's Hierarchy of Needs - answer(level 1) Physiological Needs
ABC's - answer airway, breathing, circulation
WHAT TYPES OF THINGS CAN A NURSE DO WITHOUT A DOCTORS ORDER? -
answer-TURNING A PATIENT
-PROVIDNG COMFORT
-GROOMING/BATHING
-PATIENT EDUCATION
-PREVENTING FALLS
-ICEPACKS/HEAT PADS
What can a nurse do if he/she is asked to do something out of their scope? - answer
nurses should refuse to practice beyond their legal scope of practice and use the formal
chain of command to verbalize concerns related to these assignments
3 levels of prevention - answer Primary Prevention
Secondary Prevention
Tertiary Prevention
primary - answerFirst or most significant(designed to prevent or slow the onset of
disease)
secondary - answerScreening activities and education for detecting illnesses in the early
stages
territory - answerFocuses on stopping the disease from progressing and returning the
individual to the pre-illness phase
5 steps of the nursing process - answer1. Assessment
2. Diagnosis
3. Planning
4. Implementation
5. Evaluation
Assessment - answerInvolves gathering data about the patient and their health status;
Info is related to the physiological, psychological, sociocultural, developmental, and
spiritual status of the individual
Analysis/Diagnosis - answeruse information/data from the assessment phase to identify
the specific problem
, planning - answerencompasses identifying goals and outcomes, choosing interventions,
and creating nursing care plans
Nursing Diagnosis vs Medical Diagnosis - answer*Nursing Diagnosis: Focus on patient
response & Identify potential problems
*Medical Diagnosis:Disease process
Primary emphasis on identifying
the current problem
*Both use physical assessment, interviewing and observing as ways
to derive the diagnosis
*Both are designed for planning patient care
Inital Planning - answerBegins with the first patient contact; Refers to the development
of the initial comprehensive care plan
ongoing planning - answerChanges made in the plan; Allows you to prioritize the
problem(s) the patient has
discharge planning - answerProcess of planning a self-care and continuity of care after
the patient leaves the healthcare setting
subjective data and objective data - answersubjective: what the patient says/tells you
objective: what you see for your self
nursing care plan - answerincludes nursing diagnoses, goals and/or expected
outcomes, specific nursing interventions, and a section for evaluation findings so any
nurse is able to quickly identify a patient's clinical needs and situation.
Implementation - answerInvolves performing/delegating planned interventions; Carry
out the care plan
"It's doing, documenting, and delegating"
evaluation - answerLast step of the nursing process; Involves making judgements about
the patient's progress towards desired health outcomes, the effectiveness of the nursing
care plan, and the quality of nursing care in the healthcare setting
structure evaluation - answerfocuses on the environment in which care is provided; also
known as an audit
process evaluation - answerdetermines whether a program is being implemented as
intended
outcomes evaluation - answerFocuses on observable or measurable changes in the
patient's health status that result from the care given
Maslow's Hierarchy of Needs - answer(level 1) Physiological Needs
