Intro to Nursing - Exam 1
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1. The foundation of the nursing profession; is the The Nursing Process
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- Primary, can only be the pa-
tiary sources? 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
6. What must be done by the nurse on admission to In depth nursing history and
a health care facility? And what does it identify? 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.
, Intro to Nursing - Exam 1
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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-
, Intro to Nursing - Exam 1
Study online at https://quizlet.com/_bu2rj
dent and dependent), medica-
tions, teaching, and community
care.
15. What is a Joint Commission on Accreditation of The care plan is a written sum-
Healthcare Organizations (JACHO) requirement? mary of the care that a patient is
to receive.
16. What is the action phase? Implementatio/Intervention
17. Why are nursing actions goal oriented? To help the patient reach maxi-
mum health potential
18. What is crucial in the implementation phase? Documentation
19. What is determined in the Evaluation phase? The patient's reactions to nurs-
ing interventions and judging
whether the goals of the plan of
care were achieved.
20. What is ongoing and continuous process per- Evaluation..."revised or re-
formed throughout the process? assessed"
21. Vital signs are a __________ mechanism? Homeostatic
22. What is an important component of assessment? It yields info about underlying
health status
23. What is included in vital signs? Temperature, Pulse, Respira-
tion, Blood Pressure, Pain, Pulse
Oximetry
24. What are normal vital ranges, in adults?
Study online at https://quizlet.com/_bu2rj
1. The foundation of the nursing profession; is the The Nursing Process
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- Primary, can only be the pa-
tiary sources? 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
6. What must be done by the nurse on admission to In depth nursing history and
a health care facility? And what does it identify? 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.
, Intro to Nursing - Exam 1
Study online at https://quizlet.com/_bu2rj
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-
, Intro to Nursing - Exam 1
Study online at https://quizlet.com/_bu2rj
dent and dependent), medica-
tions, teaching, and community
care.
15. What is a Joint Commission on Accreditation of The care plan is a written sum-
Healthcare Organizations (JACHO) requirement? mary of the care that a patient is
to receive.
16. What is the action phase? Implementatio/Intervention
17. Why are nursing actions goal oriented? To help the patient reach maxi-
mum health potential
18. What is crucial in the implementation phase? Documentation
19. What is determined in the Evaluation phase? The patient's reactions to nurs-
ing interventions and judging
whether the goals of the plan of
care were achieved.
20. What is ongoing and continuous process per- Evaluation..."revised or re-
formed throughout the process? assessed"
21. Vital signs are a __________ mechanism? Homeostatic
22. What is an important component of assessment? It yields info about underlying
health status
23. What is included in vital signs? Temperature, Pulse, Respira-
tion, Blood Pressure, Pain, Pulse
Oximetry
24. What are normal vital ranges, in adults?
