Keiser BSN Clinical Decision-Making
Quiz Chapters 1-3 Final Exam and All
Correct Answers.
What are the primary goals of nursing - Answer 1) determine/family responses to human
procedure
2) providing physical care, emotional care, teaching, guidance, and counseling
3) implement intervention aimed at prevention and assisting the clients to meet his always
focus on assisting clients and families to their highest level of functioning
What does the nursing process involve - Answer ADPIE
ADPIE - Answer Assessment
Diagnosis
Planning
Implementation
Evaluation
Patient Story Includes: - Answer subjective and objective
Assessment is for - Answer appropriate diagnosis, planning and intervention
Assessment is completed - Answer thorough health and medical history,
by listening to and observing the client and asking open ended question
information is obtained by performing - Answer a physical assesment, taking vital signs, and
noting diagnostic test results
One phase of diagnosis - Answer 1) clustering information
The process of thinking in the diagnostic process is - Answer clinical reasoning
, Once a diagnosis is established what is the next step - Answer to determine related factors
and defining characteristic
How many parts are there in a working diagnosis - Answer two and three
when is a two part system used - Answer when the defining characteristics or signs and
symptoms identified in the assessment, may be obvious to those caring for the client
what does a 3 part system consist of - Answer the nursing diagnosis, the r/t statement, and
the defining characteristics, which are observable cues/interferences that cluster as
manifestations of an actual or wellness nursing diagnosis
define the three part diagnostic statement - Answer PES system:
P- problem (label
E-etiology (cause)
S-symptoms (symptoms)
When using the PES system, - Answer look at the S first and then formulate a three-part
system
What are the three types of nursing diagnosis - Answer problem focused diagnosis, risk
nursing diagnosis, and health promotion diagnosis
define problem focused diagnosis - Answer a clinical judgement concerning an undesireable
human response to a health condition/life process that exists in an individual, family, group or
community.
Ex) Iverweight related to an excessive intake relation to metabolic needs, concentrating food
intake at the end of the day aeb weight 20% over ideal for their height and frame.
risk nursing diagnosis - Answer a clinical judgment concerning the vulnerability of an
individual, family, group, or community for developing an undesirable human response to
health conditions/life processes
Ex)
RIsk for overweight: risk factor contating food at the end of the day
Quiz Chapters 1-3 Final Exam and All
Correct Answers.
What are the primary goals of nursing - Answer 1) determine/family responses to human
procedure
2) providing physical care, emotional care, teaching, guidance, and counseling
3) implement intervention aimed at prevention and assisting the clients to meet his always
focus on assisting clients and families to their highest level of functioning
What does the nursing process involve - Answer ADPIE
ADPIE - Answer Assessment
Diagnosis
Planning
Implementation
Evaluation
Patient Story Includes: - Answer subjective and objective
Assessment is for - Answer appropriate diagnosis, planning and intervention
Assessment is completed - Answer thorough health and medical history,
by listening to and observing the client and asking open ended question
information is obtained by performing - Answer a physical assesment, taking vital signs, and
noting diagnostic test results
One phase of diagnosis - Answer 1) clustering information
The process of thinking in the diagnostic process is - Answer clinical reasoning
, Once a diagnosis is established what is the next step - Answer to determine related factors
and defining characteristic
How many parts are there in a working diagnosis - Answer two and three
when is a two part system used - Answer when the defining characteristics or signs and
symptoms identified in the assessment, may be obvious to those caring for the client
what does a 3 part system consist of - Answer the nursing diagnosis, the r/t statement, and
the defining characteristics, which are observable cues/interferences that cluster as
manifestations of an actual or wellness nursing diagnosis
define the three part diagnostic statement - Answer PES system:
P- problem (label
E-etiology (cause)
S-symptoms (symptoms)
When using the PES system, - Answer look at the S first and then formulate a three-part
system
What are the three types of nursing diagnosis - Answer problem focused diagnosis, risk
nursing diagnosis, and health promotion diagnosis
define problem focused diagnosis - Answer a clinical judgement concerning an undesireable
human response to a health condition/life process that exists in an individual, family, group or
community.
Ex) Iverweight related to an excessive intake relation to metabolic needs, concentrating food
intake at the end of the day aeb weight 20% over ideal for their height and frame.
risk nursing diagnosis - Answer a clinical judgment concerning the vulnerability of an
individual, family, group, or community for developing an undesirable human response to
health conditions/life processes
Ex)
RIsk for overweight: risk factor contating food at the end of the day
