NSC 114 Exam #2 fully solved & updated 2025-
2026(latest version verified for accuracy) |
2025\2026Latest!!
* to identify a client's health status and actual or
potential health care problems or needs, to establish
Nursing Process purpose and plans to meet those needs. The client may be an
characteristics individual, a family, a community, or a group.
* characteristics include: client centeredness, focus on
problem solving and decision making, interpersonal and
collaborative style, and use of critical thinking and
clinical reasoning.
* continuous collection, organization, validation, and
documentation of data.
* the purpose is to establish a database about the
client's response to health concerns or illness and
assessment phase of the
the ability to manage health care needs.
nursing process
* health history
* physical assessment
* patient record
* nursing literature
*subjective and objective data
**subjective- symptoms; data apparent only to the
person affected; things that patient says; can't see;
types of data
normally there is an objective to prove a subjective;
** objective- detectable by observe or can be measured
or tested against an accepted standard; can be seen,
heard, felt, smelled; vital signs; age.
, **Observing - nurses act as a detective; nurses use their
vision, smell, hearing, touch; clinical signs of distress;
threats to the client's safety; the presence and
functioning of associated equipment; immediate
environment including people.
Data Collection Methods
**Interviewing - planned communication or
conversation with a purpose; to get or give information;
identify problems of mutual concern; evaluate change;
focused
interview includes specific questions; directive interview
is highly structured and nurse typically controls it; non-
directive interview the nurse allows the client to control
the purpose
** Examining - physical examination or physical
assessment that uses observation to detect health
problems; head to toe approach (cephalocaudal)
**open-ended - associated with non-directive interview;
types of interviewing nurse allows client to explore
questions ** close-ended - associated with directive interviews; yes or no;
emergency situation
1. Opening - establish rapport, orientation
Stages of an Interview 2. Body - ask questions
3. Closing - terminates interview when needed information has
been obtained
, * identification of patient responses to real or potential
disease and illness (medical diagnosis)
* NANDA
*etiology
Diagnosis Phase of the * taxonomy
Nursing Process
* analyze data - luster cues (subjective and objective data)
*compare data with standards (compare data to a standard or
norm)
* identifying health problems, risks, and strengths,
*A medical diagnosis deals with disease or medical
condition; identification of a disease condition (ex
diabetes)
medical diagnosis vs nursing *A nursing diagnosis deals with human response to actual or
potential health
diagnosis
problems and life processes; identification of patient
responses to real or potential disease and illness
(NANDA); pt response to diagnosis
ex. medical diagnosis is stroke nursing diagnosis is risk for falls
a set of concepts and those assumptions that integrate
conceptual framework
them into a meaningful configuration
To establish a database about the patient's perceived
Purpose of Assessment
needs, health problems, and responses to these
problems
-organizes info and makes assessments identifying
Gordon's Functional Health functional and dysfunctional patterns
Patterns -ie sleep and rest dysfunction
Wellness Model a viewpoint about health that focuses on the prevention of
disease
The model of health that conceptualizes health as the patient's
Roy's Adaptation Model
ability to adapt,
compensate, manage, and adjust to physiological-physical
health-related setbacks.
intermittent not continuous; happening at intervals; stopping and starting
ongoing assessment continuing assessment activities that proceed from the initial
nursing assessment
classification system or set of categories arranged
Taxonomy based on a single principle or set of principles.
nursing diagnostic terminology
The NANDA-I nursing diagnosis; describes the essence
diagnostic label
of the patient's response to health conditions
2026(latest version verified for accuracy) |
2025\2026Latest!!
* to identify a client's health status and actual or
potential health care problems or needs, to establish
Nursing Process purpose and plans to meet those needs. The client may be an
characteristics individual, a family, a community, or a group.
* characteristics include: client centeredness, focus on
problem solving and decision making, interpersonal and
collaborative style, and use of critical thinking and
clinical reasoning.
* continuous collection, organization, validation, and
documentation of data.
* the purpose is to establish a database about the
client's response to health concerns or illness and
assessment phase of the
the ability to manage health care needs.
nursing process
* health history
* physical assessment
* patient record
* nursing literature
*subjective and objective data
**subjective- symptoms; data apparent only to the
person affected; things that patient says; can't see;
types of data
normally there is an objective to prove a subjective;
** objective- detectable by observe or can be measured
or tested against an accepted standard; can be seen,
heard, felt, smelled; vital signs; age.
, **Observing - nurses act as a detective; nurses use their
vision, smell, hearing, touch; clinical signs of distress;
threats to the client's safety; the presence and
functioning of associated equipment; immediate
environment including people.
Data Collection Methods
**Interviewing - planned communication or
conversation with a purpose; to get or give information;
identify problems of mutual concern; evaluate change;
focused
interview includes specific questions; directive interview
is highly structured and nurse typically controls it; non-
directive interview the nurse allows the client to control
the purpose
** Examining - physical examination or physical
assessment that uses observation to detect health
problems; head to toe approach (cephalocaudal)
**open-ended - associated with non-directive interview;
types of interviewing nurse allows client to explore
questions ** close-ended - associated with directive interviews; yes or no;
emergency situation
1. Opening - establish rapport, orientation
Stages of an Interview 2. Body - ask questions
3. Closing - terminates interview when needed information has
been obtained
, * identification of patient responses to real or potential
disease and illness (medical diagnosis)
* NANDA
*etiology
Diagnosis Phase of the * taxonomy
Nursing Process
* analyze data - luster cues (subjective and objective data)
*compare data with standards (compare data to a standard or
norm)
* identifying health problems, risks, and strengths,
*A medical diagnosis deals with disease or medical
condition; identification of a disease condition (ex
diabetes)
medical diagnosis vs nursing *A nursing diagnosis deals with human response to actual or
potential health
diagnosis
problems and life processes; identification of patient
responses to real or potential disease and illness
(NANDA); pt response to diagnosis
ex. medical diagnosis is stroke nursing diagnosis is risk for falls
a set of concepts and those assumptions that integrate
conceptual framework
them into a meaningful configuration
To establish a database about the patient's perceived
Purpose of Assessment
needs, health problems, and responses to these
problems
-organizes info and makes assessments identifying
Gordon's Functional Health functional and dysfunctional patterns
Patterns -ie sleep and rest dysfunction
Wellness Model a viewpoint about health that focuses on the prevention of
disease
The model of health that conceptualizes health as the patient's
Roy's Adaptation Model
ability to adapt,
compensate, manage, and adjust to physiological-physical
health-related setbacks.
intermittent not continuous; happening at intervals; stopping and starting
ongoing assessment continuing assessment activities that proceed from the initial
nursing assessment
classification system or set of categories arranged
Taxonomy based on a single principle or set of principles.
nursing diagnostic terminology
The NANDA-I nursing diagnosis; describes the essence
diagnostic label
of the patient's response to health conditions
