Nursing Process Exam ||Newest Exam
Define the nursing process -CORRECT ANSWER a systematic problem solving
approach toward providing individualized nursing care.
What is NANDA-I -CORRECT ANSWER North American Nursing
Diagnosis Association International
What are the characteristics of the nursing process? -CORRECT ANSWER 1-
framework for care to indiv, families, & communities 2-orderly & systematic 3-
interdependent 4-provides specific care for the indiv, fam, & comm 5- client centered 6-
appropriate for use throughout lifespan 7-used in ALL settings
What are the steps of the nursing process? -CORRECT ANSWER ADPIE
A=assessment D=diagnosis P=planning I=implementation E=evaluation
How does the nurse obtain assessment info? -CORRECT ANSWER 1- initial (or
admission assessment) 2- focused assessment 3- emergency assesment
How does the nurse obtain assessment info? -CORRECT ANSWER past medical hx -
family hx - reason for admission - current meds - previous hospitalizations & surgeries -
psychosocial assessment - nutrition - complete physical assessment
focused assessment -CORRECT ANSWER Collects data about a problem that has
already been identified. This type of assessment determines whether
the problem still exists, or any changes.
focused assessment questions -CORRECT ANSWER ‐ What are your symptoms?
‐ When did they start?
‐ What activity were you doing ?
‐ What makes it better or worse?
‐ What are you doing to relieve the symptom?
Emergency assessment -CORRECT ANSWER Performed to identify a life‐threatening
problem (choking, stab wound, heart attack).
subjective data -CORRECT ANSWER Information verbalized or stated by the client.
objective data -CORRECT ANSWER ‐ Observable and measurable information.
‐ Remember to include your senses: smell, hearing, touch and sight.
sign -CORRECT ANSWER An objective finding perceived by the examiner ex. (fever,
rash, etc.)
, symptom -CORRECT ANSWER Subjective findings verbalized or stated by the client
ex. ("I have a headache" " I feel sick in my stomach.")
signs are -CORRECT ANSWER objective
symptoms are -CORRECT ANSWER subjective
2 sources of data -CORRECT ANSWER primary & 2ndary
primary source of data -CORRECT ANSWER ‐Information obtained from the patient
(only)
secondary sources of data -CORRECT ANSWER ‐ Family members
‐ Significant others
‐ Past & current health records, laboratory tests,diagnostic procedures, consultations
from other healthcare professionals.
collect the data then BLANK the data -CORRECT ANSWER VALIDATE
‐Confirm and verify the information.
‐ Keep it free from errors, bias, or misinterpretation.
Data is 1,2,3 -CORRECT ANSWER collected, validated, then clustered
clustering of data often contains -CORRECT ANSWER defining characteristics which
are specific assessment findings that support a
nursing diagnosis.
during the clustering of data what is used -CORRECT ANSWER critical thinking is used
to analyze and synthesize the information that is
collected. The data is then put into specific clusters that describe a specific client
problem.
identify sources of data for obtaining information from the client -CORRECT ANSWER
subjective & objective, primary & secondary, people, healthcare professionals, medical
chart, test & lab results etc
identify how you develop a nursing diagnosis -CORRECT ANSWER As you cluster
data, you begin to consider various diagnoses that may relate to the client. You must
remember that if certain defining characteristics do not exist for a specific diagnosis,
then you must not use the diagnosis.
identify how you develop a nursing diagnosis (what is first / next etc) -CORRECT
ANSWER 1. Complete thorough assessment of the patient.
2.Highlight or underline relevant symptoms (defining
characteristics).
3. Make a list of symptoms.
Define the nursing process -CORRECT ANSWER a systematic problem solving
approach toward providing individualized nursing care.
What is NANDA-I -CORRECT ANSWER North American Nursing
Diagnosis Association International
What are the characteristics of the nursing process? -CORRECT ANSWER 1-
framework for care to indiv, families, & communities 2-orderly & systematic 3-
interdependent 4-provides specific care for the indiv, fam, & comm 5- client centered 6-
appropriate for use throughout lifespan 7-used in ALL settings
What are the steps of the nursing process? -CORRECT ANSWER ADPIE
A=assessment D=diagnosis P=planning I=implementation E=evaluation
How does the nurse obtain assessment info? -CORRECT ANSWER 1- initial (or
admission assessment) 2- focused assessment 3- emergency assesment
How does the nurse obtain assessment info? -CORRECT ANSWER past medical hx -
family hx - reason for admission - current meds - previous hospitalizations & surgeries -
psychosocial assessment - nutrition - complete physical assessment
focused assessment -CORRECT ANSWER Collects data about a problem that has
already been identified. This type of assessment determines whether
the problem still exists, or any changes.
focused assessment questions -CORRECT ANSWER ‐ What are your symptoms?
‐ When did they start?
‐ What activity were you doing ?
‐ What makes it better or worse?
‐ What are you doing to relieve the symptom?
Emergency assessment -CORRECT ANSWER Performed to identify a life‐threatening
problem (choking, stab wound, heart attack).
subjective data -CORRECT ANSWER Information verbalized or stated by the client.
objective data -CORRECT ANSWER ‐ Observable and measurable information.
‐ Remember to include your senses: smell, hearing, touch and sight.
sign -CORRECT ANSWER An objective finding perceived by the examiner ex. (fever,
rash, etc.)
, symptom -CORRECT ANSWER Subjective findings verbalized or stated by the client
ex. ("I have a headache" " I feel sick in my stomach.")
signs are -CORRECT ANSWER objective
symptoms are -CORRECT ANSWER subjective
2 sources of data -CORRECT ANSWER primary & 2ndary
primary source of data -CORRECT ANSWER ‐Information obtained from the patient
(only)
secondary sources of data -CORRECT ANSWER ‐ Family members
‐ Significant others
‐ Past & current health records, laboratory tests,diagnostic procedures, consultations
from other healthcare professionals.
collect the data then BLANK the data -CORRECT ANSWER VALIDATE
‐Confirm and verify the information.
‐ Keep it free from errors, bias, or misinterpretation.
Data is 1,2,3 -CORRECT ANSWER collected, validated, then clustered
clustering of data often contains -CORRECT ANSWER defining characteristics which
are specific assessment findings that support a
nursing diagnosis.
during the clustering of data what is used -CORRECT ANSWER critical thinking is used
to analyze and synthesize the information that is
collected. The data is then put into specific clusters that describe a specific client
problem.
identify sources of data for obtaining information from the client -CORRECT ANSWER
subjective & objective, primary & secondary, people, healthcare professionals, medical
chart, test & lab results etc
identify how you develop a nursing diagnosis -CORRECT ANSWER As you cluster
data, you begin to consider various diagnoses that may relate to the client. You must
remember that if certain defining characteristics do not exist for a specific diagnosis,
then you must not use the diagnosis.
identify how you develop a nursing diagnosis (what is first / next etc) -CORRECT
ANSWER 1. Complete thorough assessment of the patient.
2.Highlight or underline relevant symptoms (defining
characteristics).
3. Make a list of symptoms.
