NR224 Fundamentals Final Exam Study Guide with all
Correct & 100% Verified Answers| Actual Complete
Exam| Already Graded A+
Nursing process ✔Correct Answer-Assessment, diagnose, plan, implementation and evaluation
Assessment ✔Correct Answer-First step of the nursing process. Activities required in the first step
are data collection, validation, sorting, and documentation. The purpose is to gather information for
health problem identification.
Diagnostic process ✔Correct Answer-Mental steps (data clustering and analysis, problem
identification) that follow assessment and lead directly to the formulation of a diagnosis. Nurses do
not make medical diagnoses, but they do assess and monitor patients closely and compare the
patients' signs and symptoms with those that are common to a medical diagnosis.
Planning ✔Correct Answer-Process of designing interventions to achieve the goals and outcomes
of health care delivery.
Implemention ✔Correct Answer-Initiation and completion of the nursing actions necessary to help
the patient achieve health care goals.
Evaluation ✔Correct Answer-Determination of the extent to which established patient goals have
been achieved.
Critical thinking ✔Correct Answer-Active, purposeful, organized, cognitive process used to carefully
examine one's thinking and the thinking of other individuals.
Need to make clinical judgments and decisions about your patients' health care needs based on
knowledge, experience, and standards of care. Use critical thinking skills and reflections to help you
gain and interpret scientific knowledge, integrate knowledge from clinical experiences, and become a
lifelong learner. You use critical thinking and decision making for the individual patient and family—
assessing health status, diagnosing health problems, planning care, implementing interventions, and
evaluating outcomes of care.
Three type of nursing Diagnosis ✔Correct Answer-actual diagnoses, risk diagnoses, and health
promotion diagnoses.
Actual nursing diagnosis ✔Correct Answer-describes human responses to health conditions or life
processes that exist in an individual, family, or community.
Risk nursing diagnosis ✔Correct Answer-describes human responses to health conditions or life
processes that may develop in a vulnerable individual, family, or community. risk factors are the
diagnostic-related factors that help in planning preventive health care measures
Health promotion nursing ✔Correct Answer-diagnosis is a clinical judgment of a person's, family's,
or community's motivation, desire, and readiness to increase well-being and actualize human health
potential as expressed in their readiness to enhance specific health behaviors such as nutrition and
exercise. person's readiness is supported by defining characteristics.
, relevant causative or related factor for diagnosis ✔Correct Answer-accurate clustering of
assessment data, an important part of formulating nursing diagnoses is identifying the relevant
causative or related factor. You choose interventions that treat or modify the related factor for the
diagnosis to be resolved. Specifying related factors for each diagnosis allows selection of
individualized nursing interventions.
Example for relevant causative/ related factors ✔Correct Answer-For example, deficient fluid
volume related to loss of GI fluids from vomiting requires therapies that manage the patients' emesis
and restore fluid volume with IV therapy. Or
For example, impaired skin integrity related to incontinence requires interventions such as a toileting
schedule or assisting the patient to the toilet at frequent intervals.
choosing interventions ✔Correct Answer-consider six important factors: (1) characteristics of the
nursing diagnosis, (2) goals and expected outcomes, (3) evidence base (e.g., research or proven
practice guidelines) for the interventions, (4) feasibility of the intervention, (5) acceptability to the
patient, and (6) your own competency
Five Components of the Nursing Diagnosis ✔Correct Answer-1: Diagnostic Label
The actual NANDA approved diagnosis
May include descriptors such as compromised, decreased, deficient or impaired
2: Related Factors
The etiology or condition that cab be treated by an intervention that falls within the nurse's scope of
practice
Determined from data identified during the nursing assessment
3: Definition
A NANDA-approved characteristic of the human response
4: Risk Factors
Factors that impose vulnerability upon a patient, family, or community
Includes elements such environmental, genetic, physiological, or psychological factors
5: Support of the Diagnostic Statement
Data that supports the nursing diagnosis
Collected from assessment
Nursing Diagnosis Structured ✔Correct Answer-Structure of the Actual Nursing Diagnosis
The Problem (diagnostic label) Related to (the etiological factor or what is causing it) As Evidenced
By (assessment data or clinical markers)
Structure of the At-Risk Nursing Diagnosis
At risk for the problem (diagnostic label) related to (the etiological factor or what is causing it)
A Priority Problem *
A diagnostic label that pertains to an actual problem, at-risk problem, health promotion, or the
cluster of diagnoses denoted by the syndrome
The diagnostic label must be approved through NANDA to render it as credible and must also be
replicable through nursing assessment so that if another qualified nurse (or student) were to assess
the patient, the same conclusions would be drawn
Correct & 100% Verified Answers| Actual Complete
Exam| Already Graded A+
Nursing process ✔Correct Answer-Assessment, diagnose, plan, implementation and evaluation
Assessment ✔Correct Answer-First step of the nursing process. Activities required in the first step
are data collection, validation, sorting, and documentation. The purpose is to gather information for
health problem identification.
Diagnostic process ✔Correct Answer-Mental steps (data clustering and analysis, problem
identification) that follow assessment and lead directly to the formulation of a diagnosis. Nurses do
not make medical diagnoses, but they do assess and monitor patients closely and compare the
patients' signs and symptoms with those that are common to a medical diagnosis.
Planning ✔Correct Answer-Process of designing interventions to achieve the goals and outcomes
of health care delivery.
Implemention ✔Correct Answer-Initiation and completion of the nursing actions necessary to help
the patient achieve health care goals.
Evaluation ✔Correct Answer-Determination of the extent to which established patient goals have
been achieved.
Critical thinking ✔Correct Answer-Active, purposeful, organized, cognitive process used to carefully
examine one's thinking and the thinking of other individuals.
Need to make clinical judgments and decisions about your patients' health care needs based on
knowledge, experience, and standards of care. Use critical thinking skills and reflections to help you
gain and interpret scientific knowledge, integrate knowledge from clinical experiences, and become a
lifelong learner. You use critical thinking and decision making for the individual patient and family—
assessing health status, diagnosing health problems, planning care, implementing interventions, and
evaluating outcomes of care.
Three type of nursing Diagnosis ✔Correct Answer-actual diagnoses, risk diagnoses, and health
promotion diagnoses.
Actual nursing diagnosis ✔Correct Answer-describes human responses to health conditions or life
processes that exist in an individual, family, or community.
Risk nursing diagnosis ✔Correct Answer-describes human responses to health conditions or life
processes that may develop in a vulnerable individual, family, or community. risk factors are the
diagnostic-related factors that help in planning preventive health care measures
Health promotion nursing ✔Correct Answer-diagnosis is a clinical judgment of a person's, family's,
or community's motivation, desire, and readiness to increase well-being and actualize human health
potential as expressed in their readiness to enhance specific health behaviors such as nutrition and
exercise. person's readiness is supported by defining characteristics.
, relevant causative or related factor for diagnosis ✔Correct Answer-accurate clustering of
assessment data, an important part of formulating nursing diagnoses is identifying the relevant
causative or related factor. You choose interventions that treat or modify the related factor for the
diagnosis to be resolved. Specifying related factors for each diagnosis allows selection of
individualized nursing interventions.
Example for relevant causative/ related factors ✔Correct Answer-For example, deficient fluid
volume related to loss of GI fluids from vomiting requires therapies that manage the patients' emesis
and restore fluid volume with IV therapy. Or
For example, impaired skin integrity related to incontinence requires interventions such as a toileting
schedule or assisting the patient to the toilet at frequent intervals.
choosing interventions ✔Correct Answer-consider six important factors: (1) characteristics of the
nursing diagnosis, (2) goals and expected outcomes, (3) evidence base (e.g., research or proven
practice guidelines) for the interventions, (4) feasibility of the intervention, (5) acceptability to the
patient, and (6) your own competency
Five Components of the Nursing Diagnosis ✔Correct Answer-1: Diagnostic Label
The actual NANDA approved diagnosis
May include descriptors such as compromised, decreased, deficient or impaired
2: Related Factors
The etiology or condition that cab be treated by an intervention that falls within the nurse's scope of
practice
Determined from data identified during the nursing assessment
3: Definition
A NANDA-approved characteristic of the human response
4: Risk Factors
Factors that impose vulnerability upon a patient, family, or community
Includes elements such environmental, genetic, physiological, or psychological factors
5: Support of the Diagnostic Statement
Data that supports the nursing diagnosis
Collected from assessment
Nursing Diagnosis Structured ✔Correct Answer-Structure of the Actual Nursing Diagnosis
The Problem (diagnostic label) Related to (the etiological factor or what is causing it) As Evidenced
By (assessment data or clinical markers)
Structure of the At-Risk Nursing Diagnosis
At risk for the problem (diagnostic label) related to (the etiological factor or what is causing it)
A Priority Problem *
A diagnostic label that pertains to an actual problem, at-risk problem, health promotion, or the
cluster of diagnoses denoted by the syndrome
The diagnostic label must be approved through NANDA to render it as credible and must also be
replicable through nursing assessment so that if another qualified nurse (or student) were to assess
the patient, the same conclusions would be drawn
