NUR 101 final exam
Study online at https://quizlet.com/_vc6wz
1. Nursing process-ADPIE: A-Assessment
D-Diagnosis
P-Planning
I-Implementation
E- Evaluation
2. Purpose of assessment: identify wellness, strengths, problems, evaluate plan of care and interventions
3. Gordon's functional health patterns: holistic focus on patients-assessment
*health perception/management
*nutrition-metabolism
*elimination
*activity-exercise
*sleep-rest
*cognitive-perceptual
*self perception-self concept
*role-relationship
*sexuality-reproduction
*coping-stress
*value-belief
4. Exam techniques-IPPA, IAPP: IPPA-inspection,palpitation, percussion, auscultation
IAPP-inspection, auscultation, palpitation, percussion-abdomen
5. NANDA: North American Nursing Diagnosis Association- Nursing diagnosis
6. HIPAA: Health care insurance portability and accountability act
7. informed consent: client informed by physician procedure/treatment, surgery and risks. RN gives written
consent to be signed. example: shared decision making
8. critical thinking: process of information: knowledge, experiences, competencies, attitudes, and stan-
dards.*helps to form nursing diagnosis, *using evidenced based rationale
9. clinical reasoning: worst possible scenario, be prepared
10. health perception: verifies client understanding of conditions and maintaining health
*appearance
*current complaint
*history
*past hospitalization
1/8
, NUR 101 final exam
Study online at https://quizlet.com/_vc6wz
*allergies
*current medications
11. 3 levels of health promotion: *primary prevent disease and promote healthy lifestyles
*secondary screening for early detection
*tertiary minimize disability from acute/chronic to maximum health
12. performing visual assessment: *appearance
*grooming, dress, hygiene
*mobility
*LOC
*facial expressions
* head to toe assessment
13. clinical reasoning and inferences: most important competencies-critical thinking-like a nurse
14. clinical judgment-done after data collection: conclusion about a patient through noticing,
interpreting, responding, and reflecting
15. data organization: Gordon's Functional health problems and NANDA
16. First row on care plan: *Nursing diagnosis
*definition
*defining characteristics(observations)
*risk factors
*related factors
17. actual nursing diagnosis: presence of defining characteristics, term, definition, characteristics, related
factors(etiology)
18. Risk nursing diagnosis: client more vulnerable to develop problem, risk for problem, focus on prevention
19. health promotion diagnosis: desire to increase wellness and human potential, readiness for en-
hancement
20. syndrome diagnosis: APP only-cluster of nurses diagnosis(post trauma, rape, SIDS, relocation)
21. 3 steps of planning care: *priorities: urgent problems, Plan Of Care, delay without complications
*goals: client goals and nursing goals(measurable and specific)
*nursing interventions: nurse prescribed, physician prescribed
22. evaluation: most difficult step of nursing-last and most missed step
23. assessment is a continual process of:: objective and subjective data collection, clinical judg-
ments, determine level of function, and first step in nursing process
2/8
Study online at https://quizlet.com/_vc6wz
1. Nursing process-ADPIE: A-Assessment
D-Diagnosis
P-Planning
I-Implementation
E- Evaluation
2. Purpose of assessment: identify wellness, strengths, problems, evaluate plan of care and interventions
3. Gordon's functional health patterns: holistic focus on patients-assessment
*health perception/management
*nutrition-metabolism
*elimination
*activity-exercise
*sleep-rest
*cognitive-perceptual
*self perception-self concept
*role-relationship
*sexuality-reproduction
*coping-stress
*value-belief
4. Exam techniques-IPPA, IAPP: IPPA-inspection,palpitation, percussion, auscultation
IAPP-inspection, auscultation, palpitation, percussion-abdomen
5. NANDA: North American Nursing Diagnosis Association- Nursing diagnosis
6. HIPAA: Health care insurance portability and accountability act
7. informed consent: client informed by physician procedure/treatment, surgery and risks. RN gives written
consent to be signed. example: shared decision making
8. critical thinking: process of information: knowledge, experiences, competencies, attitudes, and stan-
dards.*helps to form nursing diagnosis, *using evidenced based rationale
9. clinical reasoning: worst possible scenario, be prepared
10. health perception: verifies client understanding of conditions and maintaining health
*appearance
*current complaint
*history
*past hospitalization
1/8
, NUR 101 final exam
Study online at https://quizlet.com/_vc6wz
*allergies
*current medications
11. 3 levels of health promotion: *primary prevent disease and promote healthy lifestyles
*secondary screening for early detection
*tertiary minimize disability from acute/chronic to maximum health
12. performing visual assessment: *appearance
*grooming, dress, hygiene
*mobility
*LOC
*facial expressions
* head to toe assessment
13. clinical reasoning and inferences: most important competencies-critical thinking-like a nurse
14. clinical judgment-done after data collection: conclusion about a patient through noticing,
interpreting, responding, and reflecting
15. data organization: Gordon's Functional health problems and NANDA
16. First row on care plan: *Nursing diagnosis
*definition
*defining characteristics(observations)
*risk factors
*related factors
17. actual nursing diagnosis: presence of defining characteristics, term, definition, characteristics, related
factors(etiology)
18. Risk nursing diagnosis: client more vulnerable to develop problem, risk for problem, focus on prevention
19. health promotion diagnosis: desire to increase wellness and human potential, readiness for en-
hancement
20. syndrome diagnosis: APP only-cluster of nurses diagnosis(post trauma, rape, SIDS, relocation)
21. 3 steps of planning care: *priorities: urgent problems, Plan Of Care, delay without complications
*goals: client goals and nursing goals(measurable and specific)
*nursing interventions: nurse prescribed, physician prescribed
22. evaluation: most difficult step of nursing-last and most missed step
23. assessment is a continual process of:: objective and subjective data collection, clinical judg-
ments, determine level of function, and first step in nursing process
2/8
