NUR 160 Exam 1 with Questions and
answers
Steps of the Nursing Process - ANS✅✅1.Assessment
2.Diagnosis (problem)
3.Planning (outcomes & interventions)
4.Implementation
5.Evaluation
Assessment - ANS✅✅*1st step of the nursing process
*gathering of data
*helps you decide what news to be done for the patient
*must be done by RN
Subjective - ANS✅✅what the patient actually says to you
Objective - ANS✅✅information the nurse gains by performing an assessment or
laboratory/diagnostic tests
Ex. BP 160/78; slight redness noted to sacrum, CXR negative for pneumonia
Types of Assessment - ANS✅✅*initial (admission)
*ongoing (shift assessment)
*comprehensive
*focused (area of complaint)
*special needs (death & blind)
Diagnosis (problem) - ANS✅✅once you have gathered all the data you need/want, then it is time
to create a diagnosis or identify the problem
-want to use a NANDA-I approved nursing diagnosis
, NANDA-I - ANS✅✅organization to submit new & revised diagnosis
Types of Nursing Diagnosis - ANS✅✅1. Actual: actively having problem
2. Risk: have the potential of falling
Diagnostic Reasoning - ANS✅✅*components of diagnostic reasoning
*draw conclusions about health status
*verify conclusions with the patient
*write the diagnostic statements
*prioritize the problem
*analyze and interpret data
prioritizing problem - ANS✅✅maslow's hierarchy of needs
Maslow - ANS✅✅Physiological
Safety
Love/belonging
Esteem
Self-actualization
Physiological - ANS✅✅breathing, food, water, sex, sleep, homeostasis, and excretion
Safety - ANS✅✅security of body, employment, resources, morality, the family, health, property
Love/belonging - ANS✅✅friendship, family, sexual intimacy
Esteem - ANS✅✅self-esteem, confidence, achievement, respect of others, respect by others
Self-actualization - ANS✅✅morality, creativity, spontaneity, problem solving, lack of prejudice,
acceptance of facts
answers
Steps of the Nursing Process - ANS✅✅1.Assessment
2.Diagnosis (problem)
3.Planning (outcomes & interventions)
4.Implementation
5.Evaluation
Assessment - ANS✅✅*1st step of the nursing process
*gathering of data
*helps you decide what news to be done for the patient
*must be done by RN
Subjective - ANS✅✅what the patient actually says to you
Objective - ANS✅✅information the nurse gains by performing an assessment or
laboratory/diagnostic tests
Ex. BP 160/78; slight redness noted to sacrum, CXR negative for pneumonia
Types of Assessment - ANS✅✅*initial (admission)
*ongoing (shift assessment)
*comprehensive
*focused (area of complaint)
*special needs (death & blind)
Diagnosis (problem) - ANS✅✅once you have gathered all the data you need/want, then it is time
to create a diagnosis or identify the problem
-want to use a NANDA-I approved nursing diagnosis
, NANDA-I - ANS✅✅organization to submit new & revised diagnosis
Types of Nursing Diagnosis - ANS✅✅1. Actual: actively having problem
2. Risk: have the potential of falling
Diagnostic Reasoning - ANS✅✅*components of diagnostic reasoning
*draw conclusions about health status
*verify conclusions with the patient
*write the diagnostic statements
*prioritize the problem
*analyze and interpret data
prioritizing problem - ANS✅✅maslow's hierarchy of needs
Maslow - ANS✅✅Physiological
Safety
Love/belonging
Esteem
Self-actualization
Physiological - ANS✅✅breathing, food, water, sex, sleep, homeostasis, and excretion
Safety - ANS✅✅security of body, employment, resources, morality, the family, health, property
Love/belonging - ANS✅✅friendship, family, sexual intimacy
Esteem - ANS✅✅self-esteem, confidence, achievement, respect of others, respect by others
Self-actualization - ANS✅✅morality, creativity, spontaneity, problem solving, lack of prejudice,
acceptance of facts
