2023 NUR 155 FOUNDATIONS TO NURSING
EXAM 2 LATEST UPDATE GRADED A+
What is the nursing process? - ANSWER-Systematic, rational method of planning and
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proving individualized care.
What do you do in the nursing process? - ANSWER-1. Assessing
2. Nursing Diagnosing
3. Planning
4. Implementing
5. Evaluating
What is the Decision-Making Process? - ANSWER--Choosing the best actions to meet
a desired goal
-Make value decisions
-Time management decisions
-Scheduling decisions
-Priority decisions
The Nursing Process: Assessing - ANSWER--Collecting, organizing, validating and
documenting a patient's health data
-collect data
-organize data
-validate data
-Document data
The Nursing Process: Diagnosing - ANSWER--Analyze date
-Identify health problems, risks, and strengths
-formulate diagnostic statements
The Nursing Process: Planning - ANSWER--Prioritize problems/diagnoses
-Formulate goals/desired outcomes
-Select nursing interventions
-Write nursing interventions
The Nursing Process: Implementing - ANSWER--Reassess the client
-Determine the nurse's need for assistance
-Implementing the nursing interventions
-Supervise delegated care
-Document nursing activités
The Nursing Process: Evaluating - ANSWER--Collect data related to outcomes
-Compare data with outcomes
-Relate nursing actions to client goals/outcomes
-Draw conclusions about problem status
-Continue, modify, or terminate the client's care plan
What is subjective? - ANSWER-What the patient says
Ex: "I have pain, nausea, fear"
What is objective? - ANSWER--Measurable
Ex: vital signs, labs, drainage, etc.
Methods of data collection? - ANSWER--Observing
-Interviewing
Directive Approach to Interviewing? - ANSWER--Nurse establishes purpose
-Nurse controls the interview
-Used to gather and give information when time is limited, e.g., in an emergency
Nondirective Approach to Interviewing - ANSWER--Rapport-building
-Client controls the purpose, subject matter, and pacing
-Combination of directive and nondirective approaches usually appropriate during the
information-gathering interview
Types of questions: Closed - ANSWER-If you can answer a question with only a "yes"
or "no" response, then you are answering a close-ended type of question.
Examples of close-ended questions are:
Are you feeling better today?
May I use the bathroom?
Is the prime rib a special tonight?
Should I date him?
Will you please do me a favor?
Types of questions: Open - ANSWER-Open-ended questions are ones that require
more than one word answers. The answers could come in the form of a list, a few
sentences or something longer such as a speech, paragraph or essay.
Here are some examples of open-ended questions:
What were the most important wars fought in the history of the United States?
What are you planning to buy today at the supermarket?
How exactly did the fight between the two of you start?
Planning the Interview - ANSWER--Time
-Place
-Seating
-Distance
-Language
What are the stages of an Interview? - ANSWER-1. The opening
2. The body of the interview
3. The closing
What is a physical examination? - ANSWER--Use techniques of inspection,
auscultation, palpation, and percussion
-Systematic manner
-Ongoing nursing data collection and examination focuses on the body systems in
which there is a problem or potential problem
The Nursing Process: Assessing
(Organizing Data) - ANSWER--Systematically
-Nursing health history, nursing assessment, or nursing data base
-Differentiate normal from abnormal
The Nursing Process: Assessing
(Validating Data) - ANSWER--Assessment complete
-Objective and related subjective data agree
-Additional data overlooked
-Differentiate between cues and inferences
-Data that is extremely abnormal
-Avoiding jumping to conclusions [Show Less]