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RN Test 1
RN program test 1
| Question | Answer |
|---|---|
| define nursing process | critical thinking competency that allows nurses to make judgements and take actions |
| 5 steps of nursing process | assessment, nursing diagnosis, identification of expected outcomes and planning, implementation, evaluation |
| define outcome identification and planning | establish goals and plan of care to meet needs |
| define implement | deliver care established by plan |
| what are the parts of Assessment | Systematically collecting, verifying, analyzing, and communicating data about client. |
| give examples of subjective data | clients perception - pain, anxiety, discomfort, stress. Obtained in interview, can be difficult to measure (dizziness, nausea, pain, burning on urination) |
| examples of objective data | observations or MEASUREMENTS made by the nurse, physical exam, lab data, medical records. (BP, Temp, Pulse, X-rays, Lab values) |
| 6 steps of the Assessment | collect data, organize/cluster data, validate data, record, look for patterns, make "impressions" |
| define nursing diagnosis | Statement of potential or actual altered health status of client which is derived from nursing assessment and which requires interventions from the domain of nursing. |
| the _____ list has the approved nursing diagnoses | NANDA |
| what is the difference between a Nursing Diagnosis and Medical Diagnosis | Purpose, goals, therapeutic intervention |
| 5 types of nursing diagnosis | actual, risk, possible, syndrome, wellness |
| type of diagnosis that the person's database contains evidence of signs and symptoms or defining characteristics of the diagnosis | actual diagnosis |
| define a risk/potential diagnosis | person's database contains evidence of the related factors of the diagnosis but no evidence of the defining characteristics |
| define possible diagnosis | person's database does not demonstrate the defining characteristics or related factors of the diagnosis but your intuition tells you the diagnosis may be present |
| what is the purpose of the goals r/t nursing diagnoses? | Provide individualized care Promote client participation Plan care that is realistic and measurable Allow for involvement of support people |
| what three things must the goal have r/t a nursing diagnosis | Goal must have: Subject (patient) Verb (action patient will perform) Criteria (expected behavior – measurable) |
| examples of verbs used for goals r/t a nursing diagnosis | Define Identify List Describe Explain Apply Prepare design Verbalize Choose Select Demonstrate |
| define nursing interventions | any tx based on clinical judgement that a nurse performs to enhance patient outcomes. |
| what are the three types of nursing interventions? | Nurse initiated (independent) Interdependent (collaborative) Physician initiated (dependent) |
| examples of nursing interventions | daily care complex physiologic care behavioral safety family health systems |
| which phase does the plan of care developed? | OUTCOME/PLANNING |
| which phase do you document what you have done r/t interventions? | Implementation - Do it & document |
| the process of collecting, organizing, validating, and recording data about a client's health status. | Assessment |
| a collegial working relationship with another health care provider in the provision of client care. | collaboration |
| two way process involving the sending and receiving of information | communication |
| change in human disposition of capability that persists over a period of time and cannot be solely accounted for by growth. | learning |
| method of organizing care delivery that emphasizes communication and coordination of acre among all health care team members | managed care |
| a set of attributes that implies responsibility and commitment | professionalism |
| set of expectations about how a person occupying a specific position behaves | Role |
| clash between the beliefs or behaviors imposed by two or more roles fulfilled by one person | role conflict |
| system of activities designed to produce learning | teaching |
| who wrote and what is the name of the dissertaion that proposed a 2-year education program for RNs in community colleges? | Mildred Montag published "The Education of Nursing Technicians" |
| where was the first ADN program? | Columbia University Teacher's College |
| where was the first BSN program? | University of Minnesota |
| nurses provide care for three types of clients, name them | individuals, families, and communities |
| what are the four areas nursing practice involves? | promoting health and wellness, preventing illness, restoring health, and caring for the dying |
| what is the purposes of the ANA? | foster high standards of nursing practice and to promote the educational and professional advancement of nurses |
| purpose of NLN | foster the development and improvement of all nursing services and nursing education. |
| graphic illustration of the relationships among concepts | conceptual method |
| a piece of information or data that influences decisions | cues |
| all information of a client/pt that includes nursing health hx, physical assessment, PE, lab and diagnostic test results | database |
| client s/s that must be present to validate a nursing diagnosis | defining characteristics |
| statement or conclusion concerning the nature of some phenomenon | diagnosis |
| causal relationship between a problem and its related or risk factors | etiology |
| planned ongoing purposeful activity in which clients and health care professionals compare expected outcomes to actual outcomes | evaluate |
| what the nurse hopes to achieve by implementing the nursing interventions | goals/outcomes |
| phase of nursing process in which the nursing care plan is put into action | Implement |
| interpretations or conclusions made based on cues or observed data | inferences |
| nurse's clinical judgement about individual, family, or community responses to actual and potential health problems/life processes to provide the basis for selecting nursing interventions | nursing diagnosis |
| tx based on clinical judgment and knowledge that a nurse performs to enhance patient outcomes | interventions |
| systematic rational method of planning and providing nursing care | nursing process |
| this information can be quantified, tested against a standard, can be seen, felt, heard, or smelled | objective data |
| process that involvesassessing a situation, establishing goals and objectives, developing a plan of action that sets priorities, who is responsible, deadlines, and how the outcome will be achieved | plan/planning |
| any subjective evidence of a disease | symptom |
| objective observations of a disease; example blood from the nose, abnormal lung sounds | sign |
| things a pt tells you. example pain, nausea, intermittent cough | subjective information |
| determination that the diagnosis accuratreflects the roblem of the client and that the methods used for data gathering were appropriate and diagnosis is justified by the data | validation |
| part of the nursing process: interpret data, identify and communicate nursing diagnosis, determine health team's ablility to meet cllient's needs | Diagnosing |
| part of the nursing process: Organize and manage the client's care, perform client care, delegating care, counsel, teach | Implementation |
| part of the nursing process: gather objective and subjective information | Assessment |
| part of the nursing process: determine and prioritize outcome of care. Develope and modify plan for delivery of client's care. | Planning |
| part of the nursing process: Compare desired outcomes to actual outcomes. Record and describe client's response to plan. | Evaluation |
| put the parts of the nursing diagnosis in order | Assessing, Diagnosing, Planning, Implementing, Evaluating |
| how long does the RN have to complete the initial admission assessment? | 24 hours |
| what are some examples of different aspects of the assessment process? | client's own perspective on thier condition, communicatio barriers, impact of nurse's attitude, values, and beliefs, protection of privacy of data |
| objective/symptoms/covert data includes: | itching, pain, feelings of worry - unmeasureable things. |
| objective/signs/overt data includes: | Vital signs, heart sounds, lung sounds - things you can hear, touch, and measure..ect |
| who is the primary source of data? | The patient |
| examples of secondary data include: | family members, other health professionals, records, reports, lab data: all sources other than the pt. |
| name the portions of the Nurse Health Hx | biographic info, chief complaint, hx of present illness, PMH, Family Hx, lifestyle, Social data, psych data, patterns of health care |
| a collection of people who share some attribute of thier lives | community |
| nursing care directed toward a specific population or group within the community, primary, secondary, or tertiary care may be provided to individuals or groups | Community-based nursing (CBN) |
| the synthesis of nursing and public health practice as applied to promoting and preserving the health of populations | Community health nursing |
| activities directed toward the protection from or avoidance of potential health risks. | primary prevention |
| activities designed for early diagnosis and tx of disease or illness | secondary prevention |
| activities designed to restore individuals with disabilities to their optimal level of functioning. | tertiary prevention |
Created by:
jrstrader
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