exam 2: chapters 15-19 (nursing process: assessing, diagnosing/problem identification, outcome, identification/planning, implementing, evaluating)

Question 1

__, __, and __ are the 3 types of nursing interventions

Answer 1

nurse-initiated; physician-initiated; collaborative

Question 2

the person, professional nurse, reflective practice, clinical reasoning judgement and decision making, and nurse’s action are __

Answer 2

person-centered practice

Question 3

these are the 10 guiding principles of person-centered care: 1. all team members are considered __ 2. care is based on __ 3. care is __ and reflects patient __, __, and __ 4. knowledge and information are __ between and among __, __, __, and other caregivers 5. care is provided in a __ environment of comfort, peace, and support 6. families and friends of the pt are considered an __ part of the care team 7. __ is a visible priority 8. __ is the rule in the care of the patient 9. all caregivers cooperate with one another through a __ on the best interests and personal goals of a pt 10. the pt is the __ of control for their care

Answer 3

caregivers; continuous healing relationships; customized; needs, values, choices; freely shared; pts, care partners, physicians; healing; essential; pt safety; transparency; common focus; source

Question 4

personal attributes, knowledge base, and blended competences are all part of the __ nurse

Answer 4

professional

Question 5

blended competencies for nursing include the development of __, __, __, and __ competencies

Answer 5

cognitive; technical; interpersonal; ethical/legal

Question 6

problem solving in the nursing process includes __, __, __, and __ problem solving

Answer 6

trial-and-error; scientific; intuitive; critical thinking (logical, intuitive, both)

Question 7

__, __, and __ are potential errors in the nursing process

Answer 7

bias; impatience; failure to consider the total situation

Question 8

A: __
D: __
P: __
I: __
E: __

Answer 8

assessment; diagnosing; planning; implementing; evaluating

Question 9

collecting, validating, and communicating pt data is called __

Answer 9

assessment

Question 10

analyzing pt data to identify pt strengths and problems is called __

Answer 10

diagnosing

Question 11

specifying pt outcomes and related nursing interventions; develop individualized plan is called __

Answer 11

planning

Question 12

carrying out the care plan; assist client to achieve outcomes is called __

Answer 12

implementing

Question 13

measuring extent to which pt achieved outcome; continue, modify or terminate care is called __

Answer 13

evaluating

Question 14

b__, p__, s__, s__, e__ is the information gathered during the assessment of a pt

Answer 14

biophysical; psychological; sociocultural; spiritual; environmental

Question 15

comprehensive initial, focused, emergency, time-lapsed, and patient-centered assessment method are the __

Answer 15

5 types of nursing assessments

Question 16

the 1.__, 2.__ and significant others, 3.__, 4.__, physical examination, and progress notes, 5.__, 6. reports of __ and other diagnostic studies, 7. reports of __ by other health care professionals, and 8. __ and other health care literature are 8 data sources

Answer 16

1: pt
2: family
3: pt record
4: medical hx
5: consultations
6: laboratory
7: therapies
8: nursing

Question 17

the 4 methods of data collection include __, __, __, and __

Answer 17

observation; nursing hx; pt interview; physical assessment

Question 18

when recording and reporting data, you must consider: __ and __

Answer 18

timing (when); documentation (where)

Question 19

the two diagnoses in the nursing process are __ and __

Answer 19

nursing; medical

Question 20

pt problems nurses can treat independently is called __

Answer 20

nursing diagnosis

Question 21

problems for which the physician directs the primary treatment is called __

Answer 21

medical diagnosis

Question 22

the 3 types of nursing diagnoses are __, __, and __

Answer 22

problem-focused; risk; health promotion

Question 23

PED stands for __

Answer 23

problem; etiology or r/t factor; defining characteristics

Question 24

this part of the three-part system labels from the NANDA-I list (nursing diagnosis)

Answer 24

problem

Question 25

this part of the 3-part system finds what is contributing to the nursing diagnosis (cause of problem)

Answer 25

etiology

Question 26

this part of the 3-part system includes the s/s taken from assessment info (s & o data supporting the problem)

Answer 26

defining characteristics

Question 27

to identify a client’s nursing diagnosis you must recognize __ and __, identify ___ and ___, and reach __

Answer 27

significant data, patterns or clusters; pt strengths and problems, potential complications; conclusions

Question 28

aeb stands for

Answer 28

as evidenced by

Question 29

the 3 elements of comprehensive planning include __, __, and __

Answer 29

initial; ongoing; discharge

Question 30

the three kinds of priorities are __, __, and __ priorities

Answer 30

high; medium; low

Question 31

the priority that is the greatest threat to pt well-being is called __

Answer 31

high priority

Question 32

a nonthreatening diagnosis is called __

Answer 32

medium priority

Question 33

a diagnosis not specifically r/t current health problem like basic human needs or pt preferences are considered __

Answer 33

low priority

Question 34

1. self-actualization 2. self-esteem 3. love and belonging 4. safety and security 5. physiologic needs are __

Answer 34

maslow’s hierarchy of needs

Question 35

noc stands for

Answer 35

nursing outcomes classification

Question 36

a classification of nurse sensitive outcomes is __

Answer 36

noc

Question 37

a comprehensive, standardized language describing treatments that nurses perform in all settings and in all specialties is called __

Answer 37

nursing interventions classification (nic)