Week 3 Assessment

Question 1

What are the steps of the nursing process

Answer 1

Assessment
Diagnosis
Planning
Implementation
Evaluation

Question 2

Who can give subjective data

Answer 2

The client is the only person that can give subjective data

Question 3

What are the different sources of data

Answer 3

Primary source
secondary source
tertiary source

Question 4

what is a nursing diagnosis

Answer 4

it is a judgment made by the nurse that states the problem that is most affecting the client without stating a specific disease it just calls out what part of their medical condition is affecting them the most

Question 5

what is a medical diagnosis

Answer 5

a diagnosis that focuses on a disease medical condition or pathological state

Question 6

what are the 5 sources for diagnostic error

Answer 6

Errors in interpretation and analysis of data
Errors in data clustering
errors in diagnostic statements
errors in documentation

Question 7

What is an example of a primary source

Answer 7

the only source of primary data is the client

Question 8

what is an example of a secondary source

Answer 8

family member or friend

Question 9

what is an example of a tertiary source

Answer 9

text book or previous nursing experience

Question 10

documentation is part of which phase of the nursing process

Answer 10

Assessment

Question 11

which phase of the nursing process would this be
Analyze data collected in the assessment
Identify health problems, risks & strengths
Formulate diagnostic statements and identify client needs.

Answer 11

Diagnosis

Question 12

what type of diagnosis is this
An actual or potential complication that nurses monitor to detect a change in client status

Answer 12

Collaborative diagnosis/problem

Question 13

what stage of the nursing process is this
Where goals and outcomes are formulated that directly impact client care

Answer 13

planning

Question 14

what are the 3 key purposes of documentation

Answer 14

communication
to coordinate safe an appropriate nursing care
uphold professional and legal standards

Question 15

what are the 3 key purposes of documentation

Answer 15

communication
to coordinate safe an appropriate nursing care
uphold professional and legal standards

Question 16

True or False: A medical diagnosis is the identification of a disease or condition

Answer 16

True

Question 17

Which of the following behaviours would indicate that the nurse was using the assessment phase of the nursing process?
A. Proposing diagnoses.
B. Reviewing lab (laboratory) results.
C. Establishing short-term and long-term goals.
D. Creating a plan of care.

Answer 17

Reviewing diagnostic and laboratory results occurs in the assessment phase of the nursing process.