Chapter 9

Question 1

(Pro)

1. Cue
2. Inference

Answer 1

1. Obtained through use of senses

2. Judgement or interpretation of cues

Question 2

(Pro)

Structured vs problem focued approach,

Answer 2

Structured uses guidelines to make sure the data is complete

Problem focused begins with problem

Question 3

(Pro)

The first step of establishing a baseline is to,

Answer 3

Collect subjective information

Question 4

(Pro)

Open ended question

Answer 4

Answer requires more than a few words

Question 5

(Pro)

Back channelling

Answer 5

“All right” “go on”

Question 6

(Pro)

The last step of assessment should be to,

Answer 6

Communicate the assessment findings either though documentation or verbally

Question 7

(Pro)

1. Nursing diagnosis
2. Medical diagnosis

Answer 7

1. Within the scope of nursing practice, often symptoms of disease.
2. Actual medical diagnosis, disease

Question 8

(Pro)

Defining characteristics

Answer 8

Clinical criteria or assessment findings that support the nursing diagnosis

Question 9

(Pro)

Related factor

Answer 9

Identified from the assessment data and is the reason the PT is displaying the diagnosis. Maybe be pathophysiological, treatment related, situational, and maturational

Question 10

(Pro)

What is the nursing process?

Answer 10

A critical thinking process that nurses use to apply the best availed evidence to caregiving

Question 11

(Pro)

Assessment involves,

Answer 11

Collecting and verifying data.

Analysis of data and development of nursing diagnosis

Question 12

(Pro)

Can a nursing diagnosis use a medical diagnosis as the etiology?

Answer 12

Nooo

Question 13

(Pro)

Remember … when looking at nursing diagnoses

Answer 13

PES
Problem
Etiology
Symptoms

Question 14

(Pro)

Planning involves,

Answer 14

Setting priorities, identifying PT centered goals and expected outcomes

Question 15

(Pro)

A PT centered goal is,

Answer 15

A broad statement that describes a desired change in a PTs condition.
Time limited and reasonable

Question 16

(Pro)

Expected outcomes

Answer 16

Measurable criteria to evaluate goal achievement

Question 16

(Pro)

Dependent nursing interventions require,

Answer 16

An order from a physician or other health care provider

Question 17

(Pro)
Nursing interventions classification
(NIC)

Answer 17

1. 2. Physiological basic and complex
2. Behavioral
3. Safety
4. Family
5. Health system
6. Community

Question 18

(Pro)

Critical pathways

Answer 18

PT care management plans that provide the interdisciplinary health team with activities and tasks to be put into practice sequentially

Question 19

(Pro)

Clinical practice guideline

Answer 19

Set of statements that help nurses and other health care providers make decisions about specific clinical situations

Question 20

(Pro)

Standing order

Answer 20

Preprinted document containing orders for conducting procedures for specific PTs with identified clinical problems

Question 21

(Pro)

What should you know about delegating care

Answer 21

You are always responsible for making sure that the staff member completes the task according to standard of care

Question 22

(Pro)

The evaluation process included what dice elements?

Answer 22

1. Identifying evaluative criteria and standards
2. Collecting data to determine if the PT met the criteria or standards
3. Interpreting and summarizing findings
4. Documenting findings
5. Terminating, continuing, or revising care