exam 1

Question 1

Focuses on the unhealthy responses to health and illness
Problems treated by nurses within the scope of independent practice
May change as patient’s responses change

Answer 1

nursing diagnosis

Question 2

Identifies the disease process
Problems the physician directs the treatment.
Remains the same for as long as the disease is present

Answer 2

medical diagnosis

Question 3

any treatment based on nursing judgment and knowledge that a nurse performs to enhance (achieve) a patient outcome

Answer 3

nursing interventions

Question 4

done on admission may use a “standardized care plan that the nurse individualizes for the patient

Answer 4

initial plan of care

Question 5

nurse is continuingly assessing client and updating the care plan as new data is collected

Answer 5

ongoing plan of care

Question 6

a systematic way to form and shape one’s thinking. It functions purposefully and exactingly. It is thought that is disciplined, comprehensive, based on intellectual standards, and as a result, well reasoned

Answer 6

critical thinking

Question 7

developing Knowledge, Skills and Attitudes to improve health care systems
Patient Centered Care
Teamwork and Collaboration
Evidence-Based Practice
Quality Improvement
Safety
Informatics

Answer 7

QSEN

Question 8

is an expected conclusion

to a patient health problem

Answer 8

patient outcome

Question 9

systematic and continuous collection, analysis, validation and communication of patient data and information

Answer 9

assessing

Question 10

aim or an end

Answer 10

goal

Question 11

state of complete physical, mental and social well-being, not merely the absences of disease

Answer 11

health

Question 12

active state of being healthy by living a lifestyle that promotes good physical, mental, and emotional health

Answer 12

wellness

Question 13

response of the person to a disease

Answer 13

illness

Question 14

rapid onset of symptoms and lasts a short time

Answer 14

acute illness

Question 15

requires a long period of care, support, education, may leave a permanent change, irreversible alterations in normal anatomy and physiology

Answer 15

chronic illness

Question 16

Something that increases a person’s chances for illness or injury

Answer 16

risk factor

Question 17

the behavior of a person who is motivated by q desire to increase well-being and health potential

Answer 17

health promotion

Question 18

activities directed towards promoting health and preventing the development of disease processes

Answer 18

primary

Question 19

focuses on screening for early detection of disease with prompt diagnosis and treatment

Answer 19

secondary

Question 20

begins after an illness is diagnosed and treated to reduce disability and to help rehabilitate patients

Answer 20

tertiary

Question 21

condition in which the human system responds to changes in its normal balanced state

Answer 21

stress

Question 22

disturbance caused by a precipitating event
successfully resolved if the person realistically views the events and new coping mechanisms are present and support systems are available

Answer 22

crisis

Question 23

Process by which a drug is transferred from its site of entry into the body to the bloodstream.
Influenced by:
Route of administration
Ability of the medication to dissolve
Blood flow to the site of administration
Body surface area

Answer 23

absorption

Question 24

The drug is transported within the body to tissues and organs and ultimately to the site of action

Influenced by:
Blood flow
Blood-brain barrier

Answer 24

distribution

Question 25

Process of breaking down a chemical Conversion of a drug into a less active, more easily excreted form occurs within the liver, kidneys, plasma and intestinal mucosa

Answer 25

Metabolism

Question 26

bio medicine, mainstream medical use of pharmacologically active agents or physical interventions to treat disease

Answer 26

allopathic medicine

Question 27

Emphasis on patient responsibility, patient education, health maintenance, and disease prevention Way of life. Health system of the future? believe illness is caused from ignoring ‘natural laws’

Answer 27

naturopathy

Question 28

excessive sleep-especially during the day

Answer 28

Hypersomnia

Question 29

uncontrollable desire to sleep

Answer 29

narcolepsy

Question 30

systematic and continuous collection, analysis, validation and communication of patient data and information • Nurse focuses this on patients response to actual or potential health problems

Answer 30

assessment

Question 31

target data pointing to the pathological conditions

Answer 31

medical assessment

Question 32

focus on patients response to health problems

Answer 32

nursing assessment

Question 33

performed shortly after the patient is admitted | • Establishes a complete database for problem identification and care planning

Answer 33

initial assessment

Question 34

nurse gathers data about a specific problem that has already been identified

Answer 34

focused assessment

Question 35

during a crisis to identify life threatening problem

Answer 35

emergency assessment

Question 36

to compare a patient’s current status to baseline data obtained earlier • patients in residential settings or long-term care settings are scheduled for periodic assessments to reassess health status and revise plan of care

Answer 36

time lapsed assessment

Question 37

nurse collects and records patient data; analyzes/ interprets data  Identify… how individual, group or community responds to actual/ potential health process AND factors that contribute to or causing health problems AND resources/strengths  P – PROBLEM (NANDA diagnosis) E – ETIOLOGY (probable reason as to why) S – SYMPTOMS (defining characteristics)

Answer 37

diagnosis

Question 38

measurable criteria used to evaluate the extent to which a goal has been met  Establish priorities, identify/write goals and outcomes, write interventions • Goals need to be observable, measureable and achievable

Answer 38

planning

Question 39

nursing actions that are planned are carried out  Assist the patient to achieve health outcomes, promote/restore health, prevent disease, facilitate coping with altered functioning

Answer 39

implementation

Question 40

interval between the pathogen’s invasion of the body and the appearance of symptoms

Answer 40

incubation period

Question 41

early signs/symptoms present, most infectious stage

Answer 41

prodromal stage

Question 42

specific signs and symptoms of that infection are present, localized and systemic symptoms

Answer 42

full stage of illness

Question 43

recovery period, signs and symptoms disappear and patient returns to normal health

Answer 43

convalescent period

Question 44

What are the two parts of a physical assessment?

Answer 44

Health assessment/ history and physical examination

Question 45

10 rights to medication administration

Answer 45

 Right patient, right medication, right dosage, right route, right time, right documentation, right education, right to refuse, right assessment, right evaluation

Question 46

parts of med order

Answer 46

 Patients name, date/time, name of medication, dosage, route, frequency, prescriber signature