FIRST EXAM

Question 1

Why is Diagnosis critical?

Answer 1

it links the assessment step to all the steps that follow. Its the basis for planning client-centered goals and interventions.

Question 2

What is Diagnosing?

Answer 2

using critical thinking skills to identify patterns in the data and draw conclusions about health status.

Question 3

Formal list of Nursing Diagnostic Labels

Answer 3

describes health problems that can be addressed by independent nursing actions.Forms the body of knowledge that is unique to nursing.

Question 4

Medical Diagnosis

Answer 4

Describes a disease, illness, or injury. More narrowly focused.

Question 5

Nursing diagnosis

Answer 5

A statement of client health status that nurses can identify prevent, or treat independently.

Question 6

Differences between Medical / Nursing diagnoses

Answer 6

• predictions cannot be made from medical diagnosis or pathology
• medical diagnosis can have a number of nursing diagnoses associated with it.
• Clients with the same medical diagnosis may have different nursing diagnoses.

Question 7

What Information is Contained in a Comprehensive Nursing Care Plan.

Answer 7

Basic needs and activities of daily living
Medical/multidisciplinary treatment
Nursing diagnoses and collaborative problems
Special discharge needs or teaching needs

Question 8

Unit standards of care (Preprinted standardized)

Answer 8

preprinted standardized plans.

Question 9

Critical pathways(Preprinted standardized)

Answer 9

outcome based, interdisciplinary plans that sequence client care based on case type. Works with the nursing care plan.

Question 10

Integrated plans of care (Preprinted standardized)

Answer 10

standardized plans designed to be both care plan and documentation

Question 11

individualized Nursing care plan

Answer 11

addresses nursing diagnoses unique to a particular client

Question 12

Special Discharge or Teaching Plan

Answer 12

each person is different

Question 13

Computerized Care Plan

Answer 13

Enter diagnosis or desired outcome.
Computer generates list of suggested interventions
Choose appropriate interventions

Question 14

Writing Individualized Nursing Care Plan

Answer 14

make a working problem list

decide which problems can be managed with standardized care plans or critical pathways.

individualize the standardized plan as needed
transcribe medical orders to appropriate documents

Question 15

Planning Client Goals/Outcomes

Answer 15

describe the changes in client health status you hope to achieve. Short term and long term

Question 16

Nursing sensitive outcomes

Answer 16

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Question 17

Components of a goal statement

Answer 17

Subject
Action
Performance criteria
Target time
Special conditions.

Question 18

how do goals relate

Answer 18

Expected outcomes derive directly from the nursing diagnosis
Problem statement describes the response/health statusto be changed
Desired outcome states opposietee of the problem resopnse

Question 19

Non Essential goals

Answer 19

derive from the etiology

Question 20

Essential goals

Answer 20

derive from the problem

Question 21

NOC outcome

Answer 21

OUTCOME LABEL -
INDICATORS-
MEASUREMENT SCALE- 5 POINT SCALE

Question 22

Wellness Diagnoses

Answer 22

Describe what the client is to learn
describe the behaviors that will demonstrate learning
is learning cognitive, psychomotor, or affective.

Question 23

Reflections about Expected Outcomes and goals

Answer 23

Appropriate for the nursing diagnosis
Derivd from only one nursing diagnosis
Descriptive of only one ??????
stated in positive terms
measurable or observable
given specific and concrete performance criteria?
Does the client, family, or community value the outcome?
Does the goal conflict with any religious or cultural Values?

Question 24

NURSING INTERVENTIONS

Answer 24

done to achieve client outcomes called nursing actions, measures, strategies, activities based on clinical judgment and nursing knowledge reflect direct and indirect care.

Question 25

Independent interventions

Answer 25

things a liscensed nurse can do without dr’s order

Question 26

dependent interventions

Answer 26

needs a doctors order

Question 27

Process used for generating and selecting interventions

Answer 27

1. Review the nursing diagnosis
Review the desired client outcomes.
dentify serveral interventions/actions
Choose the best interventions for this client
individualized ....????????

Question 28

Five Rights of Delegation

Answer 28

1.
2.
3.
4
5