Module 1

Question 1

Is a critical thinking process that professional nurses used to apply the best available evidence to caregiving and promoting human functions and responses to health and illness.

Answer 1

Nursing process

Question 2

A systematic method of providing care to clients

Answer 2

Nursing process

Question 3

A systematic method of planning and providing individualized nursing care

Answer 3

Nursing process

Question 4

It is a written guidelines for client care

Answer 4

Nursing care plan

Question 5

It is organized so nurse can quickly identify nursing actions to be delivered, it also coordinates resources for care

Answer 5

Nursing care plan

Question 6

It enhances the continuity of care and organizes information for change of shift report

Answer 6

Nursing care plan

Question 7

Critical thinking has ability to

Answer 7

-identify a problem
-analyze it
-develop a response
-follow through

Question 8

Critical thinking is based on

Answer 8

-experience
-knowledge
-intuition

Question 9

What are the nursing process

Answer 9

1. Assessment
2. Diagnosis
3. Planning
4. Implementation
5. Evaluation

Question 10

It is the first step in determining a patient’s health status, collecting, validating, organizing and recording data about the patient health status.

Answer 10

Assessment

Question 11

What is the purpose of assessment

Answer 11

-establish a database concerning a client physical, psychosocial and emotional health
-identify health promoting behavior
-potential health problems

Question 12

What are the four types of assessment

Answer 12

1. Initial comprehensive assessment
2. Problem focused assessment
3. Emergency assessment
4. Time-lapsed assessment/ongoing assessment

Question 13

This type of assessment is called admission assessment it is performed when client enters a healthcare from healthcare agency, evaluate the client health status and identify functional health pattern that are problematic and provide in-depth comprehensive database which is critical for evaluating changes in the client’s health status in subsequent assessment

Answer 13

Initial comprehensive assessment

Question 14

A type of assessment that collects data about problem that has already been identified, has narrower scope and shorter time frame.

Answer 14

Problem focused assessment

Question 15

A type of assessment that takes place in the life threatening situations and preservation of life is top priority. It also focuses on few essential health patterns and is not comprehensive.

Answer 15

Emergency assessment

Question 16

What are the examples of emergency assessment

Answer 16

1. Airway
2. Breathing and circulatory problems
3. Abrupt change in self concept or suicidal thoughts

Question 17

It is a type of assessment that takes place after initial assessment to evaluate any changes in the client’s functional health.

Answer 17

Time lapsed assessment or ongoing assessment

Question 18

What are the examples of time lapsed assessment

Answer 18

1. Periodic output patient clinic visit
2. Home health visit
3. Health and developmental screening

Question 19

What are the two activities during assessment

Answer 19

1. Collecting data
2. Verifying/validating data

Question 20

This data involves gathering information about the patient, considering the physical, psychological, emotional, socio-cultural and spiritual factors that may affect his or her health status.

Answer 20

Collecting data

Question 21

This data makes sures your information is accurate.

Answer 21

Verifying/validating data

Question 22

What are the types of data

Answer 22

1. Subjective data (interview)
2. Objective data

Question 23

Data from clients point of view that includes feelings, perception and concern.

Answer 23

Subjective data

Question 24

What are the examples of subjective data

Answer 24

-vertigo
-pain
-nausea
-anxiety
-weakness
-fatigue

Question 25

This data is called signs which is observable and measurable data obtained through physical examination and laboratory and diagnostic testing.

Answer 25

Objective data

Question 26

What are the examples of objective data

Answer 26

-bp -temperature -reddish urine -jaundice

Question 27

What are the sources of data

Answer 27

1. Primary source (client) 2. Secondary source (family members, other healthcare providers and medical records)

Question 28

A process which result to a diagnostic statement of nursing diagnosis

Answer 28

Diagnosing

Question 29

A clinical act of identifying problems, the diagnose in nursing, analyze assessment information and derive meaning

Answer 29

Diagnosis

Question 30

What is the purpose of diagnosis

Answer 30

Identify the patients healthcare needs and to prepare diagnostic statement

Question 31

It refers to formulating and documenting measurable, realistic, patient focused goals

Answer 31

Outcome identification

Question 32

What is the purpose of outcome identification

Answer 32

1. Provide individualized care 2. Promote patient satisfaction 3. Plan care that is realistic and measurable 4. Allow involvement of supporting people

Question 33

It involves determining beforehand the strategies of course of actions to be taken before implementation of nursing care.

Answer 33

Planning

Question 34

What is the purpose of planning

Answer 34

1. Identify the patient goal and appropriate nursing intervention 2. Direct patient activities 3. Promote continuity care 4. Focus charting requirements 5. Allow for delegation of specific activities

Question 35

It is where you're putting your plan into action

Answer 35

Implementation

Question 36

What is the purpose of implementation

Answer 36

-carry out planned nursing intervention to help the patient attain goals and achieve optimal level of health

Question 37

It includes determining outcomes of achievements and identify variables or factors that affecting outcomes achievement

Answer 37

Evaluation

Question 38

It is where to decide where two continue or modified terminate plan continue, a step of nursing process that measures the client's response to nursing actions and the clients progress towards achieving goals.

Answer 38

Evaluation

Question 39

What is the purpose of evaluation

Answer 39

-to appraise the extent to which goals and outcome criteria of nursing care have been achieved

Question 40

A purposeful conversation between nurse and patient, consist of asking question designed to elicit subjective data (what person says about himself or herself)

Answer 40

Interview

Question 41

What is the purpose of interview

Answer 41

1. Gather, organize, complete and accurate data about patients health state including the description of chronology of any science and symptoms of illness 2. Establish report and trust 3. Teach the client about health state 4. Build report for more nurse patient relationship 5. Begin teaching for health promotion and disease prevention

Question 42

A process of communication where it is done through verbal and nonverbal communication and is true spoken or written words (vocalization)

Answer 42

Sending

Question 43

It is done underless conscious control does it is more accurate expression of one's inner thoughts and feelings

Answer 43

Nonverbal

Question 44

What are the examples of nonverbal

Answer 44

-gestures -facial expressions -posture

Question 45

A process of communication that the words and gestures must be interpreted in a specific contents to have meaning

Answer 45

Receiving

Question 46

What are the factors that affect communication

Answer 46

1. Internal factors 2. External factors (physical setting of interview)

Question 47

What are the examples of internal factors

Answer 47

-liking others -empathy -ability to listen

Question 48

What are the examples of external factors

Answer 48

-ensures privacy -refuse interruptions -physical environment -dress -note taking -video and tape recording

Question 49

It is the best for assessing breath and other body odors

Answer 49

Intimate zone (0 to 1 1/2 feet)

Question 50

It is where you do physical assessment

Answer 50

Personal distance (1 1/2 to 4 feet)

Question 51

It is where you do interview

Answer 51

Social distance (4 to 12 feet)

Question 52

It is where you do help teaching in a community

Answer 52

Public distance (12 feet or more)