VR Test 2 (Chapters 4 - 6)

Question 1

Nursing Process (4)

Answer 1

Way of thinking and acting based on the scientific method
Client centered
Think cognitively and critically
Use creativity
Use intuition
Framework upon which nursing care is based

Question 2

Critical Thinking (4)

Answer 2

Directed, purposeful mental activity by which ideas are created and evaluated, plans are constructed and desired outcomes are decided; can occur in or out of the clinical setting

Question 3

Priority (4)

Answer 3

Something taking precedence over other things at a particular time because of greater importance

Question 4

Outcomes (4)

Answer 4

Results of actions

Question 5

Clinical Judgement (4)

Answer 5

The outcome or results of clinical reasoning

Question 6

Scientific method (4)

Answer 6

Step-by-step process used by scientists to solve problems

Question 7

Clinical reasoning (4)

Answer 7

Critical thinking in the clinical setting

Question 8

Cues (5)

Answer 8

Pieces of information that influence decisions

Question 9

Data (5)

Answer 9

Pieces f information on a specific topic

Question 10

Goal (5)

Answer 10

Broad idea of what is to be achieved through nursing intervention

Question 11

Signs (5)

Answer 11

Abnormalities objectively verifiable by objective meand

Question 12

Symptoms (5)

Answer 12

Data the patient says are occurring that are not verifiable by objective means

Question 13

Etiologic factors (5)

Answer 13

Causes of the problem

Question 14

Database (5)

Answer 14

All of the information gathered about a patient

Question 15

Inferences (5)

Answer 15

Conclusions made based on observed data

Question 16

Interview (5)

Answer 16

Verbal interaction with patient to obtain data

Question 17

Subjective data (5)

Answer 17

Data obtained from the patient verbally

Question 18

Objective data (5)

Answer 18

Data that can be measured (Obtained by the interviewer through the senses and hands-on physical examination)

Question 19

Implementation (6)

Answer 19

Carrying out nursing interventions

Question 20

Interventions (6)

Answer 20

Actions that come from collaborative care planning

Question 21

Documentation (6)

Answer 21

Recording of pertinent data on the clinical record

Question 22

Evaluation (6)

Answer 22

Assessment of effectiveness of nursing actions in meeting expected outcomes

Question 23

Clinical pathway (6)

Answer 23

Step-by-step approach to the total care of the patient

Question 24

Outcome-based quality improvement (6)

Answer 24

Manage the quality of performance

Question 25

Nursing audit (6)

Answer 25

Examination of patient records to see if patient care meets accepted standards

Question 26

Independent nursing action (6)

Answer 26

Nursing action based on nursing judgement that does not require an order

Question 27

Dependent nursing action (6)

Answer 27

Action requiring a health care provider's order

Question 28

Interdependent action (6)

Answer 28

Actions involving more than one health care professional

Question 29

Time-flexible (6)

Answer 29

Can be done at any time

Question 30

Time-fixed (6)

Answer 30

Must be done at a set time

Question 31

Problem solving steps (4)

Answer 31

1. Define the problem clearly 2. Consider all possible alternatives as solutions to the problem 3. Consider the possible outcomes for each alternative 4. Predict the likelihood of each outcome occurring 5. Choose the alternative with the best chance of success that has the fewest undesirable outcomes

Question 32

What would be an independent nursing action? (6)

Answer 32

Teaching about the side effects of a medication

Question 33

Nursing diagnosis is a way of (5)

Answer 33

stating patient problems

Question 34

Assessment consists of gathering information about patients and their _____ using _________. (6)

Answer 34

needs | a variety of methods

Question 35

Assessment is an_____ process. (6)

Answer 35

ongoing

Question 36

Defining characteristics are the ____ and ____ attached to a nursing diagnosis that indicate the data from which the diagnosis was derived. (6)

Answer 36

signs | symptoms

Question 37

Etiologic factors are those that indicates the patient's ____ status or risk of a _____ _____, the causative or related factors, and the specific ____ _____. (6)

Answer 37

health problem developing defining characteristics (signs and symptoms)

Question 38

When nausea is expressed, it would be considered _____ data. (6)

Answer 38

subjective

Question 39

In order to perform efficiently and to set priorities, sat the beginning of the shift, the nurse should perform a quick ___ for each assigned patient. (6)

Answer 39

assessment

Question 40

NANDA nursing diagnoses may be actual or related to _____. (6)

Answer 40

a risk, syndrome or to promote wellness

Question 41

Before you interview a patient, you should perform a ____. (6)

Answer 41

chart review

Question 42

The nursing problems present for a patient are determined by _____ the assessment data. (6)

Answer 42

analyzing

Question 43

Nursing care is delivered by considering the order of ____ of the patient's needs or problems. (6)

Answer 43

priority

Question 44

Expected outcome statements should be written so that they are easy to ____ whether or not they have been achieved. (6)

Answer 44

evaluate

Question 45

When prioritizing nursing care, _____ always take precedence. (6)

Answer 45

physiologic needs for basic survival (ABC)

Question 46

When analyzing the information gathered during assessment, you should look for ____ indicating deviation from the norm. (6)

Answer 46

cues

Question 47

Sources of data used for the information of a patient database: (6)

Answer 47

``` Interviews Defining characteristics Physicians history and physical ancillary staff notes admission notes ```

Question 48

Methods used to gather a patient database: (6)

Answer 48

1. Interview 2. Chart Review 3. Physical Exam

Question 49

5 Steps of the Nursing Process (4) - ANPIE

Answer 49

1. Assessment - RN 2. Nursing Diagnosis - RN 3. Planning 4. Implementation 5. Evaluation

Question 50

Assessment

Answer 50

Data collection - (facts) Prioritize and organize Validate (readback) Document

Question 51

Nursing Diagnosis

Answer 51

Identify the health status and problems of the patient

Question 52

Planning

Answer 52

``` Get an outcome Determine goals and outcomes Decide on interventions to reach goals Promote wellness of patient Prevent/correct any problems Relieving any problems that exist ```

Question 53

Implementation

Answer 53

Performing actions to make plan work Delegate some tasks Document

Question 54

Evaluation

Answer 54

Check to see if plan worked (goals achieved)

Question 55

Patient benefits from Nursing Process

Answer 55

Needs are being met

Question 56

Nurse benefits from Nursing Process

Answer 56

Learn from each situation Meets standards of practice Continuity of care Job satisfaction