WEEK 1

Question 1

quoted “The very elements of nursing are all but unknown”

Answer 1

florence nightingale, 1859

Question 2

is both A SCIENCE and AN ART that is concerned with the individual’s: Physical, Psychological, Sociological, Cultural, Spiritual

Answer 2

nursing

Question 3

ESSENTIALS FEATURES OF THE NURSING PRACTICE

Answer 3

Full range of human experiences and responses to health and illness w/o restriction to a problem
focused orientation

Caring relationship that facilitates health and healing

Understanding and integration of objective data based on the client’s subjective experience

Knowledge for diagnosis and treatment

Question 4

first step of the Nursing Process, The most important because it DIRECTS the rest of the process

Answer 4

Health assessment

Question 5

“Combines the most desirable elements of the art of nursing with the most relevant elements of systems
theory, using the scientific method”

Answer 5

NURSING PROCESS, (shore, 1988)

Question 6

This process incorporates an interactive/interpersonal approach with a problem solving and decision making process

Answer 6

nursing process, peplau 1952

Question 7

nursing process is synonymous with the ___ approach

Answer 7

problem solving

Question 8

gosh approach

Answer 8

goal oriented
organized
systemized
humanistic care

Question 9

5 steps of the Nursing Process

Answer 9

1. ASSESSMENT
2. DIAGNOSIS
3. PLANNING
4. INTERVENTION
5. EVALUATION

Question 10

Systematic collection of data, The most important step, Sets the tone for the rest of the process, and the rest of the process flows from it, Identifies your patient’s strengths and limitations and is performed not just once, but continuously
throughout the nursing process

Answer 10

ASSESSMENT

Question 11

Clinical judgment concerning a human response to health conditions / life processes, or
vulnerability for that response by an individual, family or community that the nurse is licensed and
competent to treat

Answer 11

diagnosis

Question 12

s identifies an occurring health problem for your patient.

Answer 12

actual nursing diagnosis

Question 13

identifies a high-risk health problem that most likely will
occur unless preventive measures are taken.

Answer 13

potential nursing diagnosis

Question 14

one that needs further data to support it

Answer 14

possible nursing diagnosis

Question 15

types of nursing diagnosis

Answer 15

problem focused
risk
health problem
syndrome

Question 16

parts of nursing diagnosis

Answer 16

problem, etiology, signs and symptoms

Question 17

Problem + Etiology + Signs and Symptoms

Answer 17

problem focused ND

Question 18

Problem + Etiology

Answer 18

risk ND

Question 19

problem only ND

Answer 19

health ND

Question 20

Specific cluster of nursing diagnosis that occur together and have similar nursing
interventions to resolve the siyuation

Answer 20

syndrome ND

Question 21

Observable assessment cues such as patient behavior, physical signs

Answer 21

defining characteristics

Question 22

Etiological cause or causative factor for diagnosis

Answer 22

etiology.related factor

Question 23

desired outcomes in the ADPIE, Appropriate interventions that Involves setting goals and outcomes, Individualized plan of care for your patient

Answer 23

planning

Question 24

Ordering of nursing diagnoses or patient problems using notions of urgency and
importance to establish a preferential order for nursing interventions

Answer 24

priority setting

Question 25

Broad statement that describes a desired change in a patient’s condition, perceptions or behavior

Answer 25

goals

Question 26

objective behavior or response that you expect a patient to achieve over a longer period, usually over several days, weeks or months

Answer 26

long term goals

Question 27

objective behavior or response that you expect the patient to achieve in short time usually few hours or less than a week

Answer 27

short term goals

Question 28

Defined as any treatment based on clinical judgment and knowledge that a nurse performs to enhance patient outcomes, Putting the plan of care into action

Answer 28

intervention/implementation

Question 29

intervention approahces

Answer 29

direct indirect

Question 30

intervention types

Answer 30

independent dependent collaborative

Question 31

Final step of the nursing process, crucial to determine if the patient’s condition improved or worsen after application of the first four steps of nursing process

Answer 31

evaluation

Question 32

CHARACTERISTICS OF THE NURSING PROCESS

Answer 32

Dynamic and cyclic Patient centered Goal directed Flexible Problem oriented Cognitive Action oriented Interpersonal Holistic Systematic

Question 33

PURPOSES OF THE NURSING PROCESS

Answer 33

To identify a client’s health status; his Actual/Present and potential/possible health problems or needs. To establish a plan of care to meet identified needs. To provide nursing interventions to meet those needs. To provide an individualized, holistic, effective and efficient nursing care.

Question 34

s the deliberate and systematic collection of data to determine a client’s current and past health status and functional status and to determine the client’s present and coping patterns.

Answer 34

assessment (carpenito)

Question 35

a part of each activity the nurse does for and with the patient.

Answer 35

assessment (afkinson and murray)

Question 36

four basic types of assessment are:

Answer 36

Initial comprehensive assessment Ongoing or partial assessment Focused or problem-oriented assessment Emergency assessment

Question 37

Involves collection of subjective data about the client’s perception of his or her health of all body parts or systems, past health history, family history, and lifestyle and health practices as well as objective data gathered during a step-by-step physical examination.

Answer 37

initial comprehensive assessment

Question 38

Consists of data collection that occurs after the comprehensive database is established. This consists of a mini-overview of the client’s body systems and holistic health patterns as a follow up on health status

Answer 38

ongoing or partial assessment

Question 39

t does not replace the comprehensive health assessment. It is performed when a comprehensive database exists for a client who comes to the health care agency with a specific health concern

Answer 39

focused/problem oriented assessment

Question 40

very rapid assessment performed in life-threatening situations. In such situations

Answer 40

emergency assessment

Question 41

performs a focused assessment, and then incorporates assessment findings with a multidisciplinary team to develop a comprehensive plan of care

Answer 41

acute care nurse

Question 42

need enhanced assessment skills to safely assess critically ill clients who are outside the structured intensive care environment

Answer 42

critical care outreach nurses

Question 43

assess and screen clients to determine the need for physician referrals.

Answer 43

ambulatory care nuses

Question 44

make independent nursing diagnoses and referrals for collaborative problems as needed.

Answer 44

home health nurses

Question 45

assess the needs of communities, school nurses monitor the growth and health of children, and hospice nurses assess the needs of the terminally ill clients and their families

Answer 45

public health nurse

Question 46

Nurses relied on their natural senses, palpation was used, f independent nursing practice using inspection, palpation, and auscultation

Answer 46

LATE 1800s–EARLY 1900s

Question 47

American Journal of Public Health documents routine client and home inspection by public health nurses This role of case finding, prevention of communicable diseases, and routine use of assessment skills i

Answer 47

1930–1949

Question 48

Nurses were hired to conduct pre-employment health stories and physical examinations for major companies, such as New York Telephone, from _____

Answer 48

1950–1969

Question 49

s prompted nurses to develop an active role in the provision of primary health services and expanded the professional nurse role in conducting health histories and physical and psychological assessments

Answer 49

1970–1989