Docsity
Docsity

Prepare for your exams
Prepare for your exams

Study with the several resources on Docsity


Earn points to download
Earn points to download

Earn points by helping other students or get them with a premium plan


Guidelines and tips
Guidelines and tips

NUR 155 Foundations to Nursing EXAM 2, Exams of Nursing

NUR 155 Foundations to Nursing EXAM 2

Typology: Exams

2024/2025

Available from 07/06/2025

mindshaper
mindshaper šŸ‡ŗšŸ‡ø

547 documents

1 / 82

Toggle sidebar

This page cannot be seen from the preview

Don't miss anything!

bg1
1 / 24
NUR 155 Foundations to Nursing EXAM 2
1. What is the nursing process?: Systematic, rational method of planning and
proving individualized care.
2. What do you do in the nursing process?: 1. Assessing
2. Nursing Diagnosing
3. Planning
4. Implementing
5. Evaluating
3. What is the Decision-Making Process?: -Choosing the best actions to meet a
desired goal
-Make value decisions
-Time management decisions
-Scheduling decisions
-Priority decisions
4. The Nursing Process: Assessing: -Collecting, organizing, validating and docu-
menting a patient's health data
pf3
pf4
pf5
pf8
pf9
pfa
pfd
pfe
pff
pf12
pf13
pf14
pf15
pf16
pf17
pf18
pf19
pf1a
pf1b
pf1c
pf1d
pf1e
pf1f
pf20
pf21
pf22
pf23
pf24
pf25
pf26
pf27
pf28
pf29
pf2a
pf2b
pf2c
pf2d
pf2e
pf2f
pf30
pf31
pf32
pf33
pf34
pf35
pf36
pf37
pf38
pf39
pf3a
pf3b
pf3c
pf3d
pf3e
pf3f
pf40
pf41
pf42
pf43
pf44
pf45
pf46
pf47
pf48
pf49
pf4a
pf4b
pf4c
pf4d
pf4e
pf4f
pf50
pf51
pf52

Partial preview of the text

Download NUR 155 Foundations to Nursing EXAM 2 and more Exams Nursing in PDF only on Docsity!

NUR 155 Foundations to Nursing EXAM 2

1. What is the nursing process?: Systematic, rational method of planning and

proving individualized care.

2. What do you do in the nursing process?: 1. Assessing

2. Nursing Diagnosing

3. Planning

4. Implementing

5. Evaluating

3. What is the Decision-Making Process?: -Choosing the best actions to meet a

desired goal -Make value decisions -Time management decisions -Scheduling decisions -Priority decisions

4. The Nursing Process: Assessing: -Collecting, organizing, validating and docu-

menting a patient's health data

-collect data -organize data -validate data

9. What is subjective?: What the patient says Ex:

"I have pain, nausea, fear"

10. What is objective?: -Measurable Ex:

vital signs, labs, drainage, etc.

11. Methods of data collection?: - Observing

-Interviewing

12. Directive Approach to Interviewing?: -Nurse establishes purpose

-Nurse controls the interview -Used to gather and give information when time is limited, e.g., in an emergency

13. Nondirective Approach to Interviewing: -Rapport-building

-Client controls the purpose, subject matter, and pacing -Combination of directive and nondirective approaches usually appropriate during the information-gathering interview

14. Types of questions: Closed: If you can answer a question with only a "yes" or

"no" response, then you are answering a close-ended type of question. Examples of close-ended questions are:

Is the prime rib a special tonight? Should I date him? Will you please do me a favor?

15. Types of questions: Open: Open-ended questions are ones that require more than

one word answers. The answers could come in the form of a list, a few sentences or something longer such as a speech, paragraph or essay. Here are some examples of open-ended questions: What were the most important wars fought in the history of the United States? What are you planning to buy today at the supermarket? How exactly did the fight between the two of you start?

16. Planning the Interview: - Time

-Place -Seating -Distance -Language

17. What are the stages of an Interview?: 1. The opening

2. The body of the interview

3. The closing

18. What is a physical examination?: -Use techniques of inspection, auscultation,

-Avoiding jumping to conclusions

21. What is a nursing diagnoses?: "...a clinical judgment about individual, family, or

community responses to a actual or potential health problem/life processes. A nursing diagnosis provides the basis for selection of nursing interventions to achieve outcomes for

which the nurse is accountable."

22. Types of nursing diagnoses: - Actual

-At-Risk -Health Promotion -Wellness Diagnoses -NANDA-I nursing diagnoses

23. Types of nursing diagnoses: Actual diagnoses: -An actual nursing diagnosis

addresses an issue pertaining to the human response within the patient, family or community to a disease, life situation, or other health condition -Examples: Pain or Hypothermia Must be followed by defining characteristics or factors that relate to the "actual" portion of the diagnosis

24. Types of nursing diagnoses: Risk Diagnoses: -An at-risk nursing

diagnosis encompasses potential or likely risk factors in which a patient is vulnerable to -Example: At risk of infection

pain" (NANDA International, n.d.)

25. Types of nursing diagnoses: Health Promotion: -Readiness for enhances

family coping -A health promotion nursing diagnosis is a clinical judgment that encompasses a patient's desire and motivation for a readiness of enhanced state of health or factor that may lead to improved level -A health promotion nursing diagnosis does not require a current level of wellness -Example: Readiness for enhanced learning

26. Types of nursing diagnoses: Wellness: Wellness nursing diagnoses focus on the

patient's progress or potential progress towards healthier behaviors rather than on a problem. They were created to remedy a situation in which only negative issues were addressed, leaving out diagnoses for patients in a healthy setting. A wellness diagnosis indicates a readiness to advance from the current level of health to a higher level.

27. Components of a Nursing Diagnoses: -Problem statement (diagnostic label)

Describes the client's health problem or response Use of qualifiers

-Etiology (related factors and risk factors) Identifies one or more probable causes of the health problem Do not

presence of a particular diagnostic label Have signs and symptoms Constipation R/T medication use AEB infrequent passage of stool and hard, dry stool.

29. Components of a Nursing Diagnoses: Defining characteristics for risk prob-

lems For risk for nursing diagnoses have no signs/symptoms Factors that cause the client to be more vulnerable to the problem form the etiology or a risk for nursing diagnoses Risk for Infection R/T break in skin integrity.

30. Differentiating Nursing Diagnosis from Medical Diagnosis: -Nursing Diag-

nosis Nursing judgment Describes human response Changes as client responds -Medical Diagnosis

Made by physician Disease process Stays the same

-AEB observed choking (Observed evidente of difficulty in swallowing

34. PRACTICE: nursing diagnoses:

A newborn has a temp of 97.1 Ax.: - Hypothermia -R/T immature body system -AEB Ax temp of 97.

35. PRACTICE: nursing diagnoses:

A client comes to the clinic and states he can't handle the stress anymore.: - -Ineffective coping -R/T inadequate coping -AEB verbalization of the inability to cope

36. PRACTICE: nursing diagnoses:

An assessment on a post-operative client reveals rhonchi. The client refuses to cough due to pain.: -ineffective airway clearance -R/T ineffective cough -AEB abnormal breath sounds

37. PRACTICE: nursing diagnoses:The nurse is caring for a post-operative surgical

client. The nurse identifies the client is at risk for developing infection. The client does not have symptoms of an infection at this time.: -Risk for infection -R/T surgical incision

38. The nursing process: Planning: Nurse and the client in collaboration

Set priorities