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NSG122/ NSG 122 Exam 1: (New 2024/ 2025 Update) Nursing Fundamental Concepts Review| Questions and Verified Answers| 100% Correct| A Grade – Herzing
Typology: Exams
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actual or potential problem identification Answer: identifies what is unhealthy about the patient and indicates need for change
etiology Answer: factors maintaining the unhealthy state
defining characteristics Answer: subjective and objective data that signal the problem
Problem example Answer: self-care deficient
Answer: Answer: Answer: Answer: Answer: etiology example fear of falling in the tub and obesity
defining characteristics example strong body odor and unclean hair
Maslow's Hierarchy of Needs physiological needs, safety, love and belonging, self-esteem, self actualization
short-term goals a goal that you can reach in a short period of time
long term goals require more than a week to be achieved, may be used as discharge goals
Nurse-intiated intervention
tools used in case management to communicate standard- ized, interdisciplinary, care plan for patients
actual nursing diagnosis Answer: promote higher wellness, monitor and evaluate sta- tus, reduce factors leading to diagnosis
risk nursing diagnosis Answer: prevent the problem, reduce or eliminate risk factors,
collaborative problems Answer: monitor and manage change in status, evaluate re- sponse
implementation variables Answer: developmental age, psychosocial background & culture, willingness to participate in care plan,
first evaluation step
Answer: Answer: Answer: Answer: Answer: identify patient standards, collect data, interpret findings, document judgement
final evaluation step terminate, continue or modify plan
ex of cognitive goal learn name and number of primary nurse
ex of psychomotor goal able to feed baby
ex of affective goals verbalize decreased anxiety when holding baby (emotion related to activity)
ex of physiologic goal changes in body composition and increased flexibility Answer:
Answer: validating data, clinical reasoning skills, obser- vation, prepare for what data you need to collect, clustering data
Inspection Answer: deliberate, purposeful observations in a systematic way
palpitation Answer: use sense of touch to assess skin turgor, temp, texture and moisture
percussion Answer: act of striking one object against another for the purpose of produc- ing a sound
auscultation Answer: act of listening with a stethoscope
recognizing significant data
Answer: determine the deviation from the standard, nor- mal health, normal patient population and normal patient health
recognizing patterns Answer: nursing diagnosis should come from patterns of data recognized rather than a single cue
reaching conclusions Answer: no problem- no nursing needed possible problem- further data collection actual problem- begin planning and implementing
patient motivation Answer: identify strengths and weakness as well as the patients motivation
problem statement Answer: clinical judgement concerning an undesirable human re- sponse in a health condition
quality improvement
Answer: Answer: Answer: Answer: Answer: threat or attempt to injure without the persons consent
battery an assault carried out, unwilling touching of another person or object attached to person
False Imprisionment - Intentional Tort unjustified prevention of movement of another person without proper consent
duty A moral or legal obligation; a responsibility
breach of duty example- failure to note changes in mental status in older patients, failure to execute and document appropriate safety measures
causation Answer:
example- failure to use appropriate safety measures
damages Answer: older adult fractures hip from lack of safety implemented
teaching helps patient develop... Answer: self-care abilities they need to maximize quality of life
factors that affect ability to learn Answer: age, family support, financial resources, health literacy, language barrier
Answer: t-tune into the patient E- edit patient information A-act on every teaching moment C- clarify often H- honor patient
teaching psychomotor Answer: demonstration, discovery, audiovisual materials, print- ed materials
teaching tactics Answer: role modeling, lecture, discussion, discovery
safety steps Answer: patient identification, effective communication, medication safety, use alarms safely, reduce infections, identify suicide risk patients, prevent surgical mistakes
before restraints nurses should Answer: rule out causes for agitation, reduce stimu- lation, alarm system, create diversion, conceal tubing,
Answer: introduction situation background assessment recommendation questions?
Standards of Nursing Practice Answer: Standards allow nurses to carry out professional duties and protect the nurse, patient and institution
Nurse Practice Acts Answer: laws established in each state in the US to regulate the practice of nursing
Code of Ethics for Nurses Answer: provide the foundation for nursing practice and guide interactions with patients
Data Collection : Assessment Answer: collection, validation and communication of pa- tient data
Nursing aims Answer: To promote health To prevent illness To restore health Facilitate coping with disability and death
measuring the extent to which the patient achieved the outcome goal, identify factors that positively or negatively impacted the goal
Assessment should be Answer: complete, relevant, systematic, purposeful, factual, and recording in a standard matter
Initial assessment Answer: preformed shortly after patient admission, establish a data base of patient care plan and problem identification
client centered assessment Answer: consider culture, health orientation, developmen- tal stage
focused assessment Answer: The nurse gathers data about a specific problem that has already been identified., routinely part of ongoing data collection
time-lapsed assessment
Answer: Scheduled to compare a patient's current status to the baseline data obtained earlier.
emergency assessment Answer: ABCDE, rapid life threatening problem