Chapter 5 exam review 1. Examples of implementation- 2. Examples of subjective d
ID: 246507 • Letter: C
Question
Chapter 5 exam review 1. Examples of implementation- 2. Examples of subjective data- 3. Examples of objective data 4. Examples of assessment- 5. What is the goal of the assessment phase of the nursing process- 6. How does Maslow s theory help in the nursing process- 7. An important concept of nursing process- 8. What is the concept behind Maslow's theory- True or False: Teaching is part of nursing. Nurse must follow physicians orders, but with discretion Nurse must make decisions for all patients- 9. 10. Nurse applied a wrong cream on a patient and there was no harm done- 11. What is Nursing Diagnosis-Explanation / Answer
1. ANS: Examples of implementation
Mission, Vision and Values
Organizational Goals
Departmental Goals
Job Description
Strategic Plan
Employee Goals
Performance Appraisals
2. ANS: Examples of Subjective Data (what the client feels)
Pain
Nausea
Anxiety
Loneliness
Depression
Fatigue
3. ANS: Examples of Objective Data (see)
Weight
Temperature
Skin color
Blood cell count
Vomiting Bleeding
4. ANS: Examples of Assessments
General Types of Assessments
A. Continuous or Informal Assessment Ex: checking for understanding
B. Pre/Post Assessment
Ex: After the class or lesion teachers are allowed students to see how much improvement has been made.
C. Formative Assessment:
Periodically assess student learning Ex: exit slip or peer assessment
D. Summative Assessment
It is done at the end of the unit Ex; student project work
5. ANS: Nursing assessment phase goal:
The primary goal of the assessment phase of the Nursing Process is to collect and organize information about the patient. During this phase, the nurse gathers information about a patient's physiological, spiritual status, sociological, and psychological.
6. ANS: Maslow tried to explain the various types of needs (hierarchy of needs) which have the ability to motivate the human beings. In his views, the individuals have a set of motivation systems which are not associated with the rewards or unconscious desires. In this theory, he proposed a five tier model of human needs which are depicted in the form of a pyramid. With the help of this theory, Maslow explained that there are some specific needs which motivate an individual to achieve these needs and some needs take precedence over others. Physical survival can be seen as the basic and elementary need and the behavior of an individual will be governed by this need. Once this need is satisfied, the human being will look for the fulfillment of next level of needs and so on
1. Biological and Physiological needs - air, food, drink, shelter, warmth, sex, sleep.
2. Safety needs - protection from elements, security, order, law, stability, freedom from fear.
3. Love and belongingness needs - friendship, intimacy, trust and acceptance, receiving and giving affection and love. Affiliating, being part of a group (family, friends, work).
4. Esteem needs - achievement, mastery, independence, status, dominance, prestige, self-respect, and respect from others.
5. Self-Actualization needs - realizing personal potential, self-fulfillment, seeking personal growth and peak experiences.
11. ANS: Nursing diagnosis
A nursing diagnosis is a clinical judgment, may be part of the nursing process and about an individual, family or community responses to actual and potential health problems/life processes. It can provide the basis for selection of nursing interventions to achieve out comes for which the nurse is accountable.
Types of nursing diagnosis
Wellness Diagnoses (One Part)
Risk Diagnoses (Two Parts)
Actual Diagnoses (Three Parts)
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