Virginia Commonwealth University Nursing 202 Mid-Term Exam Study Guide Notes: Please bring (2) #2 pencils and your VID number to class. ● 60 questions, 1 T/F, 4 matching ● If you know everything in the study guide, you will do well ● Read exam questions carefully - what is really being asked here? ● Remember to always assess before you act ● Should be done in 40 min. ● Don’t get stuck on questions – leave them and come back. ● Actually read the whole question. ● Test not intended to be tricky. 1. The Nursing Process: Systematic, person-centered, goal-oriented method of caring that provides a framework for nursing practice. It is nursing practice in action. Five steps: ADPIE - assessment, diagnosis, outcome identification and planning, implementation, and evaluation. ● Identify “correct” Nursing diagnostic statements—for example, from a list of statements and patient scenarios. (See pg 259, Table 12-1 for scenarios regarding Nursing Diagnosis vs Medical Diagnosis in Fundamentals, and pg 267 for formulation of Nursing Diagnosis Statements) nursing diagnosis : when nursing interventions are used to prevent or resolve actual or potential health problems ○ •Name of the health-related issue or problem as identified in the NANDA list (the problem) ○ •Etiology (its cause) ○ •Defining characteristics (Signs and Symptoms) ○ • * The name of the nursing diagnosis is linked to the etiology with the phrase “related to,” and the signs and symptoms are identified with the phrase “as manifested (or evidenced) by” ○ PED acronym helpful in remembering (problem, etiology, defining characteristics) ○ Problem : Identifies what is unhealthy about the patient, indicating the need for change ■ followed by “related to” ○ Etiology : Identifies the factors that are maintaining the unhealthy state or response (contributing or causative factors) ■ followed by “as manifested by” ○ Defining Characteristics : Identify the subjective and objective data that signal the existence of the problem (cues that reflect the existence of the problem) *PROBLEM related to ETIOLOGY as manifested by DEFINING CHARACTERISTICS * ● Be able to identify assessment data to support a specific nursing diagnosis o Includes patient history, family medical history, family data, signs and symptoms, and various test results. ● Distinguish among the different steps in the nursing process- “AD PIE” o Assessment o Diagnosis o Planning o Implementation o Evaluation
● Define steps (parts of a whole, not separate items) in the Nursing process in correct order (Table 10-2 pg. 215 in Fundamentals) o Assessing : collection, validation, and communication of patient data (identifying the patient needs). o Diagnosing : analysis of patient data to identify patient strengths and health problems that independent nursing interventions can prevent or resolve.
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