Pamantasan ng Lungsod ng Marikina

Brazil Street, Greenheights Subd., Concepcion Uno, Marikina City

College of Health Sciences
BACHELOR OF SCIENCE IN NURSING

NCM 100 – LECTURE

FINAL EXAMINATION

Name: _________________________Year/Course: ________ Date:________ Score/Rating: ________

What kind of data does this information represent: Wife states: "He doesn't
seem so sad today."

3. Check off the NURSING DIAGNOSES (CHECK ALL

THAT APPLY)
A F
. e
v
e
r
B Acut
. e
Pain
C Ineffective airway
. breathing
D Dehyd
. ration
E Pneu
. moni
a
F. Impaired skin
integrity
G. He
ad
ac
he
H Fluid
. Volume
deficit
I Decubiti
. s ulcer
J Hypert
. hermia
4. The nursing process is a separate entities and do
not overlap.
A T
. r
u
e
B F
. a
l
s
e
5. Defined as the nurse's interpretation or conclusions made
based off cues
6. What kind of data collection method is defined as the gathering of data by
using the senses?
7. The nursing process is the systematic collection of data used to make a clinical nursing
judgement about an individual, family, or community.
A T
. r
u
e
B F
. a
l
s
 e
8. Check off MEDICAL DIAGNOSES (CHECK ALL THAT
APPLY)
A F
. e
v
e
r
B Acut
. e
Pain
C Ineffective airway
. breathing
D Dehyd
. ration
E Pneu
. moni
a
F. Impaired skin
integrity
G. Hype
rther
mia
H Hea
. dac
he
I Decubiti
. s ulcer
J Decreased
. Fluid Intake
9. Used for risk and possible nursing diagnosis; preventive measures and also for
wellness measures.
A Asses
. sment
B Short-
. term
goal
C Long-
. term
goal
D Pla
. nni
ng
10. T/F. Clients that possible could not provide accurate data include: young children, clients
who are confused, afraid, embarrassed, distrustful, or a cannot understand the nurse's
language.
A T
. r
u
e
B F
. a
l
s
e
11. The M in SMART
stands for?
12. T/F. A nursing assessment should include the client's perceived needs, health problems,
related experience, health practices, values, and lifestyles?
A T
. r
u
e
B F
. a
l
s
e
13. type of diagnosis that is associated with a cluster of
A
other diagnoses
A A
. c
t
u
a
l
B R
. i
s
k
C Wel
. lne
ss
D Po
. ssi
ble
E Syn
. dro
me
14. What are the five steps of the nursing
process:
A Data
. basin
g
B Asses
. sment
C Impleme
. ntation
D Int
. erv
iew
E Dia
. gno
sis
F. Exer
cisin
g
G. Ev
al
ua
tio
n
H Pla
. nni
ng
15. Also known as symptoms or covert data; apparent only to the person affected. Consists of
sensations, fellings, values, beliefs, attitudes, and perception of personal health status and
life situation.
16. Also known as signs or overt data; detectable by observer or can be measured or tested
against an accepted standard; validates other data to complete the assessment phase of
the nursing process
17. Type of nursing diagnoses that deals with one which evidence about a health problem is
incomplete or uncles; requires more data either to support or to refute it.
A A
. c
t
u
a
l
B R
. i
s
k
C Wel
. lne
ss
D Po
. ssi
ble
E Syn
. dro
me
18. Types of care plans are initial, ongoing, and
discharge plans?
A T
. r
u
e
B F
. a
l
s
e
19. What does NANDA
stand for?
20.In what part of the NSX process do you continue, modify, or terminate the
client's care plan?
A Impleme
. ntation
B Eval
. uati
on
C Ass
. essi
ng
D Dia
. gno
sis
E Pla
. nni
ng
21. What kind of level of care deals with reducing
risk of illness?
22.T/F. You are allowed to combine two nursing
diagnoses.
A T
. r
u
e
B F
. a
l
s
e
23.Defined as the casual relationship between a problem and its
related or risk factors
24.What is the purpose of nursing
process?
A To make sure that nurse is
. doing their job
B Identify a client's health status and actual or potential health
. care problems or needs
C Establish plans to meet the
. identified needs
D Deliver specific nursing interventions to
. meet those needs
E To calm down the patients
. support group
25. Defined as actions commonly required for a particular
group of clients.
26.Defined as the act of "double-checking" or verifying data to confirm that it is
accurate and factual.
27. Evaluation is continuous; continues until the client achieves the health goal or
is discharged from the nurses care.
A T
. r
u
e
B F
. a
 l
s
e
28.Type of skill dealing with
hands-on skill
A Cog
. niti
ve
B Interp
. ersona
l
C Tec
. hni
cal
29.In what part of the nursing process do you document
nursing activities?
A Diag
. nosin
g
B Imple
. mentin
g
C Eval
. uati
ng
D Ass
. essi
ng
E Pla
. nni
ng
30. The S in SMART stands
for?
31.Defined as the areas of health care that are unique to nursing and separate and distinct
from medical management
32.The R in SMART stands
for?
33.Type of data that does not change over time; such as race
or blood type
34.Defined as the classification system or set of categories arranged based on a single
principle or set of principles
35.The T in SMART stands
for?
36.The principal methods used to collect data are: observing,
interviewing, and examining?
A T
. r
u
e
B F
. a
l
s
e
37. In what part of the NSX process has the purpose of developing an individualized care plan
that specifies client goals/desired outcomes, and related nursing interventions?
38.Defined as a data collection method through a planned communication or a
conversation with a purpose.
39.The A in SMART stands
for?
40.Types of planning: (CHECK ALL THAT
APPLY)
A I
. n
i
t
i
a
l
B Inf
. or
m
al
C F
. o
r
m
al
D On
. goi
ng
E Disc
. harg
e
F. Standa
rdized
G. Indiv
idual
ized
41. Defined as an understanding between two or
more people.
42.Types of assessing (CHECK ALL THAT
APPLY)
A Database
. assessment
B Initial
. assessme
nt
C Time-lapsed
. assessment
D Problem-focused
. assessment
E Emergency
. assessment
F. Final
assessme
nt
43.There are three approaches to
interviewing?
A T
. r
u
e
B F
. a
l
s
e
44.T/F. Information supplied by the family members, significant others, or other health
professionals is considered to be subjective if it is not based on fact.
A T
. r
u
e
B F
. a
l
s
e
45. What level of care deals with restoration of
optimal health?
46.Defined as the planned, ongoing, purposeful activity in which clients and health care
professionals determine (a) the client's progress toward achievement of goals/outcomes and
(b) the effectiveness of the nursing care plan
47. T/F. The family members are the PRIMARY
source of data?
A T
. r
u
e
B F
. a
l
s
e
48.What act completes the
assessment phase?
49.What characteristic of the nursing process deals with the
continuity of the process?
A Problem-
. oriented
B O
. p
e
n
C Goal-
. oriente
d
D Cy
. cli
ca
l
50. What is the systematic problem-solving approach toward giving individualized
(humanistic) nursing care?
51.T/F. Subjective data may provide CLUES to determine client's
unknown problem?
A T
. r
u
e
B F
. a
l
s
e
52.H in GOSH stands
for?
53.Defined as subjective or objective data tat can be directly
observed by the nurse
54.In what part of the NSX process do you identify health problems,
risks, and strengths?
A Ass
. essi
ng
B Diag
. nosin
g
C Pla
. nni
ng
D Imple
. mentin
g
E Eval
. uati
ng
55.What kind of data is: Lung sounds clear bilaterally; diminished in
right lower lobe
56.What level of care deals with medical and surgical
intervention?
57. S in GOSH stands
for?
58.G in GOSH stands
for?
59.In what part of the NSX process do you prioritize
problems/diagnoses?
A Ass
. essi
ng
B Dia
. gno
sis
C Pla
. nni
ng
D Impleme
. ntation
E Eval
. uati
on
60.Defined as all the information about a client; including nursing health history, physical
assessment, primary care provider's history and physical examination, results of laboratory
and diagnostic tests, and material contributed by other health personnel