Penlight Olympics

Question 1

According to Tanner's Clinical Judgment Model, which of the following is NOT a phase of the model?

Accepted Answer

Collaborating

Question 2

A nursing care plan should be updated regularly. Which planning type involves revising care plan as PT condition change?

Accepted Answer

Ongoing planning

Question 3

Which of the following is NOT part of knowledge involved in the critical thinking & assessment process?

Accepted Answer

Previous client care experience

Question 4

What does the 'R' in SMART goals stand for?

Accepted Answer

Realistic

Question 5

In what phase it it important to coordinate in collaboration with the patient, family, and other health care members?

Accepted Answer

All phases

Question 6

What phase of Tanner's Model involves identifying what is important and not important in the situation?

Accepted Answer

Interpreting

Question 7

What is usually considered to be the best source of data collection?

Accepted Answer

Patient

Question 8

Which of the following is NOT a characteristic of a well-written nursing goal?

Accepted Answer

Describes what the nurse will do

Question 9

Which of the following is an example of an 'actual' nursing diagnosis?

Accepted Answer

Impaired skin integrity related to prolonged immobility

Question 10

Which of the following is NOT a characteristic of an effective goal?

Accepted Answer

Non-specific

Question 11

What step involves collecting pertinent data to the client's health status or situation?

Accepted Answer

Assessment

Question 12

In which step of the nursing process does the nurse create a formal plan for the patient's care?

Accepted Answer

Planning

Question 13

Shirley is completing a review of systems & asks about any change in vision. What system should she put this under?

Accepted Answer

Neurological

Question 14

What is the last step of a complete assessment?

Accepted Answer

Data documentation

Question 15

Which of the following is NOT a developmental variable used when documenting comprehensive nursing health history?

Accepted Answer

Culture

Question 16

What is the two-part format that a nursing diagnosis is written in?

Accepted Answer

A diagnostic label & an etiological factor

Question 17

In the nursing process, when would a nurse most likely consult other healthcare providers?

Accepted Answer

During planning & implementation phases

Question 18

When formulating a nursing diagnosis, the nurse uses which of the following to group data together?

Accepted Answer

Data clustering

Question 19

Information a nurse obtains through use of senses is defined as

Accepted Answer

Cue

Question 20

A nursing care plan is considered a legal document. Which is most commonly included in client's medical record?

Accepted Answer

Kardex nursing care plan

Question 21

What is an example of a tertiary source of data for the nurse?

Accepted Answer

Nurse's experience

Question 22

Which of the following is NOT one of the 4 types of nursing diagnoses identified by NANDA International (2021)?

Accepted Answer

Real nursing diagnosis

Questions 22