Nursing Process

Question 1

Nursing process is best described as which of the following? (pg. 364)

Accepted Answer

A systematic method that directs the nurse, with the pts. participation.

Question 2

Choose the most likely etiology for the statement: Risk for Infection r/t. . . .

Accepted Answer

compromised immune system

Question 3

The implementation phase of the nursing process includes which of the following? (pg. 366)

Accepted Answer

Modify the plan of care if needed., Carry out the plan of care, Document care, Continue to collect data

Question 4

The planning phase of the nursing process includes which of the following? Select All That Apply (p. 366)

Accepted Answer

Identify the pt. strengths to facilitate achievement or desired outcomes., ID pt. outcomes to prevent, reduce, or resolve identified problems.

Question 5

Which occurs in the diagnosing stage of the nursing process?

Accepted Answer

Formulate and validate nursing problems., Develop a prioritized list of problems., Develop a prioritized list of problems/needs., Analyze pt. strengths and health problems, Interpret and analyze pt. data.

Question 6

Which best defines a therapeutic relationship between the nurse and client? Choose the BEST response. (p. 346)

Accepted Answer

A relationship based on promoting or restoring health.

Question 7

Which is the clinical judgment model that is utilized for Nursing Process? (pg. 364)

Accepted Answer

ADPIE

Question 8

When writing a goal/outcome statement, the target time is best described as which of the following?

Accepted Answer

The time by which you realistically expect a change in client response.

Question 9

Which best defines the evaluation phase of nursing process? (p. 366)

Accepted Answer

Measure how well the client achieved the desired outcomes., Modify or terminate the plan of care, Identify factors that contribute to the pts. success or failure

Question 10

Which group develops standardized language for nursing diagnosis&#x27;? (pg. 367)

Accepted Answer

NANDA, NIC, NOC

Question 11

Which best defines "clinical reasoning"? (p. 358)

Accepted Answer

The process you use to think about client problesm in the clinical setting.

Question 12

Which of the following is an interpersonal goal?

Accepted Answer

The nurse asks the client "are we helping you achieve your goals"

Question 13

Risk for disturbed body image r/t amputation of right leg. Which piece of this statement is the label (potential prob)?

Accepted Answer

Disturbed body image

Question 14

Identify the personal critical thinking indicators (CTI&#x27;s) p. 354

Accepted Answer

Effective communicator, Self-aware, Genuine, authentic, Logical and intuitive, Analytical and insightful

Question 15

Which are included in the assessment phase of nursing process? (pg. 366)

Accepted Answer

Collection, validation, and communication of client data, Establish a database; nursing history, PA, Review client record, Consult with client&#x27;s support people and health care professionals, Continously update the database., Make a judgment about the pts health status and plan care, Validate and communicate the data

Question 16

Which best defines "critical thinking" p. 350

Accepted Answer

A systematic way to form and shape one&#x27;s thinking.

Question 17

Which desired outcome is phrased correctly, in positive terms AND is a target goal?

Accepted Answer

skin will remain intact at all times.

Question 18

Which is the related factor in the statement: Severe chronic pain r/t deficient knowledge (effects of exercise & rest)?

Accepted Answer

deficient knowledge (effects of exercise and rest)

Question 19

Choose the most likely etiology for the following problem: Risk for sexual dysfunction r/t. . . . .

Accepted Answer

distubred body image secondary to mastectomy

Question 20

Which goal/outcome is most appropriately written?

Accepted Answer

the client will ambulate 8 feet by 5/12/23 without shortness of breath

Question 21

Choose the most likely etiology for the following: Activity intolerance r/t. . . . . .

Accepted Answer

insufficient oxygenation for activities of daily living

Question 22

Which of the following is subjective data?

Accepted Answer

The client rates his pain at 7 on a 0-10 scale.

Question 23

The first step in nursing process is which of the following? (pg. 366)

Accepted Answer

Assessment

Question 24

Which are QSEN Competencies (p. 359). Select all that apply

Accepted Answer

Patient Centered Care, Teamwork and Collaboration, Safety, Quality Improvement, Evidence Based Practice, Informatics

Question 25

Once care planning is complete, which priority action will the nurse take? (p. 368)

Accepted Answer

Document accurately, concisely, and timely, all relevant data.

Question 26

Which is the main goal of QSEN (Quality & Safety Education for Nurses) competencies? (p. 358)

Accepted Answer

The knowledge, skills and attitudes to improve quality & safety.

Question 27

Choose the most likely etiology for the following problem: Deficient fluid volme r/t . . . . . . .

Accepted Answer

increased fluid loss secondary to vomiting

Nursing Process

Questions 27

Nursing Process

Questions 27