Question 1

The nurse is caring for a complex patient needing physical and emotional support. As the primary care giver, the nurse:

Accepted Answer

A)  is ultimately responsible for assessment of patient needs and progress. 
B)  delegates to people who know what they are doing and operate independently. 
C)  provides total care to the patient after getting direction from other disciplines. 
D)  understands that the patient is ultimately responsible for failure or success. 
A)  is ultimately responsible for assessment of patient needs and progress. 
B)  delegates to people who know what they are doing and operate independently. 
C)  provides total care to the patient after getting direction from other disciplines. 
D)  understands that the patient is ultimately responsible for failure or success.

Question 2

A group of nursing students is discussing the importance of accurately selecting nursing diagnoses. Which of the following are reasons for choosing the diagnoses carefully? (Select all that apply.)

Accepted Answer

A)  Patient satisfaction 
B)  Positive patient outcomes 
C)  Quality patient care 
D)  Help develop standardized care plans 
E)  Determine appropriate interventions 
A)  Patient satisfaction 
B)  Positive patient outcomes 
C)  Quality patient care 
D)  Help develop standardized care plans 
E)  Determine appropriate interventions

Question 3

The nurse is caring for a Vietnamese-American admitted to the intensive care unit as a result of malnutrition. The patient is unable to walk because of his malnutrition, and he has developed a pressure ulcer from lying in bed constantly without changing positions. The family believes that the patient is depressed and that is why he stopped getting up. When planning this patient's care, the nurse should:

Accepted Answer

A)  develop multiple nursing diagnoses. 
B)  develop only one nursing diagnosis to aid in focusing. 
C)  focus on the physical issues facing this patient. 
D)  deal primarily with the patient's psychological needs. 
A)  develop multiple nursing diagnoses. 
B)  develop only one nursing diagnosis to aid in focusing. 
C)  focus on the physical issues facing this patient. 
D)  deal primarily with the patient's psychological needs.

Question 4

The nurse is reviewing data obtained through the health history interview and physical assessment of an assigned patient. Data collected include dry skin, brittle nails, weight gain, thinning hair, constipation, prolonged menstruation, and the patient's complaints of feeling tired and cold. Which statement represents an appropriate data cluster?

Accepted Answer

A)  Prolonged menstruation, constipation 
B)  Dry skin, brittle nails, weight gain 
C)  Tired, cold, thinning hair 
D)  Constipation, weight gain 
A)  Prolonged menstruation, constipation 
B)  Dry skin, brittle nails, weight gain 
C)  Tired, cold, thinning hair 
D)  Constipation, weight gain

Question 5

The nurse completes a health and physical assessment on a patient admitted with a fractured pelvis. Which of the following tasks should the nurse do next?

Accepted Answer

A)  Analyze and cluster the assessment information. 
B)  Formulate a nursing diagnosis addressing actual issues. 
C)  Determine the need for potential nursing diagnoses. 
D)  Create health promotion diagnoses for the patient. 
A)  Analyze and cluster the assessment information. 
B)  Formulate a nursing diagnosis addressing actual issues. 
C)  Determine the need for potential nursing diagnoses. 
D)  Create health promotion diagnoses for the patient.

Exam 7: Nursing Diagnosis

The nurse is caring for a complex patient needing physical and emotional support. As the primary care giver, the nurse:

A group of nursing students is discussing the importance of accurately selecting nursing diagnoses. Which of the following are reasons for choosing the diagnoses carefully? (Select all that apply.)

The nurse completes a health and physical assessment on a patient admitted with a fractured pelvis. Which of the following tasks should the nurse do next?

Nursing, Theory, and Professional Practice

Values, Beliefs, and Caring

Communication

Critical Thinking in Nursing

Introduction to the Nursing Process

Assessment

Planning

Implementation and Evaluation

Documentation, Electronic Health Records, and Reporting

Ethical and Legal Considerations

Leadership and Management

Evidence-Based Practice and Nursing Research

Health Literacy and Patient Education

Nursing Informatics

Health and Wellness

Human Development: Conception through Adolescence

Human Development Young Adult to Older Adult

Vital Signs

Health History and Physical Assessment

Ethnicity and Cultural Assessment

Spiritual Health

Public Health, Community Base, and Home Health Care

Human Sexuality

Safety

Asepsis and Infection Control

Hygiene and Personal Care

Activity, Immobility, and Safe Movement

Skin Integrity and Wound Care

Nutrition

Cognitive and Sensory Alterations

Stress and Coping

Sleep

Diagnostic Testing

Medication Administration

Pain Management

Perioperative Nursing Care

Oxygenation and Tissue Perfusion

Fluid, Electrolytes, and Acid-Base Balance

Bowel Elimination

Urinary Elimination

Death and Loss

Filters