Question 1

An example of a measurable goal would be:

Accepted Answer

A)  "The patient will be able to lift 10 lb by the end of week one." 
B)  "The patient will be able to lift weights by the end of the week." 
C)  "The patient will be able to lift his normal weight amount." 
D)  "The patient will be able to life an acceptable amount of weight by week one." 
A)  "The patient will be able to lift 10 lb by the end of week one." 
B)  "The patient will be able to lift weights by the end of the week." 
C)  "The patient will be able to lift his normal weight amount." 
D)  "The patient will be able to life an acceptable amount of weight by week one."

Question 2

Discharge planning begins:

Accepted Answer

A)  the day before discharge. 
B)  upon admission. 
C)  prior to admission. 
D)  day of discharge. 
A)  the day before discharge. 
B)  upon admission. 
C)  prior to admission. 
D)  day of discharge.

Question 3

Dependent nursing interventions include:

Accepted Answer

A)  ordering heel protectors. 
B)  preadmission teaching. 
C)  medication reconciliation. 
D)  administer antipyretic medications as appropriate. 
A)  ordering heel protectors. 
B)  preadmission teaching. 
C)  medication reconciliation. 
D)  administer antipyretic medications as appropriate.

Question 4

The nurse is caring for a patient who has undergone abdominal surgery. The patient stated prior to surgery that "I don't think I'll be able to handle this if I get a colostomy. I wouldn't know how to manage it." There is no "next of kin" listed in the patient's record. The patient is complaining of severe surgical pain. The nurse is correct when addressing which nursing diagnosis first?

Accepted Answer

A)  Pain 
B)  Alteration in body image 
C)  Knowledge deficit 
D)  Risk for falls 
A)  Pain 
B)  Alteration in body image 
C)  Knowledge deficit 
D)  Risk for falls

Question 5

In developing the nursing care plan, the nurse creates goals:

Accepted Answer

A)  with the patient and possibly the family. 
B)  that the nurse wants the patient to achieve. 
C)  and actions needed to accomplish the goal. 
D)  that are aggressive to ensure success. 
A)  with the patient and possibly the family. 
B)  that the nurse wants the patient to achieve. 
C)  and actions needed to accomplish the goal. 
D)  that are aggressive to ensure success.

Exam 8: Planning

An example of a measurable goal would be:

Discharge planning begins:

Dependent nursing interventions include:

In developing the nursing care plan, the nurse creates goals:

Nursing, Theory, and Professional Practice

Values, Beliefs, and Caring

Communication

Critical Thinking in Nursing

Introduction to the Nursing Process

Assessment

Nursing Diagnosis

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

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