Question 1

When planning patient care,a goal can be described as which of the following?

Accepted Answer

A) A statement describing the patient's accomplishments without a time restriction. 
B) A realistic statement predicting any negative responses to treatments. 
C) A broad statement describing a desired change in patient behaviour. 
D) An identified long-term nursing diagnosis. 
A) A statement describing the patient's accomplishments without a time restriction. 
B) A realistic statement predicting any negative responses to treatments. 
C) A broad statement describing a desired change in patient behaviour. 
D) An identified long-term nursing diagnosis.

Question 2

While interviewing an older female patient of Asian descent,the nurse notices that the patient looks at the ground when answering questions.What should this nurse do?

Accepted Answer

A) Notify the physician to recommend a psychological evaluation. 
B) Consider cultural differences during this assessment. 
C) Ask the patient to make eye contact to determine her affect. 
D) Continue with the interview and document that the patient is depressed. 
A) Notify the physician to recommend a psychological evaluation. 
B) Consider cultural differences during this assessment. 
C) Ask the patient to make eye contact to determine her affect. 
D) Continue with the interview and document that the patient is depressed.

Question 3

The nurse is caring for seven patients this shift.After completing their assessments,the nurse states that he doesn't know where to begin in developing care plans for these patients.Which of the following is an appropriate suggestion by another nurse?

Accepted Answer

A) "Choose all the interventions and perform them in order of time needed for each one." 
B) "Make sure you identify the scientific rationale for each intervention first." 
C) "Decide on goals and outcomes you have chosen for the patients." 
D) "Begin with the highest priority diagnoses,and then select appropriate interventions." 
A) "Choose all the interventions and perform them in order of time needed for each one." 
B) "Make sure you identify the scientific rationale for each intervention first." 
C) "Decide on goals and outcomes you have chosen for the patients." 
D) "Begin with the highest priority diagnoses,and then select appropriate interventions."

Question 4

A patient's son decides to stay at the bedside while his father is confused.When developing the plan of care for this patient,what should the nurse do?

Accepted Answer

A) Individualize the care plan only according to the patient's needs. 
B) Request that the son leave at bedtime,so the patient can rest. 
C) Suggest that a female member of the family stay with the patient. 
D) Involve the son in the plan of care as much as possible. 
A) Individualize the care plan only according to the patient's needs. 
B) Request that the son leave at bedtime,so the patient can rest. 
C) Suggest that a female member of the family stay with the patient. 
D) Involve the son in the plan of care as much as possible.

Question 5

The nurse is attempting to prompt the patient to elaborate on her complaints of daytime fatigue.Which question should the nurse ask?

Accepted Answer

A) "Is there anything that you are stressed about right now?" 
B) "What reasons do you think are contributing to your fatigue?" 
C) "What are your normal work hours?" 
D) "Are you sleeping 8 hours a night?" 
A) "Is there anything that you are stressed about right now?" 
B) "What reasons do you think are contributing to your fatigue?" 
C) "What are your normal work hours?" 
D) "Are you sleeping 8 hours a night?"

Question 6

Which of the following options correctly explains what the nurse should do with the plan of care for a patient after it is developed?

Accepted Answer

A) Place the original copy in the chart,so it cannot be tampered with or revised. 
B) Communicate the plan of care to all health care providers involved in the patient's care. 
C) Send the plan of care to the administration office to be filed. 
D) Send the plan of care to quality assurance for review. 
A) Place the original copy in the chart,so it cannot be tampered with or revised. 
B) Communicate the plan of care to all health care providers involved in the patient's care. 
C) Send the plan of care to the administration office to be filed. 
D) Send the plan of care to quality assurance for review.

Question 7

Which of the following are examples of subjective data? (Select all that apply. )

Accepted Answer

A) Patient describing excitement about discharge. 
B) Patient's wound appearance. 
C) Patient's expression of fear regarding upcoming surgery. 
D) Patient pacing the floor while awaiting test results. 
E) Patient's temperature. 
A) Patient describing excitement about discharge. 
B) Patient's wound appearance. 
C) Patient's expression of fear regarding upcoming surgery. 
D) Patient pacing the floor while awaiting test results. 
E) Patient's temperature.

Question 8

A patient expresses fear of going home and being alone.Her vital signs are stable and her incision is nearly completely healed.The nurse can infer from the subjective data that

Accepted Answer

A) The patient can now perform the dressing changes herself. 
B) The patient can begin retaking all her previous medications. 
C) The patient is apprehensive about discharge. 
D) Surgery was not successful. 
A) The patient can now perform the dressing changes herself. 
B) The patient can begin retaking all her previous medications. 
C) The patient is apprehensive about discharge. 
D) Surgery was not successful.

Question 9

The nurse is working with a patient who is being prepared for a diagnostic test this afternoon.The patient tells the nurse that she wants to have her hair shampooed.Which of the following is the most appropriate label with regard to assigning a priority for the patient's request?

Accepted Answer

A) Low priority. 
B) An unmet need. 
C) Intermediate priority. 
D) A safety and security need. 
A) Low priority. 
B) An unmet need. 
C) Intermediate priority. 
D) A safety and security need.

Exam 13: Nursing Assessment, diagnosis, and Planning

When planning patient care,a goal can be described as which of the following?

While interviewing an older female patient of Asian descent,the nurse notices that the patient looks at the ground when answering questions.What should this nurse do?

The nurse is caring for seven patients this shift.After completing their assessments,the nurse states that he doesn't know where to begin in developing care plans for these patients.Which of the following is an appropriate suggestion by another nurse?

A patient's son decides to stay at the bedside while his father is confused.When developing the plan of care for this patient,what should the nurse do?

The nurse is attempting to prompt the patient to elaborate on her complaints of daytime fatigue.Which question should the nurse ask?

Which of the following options correctly explains what the nurse should do with the plan of care for a patient after it is developed?

Which of the following are examples of subjective data? (Select all that apply. )

A patient expresses fear of going home and being alone.Her vital signs are stable and her incision is nearly completely healed.The nurse can infer from the subjective data that

The nurse is working with a patient who is being prepared for a diagnostic test this afternoon.The patient tells the nurse that she wants to have her hair shampooed.Which of the following is the most appropriate label with regard to assigning a priority for the patient's request?

Health and Wellness

The Canadian Health Care Delivery System

The Development of Nursing in Canada

Community Health Nursing Practice

Theoretical Foundations of Nursing Practice

Evidence-Informed Practice

Nursing Values and Ethics

Legal Implications in Nursing Practice

Global Health

Indigenous Health

Nursing Leadership, management, and Collaborative Practice

Critical Thinking in Nursing Practice

Implementing and Evaluating Nursing Care

Documenting and Reporting

Nursing Informatics and Canadian Nursing Practice

Communication and Relational Practice

Patient-Centred Care: Interprofessional Collaborative Practice

Family Nursing

Patient Education

Developmental Theories

Conception Through Adolescence

Young to Middle Adulthood

Older Persons

The Experience of Loss, death, and Grief

Self-Concept

Sexuality

Spirituality in Health and Health Care

Stress and Adaptation

Vital Signs

Pain Assessment and Management

Health Assessment and Physical Examination

Infection Control

Medication Administration

Complementary and Alternative Approaches in Health Care

Activity and Exercise

Quality and Patient Safety

Hygiene

Cardiopulmonary Functioning and Oxygenation

Fluid, electrolyte, and Acid-base Balances

Sleep

Nutrition

Urinary Elimination

Bowel Elimination

Mobility and Immobility

Skin Integrity and Wound Care

Sensory Alterations

Care of Surgical Patients

Filters