Question 1

The benefits for nursing practice in using a standardized nursing language include which of the following? Select all that apply.

Accepted Answer

A)  Define and communicate nursing knowledge 
B)  Assist the nurse in understanding medical diagnoses 
C)  Facilitate nursing research 
D)  Help nurses provide consistent interventions for all patients 
A)  Define and communicate nursing knowledge 
B)  Assist the nurse in understanding medical diagnoses 
C)  Facilitate nursing research 
D)  Help nurses provide consistent interventions for all patients

Question 2

Which of the following is the best approach to validate a clinical inference?

Accepted Answer

A)  Have another nurse evaluate it 
B)  Have the physician evaluate it 
C)  Have sufficient supportive data 
D)  Have the client's family confirm it 
A)  Have another nurse evaluate it 
B)  Have the physician evaluate it 
C)  Have sufficient supportive data 
D)  Have the client's family confirm it

Question 3

Which of the following is a criticism of standardized nursing diagnoses developed by NANDA-I?

Accepted Answer

A)  There is little research to support nursing diagnosis labels. 
B)  A perfect nursing diagnosis must be written for it to be useful. 
C)  Standardized diagnoses are not included in all states' nurse practice acts. 
D)  Other professions do not recognize nursing diagnoses. 
A)  There is little research to support nursing diagnosis labels. 
B)  A perfect nursing diagnosis must be written for it to be useful. 
C)  Standardized diagnoses are not included in all states' nurse practice acts. 
D)  Other professions do not recognize nursing diagnoses.

Question 4

Which statement made by the nurse is an example of stereotyping?

Accepted Answer

A)  "Be sure to take your shoes off when entering a Japanese family's home." 
B)  "Patients with type 1 diabetes do not make insulin; therefore, they will need to take insulin regularly." 
C)  "The patient in room 3 cries every time she gets out of bed. She needs to understand that getting out of bed is helping her." 
D)  "My 2-year-old child never had a temper tantrum. I don't understand why the 2-year-old child in room 4 is having one." 
A)  "Be sure to take your shoes off when entering a Japanese family's home." 
B)  "Patients with type 1 diabetes do not make insulin; therefore, they will need to take insulin regularly." 
C)  "The patient in room 3 cries every time she gets out of bed. She needs to understand that getting out of bed is helping her." 
D)  "My 2-year-old child never had a temper tantrum. I don't understand why the 2-year-old child in room 4 is having one."

Question 5

The nurse documents in the progress notes: "Admitted to emergency department accompanied by wife.Patient is alert and oriented,blood pressure is 120/80 mm Hg,and pulse is 80 beats/min.The patient is anxious.He becomes nervous and when asked about his smoking history." Which statement from the nurse's note is the best example of an inference?

Accepted Answer

A)  Blood pressure reading 120/80 mm Hg 
B)  Patient is accompanied by wife. 
C)  Patient has a history of smoking. 
D)  The patient is anxious. 
A)  Blood pressure reading 120/80 mm Hg 
B)  Patient is accompanied by wife. 
C)  Patient has a history of smoking. 
D)  The patient is anxious.

Question 6

Which nursing diagnosis is written in the correct format?

Accepted Answer

A)  Imbalanced Nutrition: Less than Body Requirements related to body weight less than 20% under ideal weight 
B)  Ineffective Airway Clearance related to increased respiratory rate and irregular rhythm 
C)  Impaired Swallowing related to absent gag reflex 
D)  Excess Fluid Volume related to 3 lb weight gain in 24 hours 
A)  Imbalanced Nutrition: Less than Body Requirements related to body weight less than 20% under ideal weight 
B)  Ineffective Airway Clearance related to increased respiratory rate and irregular rhythm 
C)  Impaired Swallowing related to absent gag reflex 
D)  Excess Fluid Volume related to 3 lb weight gain in 24 hours

Question 7

Which of the following nursing diagnosis statements,using the three-part format (PES),are correct? Select all that apply.

Accepted Answer

A)  Chronic pain related to osteoarthritis AMB rates pain at 8 on a 0 to 10 pain scale and has difficulty with ambulation. 
B)  Ineffective airway clearance related to excessive mucus AMB cough, shortness of breath, change in respiratory rate and rhythm 
C)  Caregiver role strain related to increasing care needs AMB wife states, "He is just getting too heavy for me to lift" 
D)  Anxiety (moderate) related to cardiac catheterization AMB crying and yelling at family members 
A)  Chronic pain related to osteoarthritis AMB rates pain at 8 on a 0 to 10 pain scale and has difficulty with ambulation. 
B)  Ineffective airway clearance related to excessive mucus AMB cough, shortness of breath, change in respiratory rate and rhythm 
C)  Caregiver role strain related to increasing care needs AMB wife states, "He is just getting too heavy for me to lift" 
D)  Anxiety (moderate) related to cardiac catheterization AMB crying and yelling at family members

Question 8

Which of the following is an example of a cluster of related cues?

Accepted Answer

A)  Complains of nausea and stomach pain after eating 
B)  Has a productive cough and states stools are loose 
C)  Has a daily bowel movement and eats a high-fiber diet 
D)  Respiratory rate 20 breaths/min, heart rate 85 beats/min, blood pressure 136/84 mm Hg 
A)  Complains of nausea and stomach pain after eating 
B)  Has a productive cough and states stools are loose 
C)  Has a daily bowel movement and eats a high-fiber diet 
D)  Respiratory rate 20 breaths/min, heart rate 85 beats/min, blood pressure 136/84 mm Hg

Exam 4: Nursing Process: Diagnosis

The benefits for nursing practice in using a standardized nursing language include which of the following? Select all that apply.

Which of the following is the best approach to validate a clinical inference?

Which of the following is a criticism of standardized nursing diagnoses developed by NANDA-I?

Which statement made by the nurse is an example of stereotyping?

Which nursing diagnosis is written in the correct format?

Which of the following nursing diagnosis statements,using the three-part format (PES),are correct? Select all that apply.

Which of the following is an example of a cluster of related cues?

Evolution of Nursing Thought Action

Critical Thinking: Nursing Process

Nursing Process: Assessment

Nursing Process: Planning Outcomes

Nursing Process: Planning Interventions

Nursing Process: Implementation Evaluation

Evidence-Based Practice: Theory Research

Life Span: Infancy Through Middle Adulthood

Life Span: Older Adults

Experiencing Health Illness

Stress Adaptation

Psychosocial Health Illness

The Family

Culture Ethnicity

Spirituality

Loss,Grief, Dying

Documenting Reporting

Teaching Learning

Measuring Vital Signs

Communication Therapeutic Relationships

Health Assessment

Promoting Asepsis Preventing Infection

Promoting Safety

Facilitating Hygiene

Administering Medications

Nutrition

Urinary Elimination

Bowel Elimination

Sensation,Perception, Cognition

Pain

Physical Activity Mobility

Sexual Health

Sleep and Rest

Skin Integrity-Wound Healing

Oxygenation

Circulation

Fluids,Electrolytes, Acidbase Balance

Perioperative Care

Leading Managing

Nursing Informatics

Promoting Health

Community-Home Health Nursing

Ethics Values

Legal Accountability

Holistic Healing

Filters