Question 1

What expected outcome exemplifies accepted criteria?

Accepted Answer

A) Nurse will assess vital signs every day 
B) Resident will observe safety guidelines while smoking 
C) Resident will take part in one activity daily for the next 90 days 
D) Nurse will monitor O2 saturation to maintain at greater than 90% 
A) Nurse will assess vital signs every day 
B) Resident will observe safety guidelines while smoking 
C) Resident will take part in one activity daily for the next 90 days 
D) Nurse will monitor O2 saturation to maintain at greater than 90% C

Question 2

What documentation reflects implementation?

Accepted Answer

A) "Patient selected low-sugar snacks independently." 
B) "Patient was medicated with Tylenol 500 mg PO for pain." 
C) "Patient was ambulated for 15 minutes after lunch." 
D) "Patient participated in group therapy session without reminder." 
A) "Patient selected low-sugar snacks independently." 
B) "Patient was medicated with Tylenol 500 mg PO for pain." 
C) "Patient was ambulated for 15 minutes after lunch." 
D) "Patient participated in group therapy session without reminder." C

Question 3

The patient is confined to bed rest,which contributes to immobility.What is bed rest considered in this situation?

Accepted Answer

A) Contributing to the patient's recovery 
B) A risk factor 
C) Difficult to maintain 
D) A nursing responsibility 
A) Contributing to the patient's recovery 
B) A risk factor 
C) Difficult to maintain 
D) A nursing responsibility B

Question 4

During an admission assessment,the nurse collects objective and subjective data.What is an example of subjective data?

Accepted Answer

A) The patient is asleep. 
B) The patient is tearful. 
C) The patient has facial grimacing. 
D) The patient states, "I hurt all over." 
A) The patient is asleep. 
B) The patient is tearful. 
C) The patient has facial grimacing. 
D) The patient states, "I hurt all over."

Question 5

The human responses to health conditions/life processes that exist in an individual,family,or community are known as a(n)_________ _______________ _____________.

Accepted Answer

actual nursing diagnosis
An ac

Question 6

Which is an example of a medical diagnosis?

Accepted Answer

A) Pain 
B) Anxiety 
C) Pneumonia 
D) Impaired skin integrity 
A) Pain 
B) Anxiety 
C) Pneumonia 
D) Impaired skin integrity

Question 7

Any health care condition that requires diagnostic,therapeutic,or educational actions is known as a ______________.

Accepted Answer

problem
A problem is any healt

Question 8

What organized approach might the nurse use when performing a complete physical examination?

Accepted Answer

A) Maslow's hierarchy of needs 
B) A head-to-toe assessment 
C) Subjective data collection 
D) Objective data collection 
A) Maslow's hierarchy of needs 
B) A head-to-toe assessment 
C) Subjective data collection 
D) Objective data collection

Question 9

What is an important consideration when developing the care plan?

Accepted Answer

A) Ensure the number of interventions is limited 
B) Ensure the patient is involved in the process 
C) Ensure interventions will be easy to implement 
D) Ensure evaluation of the nursing diagnoses is possible 
A) Ensure the number of interventions is limited 
B) Ensure the patient is involved in the process 
C) Ensure interventions will be easy to implement 
D) Ensure evaluation of the nursing diagnoses is possible

Question 10

Which are considered phases of the nursing process? (Select all that apply.)

Accepted Answer

A) Diagnosis 
B) Prediction 
C) Assessment 
D) Evaluation 
E) Implementation
F) Outcome identification 
A) Diagnosis 
B) Prediction 
C) Assessment 
D) Evaluation 
E) Implementation
F) Outcome identification

Question 11

What is the basis for designing and selecting nursing interventions to meet patient needs?

Accepted Answer

A) Nursing diagnosis 
B) Care plan 
C) Physician's orders 
D) Nurse's notes 
A) Nursing diagnosis 
B) Care plan 
C) Physician's orders 
D) Nurse's notes

Question 12

What is an example of an appropriate nursing diagnosis?

Accepted Answer

A) Constipation 
B) Patient complains of constipation 
C) Need for laxatives 
D) Patient has a duodenal ulcer 
A) Constipation 
B) Patient complains of constipation 
C) Need for laxatives 
D) Patient has a duodenal ulcer

Question 13

The document that outlines a multidisciplinary plan for care interventions over a specified time frame is a _______ ________.

Accepted Answer

clinical pathway
critical path
A clinica

Question 14

Which nursing order is complete and correct?

Accepted Answer

A) "May 10: Nursing assistants will ambulate patient. A. Nurse" 
B) "Day nurse will cleanse wound and change dressings every day. May 10, A. Nurse" 
C) "Nursing assistants will serve 8 oz glass of juice at each meal, 5/10." 
D) "P.M. nurse will ensure that heel protectors are in place before bedtime." 
A) "May 10: Nursing assistants will ambulate patient. A. Nurse" 
B) "Day nurse will cleanse wound and change dressings every day. May 10, A. Nurse" 
C) "Nursing assistants will serve 8 oz glass of juice at each meal, 5/10." 
D) "P.M. nurse will ensure that heel protectors are in place before bedtime."

Question 15

What framework does the establishment of priorities of care during the planning phase of the nursing process often use?

Accepted Answer

A) Erikson's developmental tasks 
B) Piaget's cognitive table 
C) Maslow's hierarchy of needs 
D) Freud's classifications 
A) Erikson's developmental tasks 
B) Piaget's cognitive table 
C) Maslow's hierarchy of needs 
D) Freud's classifications

Question 16

All of the following patients have been admitted to the acute care setting.On admission,which patient should receive a focused assessment?

Accepted Answer

A) 53-year-old admitted with a perforated ulcer 
B) 5-year-old admitted for the implant of grommets in the middle ear 
C) 76-year-old admitted for a knee replacement 
D) 40-year-old admitted for possible bowel obstruction 
A) 53-year-old admitted with a perforated ulcer 
B) 5-year-old admitted for the implant of grommets in the middle ear 
C) 76-year-old admitted for a knee replacement 
D) 40-year-old admitted for possible bowel obstruction

Question 17

Human responses to health conditions and life processes that may develop in a vulnerable individual,family,or community are known as a(n)__________ __________ ____________.

Accepted Answer

risk nursing diagnosis
A risk

Question 18

What is an example of an appropriate nursing diagnosis?

Accepted Answer

A) Impaired skin integrity 
B) Skin breakdown noted 
C) Turn patient every 2 hours 
D) The patient has scabies on his back 
A) Impaired skin integrity 
B) Skin breakdown noted 
C) Turn patient every 2 hours 
D) The patient has scabies on his back

Question 19

A systemic,dynamic process by which the nurse,through interaction with the patient,significant others,and health care providers,collects and analyzes data about the patient is known as ______________________.

Accepted Answer

assessment
The American Nurses Associati

Question 20

The nurse writes two nursing diagnoses: (1)inadequate nutritional intake related to vomiting as manifested by a 3-lb weight loss and (2)risk for impaired skin integrity related to inadequate nutrition.What is the major difference between these diagnoses?

Accepted Answer

A) The second diagnosis needs no defined nursing interventions. 
B) The second diagnosis needs medical intervention. 
C) The second diagnosis will not need to be evaluated. 
D) The second diagnosis reflects a problem that does not yet exist. 
A) The second diagnosis needs no defined nursing interventions. 
B) The second diagnosis needs medical intervention. 
C) The second diagnosis will not need to be evaluated. 
D) The second diagnosis reflects a problem that does not yet exist.

Exam 5: Nursing Process and Critical Thinking

What expected outcome exemplifies accepted criteria?

What documentation reflects implementation?

The patient is confined to bed rest,which contributes to immobility.What is bed rest considered in this situation?

During an admission assessment,the nurse collects objective and subjective data.What is an example of subjective data?

The human responses to health conditions/life processes that exist in an individual,family,or community are known as a(n)_________ _______________ _____________.

Which is an example of a medical diagnosis?

Any health care condition that requires diagnostic,therapeutic,or educational actions is known as a ______________.

What organized approach might the nurse use when performing a complete physical examination?

What is an important consideration when developing the care plan?

Which are considered phases of the nursing process? (Select all that apply.)

What is the basis for designing and selecting nursing interventions to meet patient needs?

What is an example of an appropriate nursing diagnosis?

The document that outlines a multidisciplinary plan for care interventions over a specified time frame is a _______ ________.

Which nursing order is complete and correct?

What framework does the establishment of priorities of care during the planning phase of the nursing process often use?

All of the following patients have been admitted to the acute care setting.On admission,which patient should receive a focused assessment?

Human responses to health conditions and life processes that may develop in a vulnerable individual,family,or community are known as a(n)__________ __________ ____________.

What is an example of an appropriate nursing diagnosis?

A systemic,dynamic process by which the nurse,through interaction with the patient,significant others,and health care providers,collects and analyzes data about the patient is known as ______________________.

The nurse writes two nursing diagnoses: (1)inadequate nutritional intake related to vomiting as manifested by a 3-lb weight loss and (2)risk for impaired skin integrity related to inadequate nutrition.What is the major difference between these diagnoses?

Evolution of Nursing

Legal and Ethical Aspects of Nursing

Documentation

Communication

Cultural and Ethnic Considerations

Asepsis and Infection Control

Body Mechanics and Patient Mobility

Hygiene and Care of the Patient’s Environment

Safety

Vital Signs

Physical Assessment

Admission, Transfer, and Discharge

Surgical Wound Care

Specimen Collection and Diagnostic Testing

Care of Patients Experiencing Urgent Alterations in Health

Complementary and Alternative Therapies

Pain Management, Comfort, Rest, and Sleep

Nutritional Concepts and Related Therapies

Fluids and Electrolytes

Mathematics and Medication Administration

Care of Patients with Alterations in Health

Life Span Development

Loss, Grief, Dying, and Death

Health Promotion and Pregnancy

Labor and Delivery

Care of the Mother and Newborn

Care of the High-Risk Mother, Newborn, and Family with Special Needs

Health Promotion for the Infant, Child, and Adolescent

Basic Pediatric Nursing Care

Care of the Child with a Physical and Mental or Cognitive Disorder

Health Promotion and Care of the Older Adult

Concepts of Mental Health

Care of the Patient with a Psychiatric Disorder

Care of the Patient with an Addictive Personality

Home Health Nursing

Long-Term Care

Rehabilitation Nursing

Hospice Care

Professional Roles and Leadership

Filters

The human responses to health conditions/life processes that exist in an individual,family,or community are known as a(n)_ _ _______.

The document that outlines a multidisciplinary plan for care interventions over a specified time frame is a _ __.

Human responses to health conditions and life processes that may develop in a vulnerable individual,family,or community are known as a(n) ____.