1.
What is the purpose of the nursing process?
Correct Answer(s)
B. Identify a client's health status and actual or potential health care problems or needs
C. Establish plans to meet the identified needs
D. Deliver specific nursing interventions to meet those needs
Explanation
The purpose of the nursing process is to identify a client's health status and actual or potential health care problems or needs, establish plans to meet the identified needs, and deliver specific nursing interventions to meet those needs. This process helps nurses provide comprehensive and individualized care to their patients, ensuring that their health needs are properly addressed and managed.
2.
What are the five steps of the nursing process?
Correct Answer(s)
B. Assessment
C. Implementation
E. Diagnosis
G. Evaluation
H. Planning
Explanation
The correct answer is Assessment, Implementation, Diagnosis, Evaluation, and Planning. These five steps make up the nursing process, which is a systematic approach to providing patient care. Assessment involves gathering information about the patient's health status. Implementation refers to carrying out the planned interventions. Diagnosis involves identifying the patient's health problems. Evaluation is the process of determining whether the interventions were effective. Planning involves creating a care plan based on the assessment and diagnosis.
3.
The nursing process is a separate entities and do not overlap.
Correct Answer
B. False
Explanation
page: 175 --> "The phases of nursing process are not separate entities but overlapping, continuing subprocesses..."
4.
The S in SMART stands for?
Correct Answer
specific
Explanation
The S in SMART stands for "specific" because when setting goals, it is important to be clear and precise about what exactly needs to be achieved. A specific goal provides a clear direction, eliminates ambiguity, and allows for better planning and focus. By being specific, individuals or teams can define the desired outcome, identify the necessary actions, and measure progress effectively. This helps in increasing motivation, productivity, and ultimately achieving the desired results.
5.
The M in SMART stands for?
Correct Answer
measurable
Explanation
The M in SMART stands for "measurable". This means that when setting goals or objectives, they should be quantifiable and have clear criteria for success. By making goals measurable, it becomes easier to track progress, evaluate performance, and determine whether the goal has been achieved. Measurable goals provide a concrete way to assess and measure the outcome, ensuring that progress can be monitored effectively.
6.
The A in SMART stands for?
Correct Answer
Attainable
Explanation
The A in SMART stands for "Attainable" because when setting goals, it is important to ensure that they are realistic and achievable. Goals should be challenging enough to motivate individuals, but not so unrealistic that they become demoralizing. The "Attainable" aspect of SMART goals reminds individuals to set goals that are within their reach and can be accomplished with effort and commitment. This helps in maintaining focus, tracking progress, and ultimately achieving success.
7.
The R in SMART stands for?
Correct Answer
Realistic
Explanation
The R in SMART stands for "Realistic." This means that goals should be practical and achievable within the given resources and constraints. Setting realistic goals ensures that they are attainable and can be accomplished effectively. By considering the feasibility and practicality of a goal, individuals or organizations can avoid setting themselves up for failure and increase their chances of success.
8.
The T in SMART stands for?
Correct Answer
Timeframe
Explanation
The T in SMART stands for "Timeframe" because when setting goals or objectives, it is important to establish a specific time frame or deadline for achieving them. This helps in creating a sense of urgency and accountability, as well as providing a clear timeline for progress and evaluation. By setting a timeframe, individuals or organizations can better prioritize their tasks and allocate resources accordingly to ensure timely completion of their goals.
9.
What kind of level of care deals with reducing risk of illness?
Correct Answer
Preventive care
preventive
prevention
Explanation
Preventive care refers to the type of healthcare that focuses on preventing illnesses and reducing the risk of developing health problems. It includes measures such as vaccinations, regular check-ups, screenings, and lifestyle modifications to promote overall well-being and prevent the onset of diseases. The terms "preventive" and "prevention" also imply the same concept of taking proactive steps to avoid illness or disease. Therefore, all three options - preventive care, preventive, and prevention - are correct answers for the given question.
10.
What level of care deals with medical and surgical intervention?
Correct Answer
Curative Care
Curative
Explanation
Curative care refers to the level of care that involves medical and surgical interventions aimed at treating a disease or condition. It focuses on providing treatments that aim to cure the patient and improve their health. This level of care is typically provided in hospitals or specialized medical facilities where medical professionals perform surgeries, administer medications, and provide other interventions to address the underlying cause of the illness or injury. Curative care is different from preventive or palliative care, as it specifically aims to eliminate or alleviate the disease or condition through medical and surgical interventions.
11.
What level of care deals with restoration of optimal health?
Correct Answer
Rehabilitative Care
Rehabilitative
Explanation
Rehabilitative care is the level of care that deals with the restoration of optimal health. This type of care focuses on helping individuals recover and regain their physical, mental, and emotional abilities after an illness, injury, or surgery. It includes various therapies, exercises, and treatments aimed at improving overall function and well-being. Rehabilitative care aims to enhance independence and quality of life by addressing the specific needs and goals of each individual.
12.
What is the systematic problem-solving approach toward giving individualized (humanistic) nursing care?
Correct Answer
nursing process
Explanation
The systematic problem-solving approach toward giving individualized (humanistic) nursing care is known as the nursing process. This process involves a series of steps that nurses follow to assess, diagnose, plan, implement, and evaluate the care provided to patients. It helps nurses to identify the patient's needs, develop a care plan tailored to their specific requirements, and continuously monitor and adjust the care provided based on the patient's response. By using the nursing process, nurses can ensure that they are providing holistic and individualized care to each patient.
13.
What characteristic of the nursing process deals with the continuity of the process?
Correct Answer
D. Cyclical
Explanation
The characteristic of the nursing process that deals with the continuity of the process is cyclical. This means that the nursing process is ongoing and repeated in a continuous cycle. It involves assessing, diagnosing, planning, implementing, and evaluating patient care, and then starting the process again based on the new information gathered. This cyclical nature ensures that patient care is continuously monitored, adjusted, and improved as needed, allowing for a seamless and continuous provision of care.
14.
In what part of the nursing process do you document nursing activities?
Correct Answer
B. Implementing
Explanation
In the nursing process, documenting nursing activities is done during the implementing phase. This phase involves carrying out the planned nursing interventions and documenting the actions taken, observations made, and any changes in the patient's condition. Documentation is crucial for maintaining accurate and up-to-date records of the care provided, ensuring continuity of care, and facilitating effective communication among healthcare professionals. It also serves as a legal and professional requirement, providing evidence of the nursing care delivered and assisting in evaluating the effectiveness of interventions.
15.
In what part of the NSX process do you identify health problems, risks, and strengths?
Correct Answer
B. Diagnosing
Explanation
In the NSX process, diagnosing is the part where health problems, risks, and strengths are identified. This step involves thoroughly examining the system to identify any potential issues or vulnerabilities that may exist. By diagnosing the system, one can gain a comprehensive understanding of its current state and identify areas that may require attention or improvement. This helps in developing an effective plan to address the identified problems and mitigate any risks.
16.
In what part of the NSX process do you prioritize problems/diagnoses?
Correct Answer
C. Planning
Explanation
In the planning phase of the NSX process, prioritizing problems/diagnoses is essential. This is because during this phase, the team identifies and determines the most critical issues that need to be addressed. By prioritizing problems/diagnoses, the team can allocate resources and develop an effective plan to resolve the identified issues. This ensures that the most important problems are addressed first, leading to a more efficient and successful implementation of the NSX process.
17.
In what part of the NSX process do you continue, modify, or terminate the client's care plan?
Correct Answer
E. Evaluation
Explanation
In the evaluation phase of the NSX process, you assess the effectiveness of the client's care plan and determine whether it needs to be continued, modified, or terminated. This is done by gathering data, analyzing the client's progress, and comparing it to the expected outcomes. Based on this evaluation, adjustments can be made to the care plan to ensure that it remains appropriate and effective for the client's needs.
18.
In what part of the NSX process has the purpose of developing an individualized care plan that specifies client goals/desired outcomes, and related nursing interventions?
Correct Answer
Planning
Explanation
In the planning phase of the NSX process, the purpose is to develop an individualized care plan that specifies client goals/desired outcomes, and related nursing interventions. This involves assessing the client's needs, setting specific goals for their care, and determining the appropriate nursing interventions to help achieve those goals. Planning is an essential step in providing personalized and effective care to clients, as it ensures that their unique needs and preferences are taken into account.
19.
The nursing process is the systematic collection of data used to make a clinical nursing judgement about an individual, family, or community.
Correct Answer
B. False
Explanation
That is the definition of Assessment :D
20.
Types of assessing (CHECK ALL THAT APPLY)
Correct Answer(s)
B. Initial assessment
C. Time-lapsed assessment
D. Problem-focused assessment
Explanation
The correct answer includes three types of assessments: initial assessment, time-lapsed assessment, and problem-focused assessment. These assessments are used in different situations to gather information about a person's condition or progress. The initial assessment is conducted at the beginning to establish a baseline and identify any immediate concerns. Time-lapsed assessment is performed at regular intervals to track changes over time. Problem-focused assessment is used to gather specific information about a particular issue or concern. These assessments help healthcare professionals make informed decisions and provide appropriate care.
21.
T/F. A nursing assessment should include the client's perceived needs, health problems, related experience, health practices, values, and lifestyles?
Correct Answer
A. True
Explanation
A nursing assessment should include various aspects of the client's life, such as their perceived needs, health problems, related experience, health practices, values, and lifestyles. This comprehensive assessment helps the nurse understand the client's unique situation and develop a personalized care plan that meets their specific needs. By considering these factors, the nurse can provide holistic and patient-centered care, addressing not only the physical health but also the emotional, social, and cultural aspects of the client's well-being. Therefore, the statement is true.
22.
Defined as all the information about a client; including nursing health history, physical assessment, primary care provider's history and physical examination, results of laboratory and diagnostic tests, and material contributed by other health personnel
Correct Answer
Database
Explanation
The term "database" refers to a collection of information about a client, which includes their nursing health history, physical assessment, primary care provider's history and physical examination, results of laboratory and diagnostic tests, and material contributed by other health personnel. This information is stored and organized in a structured manner, allowing healthcare professionals to access and retrieve the necessary data for providing effective and comprehensive care to the client.
23.
Also known as symptoms or covert data; apparent only to the person affected. Consists of sensations, fellings, values, beliefs, attitudes, and perception of personal health status and life situation.
Correct Answer
subjective data
subjective cue
Explanation
The correct answer is subjective data. Subjective data refers to information that is based on personal experiences and perceptions, and is only apparent to the person affected. It includes sensations, feelings, values, beliefs, attitudes, and the individual's perception of their own health status and life situation. This type of data is important in healthcare as it provides insights into the patient's subjective experience, helping healthcare professionals to understand their needs and provide appropriate care. Subjective cue, on the other hand, is not a commonly used term in this context and does not accurately describe the given definition.
24.
Also known as signs or overt data; detectable by observer or can be measured or tested against an accepted standard; validates other data to complete the assessment phase of the nursing process
Correct Answer
objective data
objective cue
Explanation
Objective data refers to the signs or overt data that can be observed by an observer or measured and tested against an accepted standard. It is an important part of the nursing process as it helps validate other data and complete the assessment phase. Objective cues are also a form of objective data that provide additional information to support the assessment.
25.
Type of data that does not change over time; such as race or blood type
Correct Answer
constant data
Explanation
Constant data refers to the type of data that remains unchanged over time, regardless of any external factors or circumstances. This can include characteristics such as race or blood type, which do not typically vary or fluctuate. Constant data is considered to be stable and consistent, providing a reliable and unchanging reference point for analysis or comparison. It is important to distinguish constant data from variable data, which can change or vary over time.
26.
T/F. The family members are the PRIMARY source of data?
Correct Answer
B. False
Explanation
Clients are primary source of data all other sources other than client are secondary and as much as possible should be validated.
27.
T/F. Clients that possible could not provide accurate data include: young children, clients who are confused, afraid, embarrassed, distrustful, or a cannot understand the nurse's language.
Correct Answer
A. True
Explanation
The statement is true because young children may not have the ability to accurately communicate their symptoms or experiences. Clients who are confused, afraid, embarrassed, or distrustful may not feel comfortable or willing to provide accurate information. Additionally, clients who cannot understand the nurse's language may have difficulty effectively communicating their needs or symptoms. Therefore, all of these factors can potentially lead to inaccurate data being provided by these clients.
28.
T/F. Information supplied by the family members, significant others, or other health professionals is considered to be subjective if it is not based on fact.
Correct Answer
A. True
Explanation
page 182. Paragraph 3 under support people.
29.
What kind of data does this information represent: Wife states: "He doesn't seem so sad today."
Correct Answer
Subjective data
subjective
subjective cue
Explanation
The information provided in the statement is based on the wife's perception or opinion of her husband's emotional state. It cannot be objectively measured or proven. Therefore, it represents subjective data, which is influenced by personal feelings, emotions, and opinions. The terms "subjective" and "subjective cue" also indicate that the information is based on personal interpretation rather than objective facts.
30.
What kind of data is: Lung sounds clear bilaterally; diminished in right lower lobe
Correct Answer
objective data
objective cue
objective
Explanation
The given statement describes a specific observation of lung sounds during a physical examination. This observation is based on measurable and observable facts, making it objective data. Additionally, the mention of "diminished in right lower lobe" indicates a specific cue or clue that is also objective in nature. Therefore, the correct answer options are objective data, objective cue, and objective.
31.
The principal methods used to collect data are: observing, interviewing, and examining?
Correct Answer
A. True
Explanation
The statement is true because observing, interviewing, and examining are indeed the principal methods used to collect data. Observing involves carefully watching and recording behaviors or events, interviewing involves asking questions to gather information directly from individuals, and examining involves analyzing existing records or documents. These methods are commonly used in various research fields to gather data and obtain insights.
32.
What kind of data collection method is defined as the gathering of data by using the senses?
Correct Answer
observe
observing
Explanation
The correct answer is "observe, observing". This is because the data collection method defined as the gathering of data by using the senses is called observation. It involves carefully watching and noting down information about a particular phenomenon or event. By observing, one can collect valuable data and gain insights into various aspects of the subject being studied.
33.
T/F. Subjective data may provide CLUES to determine client's unknown problem?
Correct Answer
A. True
Explanation
Subjective data refers to information provided by the client based on their personal experiences, feelings, and perceptions. This type of data may include symptoms, emotions, and subjective assessments of their condition. By analyzing subjective data, healthcare professionals can gather valuable clues that can help them determine the client's unknown problem. These clues can guide further investigation and aid in making an accurate diagnosis and developing an appropriate treatment plan. Therefore, the statement that subjective data may provide clues to determine the client's unknown problem is true.
34.
Defined as a data collection method through a planned communication or a conversation with a purpose.
Correct Answer
Interview
Interviewing
Explanation
An interview is a method of collecting data through planned communication or conversation with a specific purpose. It involves asking questions and receiving responses from the interviewee, allowing for a deeper understanding of the subject matter. The process of conducting an interview is referred to as interviewing.
35.
There are three approaches to interviewing?
Correct Answer
B. False
Explanation
There are only Two: Directive interview and Nondirective interview
36.
Defined as an understanding between two or more people.
Correct Answer
Rapport
Explanation
Rapport is a term used to describe the connection or understanding that exists between two or more individuals. It refers to the ability to establish a harmonious and empathetic relationship, where there is mutual trust, respect, and effective communication. This connection allows people to feel comfortable and at ease with each other, leading to better cooperation, collaboration, and positive interactions. Rapport is crucial in various contexts, such as personal relationships, professional settings, and even in therapy or counseling sessions, as it helps to build rapport and enhance the overall quality of the interaction.
37.
Defined as the act of "double-checking" or verifying data to confirm that it is accurate and factual.
Correct Answer
validation
Explanation
Validation refers to the process of double-checking or verifying data to ensure its accuracy and factualness. This process involves confirming that the data meets certain criteria or standards and is free from errors or inconsistencies. By validating data, one can ensure its reliability and trustworthiness, which is essential in various fields such as research, data analysis, and quality control.
38.
Defined as subjective or objective data tat can be directly observed by the nurse
Correct Answer
cue
cues
Explanation
The correct answer is "cue, cues." In nursing, a cue refers to any subjective or objective data that can be directly observed by the nurse. These cues can include signs, symptoms, or any other information that helps the nurse assess the patient's condition. By recognizing and interpreting these cues, nurses can make informed decisions about the patient's care and treatment. Therefore, cues are essential in the nursing assessment process.
39.
Defined as the nurse's interpretation or conclusions made based off cues
Correct Answer
inferences
inference
Explanation
The correct answer is "inferences, inference". Inferences refer to the nurse's interpretation or conclusions made based on cues. It involves using reasoning and critical thinking skills to draw conclusions or make predictions about a patient's condition or situation. Nurses often rely on their clinical knowledge and experience to make accurate inferences and provide appropriate care.
40.
What act completes the assessment phase?
Correct Answer
Documenting data
Explanation
Documenting data is the act that completes the assessment phase. This is because after gathering and analyzing data during the assessment phase, it is important to document the findings and record them for future reference. Documenting data helps to ensure that the information collected is accurately recorded and can be easily accessed and reviewed later on. It also allows for effective communication and sharing of the assessment results with relevant stakeholders. Therefore, documenting data is a crucial step in completing the assessment phase.
41.
Defined as the classification system or set of categories arranged based on a single principle or set of principles
Correct Answer
taxonomy
Explanation
Taxonomy is the correct answer because it refers to the classification system or set of categories that are organized according to a single principle or set of principles. Taxonomy is commonly used in various fields, such as biology, to categorize and classify organisms based on their characteristics and relationships.
42.
What does NANDA stand for?
Correct Answer
North American Nursing Diagnosis Association
Explanation
NANDA stands for North American Nursing Diagnosis Association. This organization is responsible for the development and standardization of nursing diagnoses. Nursing diagnoses provide a framework for nurses to identify and communicate patient needs, which in turn helps in planning and delivering effective nursing care. The North American Nursing Diagnosis Association plays a crucial role in promoting the use of nursing diagnoses and ensuring their accuracy and relevance in the healthcare field.
43.
G in GOSH stands for?
Correct Answer
goal-oriented
goal oriented
Explanation
The correct answer is "goal-oriented" or "goal oriented." This acronym GOSH stands for a term that describes someone or something that is focused on achieving goals. It suggests that the individual or entity is driven and motivated to accomplish specific objectives.
44.
S in GOSH stands for?
Correct Answer
systematic
Explanation
The correct answer is "systematic" because in the question, it is stated that "S in GOSH stands for", and the only option provided that starts with the letter S is "systematic". Therefore, "systematic" is the correct answer for the given question.
45.
H in GOSH stands for?
Correct Answer
humanistic
wHolistic
Explanation
The correct answer for the acronym H in GOSH stands for humanistic and wHolistic. This suggests that the acronym GOSH represents a concept or organization that emphasizes both humanistic and holistic approaches. The term "humanistic" refers to a focus on the individual's emotional and psychological well-being, while "holistic" refers to considering the whole person and their interconnectedness with their environment. Therefore, GOSH likely promotes a comprehensive and compassionate approach to understanding and addressing human needs.
46.
Defined as the casual relationship between a problem and its related or risk factors
Correct Answer
etiology
Explanation
The term "etiology" refers to the causal relationship between a problem and its associated or risk factors. It is used to understand and determine the root cause or origin of a particular problem or condition. By studying the etiology of a problem, researchers and healthcare professionals can gain insights into the factors that contribute to its development and progression. This understanding is crucial for effective prevention, diagnosis, and treatment strategies.
47.
Type of nursing diagnoses that deals with one which evidence about a health problem is incomplete or uncles; requires more data either to support or to refute it.
Correct Answer
D. Possible
Explanation
The correct answer is "Possible." Possible nursing diagnoses are those that have incomplete or unclear evidence about a health problem. These diagnoses require more data to either support or refute them. In other words, possible nursing diagnoses are those that are not yet confirmed but are being considered as a potential health issue.
48.
A type of diagnosis that is associated with a cluster of other diagnoses
Correct Answer
E. Syndrome
Explanation
Syndrome is the correct answer because it refers to a type of diagnosis that is associated with a cluster of other diagnoses. A syndrome is a group of symptoms or medical conditions that occur together and are characteristic of a specific disease or disorder. It is often used to describe a set of symptoms that are related and commonly occur together, helping healthcare professionals in diagnosing and treating patients.
49.
T/F. You are allowed to combine two nursing diagnoses.
Correct Answer
B. False
Explanation
Nursing diagnoses are individual statements that describe a patient's health problem or potential problem. Combining two nursing diagnoses would result in a statement that is not specific and may not accurately reflect the patient's condition. Each nursing diagnosis should be focused on a single health problem, allowing for targeted interventions and individualized care. Therefore, it is not allowed to combine two nursing diagnoses.
50.
Check off the NURSING DIAGNOSES (CHECK ALL THAT APPLY)
Correct Answer(s)
B. Acute Pain
C. Ineffective airway breathing
F. Impaired skin integrity
H. Fluid Volume deficit
J. Hyperthermia
Explanation
The correct answer includes nursing diagnoses that are relevant to the given symptoms and conditions. Acute pain, ineffective airway breathing, impaired skin integrity, fluid volume deficit, and hyperthermia are all potential nursing diagnoses that could be associated with the listed symptoms and conditions. Fever, pneumonia, dehydration, headache, and decubitis ulcer are not included in the correct answer as they were not checked off.