Nursing Process And Critical Thinking Review Test
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Welcome to our Nursing Process and Critical Thinking Review Test, a comprehensive tool designed to elevate your nursing expertise and decision-making abilities. This quiz is essential for nursing students and practicing nurses who aim to refine their assessment, planning, implementation, and evaluation skills, all through the lens of critical thinking.
Our quiz meticulously covers all phases of the nursing process, integrating critical thinking scenarios that challenge you to apply theoretical knowledge in practical, real-world healthcare situations. You'll encounter a variety of question formats that probe your ability to analyze information, prioritize patient care, and make informed decisions quickly and effectively. Read more
Whether you are preparing for your NCLEX exams, brushing up on your clinical practices, or seeking to enhance your professional development, this test provides the perfect opportunity to assess and improve your critical thinking and nursing process skills. Dive into our Nursing Process and Critical Thinking Review Test today to test your knowledge, sharpen your critical thinking, and ensure you're fully prepared to provide the highest quality of care in any nursing setting.
Nursing Process and Critical Thinking Questions and Answers
- 1.
What is the "Nursing Process"? Select all that apply
- A.
Organizational framework for the practice of Nursing
- B.
Systematic method by which nurses plan and provide care for patients
- C.
The application of the nursing process only applies to RN's and not LPN's
- D.
The Nursing Scope and Standards of Practice of the ANA outlines the steps of the nursing process
Correct Answer(s)
A. Organizational framework for the practice of Nursing
B. Systematic method by which nurses plan and provide care for patients
D. The Nursing Scope and Standards of Practice of the ANA outlines the steps of the nursing processExplanation
The "Nursing Process" is a well-established approach used by nurses to ensure quality patient care and includes several key steps: assessment, diagnosis, planning, implementation, and evaluation. It serves as an organizational framework for the practice of nursing and is a systematic method by which nurses plan and provide care for patients. This process is outlined in the Nursing Scope and Standards of Practice provided by the American Nurses Association (ANA). Contrary to the incorrect option, the nursing process applies to all nurses, including RNs (Registered Nurses) and LPNs (Licensed Practical Nurses), and is not exclusive to RNs. This inclusive approach ensures that all nursing professionals utilize a consistent framework in their caregiving practices.Rate this question:
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- 2.
ANA defines it as a"systematic dynamic process by which the nurse, through interaction with the client, significant others and health care providers collect and analyzes data about the client
- A.
Physical Check-up
- B.
Hospital evaluation
- C.
Assessment
- D.
Analysis
Correct Answer
C. AssessmentExplanation
The American Nurses Association (ANA) defines "Assessment" as a "systematic dynamic process by which the nurse, through interaction with the client, significant others, and health care providers, collects and analyzes data about the client." This initial step of the nursing process involves gathering comprehensive information about the patient's physical condition, psychological state, lifestyle, and any other areas pertinent to their health and well-being. It serves as the foundation for making nursing diagnoses, planning patient care, and choosing specific interventions. The other options do not directly correspond to this definition provided by the ANA.Rate this question:
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- 3.
Which of the following is not true about Focused ASSESSMENT
- A.
When patient is critically ill or disoriented
- B.
When patient is unable to respond
- C.
Preferably early in the morning before breakfast.
- D.
When drastic changes are happening to a patient.
Correct Answer
C. Preferably early in the morning before breakfast.Explanation
A focused assessment in nursing is a detailed and specific evaluation targeted at a particular issue or set of issues that the patient is experiencing. It is not necessarily tied to a specific time of day, such as early in the morning before breakfast. Instead, focused assessments are conducted based on the patient's needs and conditions, such as when a patient is critically ill, disoriented, undergoing drastic changes, or when they are unable to respond. These situations require immediate and specific attention to accurately assess and address the patient's current health status and needs.Rate this question:
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- 4.
A synonym for significant data that usually demonstrate an unhealthy response.
- A.
Cue
- B.
Objective
- C.
Subjective
- D.
Interpretative
Correct Answer
A. CueExplanation
In the context of nursing and medical assessments, "cue" refers to significant data or pieces of information that often indicate an unhealthy response or a change in the patient's condition. Cues can be objective, such as observable physical changes, or subjective, such as reported symptoms by the patient that cannot be observed directly. These cues are vital for healthcare providers to identify potential health issues and to make informed decisions about the patient's care. "Objective" and "Subjective" refer to types of data gathered, while "Interpretative" relates to the analysis or understanding of that data, making "Cue" the correct synonym in this context.Rate this question:
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- 5.
Headache, itchiness, warmth
- A.
Symptoms
- B.
Signs
- C.
Feelings
- D.
Emotions
Correct Answer
A. SymptomsExplanation
In medical terms, "symptoms" are subjective experiences reported by the patient that indicate a medical condition or disease. Headache, itchiness, and warmth are all experiences that a patient might report to a healthcare provider. These are not directly observable by someone else, making them symptoms rather than signs, which are observable. "Feelings" and "emotions" are broader terms that can relate to physical sensations or psychological states but are not specific to medical contexts like the term "symptoms."Rate this question:
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- 6.
Secondary Source of Data. (Select all that apply)
- A.
Diagnostic procedures
- B.
Medical record
- C.
Personal interview
- D.
Significant other
Correct Answer(s)
A. Diagnostic procedures
B. Medical record
D. Significant otherExplanation
Secondary sources of data in healthcare include information gathered from sources other than the primary interaction with the patient. Diagnostic procedures provide data from tests and scans that help diagnose or monitor a patient's condition. The medical record is a comprehensive collection of a patient's past and present health information, including medical history, treatments, and outcomes, compiled from various healthcare interactions. Information from a significant other can offer additional insights into the patient's health and behaviors, especially if the patient is unable to provide information themselves. A personal interview, however, typically represents a primary source of data, as it involves direct communication with the patient.Rate this question:
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- 7.
Which of the following is not a method of data collection?
- A.
Interview
- B.
Biographic data
- C.
Social media
- D.
Health history
Correct Answer
C. Social mediaExplanation
In the context of professional healthcare data collection, methods such as interviews, biographic data, and health history are all standard practices. Interviews involve direct questioning to gather detailed information about the patient's condition and medical history. Biographic data includes personal information such as age, gender, ethnicity, and socioeconomic status, which can be relevant to patient care. Health history encompasses a comprehensive record of the patient’s past and present health conditions and treatments. Social media, however, is not a standard or ethical method for collecting health-related data in professional medical settings due to concerns about privacy, accuracy, and the potential for misinformation.Rate this question:
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- 8.
If the first method of data collection is to conduct an interview, what is the second method?
- A.
Laboratory work
- B.
Diagnostic Tests
- C.
Evaluation
- D.
Performance of a physical examination
Correct Answer
D. Performance of a physical examinationExplanation
After conducting an initial interview to gather subjective data from the patient, the next step in data collection is typically the performance of a physical examination. This method involves a healthcare provider examining the patient physically, using observation, palpation, auscultation, and percussion to assess various body systems and detect any abnormalities. This helps in corroborating the subjective information obtained during the interview and provides objective data necessary for diagnosis and treatment planning. Laboratory work and diagnostic tests are also important but usually follow the physical examination based on the findings that need further investigation. Evaluation is more of an ongoing or concluding process that assesses the effectiveness of interventions.Rate this question:
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- 9.
After establishing a database and before the identification of nursing diagnosis, what does a nurse do?
- A.
Documentation of database
- B.
Analysis of database
- C.
Filing of database
- D.
Acquiring a database of information
Correct Answer
B. Analysis of databaseExplanation
After establishing a database of information about the patient, which includes gathering data through interviews, physical examinations, and other relevant assessments, the next step for a nurse is the analysis of this database. This analysis involves reviewing and interpreting the collected data to identify patterns, problems, and potential nursing diagnoses. It is a crucial step that precedes the actual formulation of nursing diagnoses. Documentation of the database is part of establishing and updating it, while filing of the database refers more to the organizational aspect. Acquiring a database of information is what occurs initially, so the correct and logical next step after database creation is its analysis.Rate this question:
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- 10.
Data Clustering
- A.
Analyzing signs and symptoms
- B.
Identifying patient statements
- C.
Grouping related cues together
- D.
Entering patient data in the computer
Correct Answer
C. Grouping related cues togetherExplanation
Data clustering in the context of nursing involves grouping related cues together to better understand and interpret the information gathered about the patient. This method helps in identifying patterns that can point to specific health issues, which is essential for formulating accurate nursing diagnoses. By clustering data, nurses can more effectively determine the relationships and potential causes of symptoms, which aids in developing a targeted care plan. Analyzing signs and symptoms is a broader process, while identifying patient statements and entering patient data in the computer are parts of data collection and documentation, not specifically clustering.Rate this question:
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- 11.
Deficient Fluid Volume (Select all that apply)
- A.
Thirst
- B.
Dry skin and dry oral mucous
- C.
Decreased urine output
- D.
Nystagmus
Correct Answer(s)
A. Thirst
B. Dry skin and dry oral mucous
C. Decreased urine outputExplanation
"Deficient Fluid Volume" refers to a decrease in intravascular, interstitial, or intracellular fluid in the body. The symptoms include thirst, which is the body's natural response to dehydration; dry skin and dry oral mucous membranes, which indicate a lack of moisture and hydration in the body; and decreased urine output, a direct result of the body conserving fluids due to insufficient fluid volume. Nystagmus, which involves involuntary eye movements, is not related to fluid volume deficiency but rather neurological conditions or disturbances in the inner ear. These three applicable symptoms are critical indicators used to assess and diagnose a deficient fluid volume state.Rate this question:
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- 12.
Which of the following refers to the definition of a Nursing Problem?
- A.
Nurse overload and nurse burnout
- B.
When the nurse calls in sick
- C.
Any health care condition that requires diagnostic, therapeutic, or educational actions.
- D.
Lose of employment
Correct Answer
C. Any health care condition that requires diagnostic, therapeutic, or educational actions.Explanation
A "Nursing Problem" refers specifically to any healthcare condition that necessitates diagnostic, therapeutic, or educational interventions. This definition is centered on patient care and the role of nurses in addressing conditions that affect patient health and well-being. It includes situations where patients need medical evaluation, treatment, or learning about their health conditions and how to manage them. The other options, such as nurse overload and burnout, a nurse calling in sick, or loss of employment, describe issues related to the employment and wellbeing of nurses themselves, not patient care issues that constitute nursing problems.Rate this question:
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- 13.
Clinical judgment
- A.
Diagnosis
- B.
Job description of a clinical nurse
- C.
Data collection
- D.
Health intervention
Correct Answer
A. DiagnosisExplanation
Clinical judgment in nursing refers to the process of using critical thinking and decision-making skills to interpret data and make informed decisions about patient care. This process is closely associated with the diagnosis phase in the nursing process. Diagnosis involves analyzing the collected data to identify patient needs or problems. It's where a nurse uses their clinical judgment to determine what these needs or problems might indicate about the patient's health status. While data collection is a part of the process that feeds into clinical judgment, and health intervention is an outcome of clinical judgment, the term "diagnosis" most directly reflects the use of clinical judgment to assess and define patient issues based on the evidence gathered.Rate this question:
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- 14.
Components of a Nursing Diagnosis. Select all that apply
- A.
Nursing diagnosis title or label
- B.
Definition of the title or label
- C.
Data clustering
- D.
Contributing, etiologic or related factors
- E.
Defining characteristics
Correct Answer(s)
A. Nursing diagnosis title or label
B. Definition of the title or label
D. Contributing, etiologic or related factors
E. Defining characteristicsExplanation
A nursing diagnosis consists of several crucial components that enhance its definition and clarity. The title or label succinctly categorizes the diagnosis, while the definition elaborates on what the diagnosis entails, helping to distinguish it from similar conditions. Contributing, etiologic, or related factors are the conditions or circumstances that cause or contribute to the development of the nursing issue. Defining characteristics are observable cues or symptoms noted during the assessment phase, which are grouped to aid in identification. Although data clustering is a vital method for organizing and interpreting data, it is not itself a component of the diagnosis but rather a tool used in the diagnostic process.Rate this question:
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- 15.
Which of the following are true regarding nursing diagnosis?
- A.
A nursing diagnosis is any problem related to the health of a patient
- B.
When writing a nursing diagnosis, place the adjective before the noun modified
- C.
A nursing diagnosis is usually the etiology of the disease
- D.
Both medical and nursing diagnosis can be converted into a nursing intervention.
Correct Answer
B. When writing a nursing diagnosis, place the adjective before the noun modifiedExplanation
In nursing, when formulating a diagnosis, it's important to use a specific grammatical structure where the adjective precedes the noun it modifies, as in "impaired mobility" or "acute pain," to ensure clarity. Both medical and nursing diagnoses inform nursing interventions, which are actions based on clinical judgment aimed at managing or alleviating the patient's condition. However, a nursing diagnosis should not be confused with identifying the etiology of a disease—that is the realm of medical diagnoses. Instead, nursing diagnoses focus on the patient's response to health conditions, guiding targeted and effective nursing care.Rate this question:
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- 16.
Clear, precise description of a problem
- A.
Definition
- B.
Intervention
- C.
Etiology
- D.
Diagnosis
Correct Answer
D. DiagnosisExplanation
"Diagnosis" refers to a critical step where the nurse identifies the patient's specific health issues based on a thorough assessment. This involves analyzing the collected information to figure out the patient's health status. The diagnosis is vital because it determines the subsequent steps in the nursing process, such as planning and intervention. It requires strong critical thinking skills to ensure that the conclusions drawn are accurate and appropriate for the patient’s needs. This helps in devising effective care plans that are tailored to address the individual health challenges of the patient.Rate this question:
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- 17.
Risk factors
- A.
Description of a problem
- B.
Analysis of a health issue
- C.
Possible illness
- D.
Circumstances that increase the susceptibility of a patient to a problem
Correct Answer
D. Circumstances that increase the susceptibility of a patient to a problemExplanation
This option describes "risk factors" in healthcare, which are conditions or situations that make it more likely for a patient to develop a health issue. Identifying these risk factors is essential for preventing diseases or problems. For example, high blood pressure can increase the risk of heart disease. Knowing the risk factors allows healthcare professionals to advise patients on how to adjust their lifestyles to reduce these risks, like changing diet, exercising, or avoiding harmful behaviors. This proactive approach helps in preventing complications and maintaining overall health.Rate this question:
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- 18.
Clinical cues, signs, symptoms that furnish evidence that the problem exists.
- A.
Risk factors
- B.
Defining characteristics
- C.
Description of a problem
- D.
Nursing diagnosis
Correct Answer
B. Defining characteristicsExplanation
"Defining characteristics" in nursing are the clinical cues, signs, and symptoms that provide evidence of a particular health problem's existence. These characteristics are crucial because they help nurses to make accurate nursing diagnoses. For example, in the case of dehydration, defining characteristics might include dry mouth, decreased skin turgor, and low urine output. Recognizing these signs and symptoms allows nurses to accurately identify the health issue and ensures that appropriate interventions are planned and implemented to address the patient's specific needs effectively.Rate this question:
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- 19.
How cues, signs and symptoms identified in patient's assessment are written
- A.
Diagnosed by
- B.
Explained by
- C.
Manifested by
- D.
Caused by
Correct Answer
C. Manifested byExplanation
In the context of nursing and medical assessments, "manifested by" is used to describe how the cues, signs, and symptoms of a condition appear in a patient. This term is important because it links observable patient data to a specific health condition, helping healthcare providers communicate precisely about what they observe during an assessment. For instance, pneumonia may be manifested by symptoms such as fever, chest pain, and difficulty breathing. Using this terminology ensures clarity in patient records and helps in forming a cohesive and accurate diagnosis and treatment plan.Rate this question:
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- 20.
"Constipation related to insufficient fluid intake manifested by increased abdominal pressure". What is the defining characteristic?
- A.
Constipation
- B.
Insufficient fluid
- C.
Increased abdominal pressure
- D.
Related to
Correct Answer
C. Increased abdominal pressureExplanation
"Constipation related to insufficient fluid intake manifested by increased abdominal pressure," the defining characteristic is "increased abdominal pressure." This term specifically points out the observable sign or symptom that indicates the presence of the health problem, in this case, constipation. Defining characteristics like this are crucial for accurately diagnosing and addressing the issue, as they provide clear evidence of how the problem is presenting in the patient, guiding effective treatment and management strategies.Rate this question:
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- 21.
What is RISK NURSING DIAGNOSIS as described by NANDA-I? Select all that apply
- A.
Human responses to health conditions/life processes that may develop in a vulnerable individual/family
- B.
Describes the symptoms of the disease
- C.
Supported by risk factors that contribute to increased vulnerability
- D.
Proof that the person is suffering from an illness
Correct Answer(s)
A. Human responses to health conditions/life processes that may develop in a vulnerable individual/family
C. Supported by risk factors that contribute to increased vulnerabilityExplanation
A "risk nursing diagnosis" as described by NANDA-I (North American Nursing Diagnosis Association-International) refers to the identification of potential health conditions or life processes that a vulnerable individual or family might experience. It does not describe symptoms of a disease or provide proof of illness, but rather focuses on the potential for developing problems, supported by specific risk factors that increase vulnerability. This type of diagnosis is important in preventive health care, allowing nurses to implement interventions that may prevent the problem from occurring.Rate this question:
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- 22.
How many parts does a RISK NURSING DIAGNOSIS have?
- A.
1
- B.
3
- C.
2
- D.
None
Correct Answer
C. 2Explanation
A risk nursing diagnosis typically consists of two parts. The first part identifies the specific risk diagnosed (for example, "Risk for infection"). The second part lists the risk factors associated with the condition (for example, "related to compromised immune system"). Unlike other types of nursing diagnoses, a risk nursing diagnosis does not include signs and symptoms since it addresses potential problems rather than current conditions. This structure helps in focusing on prevention and early intervention to manage the identified risks effectively.Rate this question:
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- 23.
Which of the following is a Risk Nursing Diagnosis statement?
- A.
Risk for falls related to unstable balance
- B.
Constipated because of fecal impaction
- C.
Risk for Diarrhea
- D.
Constipation related to dehydration
Correct Answer
A. Risk for falls related to unstable balanceExplanation
The statement "Risk for falls related to unstable balance" is a correct example of a risk nursing diagnosis. This type of diagnosis focuses on potential problems that the patient is at risk for developing, in this case, falls. It also specifies a related risk factor, which is unstable balance. Unlike the other statements provided, which either describe actual conditions or lack risk factors, this statement adheres to the structure of risk nursing diagnosis by identifying both a potential problem and its contributing factor.Rate this question:
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- 24.
Syndrome Nursing Diagnosis
- A.
An isolated disease with numerous symptoms
- B.
Numerous symptoms describing a single disease
- C.
Used when a cluster of actual or risk nursing diagnosis are predicted to be present
- D.
Numerous symptoms leading to an idiopathic disorder
Correct Answer
C. Used when a cluster of actual or risk nursing diagnosis are predicted to be presentExplanation
A "Syndrome Nursing Diagnosis" is used in situations where a cluster of actual or risk nursing diagnoses are expected to occur together in a patient. This type of diagnosis helps in managing multiple interrelated issues more efficiently. For example, a post-trauma syndrome might include diagnoses related to physical injury, risk of infection, and emotional distress. The diagnosis doesn’t relate to an isolated disease or idiopathic disorders specifically, but rather to a group of symptoms and risks that are typically seen together and affect the patient’s health in a complex way.Rate this question:
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- 25.
Wellness Nursing Diagnosis
- A.
Absence of illness
- B.
Not strictly a diagnosis
- C.
Human responses to levels of good health in an individual, family or community
- D.
All of the above
Correct Answer
D. All of the aboveExplanation
A "Wellness Nursing Diagnosis" encompasses several aspects related to the health status of an individual, family, or community. This type of diagnosis can indicate the absence of illness, implying a state of health and not a specific medical condition needing treatment. It also reflects human responses to levels of good health, focusing on maintaining or enhancing well-being rather than addressing diseases. Lastly, while it is termed a "diagnosis," it is not strictly one in the traditional sense because it does not deal with illness but rather with the promotion and maintenance of health.Rate this question:
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- 26.
Certain Physiologic complications that nurses monitor to detect their onset or changes in the patient's status.
- A.
Variance
- B.
Collaborative problems
- C.
Clustered Syndrome
- D.
Signs of death
Correct Answer
B. Collaborative problemsExplanation
"Collaborative problems" are certain physiologic complications that nurses monitor to detect their onset or changes in a patient’s status. These problems are potential complications that can occur due to a condition or illness and require both nursing and medical interventions to prevent or manage. Collaborative problems require the involvement of various healthcare professionals working together, as they often involve complex issues that exceed the independent intervention scope of nursing. For example, potential complications of diabetes, such as hypoglycemia or ketoacidosis, require careful monitoring and collaborative management between nurses, doctors, and other health professionals.Rate this question:
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- 27.
Potential complications: hypoglycemia. This is a sample of what?
- A.
Syndromatic pathology
- B.
Definite Variance
- C.
Collaborative problem
- D.
Idiopathic etiology
Correct Answer
C. Collaborative problemExplanation
The example of "Potential complications: hypoglycemia" is a sample of a "Collaborative problem." This term describes situations in healthcare where the management of a potential or actual complication, such as hypoglycemia, requires coordinated efforts between various healthcare professionals. It highlights the need for nurses to work together with doctors and other medical staff to monitor, detect, and manage these complications effectively. Collaborative problems acknowledge the interdependent roles of different healthcare team members in providing comprehensive care and ensuring optimal patient outcomes.Rate this question:
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- 28.
Identification of a disease or condition by a scientific evaluation of physical signs, symptoms, history, laboratory test and procedures.
- A.
Health Analysis
- B.
Nursing Problem
- C.
Medical Diagnosis
- D.
All of the above
Correct Answer
C. Medical DiagnosisExplanation
The process described—identification of a disease or condition through the evaluation of physical signs, symptoms, patient history, lab tests, and procedures—is known as a "Medical Diagnosis." This is the method by which physicians and other healthcare professionals determine the specific illness or condition affecting a patient. It is distinct from a nursing diagnosis, which focuses more on the patient's response to health issues and the management of care, and from a health analysis, which might be broader and include preventative measures. Therefore, the correct answer here is specifically "Medical Diagnosis."Rate this question:
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- 29.
Difference between Medical and Nursing Diagnoses
- A.
Medical is etiology; Nursing is human response
- B.
Medical is disease; Nursing is the cause of disease
- C.
Medical is illness; Nursing is illness too
- D.
Medical is to heal the disease: Nursing is to discover the disease
Correct Answer
A. Medical is etiology; Nursing is human responseExplanation
The primary difference between medical and nursing diagnoses lies in their focus and purpose. A medical diagnosis deals with the disease itself or etiology (the cause or origin of the disease), identifying what is wrong with the patient based on signs, symptoms, and medical tests. In contrast, a nursing diagnosis focuses on the human response, how the individual patient responds to health conditions or life processes. This includes managing symptoms, promoting wellness, and improving quality of life. Thus, the correct answer reflects these distinct roles: "Medical is etiology; Nursing is human response."Rate this question:
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- 30.
Difference between a goal statement and an outcome statement
- A.
A good outcome statement is specific to the patient
- B.
Goals are general deadlines that are to be met
- C.
An outcome statement refers to what the nurse will do
- D.
Goals and Statements are practically the same
Correct Answer
A. A good outcome statement is specific to the patientExplanation
The difference between a goal statement and an outcome statement in nursing revolves around their focus and specificity. A goal statement is broader and often more general, providing a target or endpoint that guides overall care planning. It sets a direction for the patient's care. On the other hand, an outcome statement is specifically tailored to the patient and provides measurable criteria by which the success of the nursing interventions can be evaluated. It details the expected changes in the patient's health status following nursing care and is directly linked to achieving the set goals. Thus, an outcome statement is precise and patient-specific, making it the most accurate choice among the given options.Rate this question:
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- 31.
The purpose to which an effort is directed
- A.
Goal
- B.
Outcome
- C.
Intervention
- D.
Evaluation
Correct Answer
A. GoalExplanation
A "Goal" in the context of healthcare and nursing refers to the purpose or objective to which an effort is directed. Goals are set to guide the planning and implementation of care. They establish a clear target for what the healthcare team aims to achieve for the patient. These are broader, overarching aims that help to focus the efforts of the entire healthcare team and ensure that all interventions and treatments are aligned with achieving these established objectives. Goals help in setting the direction of patient care and provide a benchmark for measuring the effectiveness of care provided.Rate this question:
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- 32.
Which of the following statements describe a well-written patient outcome statement? Select all that apply.
- A.
Uses a measurable verb
- B.
Focuses on the completion of nursing interventions
- C.
Does not interfere with the medical care plan
- D.
Includes a time frame for patient reevaluation
Correct Answer(s)
A. Uses a measurable verb
C. Does not interfere with the medical care plan
D. Includes a time frame for patient reevaluationExplanation
A well-written patient outcome statement should have clear, measurable criteria to enable effective evaluation of the care provided. Using a measurable verb is essential because it specifies what the patient is expected to achieve in observable terms. Additionally, the outcome should not interfere with the medical care plan; instead, it should complement it, ensuring that nursing and medical interventions are harmonious. Including a time frame for patient reevaluation is also crucial, as it sets a specific period within which the outcomes should be achieved, allowing for timely adjustments to the care plan if necessary. The focus on the completion of nursing interventions is not typically a characteristic of an outcome statement, as outcomes should focus on the patient's status rather than the activities of the healthcare providers.Rate this question:
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- 33.
A common framework that helps guide the prioritization of nursing tasks during the process of planning
- A.
Ericsson's psychosocial development
- B.
Maslow's hierarchy
- C.
Glasgow Scale
- D.
Bernoulli principle
Correct Answer
B. Maslow's hierarchyExplanation
Maslow's hierarchy of needs is a common framework used in nursing (and many other disciplines) to help guide the prioritization of tasks during the planning process. This theory posits that human needs are arranged in a hierarchy of importance, starting with physiological needs (like food and shelter) and progressing to safety, love and belonging, esteem, and self-actualization. In nursing, this model helps prioritize patient care by addressing the most basic and critical needs first before moving on to higher-level needs. This ensures that the most essential aspects of patient care are managed promptly and effectively, which is crucial for patient recovery and well-being.Rate this question:
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- 34.
Nursing interventions
- A.
Depend on the tasks delegated by the nursing supervisor
- B.
A sequence of prioritized tasks that describe a nurse's job
- C.
Activities that promote the achievement of the desired patient outcome
- D.
An act of taking care of the sick
Correct Answer
C. Activities that promote the achievement of the desired patient outcomeExplanation
Nursing interventions are specific activities undertaken by nurses that are designed to promote the achievement of the desired patient outcomes. These interventions are carefully planned based on the patient’s diagnosis and overall care plan and aim to improve health, manage symptoms, or address specific health problems. Interventions can include administering medications, providing education, monitoring vital signs, and performing procedures. They are not merely tasks delegated by a supervisor nor are they just a sequence of tasks describing a nurse’s job; rather, they are targeted actions that directly contribute to patient care and recovery.Rate this question:
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- 35.
Which of the following is not a Physician Prescribed intervention?
- A.
Ordering diagnostic tests
- B.
Drug administration
- C.
Performing wound care
- D.
Elevating an edematous leg
Correct Answer
C. Performing wound careExplanation
"Performing wound care" is typically not categorized as a Physician-prescribed intervention, though it can be influenced by medical orders regarding the type of dressing or medication to use. Generally, wound care falls under the nursing interventions category, where nurses apply their training and judgment in managing and treating wounds based on established protocols and physician guidelines. The other options, such as ordering diagnostic tests, drug administration, and elevating an edematous leg, can be directly prescribed by a physician as specific treatments for the patient's condition.Rate this question:
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- 36.
Which of the following is not a nurse-prescribed intervention?
- A.
Turning the patient every two hours
- B.
Providing a back massage
- C.
Offering a vitamin supplement
- D.
Monitoring a patient for complications
Correct Answer
C. Offering a vitamin supplementExplanation
"Offering a vitamin supplement" is not typically a nurse-prescribed intervention as it involves providing medications or supplements that generally require a physician's prescription or specific approval. Nurse-prescribed interventions are typically non-pharmacological and focus on comfort measures or routine care that falls under nursing autonomy, such as turning the patient every two hours to prevent bedsores, providing a back massage to alleviate discomfort, or monitoring a patient for complications to ensure prompt intervention. Thus, the administration of supplements usually needs to be authorized by a physician according to medical guidelines and patient needs.Rate this question:
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- 37.
Which of the following statements about the nursing process is true.
- A.
A nursing process is written together with a nursing care plan
- B.
A nursing care plan is a product of the nursing process
- C.
Both the nursing process and the nursing care plan are purely critical thinking strategies
- D.
The nursing process is not an accurate clinical theory
Correct Answer
B. A nursing care plan is a product of the nursing processExplanation
The nursing care plan is indeed a product of the nursing process, which is a systematic approach to providing individualized care to patients. The nursing process includes assessment, diagnosis, planning, implementation, and evaluation. During this process, nurses gather information, identify issues and needs, set goals, execute specific nursing interventions, and evaluate the outcomes to see if the goals are met. The care plan, which documents these steps, provides a detailed, organized plan for how nursing care should be administered to meet the patient's health needs. This statement correctly reflects the relationship between the nursing process and the nursing care plan, emphasizing the practical, systematic nature of nursing practice.Rate this question:
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- 38.
IN which of the following scenarios would a standardized nursing care plan be appropriate?
- A.
Trauma center
- B.
Center for infection control
- C.
Intensive care unit
- D.
Maternity floor without a single Cesarean delivery
Correct Answer
D. Maternity floor without a single Cesarean deliveryExplanation
A standardized nursing care plan would be most appropriate on a maternity floor without a single Cesarean delivery because the conditions and procedures associated with standard vaginal deliveries tend to be relatively uniform and predictable. This allows for the use of standardized care plans that outline routine monitoring and interventions that are commonly needed for postpartum care and newborn care in such scenarios. In contrast, environments like trauma centers, centers for infection control, and intensive care units deal with highly variable and complex conditions that often require highly individualized and dynamic nursing care plans to address specific medical and surgical needs effectively.Rate this question:
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- 39.
Prioritization of tasks belongs to which phase of the Nursing Process?
- A.
Assessment
- B.
Diagnosis
- C.
Planning
- D.
Implementation
- E.
Evaluation
Correct Answer
C. PlanningExplanation
Prioritization of tasks falls within the planning phase of the Nursing Process. During the planning phase, nurses develop a plan of care that outlines the strategies and interventions to meet the identified needs of the patient. This involves setting priorities based on the severity and urgency of the patient’s conditions and the effectiveness of potential interventions. It’s a crucial step that ensures that the most critical needs are addressed first, promoting the efficient use of resources and optimizing patient outcomes. This phase links the earlier assessment and diagnosis phases with the subsequent implementation and evaluation phases, ensuring a coherent and effective approach to patient care.Rate this question:
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- 40.
Documentation is a vital component of which phase of the nursing process?
- A.
Assessment
- B.
Diagnosis
- C.
Planning
- D.
Implementation
- E.
Evaluation
Correct Answer
D. ImplementationExplanation
Documentation is a vital component of the implementation phase of the Nursing Process. During this phase, nurses carry out the interventions outlined in the care plan and meticulously document the care provided, the patient's responses to interventions, and any significant changes in the patient's condition. This documentation ensures continuity of care, provides legal protection, and enables other healthcare providers to stay informed about the patient's status and progress. Effective documentation during the implementation phase supports accurate evaluation and ongoing planning, making it essential for delivering high-quality healthcare.Rate this question:
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- 41.
Validation of patient outcome and goals
- A.
Assessment
- B.
Planning
- C.
Intervention
- D.
Evaluation
Correct Answer
D. EvaluationExplanation
Evaluation comes after intervention and involves assessing the effectiveness of the implemented plan. This step determines whether the interventions are achieving the desired outcomes and goals for the patient. Once the evaluation is complete, adjustments can be made to the plan if necessary to ensure the best possible outcome for the patient.Rate this question:
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- 42.
Evidence based practice
- A.
Past educational knowledge
- B.
Theoretical research
- C.
Expertise of specialists
- D.
Integration of research and clinical experience
Correct Answer
D. Integration of research and clinical experienceExplanation
Integration of research and clinical experience is essential in nursing practice as it bridges the gap between theory and real-world application. This process involves incorporating the latest research findings into daily patient care routines, alongside the practical knowledge gained through hands-on experience. By combining evidence-based research with clinical expertise, nurses can make informed decisions tailored to individual patient needs. This integration ensures that patient care remains up-to-date, effective, and responsive to changing healthcare landscapes, ultimately leading to improved patient outcomes and enhanced quality of care.Rate this question:
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- 43.
Which of the following is not considered a standardized language in nursing?
- A.
NIC
- B.
ANA
- C.
NOC
- D.
NANDA
Correct Answer
B. ANAExplanation
The American Nurses Association (ANA) is not considered a standardized language in nursing. Instead, it is a professional organization that represents the interests of nurses in the United States. NANDA, NIC, and NOC are standardized languages commonly used in nursing practice. NANDA (North American Nursing Diagnosis Association) provides standardized terminology for nursing diagnoses. NIC (Nursing Interventions Classification) offers a standardized framework for nursing interventions. NOC (Nursing Outcomes Classification) provides a standardized system for documenting patient outcomes. These standardized languages help nurses communicate effectively and promote consistency in documentation and care delivery.Rate this question:
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- 44.
Variance
- A.
A research method
- B.
Patient does not achieve expected outcome
- C.
Similar to zoning
- D.
Not the same
Correct Answer
B. Patient does not achieve expected outcomeExplanation
In nursing, variance refers to a situation where a patient does not achieve the expected outcome despite receiving appropriate interventions and care. It indicates a discrepancy between the planned outcome and the actual result. Variances are closely monitored in nursing practice to identify areas for improvement and to adjust the care plan accordingly. They help healthcare providers assess the effectiveness of interventions and make necessary adjustments to optimize patient outcomes. Variances are not related to a research method or concepts like zoning; they specifically address discrepancies in patient outcomes.Rate this question:
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- 45.
Which of the following is not the role of the LPN/LVN in the nursing process?
- A.
Suggest interventions
- B.
Gather further data to confirm problems
- C.
Discuss details of the disease as part of patient education
- D.
Observe and report signficant cues
Correct Answer
C. Discuss details of the disease as part of patient educationExplanation
Discussing details of the disease as part of patient education is not typically within the scope of practice for Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs). LPNs/LVNs primarily assist with patient care tasks, observe and report significant cues to the registered nurse or healthcare team, suggest interventions based on the care plan, and gather further data to confirm problems. Patient education about the disease process is usually conducted by registered nurses or other healthcare professionals who have the necessary expertise and training in patient education and counseling.Rate this question:
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- 46.
Which of the following are functions of managed care? Select all that apply.
- A.
Provides control over health care services
- B.
Standardized diagnosis and treatment
- C.
Control Cost
- D.
Primary resource for patient advocacy
Correct Answer(s)
A. Provides control over health care services
C. Control CostExplanation
Managed care involves various functions aimed at optimizing healthcare delivery and controlling costs. It provides mechanisms to control and coordinate health care services, ensuring that patients receive appropriate and efficient care. Additionally, managed care focuses on controlling costs through strategies such as utilization management, network management, and cost-sharing mechanisms. While managed care may involve aspects of standardizing diagnosis and treatment protocols, it is not its primary function. Similarly, while patient advocacy may be a component of managed care, it is not typically the primary resource for patient advocacy.Rate this question:
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- 47.
Clinical pathway
- A.
Nursing career development plan
- B.
Multidisciplinary action
- C.
A concept map for care plans
- D.
Specific location in a healthcare facility
Correct Answer
C. A concept map for care plansExplanation
A clinical pathway is a structured, multidisciplinary healthcare plan that outlines the sequence of interventions, treatments, and expected outcomes for patients with a particular condition or undergoing a specific procedure. It serves as a guide for healthcare providers to deliver efficient and standardized care. While nursing career development plans, multidisciplinary action, and specific locations in healthcare facilities are relevant concepts, they do not accurately describe a clinical pathway. A concept map for care plans, on the other hand, aligns with the purpose and structure of a clinical pathway by visually organizing information related to patient care.Rate this question:
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- 48.
A reflective reasoning process that guides a nurse in generating, implementing and evaluating approaches for dealing with client care and professional concerns
- A.
Nursing process
- B.
Critical thinking
- C.
Nursing care plan
- D.
Nursing logic
Correct Answer
B. Critical thinkingExplanation
Critical thinking is a reflective reasoning process that guides nurses in generating, implementing, and evaluating approaches for dealing with client care and professional concerns. It involves analyzing information, making informed decisions, and solving problems effectively in the context of nursing practice. Critical thinking enables nurses to assess situations, consider alternative perspectives, and apply evidence-based practices to provide high-quality care. While the nursing process and nursing care plans are essential components of nursing practice, critical thinking underlies these processes, driving nurses to continually assess and improve their decision-making skills. "Nursing logic" is not a recognized term in nursing education or practice.Rate this question:
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May 01, 2024Quiz Edited by
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Mar 06, 2013Quiz Created by
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