Skills For Nursing I: The Fundamentals Trial

1. The primary purpose of the evaluation phase of the nursing process is to assess if planned outcomes were met.

True

False

The primary purpose of the evaluation phase of the nursing process is to assess if planned outcomes were met.

Explanation

The primary purpose of the evaluation phase of the nursing process is to assess if planned outcomes were met.

2. Accurate documentation is an essential part of a nurse's work. The most important rule to consider when documenting is:

Write legibly from memory

Erase false entries

Record entries in consecutive and chronological order

Use abbreviations

When recording entries into documentation, your work must be legible, may contain abbreviations, any false entries must be crossed out and signed by you, however the most important point is to record entries in consecutive and chronological order.

Explanation

When recording entries into documentation, your work must be legible, may contain abbreviations, any false entries must be crossed out and signed by you, however the most important point is to record entries in consecutive and chronological order.

3. The most at risk body part when you are lifting incorrectly is:

Your neck

Your back

Your legs

Your arms

Your back is the most at risk body part when lifting a patient incorrectly

Explanation

Your back is the most at risk body part when lifting a patient incorrectly

4. Which of the following is classified as objective data?

Pain in the left leg

Blood pressure

Fear of surgery

Discomfort on breathing

Objective data is measurable, quantifiable, and observable by other than the patient experiencing the problem

Explanation

Objective data is measurable, quantifiable, and observable by other than the patient experiencing the problem

5. Check the answer you think is the most likely example of the evaluation stage of the nursing process:

The nurse takes observations of vital signs four hourly.

The nurse revises the care plan and notes that the patient can now feed himself.

The nurse asks the physiotherapist to visit the patient daily.

The nurse discusses with the patient's family, his needs for discharge

In the evaluation stage of the nursing process, the nurse assesses the patient's response to the care provided and determines if the goals have been achieved. In this scenario, the nurse revises the care plan and notes that the patient can now feed himself. This indicates that the nurse is evaluating the effectiveness of the care plan and determining if the patient's condition has improved.

Explanation

In the evaluation stage of the nursing process, the nurse assesses the patient's response to the care provided and determines if the goals have been achieved. In this scenario, the nurse revises the care plan and notes that the patient can now feed himself. This indicates that the nurse is evaluating the effectiveness of the care plan and determining if the patient's condition has improved.

6. Identify in which step of the nursing process you prioritize your diagnoses, work out what goals you have and which nursing interventions are the most appropriate.

Assessment

Planning

Implementation

Evaluation

In the Planning stage of the nursing process you prioritize the nursing diagnoses in order of importance, and work out what goals you have and which nursing interventions are the most appropriate.

Explanation

In the Planning stage of the nursing process you prioritize the nursing diagnoses in order of importance, and work out what goals you have and which nursing interventions are the most appropriate.

7. A nursing diagnosis evaluates the aetiology of disease

True

False.

A nursing diagnosis identifies the actual or potential patient concern or need that nurses need to attend to

Explanation

A nursing diagnosis identifies the actual or potential patient concern or need that nurses need to attend to

8. Check the answer you think is correct:A client has his urine tested for a possible infection. The nurse wears non-sterile gloves for this procedure because (S)he:

Is observing standard precautions

Needs to ensure the urine remains sterile

Needs to measure the urine

Needs to ensure their hands do not become the portal of entry

The nurse is observing standard precautions because (s)he is handling body fluids.

Explanation

The nurse is observing standard precautions because (s)he is handling body fluids.

9. By covering a wound infected with MRSA; what link in the chain of infection is broken?

Portal of exit

Infectious agent

Portal of entry

Susceptible host

By covering a wound infected with MRSA, the link in the chain of infection broken is the Portal of exit.

Explanation

By covering a wound infected with MRSA, the link in the chain of infection broken is the Portal of exit.

10. Fill in the blank: The most important technique for preventing and controlling infection is.................................................................

Handwashing is the single most important technique for preventing and controlling infection

Explanation

Handwashing is the single most important technique for preventing and controlling infection

Submit