Test 4 - Nursing Process, Fundamental Success By Nugent And Vitale, Pp 149-159
Trial Test for Test 4. Nursing Process and Critical Analysis 35 questions
- 1.When two nursing diagnoses appear closely related what should the nurse do first to determine which diagnosis most accurately reflects the needs of the patient?
- A.
Reassess the patient
- B.
Examine the 'related to' factors
- C.
Analyze the 'secondary to' factors
- D.
Review the defining characteristics
- 2.The nurse completes an admission assessment primarily to:
- A.
Diagnose if the patient is at risk for falls
- B.
Ensure that the patient's skin is intact
- C.
Establish a therapeutic relationship
- D.
Identify clusters of data
- 3.Which statement by the patient is an example of subjective data?
- A.
I'm not sure I am going to be able to manage at home by myself
- B.
I can call Home Care Services if I feel I need help at home
- C.
What should I do if I have uncontrollable pain at home?
- D.
A home health aide will help me with my care at home
- 4.Evaluation relates most directly to which aspect of the Nursing Process?
- A.
Goal
- B.
Problem
- C.
Etiology
- D.
Implementation
- 5.What step of the nursing process is being used when the nurse comes to the conclusion that a patient's elevated temperature, pulse, and respiration may be interrelated?
- A.
Implementation
- B.
Assessment
- C.
Evaluation
- D.
Diagnosis
- 6.The most appropriate goal associated with medication is: "The Patient will...."
- A.
Be taught the common side effects of medication
- B.
Have a good understanding of the drugs ordered
- C.
Self-administer medications correctly in 1 week
- D.
Be administered medications as orderd
- 7.When considering the nursing process, "identify" is to recognize as "do" is to....
- A.
Plan
- B.
Evaluate
- C.
Diagnose
- D.
Implement
- 8.Which data collection method is best when assessing for subjective data associated with a patient's anxiety?
- A.
Observing
- B.
Inspecting
- C.
Auscultating
- D.
Interviewing
- 9.Which action reflects an activity associated with the diagnosing step of the Nursing Process?
- A.
Formulating a plan of care
- B.
Identifying the patient's potential risk
- C.
Designing ways to minimize a patient's stressors
- D.
Making decisions about the effectiveness of patient care
- 10.What step of the nursing process is being used when you tell a patient, "you look tired"?
- A.
Diagnosis
- B.
Evaluation
- C.
Assessment
- D.
Implementation
- 11.Which would be an example of an objective data? The patient is...
- A.
Anorexic
- B.
Feels warm
- C.
Ate half of lunch
- D.
Has the urge to void
- 12.Which is an example of subjective data? The patient says...
- A.
I just went to the urinal and it needs to be emptied
- B.
My pain feels like 5 on a scale of 1 to 5
- C.
The doctor said I can go home today
- D.
I only ate half of my breakfast
- 13.During which of the five steps of the Nursing Process are outcomes of care determined to be achieved?
- A.
Implementation
- B.
Evaluation
- C.
Diagnosis
- D.
Planning
- 14.When considering the nursing process, 'observe' is to 'assess' as 'determine' is to....?
- A.
Plan
- B.
Analyze
- C.
Diagnose
- D.
Implement
- 15.An essential concept related to understanding the Nursing Process is that it...
- A.
Is dynamic rather than static
- B.
Focuses on the role of the nurse
- C.
Moves from the single to the complex
- D.
Is based on the patient's medical problem
- 16.Which is the most accurately stated goal? "The patient will...."
- A.
Be taught how to use a urinal while on bed rest
- B.
Experience fewer episodes of incontinence at nigh
- C.
Be assisted to the toilet every two hours and whenever necessary
- D.
Transfer independently and safely to a commode before discharge
- 17.Which word best describes the role of a nurse when identifying and meeting the needs of a patient holistically?
- A.
Teacher
- B.
Advocate
- C.
Counsellor
- D.
Surrogate
- 18.The word most closely related to a scientific principle is....
- A.
Data
- B.
Problem
- C.
Rationale
- D.
Evaluation
- 19.Which part of the Nursing diagnosis most directly related to the concept of a pebble dropped into a pond causing ripples on the surface of a water?
- A.
Defining characteristics
- B.
Outcome criteria
- C.
Etiology
- D.
Goal
- 20.Which would be an example of subjective data?
- A.
Jaundice
- B.
Dizziness
- C.
Diaphoresis
- D.
Hypotension
- 21.The patient comes to the ER complaining of chest pain and dyspnea. When taking the vital signs the nurse is...
- A.
Assessing
- B.
Evaluating
- C.
Diagnosing
- D.
Implementing
- 22.Which statement of the nurse is an inference? The patient is ...
- A.
Hypotensive
- B.
Withdrawn
- C.
Jaundiced
- D.
Oliguric
- 23.What step of the Nursing Process is being used when the Nurse teaches the patient the use of visualization to cope with chronic pain?
- A.
Planning
- B.
Diagnosis
- C.
Evaluation
- D.
Implementation
- 24.Where in the patient's chart would the nurse find documentation of the current medical diagnosis?
- A.
Physician's history and physical
- B.
Social Service record
- C.
Admission Sheet
- D.
Progress Notes
- 25.During which of the five steps in the Nursing Process are data analyzed critically?
- A.
Diagnosing
- B.
Clustering
- C.
Collection
- D.
Assessment
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