Test 4 - Nursing Process, Fundamental Success By Nugent And Vitale, Pp 149-159

35 Questions | Total Attempts: 1360

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Fundamentals Of Nursing Quizzes & Trivia

Trial Test for Test 4. Nursing Process and Critical Analysis 35 questions


Questions and Answers
  • 1. 
    • A. 

      Reassess the patient

    • B. 

      Examine the 'related to' factors

    • C. 

      Analyze the 'secondary to' factors

    • D. 

      Review the defining characteristics

  • 2. 
    • 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. 
    • 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. 
    • A. 

      Goal

    • B. 

      Problem

    • C. 

      Etiology

    • D. 

      Implementation

  • 5. 
    • 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. 
    • 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. 
    • 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. 
    • 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. 
    • 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. 
    • A. 

      Physician's history and physical

    • B. 

      Social Service record

    • C. 

      Admission Sheet

    • D. 

      Progress Notes

  • 25. 
    • A. 

      Diagnosing

    • B. 

      Clustering

    • C. 

      Collection

    • D. 

      Assessment

  • 26. 
    Which is a well  designed goal? The patient will...
    • A. 

      Have a lower temperature

    • B. 

      Be given aspirin Gr. X q 8 hrs. PRN

    • C. 

      Be taught how to take an accurate temperature

    • D. 

      Maintain fluid intake sufficient to prevent dehydration

  • 27. 
    During the evaluation phase of the Nursing Process, the Nurse must ...
    • A. 

      Establish outcomes

    • B. 

      Determine priorities

    • C. 

      Take corrective action

    • D. 

      Set the time frames for goals

  • 28. 
    Determining the nursing actions to use takes place in which part of the Nursing Process?
    • A. 

      Implementation

    • B. 

      Assessment

    • C. 

      Diagnosis

    • D. 

      Planning

  • 29. 
    When considering the nursing process, the word "present" is to "future" as "plan" is to....
    • A. 

      Diagnosis

    • B. 

      Implement

    • C. 

      Evaluation

    • D. 

      Assessment

  • 30. 
    The appropriateness of  Nursing Diagnosis is supported by its....
    • A. 

      Defining characteristics

    • B. 

      Planned interventions

    • C. 

      Diagnostic statement

    • D. 

      Related risk factors

  • 31. 
    • A. 

      Build trust and rapport with the patient

    • B. 

      Identify goals and outcomes with the patient

    • C. 

      Collect and organize information about the patient

    • D. 

      Identify and validate the patient's medical diagnosis

  • 32. 
    Which would be an example of an Objective Data?
    • A. 

      Pain of 5 on a 1-10 scale

    • B. 

      Irregular radial pulse

    • C. 

      Shortness of breath

    • D. 

      Dizziness

  • 33. 
    • A. 

      Diagnosis

    • B. 

      Evaluation

    • C. 

      Assessment

    • D. 

      Implementation

  • 34. 
    • A. 

      Related factors

    • B. 

      Diagnostic label

    • C. 

      Medical diagnosis

    • D. 

      Secondary factors

  • 35. 
    Once data is collected, the nurse then....
    • A. 

      Writes a patient-centered goal

    • B. 

      Formulates a nursing diagnosis

    • C. 

      Design a plan of nursing interventions

    • D. 

      Determines the significance of the information