Ch. 5: Nursing Process and Critical Thinking

Question 1

Nursing process

Answer 1

organizational framework for the practice of nursing, problem solving, six phases, ANA Nursing Scope and Standards of Practice

Question 2

Six phases of the nursing process

Answer 2

Assessment, Diagnosis, Outcomes Identification, Planning, Implementation, Evaluation

Question 3

Types of data

Answer 3

Cue, subjective, objective

Question 4

Collecting data is part of the

Answer 4

assessment process

Question 5

Sources of data

Answer 5

primary and secondary sources

Question 6

Methods of data collection

Answer 6

interview, physical exams

Question 7

A nursing diagnosis/patient problem statement

Answer 7

is a type of health problem that can be identified by the nurse

Question 8

Components of patient problem statement

Answer 8

patient’s presenting signs and symptoms
contributing, etiologic (causative), and related factors
defining characteristics

Question 9

Patient problems

Answer 9

may be actual or potential

Question 10

Other types of health problems

Answer 10

collaborative problems, medical diagnosis, differentiating medical and nursing diagnoses

Question 11

Patient-centered goals

Answer 11

indicates the degree of wellness desired, expected, or possible for the patient to achieve
provides a description of the specific, measurable behavior the patient will exhibit in a given time frame

Question 12

Planning

Answer 12

the nurse establishes priorities of care and nursing interventions are chosen that will best address the nursing diagnosis, information is communicated through care plan, the nurse decides what interventions will be effective

Question 13

Priority Setting

Answer 13

nursing diagnoses are ranked in order of importance for the patient’s life and health, physiological needs come before safety and security, safety and security come before love and belonging needs, life- and health-threatening problems are ranked before other types of problems, actual problems may be ranked before risk problems, priorities change as the patient progresses in the hospitalization

Question 14

Nursing Interventions

Answer 14

activities that promote the achievement of the desired patient outcome, classified as physician-prescribed or nurse-prescribed

Question 15

Nursing interventions in manuals and textbooks are often broad, general statements,

Answer 15

it is necessary to convert these into more specific, instructional statements

Question 16

Nursing interventions must be written to

Answer 16

reduce the likelihood of misinterpretation

Question 17

Should include the

Answer 17

subject, action verb, and qualifying details

Question 18

Establishing desired patient outcomes

Answer 18

the nurse predicts the condition of the patient following nursing interventions

Question 19

This prediction is expressed in a statement that indicates the degree of wellness

Answer 19

desired, expected, or possible for the patient to achieve

Question 20

Outcome:

Answer 20

a statement provides a description of the specific, measurable behavior that the patient will be able to exhibit in a given time frame following the intervention

Question 21

Goal:

Answer 21

a statement about the purpose to which an effort is directed

Question 22

Written nursing care plan is the product of

Answer 22

the nursing process

Question 23

What is important to have in order to promote the continuity of patient care?

Answer 23

written guidelines

Question 24

Linear care plan vs concept maps

Answer 24

common components in the educational setting, one of two types of care plans are noted in the educational setting

Question 25

The NANDA-I has formed a relationship with two other groups

Answer 25

Nursing Intervention Classification (NIC) and Nursing Sensitive Outcome Classification (NOC)

Question 26

Role of the practical/vocational nurse

Answer 26

provide direct bedside nursing care, the direct care plan helps the LPN/LVN to closely observe, prioritize, intervene, and evaluate the care provided to and for the patient

Question 27

Managed care

Answer 27

a health care system whose aim is to enhance specific clinical and financial outcomes within a specific time frame

Question 28

Case management

Answer 28

a certified nursing specialty; refers to the assignment of a health care provider to a patient so the care of that patient is overseen by one individual

Question 29

Multidisciplinary plan

Answer 29

that schedules clinical intervention over an anticipated time frame for high-risk, high-volume, high-cost types of cases

Question 30

A multidisciplinary plan includes elements such as

Answer 30

diagnostic tests, treatment, activities, medications, consultations, education, daily outcomes, and discharge planning

Question 31

Variance

Answer 31

patient does not achieve the projected outcome

Question 32

Critical thinkers

Answer 32

think with a purpose, they question information, conclusions, and points of view
are logical and fair in their thinking

Question 33

Implementation

Answer 33

fifth phase of the nursing process, the nurse and other members of the team put the established plan into action to promote outcome achievement

Question 34

Using evidence-based interventions

Answer 34

the plan is implemented in a timely and safe manner

Question 35

Evidence-based practice

Answer 35

nursing research is the evidence based for this

Question 36

What is a primary source of data?

Answer 36

The patient

Question 37

What are the components of a nursing diagnosis?

Answer 37

Nursing diagnosis, title or lablel
Definition of the title or label
Contributing, etiologic, or related factors
Defining characteristics

Question 38

A systematic method by which nurses plan and provide care for patients is known as

Answer 38

nursing process

Question 39

Which type of nursing diagnosis is the following?
“Describes human responses to health conditions/life processes that may develop a vulnerable individual/family/community?

Answer 39

risk

Question 40

A well-written patient-centered goal or desired patient outcome statement:

Answer 40

uses a measurable verb
is specific for the patient and the patient’s problem
is realistic for the patient and the patient’s problem
includes a time frame for the patient’s reevaluation
uses the word patient as the subject of the statement