Nursing Process

Question 1

What is the purpose of care planning in nursing?

Answer 1

To identify a patient’s problems and select interventions that will help solve or minimize those problems

Care plans are the written records of the care planning process.

Question 2

What distinguishes care planning from care plans?

Answer 2

Care planning is the action, while care plans are a record of action.

Question 3

What is the core tenet of the nursing process?

Answer 3

It looks first at the patient and then reflects on the care required.

Question 4

What are the steps involved in the nursing process?

Answer 4

Assessment, nursing diagnosis, planning, implementation, evaluation

The process is cyclical with interrelated, interdependent, and recurrent steps.

Question 5

What skills are essential for nursing assessment?

Answer 5

Observation and interviewing.

Question 6

What two aspects does observation in nursing include?

Answer 6

Noticing the data and selecting, organizing, and interpreting the data.

Question 7

What is nursing diagnosis?

Answer 7

A clinical judgment about individual, family, or community responses to actual or potential health problems/life processes.

Question 8

What does nursing diagnosis provide for nursing interventions?

Answer 8

The basis for selection of nursing interventions to achieve outcomes for which the nurse is accountable.

Question 9

What are the goals of nursing diagnosis?

Answer 9

• Identify client strengths
• Identify health problems that can be prevented or resolved
• Develop a list of nursing and collaborative problems

Question 10

What are the three phases of nursing planning?

Answer 10

• Initial
• Ongoing
• Discharge

Question 11

What are the four critical elements of planning in nursing?

Answer 11

• Establishing priorities
• Setting goals and developing expected outcomes
• Planning nursing interventions
• Documenting

Question 12

What is a goal in the context of nursing planning?

Answer 12

A broad or globally written statement describing the intended change in the client’s behavior, response, or outcome.

Question 13

What is an expected outcome in nursing?

Answer 13

A detailed, specific statement that describes the methods through which the goal will be achieved.

Question 14

What does the implementation phase of the nursing process involve?

Answer 14

Doing and documenting the activities that are the specific nursing actions needed to carry out the interventions.

Question 15

What is evaluated during the evaluation phase of the nursing process?

Answer 15

The effectiveness of nursing care to meet client goals based on the client’s behavioral responses.

Question 16

What are the characteristics of the nursing process?

Answer 16

• Cyclic and dynamic nature
• Client centeredness
• Focus on problem-solving and decision-making
• Interpersonal and collaborative style
• Universal applicability
• Use of critical thinking

Question 17

What is critical thinking in nursing?

Answer 17

A process in which information is gathered, sifted, synthesized, and evaluated to understand a subject or issue.

Question 18

Fill in the blank: The acronym used to recap the nursing process is _______.

Answer 18

ANPIE

Question 19

During which step of the nursing process does the nurse identify a patient’s responses to health problems?

Answer 19

Assessing

Question 20

A nurse revises a client’s care plan during which step of the nursing process?

Answer 20

Planning

Question 21

What nursing diagnosis takes highest priority for a patient who received general anesthesia?

Answer 21

Risk for aspiration R/T anesthesia

Question 22

The primary purpose of an admission assessment is to identify _______.

Answer 22

Important data

Question 23

What is an appropriate nursing diagnosis for a patient with excessively dry skin and thirst?

Answer 23

Potential for impaired skin integrity R/T dehydration

Question 24

What is the most important nursing intervention for correcting skin dryness?

Answer 24

Encourage the patient to increase fluid intake, use nonirritating soap, and apply lotion to involved areas.

Question 25

Once a nurse assesses a client’s condition, what is developed next?

Answer 25

A plan for nursing care.

Question 26

Planning in nursing involves establishing _______.

Answer 26

Client-centered goals and expected outcomes.

Question 27

For clients to participate in goal setting, they should be _______.

Answer 27

Alert and have some degree of independence.

Question 28

As goals and interventions are developed, the nurse must be aware of _______.

Answer 28

Accepted standards of practice from nursing and other disciplines.