Quiz Flashcards
The nurse analyzes a client’s data and identifies client problems during care planning. At which step of the nursing process do these actions occur?
A. Implementation
B. Diagnosis
C. Assessment
D. Evaluation
Diagnosis
The nurse is caring for a postoperative client and is documenting assessment findings. Which assessment finding must be included as subjective data?
A. Verbalizations of pain
B. ECG results
C. Blood pressure
D. Diagnostic test results
A.
The following are the importance of validating data except:
A. ensures that assessment data is complete
B. ensures that objective & related subjective data agree
C. important data may be discarded
D. differentiates between cues & inferences
C.
Which statement is related to the concept that is central to the nursing process?
A. It is dynamic rather than static.
B. It focuses on the role of the nurse.
C. It moves from the simple to the complex.
D. It is based on the patient’s medical problem.
A.
Which action reflects the nursing assessment step of the nursing process?
A. Taking a patient’s urine sample to the laboratory.
B. Scheduling a patient’s fluid intake over 8 hours when the patient has a fluid restriction.
C. Examining a patient for any injury after a patient falls in the bathroom.
D. Giving paracetamol to the patient who has a fever.
C.
Assessment phase is carried out in all phases of the nursing process.
A. True
B. False
A.
The patient is gasping for air and was brought to the hospital. What type of assessment should the nurse utilize upon arrival of the patient in the hospital?
A. Initial assessment
B. Problem-focused assessment
C. Emergency assessment
D. Time-lapsed re-assessment
C.
All of the following are nursing diagnosis except :
A. Ineffective breathing pattern
B. Fever
C. Hypothermia
D. Disturbed body image
B.
- A type of nursing diagnosis that refers to a client problem at the time of assessment
A. Wellness Diagnosis
B. Risk Diagnosis
C. Actual Diagnosis
D. Potential Diagnosis
C.
Which step of the nursing process includes setting short- and long-term goals?
A. Evaluating
B. Planning
c. Diagnosing
D. Implementing
E.Assessing
B. Planning
- When establishing realistic goals, the nurse:
A. Must have the client’s cooperation.
B. Bases the goals on the nurse’s personal knowledge.
C. Knows the resources of the health care facility, family and the
client.
D. Must have a client who is physically and emotionally stable.
C.
The nurse writes a goal statement in measurable terms. An example is;
A. Client will report pain acuity less than 4 on a scale of 0 - 10.
B. Client will have less pain.
C. Client will take pain medication every 4 hours around the clock.
D. Client will be pain free.
A.
- A nurse is revising a client’s care plan. During which step of the nursing process does such a revision take place?
A. Assessment
B. Planning
C. Implementation
D. Evaluation
D.
This step begins after the care plan has been made and is recognized as the step where the nurse performs the interventions to achieve goals.
A. Planning
B. Assessment
C. Diagnosis
D. Implementation
D.
