Test
chapter 11
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Preguntas del test (10)
1Which of the following behaviors is most representative of the nursing diagnosis phase of the nursing process?
- AIdentifying major problems or needs
- BOrganizing data in the client’s family history
- CEstablishing short-term and long-term goals
- DAdministering an antibiotic
2Which of the following behaviors would indicate that the nurse was utilizing the assessment phase of the nursing process to provide nursing care?
- AProposes hypotheses
- BGenerates desired outcomes
- CReviews results of laboratory tests
- DDocuments care
3Which of the following elements is best categorized as secondary subjective data?
- AThe nurse measures a weight loss of 10 pounds since
the last clinic visit. - BSpouse states the client has lost all appetite
- CThe nurse palpates edema in lower extremities
- DClient states severe pain when walking up stairs
- AThe nurse measures a weight loss of 10 pounds since
4The nurse wishes to determine the client’s feelings about a recent diagnosis. Which interview question is most likely to elicit this information?
- A“What did the doctor tell you about your diagnosis?”
- B“Are you worried about how the diagnosis will affect you
in the future?” - C“Tell me about your reactions to the diagnosis.”
- D“How is your family responding to the diagnosis?”
5The use of a conceptual or theoretical framework for collecting and organizing assessment data ensures which of the following?
- ACorrelation of the data with other members of the health care team
- BDemonstration of cost-effective care
- CUtilization of creativity and intuition in creating a plan of care
- DCollection of all necessary information for a thorough
appraisal
6Which of the following is the purpose of assessing?
- AEstablish a database of client responses to his or her health status.
- BIdentify client strengths and problems.
- CDevelop an individualized plan of care.
- DImplement care, prevent illness, and promote wellness.
7In the validating activity of the assessing phase of the nursing process, the nurse performs which of the following?
- ACollects subjective data
- BApplies a framework to the collected data
- CConfirms data is complete and accurate
- DRecords data in the client record
8A major characteristic of the nursing process is which of the following?
- AA focus on client needs
- BIts static nature
- CAn emphasis on physiology and illness
- DIts exclusive use by and with nurses
9Which of the following would be true regarding use of the observing method of data collection?
- AWhen observing, the nurse uses only the visual sense.
- BObserving is done only when no other nursing interventions are being performed at the same time
- CData should be gathered as it occurs, rather than in any particular order.
- DObserved data should be interpreted in relation to other sources of collected data
10Which of the following represent effective planning of the interview setting? Select all that apply.
- AKeep the lighting dimmed so as not to stress the client’s eyes.
- BEnsure that no one can overhear the interview conversation.
- CStand near the client’s head while he or she is in the bed or chair.
- DKeep approximately 3 feet from the client during the interview.
- EUse a standard form to be sure all relevant data are covered in the interview.
Información
- Descripción
- asdfas
- Autor
- SN15
- Idioma
- English
- Visitas
- 144
- Etiquetas
- Valoración
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