Chapter 17: critical thinking

1. 1Review the following nursing diagnoses and identify the diagnoses that are stated correctly. (Select all that apply.)

   1. AAnxiety related to fear of dying
   2. BFatigue related to chronic emphysema
   3. CNeed for mouth care related to inflamed mucosa
   4. DRisk for infection
2. 2A nurse reviews data gathered regarding a patient’s pain symptoms. The nurse compares the defining characteristics for acute pain with those for chronic pain and in the end selects acute pain as the correct diagnosis. This is an example of the nurse avoiding an error in:

   1. AData collection.
   2. BData clustering.
   3. CData interpretation.
   4. DMaking a diagnostic statement.
3. 3The nursing diagnosis readiness for enhanced communication is an example of a(n):

   1. ARisk nursing diagnosis.
   2. BActual nursing diagnosis.
   3. CHealth promotion nursing diagnosis
   4. DWellness nursing diagnosis.
4. 4In the following examples, which nurses are making nursing diagnostic errors? (Select all that apply.)

   1. AThe nurse who listens to lung sounds after a patient reports “difficulty breathing”
   2. BThe nurse who considers conflicting cues in deciding which diagnostic label to choose
   3. CThe nurse assessing the edema in a patient’s lower leg who is unsure how to assess the severity of edema
   4. DThe nurse who identifies a diagnosis on the basis of a single defining characteristic
5. 5A nurse is reviewing a patient’s list of nursing diagnoses in the medical record. The most recent nursing diagnosis is diarrhea related to intestinal colitis. This is an incorrectly stated diagnostic statement, best described as:

   1. AIdentifying the clinical sign instead of an etiology.
   2. BIdentifying a diagnosis based on prejudicial judgment.
   3. CIdentifying the diagnostic study rather than a problem caused by the diagnostic study.
   4. DIdentifying the medical diagnosis instead of the patient’s response to the diagnosis.
6. 6Review the following list of nursing diagnoses and identify those stated incorrectly. (Select all that apply.)

   1. AAcute pain related to lumbar disk repair
   2. BSleep deprivation related to difficulty falling asleep
   3. CConstipation related to inadequate intake of liquids
   4. DPotential nausea related to nasogastric tube insertion
7. 7The nurse completed the following assessment: 63-year-old female patient has had abdominal pain for 6 days. She reports not having a bowel movement for 4 days, whereas she normally has a bowel movement every 2 to 3 days. She has not been hospitalized in the past. Her abdomen is distended. She reports being anxious about upcoming tests. Her temperature was 37° C, pulse 82 and regular, blood pressure 128/72. Which of the following data form a cluster, showing a relevant pattern? (Select all that apply.)

   1. AVital sign results
   2. BAbdominal distention
   3. CAge of patient
   4. DChange in bowel elimination pattern
   5. EAbdominal pain
   6. FNo past history of hospitalization
8. 8The nurse in a geriatric clinic collects the following information from an 82-year-old patient and her daughter, the family caregiver. The daughter explains that the patient is “always getting lost.” The patient sits in the chair but gets up frequently and paces back and forth in the examination room. The daughter says, “I just don’t know what to do because I worry she will fall or hurt herself.” The daughter states that, when she took her mother to the store, they became separated, and the mother couldn’t find the front entrance. The daughter works part time and has no one to help watch her mother. Which of the data form a cluster, showing a relevant pattern? (Select all that apply.)

   1. ADaughter’s concern of mother’s risk for injury
   2. BPacing
   3. CPatient getting lost easily
   4. DDaughter working part time
   5. EGetting up frequently
9. 9Which of the following are examples of collaborative problems? (Select all that apply.)

   1. ANausea
   2. BHemorrhage
   3. CWound infection
   4. DFear
10. 10Two nurses are having a discussion at the nurses’ station. One nurse is a new graduate who added, “Patient needs improved bowel function related to constipation” to a patient’s care plan. The nurse’s colleague, the charge nurse says, “I think your diagnosis is possibly worded incorrectly. Let’s go over it together.” A correctly worded diagnostic statement is:

    1. ANeed for improved bowel function related to change in diet.
    2. BPatient needs improved bowel function related to alteration in elimination
    3. CConstipation related to inadequate fluid intake.
    4. DConstipation related to hard infrequent stools

11. 11The following nursing diagnoses all apply to one patient. As the nurse adds these diagnoses to the care plan, which diagnoses will not include defining characteristics?

    1. ARisk for aspiration
    2. BAcute confusion
    3. CReadiness for enhanced coping
    4. DSedentary lifestyle

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Test sobre Chapter 17: critical thinking , creado por Brittany Gunn el 14/07/2015.

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Brittany Gunn

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