chapter 12

1. 1The nurse is conducting the diagnosing phase (nursing diagnosis) of the nursing process for a client with a seizure disorder. Which step exists between data analysis and formulating the diagnostic statement?

   1. AAssess the client’s needs.
   2. BDelineate the client’s problems and strengths
   3. CDetermine which interventions are most likely to succeed.
   4. DEstimate the cost of several different approaches
2. 2In the diagnostic statement “Excess Fluid Volume related to decreased venous return as manifested by lower extremity edema (swelling),” the etiology of the problem is which of the following?

   1. AExcess fluid volume
   2. BDecreased venous return
   3. CEdema
   4. DUnknown
3. 3Which of the following nursing diagnoses contains the proper components?

   1. ARisk for Caregiver Role Strain related to unpredictable illness course
   2. BRisk for Falls related to tendency to collapse when having difficulty breathing
   3. CImpaired Communication related to stroke
   4. DSleep Deprivation secondary to fatigue and a noisy environment
4. 4One of the primary advantages of using a three-part diagnostic statement such as the problem–etiology–signs/ symptoms (PES) format includes which of the following?

   1. ADecreases the cost of health care
   2. BImproves communication between nurse and client
   3. CHelps the nurse focus on health and wellness elements
   4. DStandardizes organization of client data
5. 5A collaborative (multidisciplinary) problem is indicated instead of a nursing or medical diagnosis

   1. AIf both medical and nursing interventions are required to
      treat the problem.
   2. BWhen independent nursing actions can be utilized to
      treat the problem.
   3. CIn cases where nursing interventions are the primary
      actions required to treat the problem.
   4. DWhen no medical diagnosis (disease) can be determined.
6. 6In the case in which a client is vulnerable to developing a health problem, the nurse chooses which type of nursing diagnosis status?

   1. AA risk nursing diagnosis
   2. BA wellness nursing diagnosis
   3. CA health promotion nursing diagnosis
   4. DAn actual nursing diagnosis
7. 7Which of the following is true regarding the state of the science in regards to nursing diagnosis?

   1. AThe original taxonomy has proven to be adequate in scope.
   2. BThe organizing framework of the taxonomy is based on the work of Florence Nightingale.
   3. CMore research is needed to validate and refine the diagnostic labels.
   4. DNew diagnostic labels are approved by means of a vote of registered nurses.
8. 8Which of the following would indicate a significant cue when comparing data to standards? Select all that apply.

   1. AThe client has moved partway toward a set goal (e.g., weight loss).
   2. BThe client’s vision is within normal range only when wearing glasses.
   3. CA child is able to control bladder and bowels at age 18 months.
   4. DA woman widowed recently states she is “unable to cry.”
   5. EA 16-year-old high school student reports spending 6 hours doing homework five nights per week.

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Quiz sobre chapter 12, criado por SN15 em 18-04-2015.

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SN15

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