Quiz
MOD. 8 (NURS 200)
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Questions in this quiz (22)
1The nurse decides to seek wound care alternatives for a patient’s ulcer that is not healing after treatment for 2 weeks. In which phase of the nursing process is the nurse functioning?
- ADiagnosis
- BImplementation
- CEvaluation
- DAssessment
2The student is learning the steps of the nursing process. What is the first thing that the student should realize about the purpose of this process?
- ADeliver care to a patient in an organized way.
- BImplement a plan that is close to the medical model.
- CIdentify patient needs and deliver care to meet those needs.
- DMake sure that standardized care is available to patients.
3The nurse is reviewing the nursing process with a first-year nursing student. What should the nurse explain as being the purpose of the diagnosis phase? Select all that apply.
- ADevelop a plan.
- BDevelop a list of problems.
- CIdentify patient strengths.
- DSpecify goals and outcomes.
- EIdentify problems that can be prevented.
4Upon entering a room, a patient and spouse are found crying. The nurse decides to sit with them, offering presence and listening to their fears instead of providing the planned education. Which of the following actions did the nurse perform?
- ADetermining the nurse's need for assistance
- BImplementing nursing intervention
- CSupervising delegated care
- DReassessing the patient
5The nurse provides a back rub to a patient after administering a pain medication with the hope that these two actions will help decrease the patient's pain. Which phase of the nursing process is this nurse implementing?
- AAssessment
- BDiagnosis
- CImplementation
- DEvaluation
6 While conducting a dressing change, the nurse notes a new area of skin breakdown that was caused from the tape used to secure the dressing. In which phase of the nursing process is the nurse working?
- AAssessment
- BDiagnosis
- CImplementation
- DEvaluation
7A patient has the goal statement “Patient will be able to state two positive aspects of rehab therapy by the end of the week.” Which of the following statements demonstrates that the nurse appropriately evaluated this goal?
- Aoal not met, patient able to state one positive aspect by the end of the week.
- BGoal met, patient able to state one positive aspect by the end of the week.
- CGoal met, patient able to state two positive aspects of therapy by week's end.
- DGoal incomplete, patient not able to positively state anything about rehab
8The nurse is reviewing information about the formulation of nursing diagnoses. What should the nurse identify as the area in which nursing diagnoses differ from medical diagnoses and collaborative problems?
- AMental status of the patient
- BChronic nature of the illness
- CNursing care focus
- DPrognosis
9The nurse identifies for a patient the nursing diagnosis “Fluid volume deficit, related to active fluid loss, secondary to diarrhea.” Which of the following would be an appropriate goal statement for this diagnosis?
- APatient will have good skin turgor.
- BPatient will drink more fluids by tomorrow.
- CPatient will have moist mucous membranes.
- DPatient will have intake of at least 1000 mL within 24 hours.
10A patient is diagnosed with pneumonia and has been hospitalized for several days. Which of the following nursing diagnoses should the nurse identify as a priority for this patient?
- AAltered oral mucous membranes, related to dry mouth
- BActivity intolerance, related to oxygen supply imbalance
- CKnowledge deficit, related to medication regimen
- Dineffective airway clearance, related to increased secretions
11The nurse is caring for a patient with Parkinson’s disease who desires to improve fine motor skills. Which of the following statements is an appropriate collaborative intervention for this patient?
- AMake sure lighting and space are adequate for patient.
- BProvide assistance as needed with dressing and grooming.
- CAssess pain and administer medications to improve muscle tone.
- DProvide assistive devices and educate patient to use large handled utensils.
12The nurse has formulated a diagnosis of Activity intolerance related to decreased airway capacity for a patient with chronic asthma. In looking at the patient's coping skills, the nurse realizes that the patient has a vast knowledge about the disease. Why should the nurse utilize this information?
- AThe patient will be more active in the plan.
- BStrengths can be an aid to mobilizing health and the healing process.
- CIt will be easier for the nurse to educate the patient about other interventions.
- DThe nurse won't have to spend time going over the pathology of the patient's disease.
13A patient is admitted for continuing care following a motor vehicle crash. The admitting nurse will develop the initial plan of care, but who will be involved with the ongoing planning of this patient’s care?
- AThe admitting nurse
- BOnly nurses who work with the patient
- CEverybody involved in this patient's care
- DThe patient and the patient's support system
14A patient is demonstrating confusion and is unable to recall the date and time for the nurse. How should the nurse document this data?
- AInference
- BSubjective data
- CObjective data
- DSecondary data
15During an assessment, a patient who is not very talkative appears pale, diaphoretic, and restless in the bed, and says “leave me alone." Which subjective data should the nurse document?
- ARestlessness
- B"Leave me alone"
- CNot talkative
- DPale and diaphoretic
16After an assessment, the nurse reviews the list of patient problems. For which of the following problems should the nurse create nursing diagnoses?
- AThe ones that address other health professionals’ interventions
- BThe ones that focus on the patient’s primary illness
- CThe ones that have standardized care available
- DThe ones that the nurse is licensed to treat
17A patient has been having pain without any clear pathology for cause. Which of the following nursing diagnoses should the nurse identify as the most appropriate for this patient?
- APain due to unknown factors
- BPain related to unknown etiology
- CPain manifested by patient’s report
- DPain caused by psychosomatic condition
18The nurse is reviewing the difference between evaluation and assessment with a new graduate nurse. What should the nurse emphasize as the major difference between these two steps in the nursing process?
- AAssessment is done at the beginning of the process.
- BEvaluation is completed at the end of the process.
- CThey are the same and there is no need to differentiate.
- DThe difference is in how the data are used.
19A nursing diagnosis of Risk for Deficient Fluid Volume related to excessive fluid loss, secondary to diarrhea and vomiting was implemented for a home health patient who began with these symptoms 5 days ago. A goal was that the patient's symptoms would be eliminated within 48 hours. The patient is being seen after a week, and has had no diarrhea or vomiting for the past 5 days. Which of the following actions should the nurse take?
- AKeep the problem on the care plan, in case the symptoms return.
- BDocument that the problem has been resolved and discontinue the care for the problem.
- CAssume that whatever the cause was, the symptoms may return, but document that the goal was met.
- DDocument that the potential problem is being prevented because the symptoms have stopped.
20A discharge goal for a patient is to have improved mobility. Which outcome statement did the nurse write appropriately?
- APatient will not fall.
- BPatient will ambulate freely in house
- CPatient will ambulate without a walker by 6 weeks.
- DPatient will have freer movement in daily activities.
21The nurse has formulated the following diagnosis: Activity intolerance, related to weakness and debilitation, manifested by reports of fatigue after any physical activity. What is the defining characteristic of this label?
- AWeakness and debilitation
- BActivity intolerance
- CReports of fatigue
- DPhysical activity
22While preparing a patient for a procedure, the nurse notes that the patient has become unresponsive and respirations have become shallow. What type of assessment should the nurse complete at this time?
- AInitial assessment
- BEmergency assessment
- CTime-lapsed assessment
- DProblem-focused assessment
Information
- Description
- The Nursing Process
- Author
- Natalie Jenkins
- Language
- English
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