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NURSING PROCESS
MISCELLANEOUS #1
NURSING DIAGNOSIS
GENERAL QUESTIONS
MISCELLANEOUS #2
100
Select the best phrase that explains the assessment phase of the nursing process. A. What is the desired patient health status? B. Getting the Facts C. What is the patient’s present health status? What is contributing to it? D. Doing, Delegating, Documenting
What is (B. Getting the Facts)
100
* Nurse variables of: Unrealistic outcomes written Insufficient specificity in outcome Untimely evaluation of interventions Lack of timely plan of care revisions * Patient variables of: Patient noncompliance Patient passivity Patient lack of knowledge Are all considered what? Patient lack of motivation
What are factors that could prevent the attainment of outcomes.
100
The following are considered what? Improved breathing Adequate pain control Improved skin integrity Fluid balance Adequate caloric intake Improved mobility Decreased loneliness
What are patient (general) outcomes.
100
A new graduate nurse is assisting a client in a nursing home setting. The nurse is opening up the windows to allow direct sunlight in to the client’s room. The nurse reflects on the contributions of Florence Nightingale and recalls which of the following as her major concepts. Select all that apply. a. Environment b. Proper Ventilation c. Sunlight d. Cleanliness e. Quiet Time f. Diet
What is (All of the above)
100
Tell whether the following statement is true or false. A patient rates his pain as a “7” on a pain rating scale. This rating is considered to be objective data. A. True B. False
What is B. False A patient rates his pain as a “7” on a pain rating scale. This rating is considered to be subjective data.
200
What are the activities of the diagnosis phase? A. Carry out the plan of action B. Choose desired patient outcomes C. Identify patient health status D. Collect and organize data
What is (C. Identify patient health status)
200
True or False- Standards are the levels of performance accepted and expected by the nursing staff or other health team members.
What is true.
200
The following terms are considered what? Goals not met Goals partially met Goals met
What are plan of care revisions available to nurses.
200
A nurse is planning her day understanding that quality and safety are important. What does KSA stand for and how does it relate to QSEN?
What is Knowledge, skills and attitudes http://qsen.org/competencies/pre-licensure-ksas/DEFINITIONS AND PRE-LICENSURE KSAS Patient-centered Care Teamwork and Collaboration Evidence-based Practice (EBP) Quality Improvement (QI) Safety Informatics
200
True or False: A focused assessment is conducted to gather data about a specific problem that has already been identified.
What is (true)
300
Match the part of the nursing process with the activities performed. What are the activities of the evaluation phase? A. Collect and organize data B. Carry out the plan of action C. Choose desired patient outcomes D. Determine if the plan was effective
What is (D. Determine if the plan was effective)
300
____________________ orders empower the nurse to initiate actions that ordinarily require the order or supervision of a physician. A. Process B. Standing C. Collaborative d. Interventions
What is B. Standing.
300
Which of the following nursing diagnoses would most likely be considered a high priority? A. Disturbed personal identity B. Impaired gas exchange C. Risk for powerlessness D. Activity intolerance
What is B. Impaired gas exchange
300
Select the best activity for the planning outcomes and interventions phase A. Collect and organize data B. Carry out the plan of action C. Determine if the plan was effective D. Choose desired patient outcomes/nursing interventions
What is D. Choose desired patient outcomes/nursing interventions
300
A hospital nurse works collaboratively with a physician, social worker, physical therapist, and home healthcare nurse to provide nursing care for a patient following a MVA. What should be the central focus of this care? A. The nurses B. The physician C. The nursing care plan D. The patient E. The physical therapist
What is D. The patient Rationale: The central focus in all definitions of nursing is the patient (person receiving care) and includes the physical, emotional, social, and spiritual dimensions of that person. Nursing is no longer considered to be concerned primarily with illness care.
400
Which of the following is the correct order of the nursing process? A. Evaluation, Diagnosis, Assessment, Planning Outcomes/Interventions, Implementation B. Assessment, Diagnosis, Planning Outcomes/Interventions, Implementation, Evaluation C. Diagnosis, Assessment, Evaluation, Implementation, Planning Outcomes/Interventions D. Assessment, Diagnosis, Implementation. Planning Outcomes/Interventions, Evaluation
What is B- Assessment, Diagnosis, Planning Outcomes/Interventions, Implementation, Evaluation)
400
1. True or False. Carrying out a physician-initiated order is an example of dependent nursing action.
What is true
400
Fill in the blank ANA’ Nursing policy statement Nursing is the diagnosis and treatment of ____responses to actual or potential health problems. A. Human B. Household C. Healthy D. Harmful
What is A. Human
400
Which step of the nursing process is a nurse using when she analyzes patient data to determine her patient’s strengths following a CVA? A. Assessing B. Diagnosing C. Planning D. Implementing E. Evaluating
What is B. Diagnosing Rationale: The diagnosing step involves analyzing patient data to determine strengths and weaknesses. The assessing step refers to the collection, validation, and communication of patient data. In the planning step, the nurse determines patient outcomes and related nursing interventions, and in the Implementing step, the nurse carries out the plan. When evaluating, the nurse measures the extent to which the patient achieved outcomes
400
Which one of the following establishes criteria for the education and licensure of nurses? A. Nursing process B. Nurse practice acts C. ANA standards of nursing practice D. National League for Nursing
What is B. Nurse practice acts Rationale: Nurse practice acts regulate the practice of nursing including education and licensure. Nursing process is a guideline for nursing practice enabling nurses to implement their roles. ANA standards of nursing practice protect and allow nurses to carry out professional roles. The National League of Nursing fosters the development and improvement of nursing services.
500
Select the best phrase that explains the implementation phase of the nursing process A. Did it work? B. Doing, Delegating and Documenting C. How can you help achieve the desired outcomes D. What is the desired patient health status
What is B. Doing, delegating and documenting
500
What does QSEN stand for and why is it important?
What is Quality and Safety in Education of Nurses. www.qsen.org
500
What does NANDA Stand for and why is it important?
What is North American Nursing Diagnosis Association provides a standardized language for Nursing Diagnosis.
500
Which one of the following nursing actions would most likely occur during the ongoing planning stage of the comprehensive care plan? A. The nurse collects new data and uses them to update the plan and resolve health problems. B. The nurse uses teaching and counseling skills to help the patient carry out self-care behaviors at home. C. The nurse who performs the admission nursing history develops a patient care plan. D. The nurse consults standardized care plans to identify nursing diagnoses, outcomes, and interventions.
What is A. The nurse collects new data and uses them to update the plan and resolve health problem. Rationale: In the ongoing planning stage, any nurse who interacts with the patient updates the plan to facilitate the resolution of health problems, manage risk factors, and promote function. Teaching and counseling are the key to discharge planning. The nurse performing the admission nursing history consults standardized care plans during initial planning to formulate the initial care plan.
500
Which of the following is the central theme in theoretical frameworks of nursing? A. The person receiving the care B. The healthcare environment C. The nursing plan of care D. The person providing the care
What is A. The person receiving the care Rationale: Theoretical frameworks of nursing provide a focus for nursing care activities. The person receiving care is the central theme, but the way each theorist defines that person, the environment, health, and nursing gives a unique focus, specific to a particular theory.