Medical, Pharmaceutical & Health Sciences
NursingFundamentals NursingNursing Active LearningPractice Set 6
NursingFundamentals NursingNursing Active LearningPractice Set 6Introduction To The Nursing Process
This question bank verified by Studydeets
Questions Bank
- Nursing, Theory, and Professional PracticeValues, Beliefs, and CaringCommunicationCritical Thinking in NursingIntroduction to the Nursing ProcessAssessmentNursing DiagnosisPlanningImplementation and EvaluationDocumentation, Electronic Health Records, and ReportingEthical and Legal ConsiderationsLeadership and ManagementEvidence-Based Practice and Nursing ResearchHealth Literacy and Patient EducationNursing InformaticsHealth and WellnessHuman Development: Conception through AdolescenceHuman Development Young Adult to Older AdultVital SignsHealth History and Physical AssessmentEthnicity and Cultural AssessmentSpiritual HealthPublic Health, Community Base, and Home Health CareHuman SexualitySafetyAsepsis and Infection ControlHygiene and Personal CareActivity, Immobility, and Safe MovementSkin Integrity and Wound CareNutritionCognitive and Sensory AlterationsStress and CopingSleepDiagnostic TestingMedication AdministrationPain ManagementPerioperative Nursing CareOxygenation and Tissue PerfusionFluid, Electrolytes, and Acid-Base BalanceBowel EliminationUrinary EliminationDeath and Loss
Question 1
Free
Multiple Choice
The nursing process is the foundation of professional nursing practice. As such, the nursing process can be defined as:
Choose correct answer/s
The framework that nurses used to provide care.
A complex process during which nurses think about their thinking.
The process that allows nurses to collect essential data.
Thinking like a nurse in developing plans of care.
Check answer
Question 2
Free
Multiple Choice
The term nursing process was first used in 1955. In 1973, the American Nurses Association identified five specific steps of the process. The essential step that was added in 1991 is:
Choose correct answer/s
assessment.
diagnosis.
outcome identification.
evaluation.
Check answer
Question 3
Free
Multiple Choice
The nursing process is cyclic rather than linear. Because of the cyclic nature, as an individual patient's condition changes:
Choose correct answer/s
The nurse's thought processes do not have to vary.
Plans of care are easier to use and do not need modification.
The accuracy and effectiveness of thought processes must be considered.
Reflective thought is not necessary since issues tend to be repetitive.
Check answer
Question 4
Free
Multiple Choice
The charge nurse is discussing a patient's care plan during a team meeting. The team determines that the patient has not met the goal of "ambulating to the nurse's station twice a day" and decides to revise the plan. Which of the following characteristics of the nursing process most represents this decision?
Choose correct answer/s
Organization
Dynamics
Adaptability
Outcome orientation
Check answer
Question 5
Free
Multiple Choice
The nurse is caring for a patient who will be discharged home following surgical repair of a broken shoulder. The patient tells the nurse, "I don't have anyone at home who can help me cook my meals. Is there something you can do?" Demonstrating the adaptability of the nursing process, the nurse should:
Choose correct answer/s
adjust the patient's care plan so that nursing goals can be met.
consult the care provider about extending the patient's hospitalization.
abandon the plan of care as not able to be done.
contact the social worker about community services.
Check answer
Question 6
Multiple Choice
The community health nurse is applying the nursing process to the care of patients with coronary artery disease. The nurse determines that most of the patients eat high-fat meals from the local fast-food restaurant and plans a nutrition workshop. The nurse is applying the nursing process characteristic of:
Choose correct answer/s
organization.
dynamics.
adaptability.
collaboration.
To unlock the question
Question 7
Multiple Choice
The nursing student is caring for a patient admitted with severe anemia. The patient receives two units of packed red blood cells and tells the student, "I am feeling so much better. I'm not so tired anymore and can bathe myself." The student reviews the patient goal "report an increase in activity tolerance" and concludes that the patient's goal has been met and adjusts the patient's plan of care. This is an example of nursing process:
Choose correct answer/s
organization.
dynamics.
adaptability.
collaboration.
To unlock the question
Question 8
Multiple Choice
The nurse is completing the health history on a patient admitted for cardiac rehabilitation. The health history is conducted in which step of the nursing process?
Choose correct answer/s
Assessment
Diagnosis
Implementation
Evaluation
To unlock the question
Question 9
Multiple Choice
The nurse is assisting a patient to bed when the patient says, "My chest hurts and my left arm feels numb. What's wrong with me?" What is the type and source of data obtained from the patient's complaint?
Choose correct answer/s
Objective data from a primary source
Objective data from a secondary source
Subjective data from a primary source
Subjective data from a secondary source
To unlock the question
Question 10
Multiple Choice
Which of the following is a correctly written nursing diagnosis appropriate for a patient's plan of care?
Choose correct answer/s
Ineffective airway clearance related to excessive secretions as evidenced by diminished breath sounds.
Imbalanced nutrition: less than body requirements.
Impaired physical mobility related to contractures.
Risk for suffocation related to smoking in bed as evidenced by absent breath sounds.
To unlock the question
Question 11
Multiple Choice
The nurse is admitting a patient experiencing chest discomfort and shortness of breath. The patient also has a history of stroke. The nurse documents the nursing diagnosis "Risk for stroke related to history of stroke." The risk factor for this patient is:
Choose correct answer/s
stroke.
history of stroke.
chest discomfort.
shortness of breath.
To unlock the question
Question 12
Multiple Choice
A patient with a congenital heart defect is admitted for further testing. The nurse observes the patient has increased shortness of breath and is restless. The nurse is demonstrating which phase of the nursing process?
Choose correct answer/s
Assessment
Planning
Implementation
Evaluation
To unlock the question
Question 13
Multiple Choice
During a patient's bath, the nurse observes the patient having a tonic clonic seizure. The nurse immediately turns the patient to a side-lying position. The nurse is demonstrating which phase of the nursing process?
Choose correct answer/s
Assessment
Planning
Implementation
Evaluation
To unlock the question
Question 14
Multiple Choice
The nurse is caring for a patient diagnosed with Lyme disease. The patient tells the nurse, "My heart seems to be skipping some beats. My doctor told me to let the nurse know if this happens since it might be a complication of my disease." The nurse auscultates the heart and confirms the palpitations. Which step of the nursing process does the nurse's action demonstrate?
Choose correct answer/s
Assessment
Planning
Implementation
Evaluation
To unlock the question
Question 15
Multiple Choice
In which step of the nursing process does the nurse prioritize the nursing diagnoses and identify interventions to address the patient goals?
Choose correct answer/s
Assessment
Planning
Implementation
Evaluation
To unlock the question
Question 16
Multiple Choice
The nurse writes a short-term goal for a patient scheduled for surgery in the morning. The goal that contains all of the necessary elements is:
Choose correct answer/s
The patient will walk to the bathroom within 48 hours after surgery.
The patient will walk to the bathroom without experiencing shortness of breath within 48 hours after surgery.
The patient will walk to the bathroom without experiencing shortness of breath.
The patient will walk to the bathroom without experiencing shortness of breath after surgery.
To unlock the question
Question 17
Multiple Choice
A new community health nurse observes that a patient has generalized itching and a red rash after touching a latex glove. The nurse asks the manager if there is a document written by the physician for this type of reaction. The nurse is referring to a:
Choose correct answer/s
protocol.
clinical pathway.
standing order.
care map.
To unlock the question
Question 18
Multiple Choice
All nursing interventions that are implemented for patients must be documented or charted. Proper documentation of interventions:
Choose correct answer/s
facilitates communication with all members of the health care team.
are only considered "legal" if documented in the paper chart.
leads to errors of omission and repetition of care.
does not directly measure goal achievement or outcomes.
To unlock the question
Question 19
Multiple Choice
The nurse makes the following entry on the patient's care plan: "Goal not met. Patient refuses to walk and states, 'I'm afraid of falling.'" The nurse should:
Choose correct answer/s
ignore the patient's concern in evaluating goal attainment.
document the patient's unwillingness to continue the plan of care.
continue the plan of care as originally agreed upon.
modify the care plan in response to the patient's condition and wishes.
To unlock the question
Question 20
Multiple Choice
The nurse is demonstrating how to correctly perform deep breathing and coughing exercises to a patient scheduled for back surgery. Which step of the nursing process is the nurse addressing?
Choose correct answer/s
Assessment
Diagnosis
Implementation
Evaluation
To unlock the question