| Question 1 | Points: 2.00 |
| Discuss the five realms to address to complete a thorough assessment. |
| Question 2 | Points: 2.00 |
| State the three distinct phases of the interview process |
| Question 3 | Points: 2.00 |
| : What are the five elements that make up the nursing process, and what nursing actions are needed for each? |
| Question 4 | Points: 1.00 |
| The process of ensuring the accuracy of assessment data |
| Question 5 | Points: 1.00 |
| The product of the clustering of cues and data |
| Question 6 | Points: 1.00 |
| Etiology. |
| Question 7 | Points: 1.00 |
| Makes a goal measurable. |
| Question 8 | Points: 1.00 |
| The idea that an outcome can be consistently evaluated. |
| Question 9 | Points: 1.00 |
| The phase of the nursing process that involves establishing goals, outcomes, and interventions. |
| Question 10 | Points: 1.00 |
| There are three parts to the nursing diagnosis for this type of problem. |
| Question 11 | Points: 1.00 |
| A problem that is likely to develop. |
| Question 12 | Points: 1.00 |
| Problems that require a multidisciplinary approach. |
| Question 13 | Points: 1.00 |
| Statements about strengths. |
| Question 14 | Points: 1.00 |
| A list of standard nursing diagnoses |
| Question 15 | Points: 1.00 |
| This step follows the prioritization of nursing diagnoses. |
| Question 16 | Points: 1.00 |
| The collection of objective and subjective data. |
| Question 17 | Points: 1.00 |
| A series of complex, purposeful steps in planning care. |
| Question 18 | Points: 1.00 |
| Medical Diagnosis is a Health issue that can be prevented, reduced, resolved, or enhanced through independent nursing measures |
| True | ||
| False |
| Question 19 | Points: 1.00 |
| THREE-PART NURSING DIAGNOSIS includes a Problem + Etiology + S/S |
| True | ||
| False | ||
| Question 20 | Points: 1.00 |
| Through the nursing process nurses can apply the knowledge, experience, judgment, and skills, as well as established standards of nursing practice to the formulation of a plan of nursing care. |
| True | ||
| False |
| Question 21 | Points: 1.00 |
| This process is the framework for the practice of nursing. |
| Question 22 | Points: 1.00 |
| The assessment process is best described as a process in which the nurse _________________. |
| Question 23 | Points: 1.00 |
| A nurse is admitting a patient who is confused and lethargic at times. The patient’s family is at the bedside. The nurse obtains information from the family regarding the patient. This type of data is considered: |
| Question 24 | Points: 1.00 |
| Components of the nursing diagnosis consist of the following: |
| Question 25 | Points: 1.00 |
| A “possible” nursing diagnosis is utilized when: |
| Question 26 | Points: 1.00 |
| Nursing diagnoses are ranked in order of priority of the patient’s health and safety issues. Which of the following nursing diagnoses would be of highest priority? |
| Question 27 | Points: 1.00 |
| Nursing interventions are: |
| Question 28 | Points: 1.00 |
| Clinical pathways are a _____________ plan that schedules clinical interventions over an anticipated time frame. |
| Question 29 | Points: 1.00 |
| During the evaluation phase the nurse should make one of three judgments regarding the desired outcome. These judgments regarding the outcome are: |
| Question 30 | Points: 1.00 |
| Case management is the assignment of a health care provider to a patient so the care of that patient is overseen by one individual. This individual typically is a(n): |
| Question 31 | Points: 1.00 |
| A formal plan of care for common and predictable problems. |
| Question 32 | Points: 1.00 |
| What term best describes the nature of the nursing process? |
| Question 33 | Points: 1.00 |
| A disoriented patient is admitted to the hospital accompanied by his spouse. From whom should the nurse collect subjective data on this patient? |
| Question 34 | Points: 1.00 |
| Prior to identifying accurate nursing diagnoses, what action must be taken by the nurse? |
| Question 35 | Points: 1.00 |
| A nurse admits a 5-year-old female to the postanesthesia unit following a tonsillectomy. The child is crying. What should be the nurse’s first action? |
| Question 36 | Points: 1.00 |
| Which statement is a correctly written example of an actual nursing diagnosis? |
| Question 37 | Points: 1.00 |
| Which long-term goal is written correctly? “ |
| Question 38 | Points: 1.00 |
| Which body is responsible for defining and disseminating information on nursing diagnoses? |
| Question 39 | Points: 1.00 |
| The statement “ongoing collection of data” best describes which phase of the nursing process? |
| Question 40 | Points: 1.00 |
| Which statement illustrates the most measurable outcome indicator? |
| Scroll to the bottom of the te |
NANDA-I
Validation
NANDA-I
Outcomes process
Management process
Nursing process
Assessment process
orients the patient to the environmen
Assessment
collects information and analyzes da
collects data and reports data to the
collects subjective data and reports
objective.
subjective.
primary.
secondary
title, definition of the title, related facto
medical label, risk factors, and chara
nursing interventions, evaluation, and
Goal setting
label, definition of the problem, and o
there is no other option.
a problem is feasible
a problem arises and there is a poss
there are no problems or complicatio
Deficient knowledge related to disea
Ineffective breathing pattern related t
Impaired skin integrity related to imm
Ineffective coping mechanisms relat
broad and general statements.
steps to complete the evaluation pro
nurse selected or prescribed actions
part of the nursing diagnosis.
concise
collaborative
measured
multidisciplinary
managed, timely, or accurate.
accurate, concise, or patient-centere
achieved, not achieved, or partially a
reasonable, timely, or achieved.
nurse.
physician
insurance agent.
Cause
nurse practitioner.
Static
Linear
Dynamic
Predictable
An experienced nurse on the unit
The patient
’
s medical record
Nursing diagnosis
The patient
’
s wife
His physician
Reading the patient
’
s history
Setting realistic, measurable goals
Comparing evidence-based practice
Clustering related patient data
Tell the child that if she stops crying,
Check to see what pain medication i
Notify the surgeon of the child
’
s post
Assess the child to determine why sh
Impaired memory related to patient c
Risk for injury related to stumbling wh
Activity intolerance related to imbala
Ineffective health maintenance as ev
Patient will remain afebrile throughou
Patient will return to professional spo
Nurse will prevent bone infection thro
Patient will demonstrate accurate us
North American Nursing Diagnosis A
International and American Nurses A
Individual State Boards of Nursing
The Joint Commission
Evaluation
Implementation
Demonstrates dressing change
Shares innermost thoughts
Understands instructions
Shows personal remorse
Collaborative problem
Outcome
Measurability
Planning
Wellness diagnosis
Actual problem
Potential problem
The nursing process
Critical pathway
Collaborative problem
