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- 1. Multiple Choice
Which of the following behaviors would indicate that the nurse was utilizing the assessment phase of the nursing process to provide nursing care?
Proposes hypotheses
Generates desired outcomes
Review results of laboratory tests
Documents care
- 2. Multiple Choice
Which of the following is the purpose of assessing?
Establish a database of client responses to his or her health status
Identify client strengths and problems
Develop an individualized plan of care
Implement care, prevent illness, and promote wellness
- 3. Multiple Choice
The 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?
Assess the client’s needs
Delineate the client’s problems and strengths
Determine which interventions are most likely to succeed.
Estimate the cost of several different approaches
- 4. Multiple Choice
Which of the following nursing diagnoses contains the proper components?
Risk for Caregiver Role Strain related to unpredictable illness course
Risk for Falls related to tendency to collapse when having difficulty breathing
Impaired Communication related to stroke
Sleep Deprivation secondary to fatigue and a noisy environment
- 5. Multiple Choice
Which of the following is likely to occur if a goal statement is poorly written?
There is no standard against which to compare outcomes.
The nursing diagnoses cannot be prioritized.
Only dependent nursing interventions can be used
It is difficult to determine which nursing interventions can be delegated.
- 6. Multiple Choice
Which of the following principles does the nurse use in selecting interventions for the care plan?
Actions should address the etiology of the nursing diagnosis
Always select independent interventions when possible
There is one best intervention for each goal/outcome.
Interventions should be “doing,” not just “monitoring.”
- 7. Multiple Choice
When initiating the implementation phase of the nursing process, the nurse performs which of the following phases first?
Carrying out nursing interventions
Determining the need for assistance
Reassessing the client
Documenting interventions
- 8. Multiple Choice
Which of the following is true regarding the relationship of implementing to the other phases of the nursing process?
The findings from the assessing phase are reconfirmed in the implementing phase.
After implementing, the nurse moves to the diagnosing phase
The nurse’s need for involvement of other health care team members in implementing occurs during the planning phase
Once all interventions have been completed, evaluating can begin.
- 9. Multiple Choice
The primary purpose of the evaluation phase of the care planning process is to determine whether
Desired outcomes have been met
Nursing activities were carried out.
Nursing activities were effective
Client’s condition has changed
- 10. Multiple Choice
Which of the following represents application of the components of evaluating?
Goal achievement must be written as either completely met or unmet.
Data related to expected outcomes must be collected
If the outcome was achieved, conclude that the plan was effective
After determining that the outcome was not met, start over with a new nursing care plan.
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