Question 1

Which statement related to the nurse prioritizing patient problems is most accurate?

Accepted Answer

A) Nurses must resolve one problem before addressing another problem. 
B) Nurses prioritize problems in the order of problem urgency. 
C) Nurses give priority to actual problems instead of risk problems. 
D) Nurses give the highest priority to problems most important to the patient. 
A) Nurses must resolve one problem before addressing another problem. 
B) Nurses prioritize problems in the order of problem urgency. 
C) Nurses give priority to actual problems instead of risk problems. 
D) Nurses give the highest priority to problems most important to the patient.

Question 2

The nurse is formulating a nursing diagnosis for a patient. Which definition most accurately describes nursing diagnoses?

Accepted Answer

A) Supports the nurse's diagnostic reasoning 
B) Supports the client's medical diagnosis 
C) Identifies a client's response to a health problem 
D) Identifies a client's health problem 
A) Supports the nurse's diagnostic reasoning 
B) Supports the client's medical diagnosis 
C) Identifies a client's response to a health problem 
D) Identifies a client's health problem

Question 3

Which of the following is an example of what the nurse recognizes as a cluster of related cues?

Accepted Answer

A) Complains of nausea and stomach pain after eating 
B) Has a productive cough and states stools are loose 
C) Has a daily bowel movement and eats a high-fiber diet 
D) Has a respiratory rate of 20 breaths/min, heart rate of 85 beats/min, and blood pressure of 136/84 mm Hg 
A) Complains of nausea and stomach pain after eating 
B) Has a productive cough and states stools are loose 
C) Has a daily bowel movement and eats a high-fiber diet 
D) Has a respiratory rate of 20 breaths/min, heart rate of 85 beats/min, and blood pressure of 136/84 mm Hg

Question 4

The nurse has diagnosed Decisional Conflict related to unclear personal values and beliefs, and the patient shows the necessary defining characteristics. Which essential action does the nurse take to help ensure the accuracy of this diagnosis?

Accepted Answer

A) Ask a more experienced nurse to confirm it 
B) Request a social worker interview the patient 
C) Ask for the patient's confirmation of the diagnosis 
D) Read about Decisional Conflict in the NANDA-I handbook 
A) Ask a more experienced nurse to confirm it 
B) Request a social worker interview the patient 
C) Ask for the patient's confirmation of the diagnosis 
D) Read about Decisional Conflict in the NANDA-I handbook

Question 5

The nurse is providing care for various patients in an acute care facility. Which patient issue is a problem that nurses can treat independently?

Accepted Answer

A) Hemorrhage following surgery 
B) Nausea after ambulating in the hall 
C) Fracture pain following an accident 
D) Infection in a wound 
A) Hemorrhage following surgery 
B) Nausea after ambulating in the hall 
C) Fracture pain following an accident 
D) Infection in a wound

Question 6

Which of the following is the best example of a nursing diagnosis statement?

Accepted Answer

A) Pain related to appendicitis 
B) Fractured left leg related to impaired mobility 
C) Impaired mobility related to fractured left leg 
D) Acute pain related to out of bed activities 
A) Pain related to appendicitis 
B) Fractured left leg related to impaired mobility 
C) Impaired mobility related to fractured left leg 
D) Acute pain related to out of bed activities

Question 7

The nurse is aware that which approach is best to validate a clinical inference?

Accepted Answer

A) Have another nurse evaluate it 
B) Have the physician evaluate it 
C) Have sufficient supportive data 
D) Have the client's family confirm it 
A) Have another nurse evaluate it 
B) Have the physician evaluate it 
C) Have sufficient supportive data 
D) Have the client's family confirm it

Exam 4: Analysisdiagnosis

Which statement related to the nurse prioritizing patient problems is most accurate?

The nurse is formulating a nursing diagnosis for a patient. Which definition most accurately describes nursing diagnoses?

Which of the following is an example of what the nurse recognizes as a cluster of related cues?

The nurse has diagnosed Decisional Conflict related to unclear personal values and beliefs, and the patient shows the necessary defining characteristics. Which essential action does the nurse take to help ensure the accuracy of this diagnosis?

The nurse is providing care for various patients in an acute care facility. Which patient issue is a problem that nurses can treat independently?

Which of the following is the best example of a nursing diagnosis statement?

The nurse is aware that which approach is best to validate a clinical inference?

Evolution of Nursing Thought Action

Assessment

Planning Outcomes

Planning Interventions

Implementation Evaluation

Theory, Research, Evidence-Based Practice

Life Span: Infancy Through Middle Adulthood

Life Span: Older Adults

Experiencing Health Illness

Stress Adaptation

Psychosocial Health Illness

The Family

Culture Ethnicity

Spirituality

Loss, Grief, Dying

Documenting Reporting

Teaching Learning

Measuring Vital Signs

Communication Therapeutic Relationships

Health Assessment

Promoting Asepsis Preventing Infection

Promoting Safety

Facilitating Hygiene

Administering Medications

Nutrition

Urinary Elimination

Bowel Elimination

Sensation, Perception, Response

Pain

Physical Activity Immobility

Sexual Health

Sleep Rest

Skin Integrity Wound Healing

Oxygenation

Circulation Perfusion

Fluids, Electrolytes, Acidbase Balance

Perioperative Care

Leading Managing

Nursing Informatics

Promoting Health

Community Home Health Nursing

Ethics Values

Legal Accountability

Holistic Healing

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