Question 1

The nursing process provides individualized care that is accountable. What is the nursing role in the implementation step of the nursing process?

Accepted Answer

A)  Systematic and continuous collection of data 
B)  Statement of the client's actual or potential problem 
C)  Development of goals for care and possible activities to meet them 
D)  Giving of actual nursing care 
A)  Systematic and continuous collection of data 
B)  Statement of the client's actual or potential problem 
C)  Development of goals for care and possible activities to meet them 
D)  Giving of actual nursing care D

Question 2

Which description best demonstrates a systematic approach to nursing care?

Accepted Answer

A)  The nurse follows specific, orderly, and logical steps based on the client's most important and often most vital needs. 
B)  The nurse focuses on meeting individualized client needs, rather than on performing specific skills. 
C)  Goals, objectives, or expected outcomes are established as an early part of the nursing process. 
D)  Existing nursing process must be redesigned spontaneously to fit the most current and highest priority needs. 
A)  The nurse follows specific, orderly, and logical steps based on the client's most important and often most vital needs. 
B)  The nurse focuses on meeting individualized client needs, rather than on performing specific skills. 
C)  Goals, objectives, or expected outcomes are established as an early part of the nursing process. 
D)  Existing nursing process must be redesigned spontaneously to fit the most current and highest priority needs. A

Question 3

What characteristic of a nursing care plan allows care for specific client needs?

Accepted Answer

A)  Approach to client care is predictable. 
B)  The nursing care plan is client-oriented. 
C)  The short-term goals are likely to be different. 
D)  Actual problems are identified. 
A)  Approach to client care is predictable. 
B)  The nursing care plan is client-oriented. 
C)  The short-term goals are likely to be different. 
D)  Actual problems are identified. B

Question 4

Which step in the nursing process is similar to the identification of the problem in the scientific problem-solving process?

Accepted Answer

A)  Nursing assessment 
B)  Nursing diagnosis 
C)  Planning 
D)  Implementation 
A)  Nursing assessment 
B)  Nursing diagnosis 
C)  Planning 
D)  Implementation

Question 5

Which response by the nurse demonstrates trial and error problem-solving method?

Accepted Answer

A)  "Let's see if the new medication helps your nausea better than the last medication
Did." 
B)  "This medication has the best results in managing nausea." 
C)  "Let me discuss the problem with your healthcare provider and see what medication can be prescribed." 
D)  "The first thing we need to do is put you back on only clear liquids." 
A)  "Let's see if the new medication helps your nausea better than the last medication
Did." 
B)  "This medication has the best results in managing nausea." 
C)  "Let me discuss the problem with your healthcare provider and see what medication can be prescribed." 
D)  "The first thing we need to do is put you back on only clear liquids."

Question 6

Which statement demonstrates an accurate understanding of the process of problem- solving?

Accepted Answer

A)  Experimental approach that tests ideas to decide which methods work and which do not 
B)  Researchers discover the best possible safe and effective treatments for disease or dysfunction 
C)  Complex mix of inquiry, knowledge, intuition, logic, experience, and common sense 
D)  Basic skill of identifying a problem and taking steps to resolve it 
A)  Experimental approach that tests ideas to decide which methods work and which do not 
B)  Researchers discover the best possible safe and effective treatments for disease or dysfunction 
C)  Complex mix of inquiry, knowledge, intuition, logic, experience, and common sense 
D)  Basic skill of identifying a problem and taking steps to resolve it

Question 7

What statements describe the character of the nursing process? Select all that apply.

Accepted Answer

A)  Its dynamic 
B)  Its continuous 
C)  Its systematic 
D)  Its experimental 
E)  Its client focused 
A)  Its dynamic 
B)  Its continuous 
C)  Its systematic 
D)  Its experimental 
E)  Its client focused

Question 8

Which interventions should a nurse implement to the plan of care of a client whose condition is not improving? Select all that apply.

Accepted Answer

A)  Reassess the client. 
B)  Reevaluate the interventions 
C)  Use trial and error to determine effective interventions 
D)  Experiment with new interventions 
E)  Revise the plan of care 
A)  Reassess the client. 
B)  Reevaluate the interventions 
C)  Use trial and error to determine effective interventions 
D)  Experiment with new interventions 
E)  Revise the plan of care

Question 9

Which statement is the foundation upon which a nurse manages the care of multiple client simultaneously?

Accepted Answer

A)  The nurse has to focus on clients' potential problems. 
B)  Clients with the same health problem share a single plan. 
C)  Every client has an individualized nursing care plan. 
D)  The nurse seeks the physician's assistance at each stage. 
A)  The nurse has to focus on clients' potential problems. 
B)  Clients with the same health problem share a single plan. 
C)  Every client has an individualized nursing care plan. 
D)  The nurse seeks the physician's assistance at each stage.

Question 10

The nurse observes that the client has had a productive cough with thick, purulent sputum several times in the past hour. Which form of problem solving prompts the nurse to notify the physician?

Accepted Answer

A)  A trial and error approach 
B)  Critical thinking 
C)  Interpreting the results 
D)  Scientific method 
A)  A trial and error approach 
B)  Critical thinking 
C)  Interpreting the results 
D)  Scientific method

Question 11

What does critical thinking in problem-solving involve?

Accepted Answer

A)  Examining opinions and comparing them with known information 
B)  Critiquing ideas for unreasonableness 
C)  Forming ideas or concepts that are mental pictures of reality 
D)  Quickly finding a solution to understand the entire situation 
A)  Examining opinions and comparing them with known information 
B)  Critiquing ideas for unreasonableness 
C)  Forming ideas or concepts that are mental pictures of reality 
D)  Quickly finding a solution to understand the entire situation

Question 12

The nurse is administering medications to a client. In what stage of the nursing process is the nurse engaging?

Accepted Answer

A)  Planning 
B)  Nursing diagnosis 
C)  Implementation 
D)  Evaluation 
A)  Planning 
B)  Nursing diagnosis 
C)  Implementation 
D)  Evaluation

Question 13

A client continuously reports alternating episodes of constipation and diarrhea. The nurse gives the client a different prescribed medication each day to determine an effective treatment. Which method of problem solving is the nurse implementing?

Accepted Answer

A)  Nursing process 
B)  Critical thinking 
C)  Trial and error 
D)  Scientific 
A)  Nursing process 
B)  Critical thinking 
C)  Trial and error 
D)  Scientific

Question 14

The nurse documents, "client walked 40 ft and reported no shortness of breath." Which part of the nursing process does this statement represent?

Accepted Answer

A)  Nursing assessment 
B)  Planning 
C)  Implementation 
D)  Evaluation 
A)  Nursing assessment 
B)  Planning 
C)  Implementation 
D)  Evaluation

Question 15

What is the correct sequence for the first four steps of scientific problem-solving?
1) Identify the problem
2) Plan action to test suggested solution
3) Gather information relative to the problem
4) Formulate tentative solutions and choose preferred solution

Accepted Answer

A)  1, 3, 4, 2 
B)  2, 1, 3, 4 
C)  3, 1, 2, 4 
D)  4, 2, 3, 1 
A)  1, 3, 4, 2 
B)  2, 1, 3, 4 
C)  3, 1, 2, 4 
D)  4, 2, 3, 1

Question 16

What step of the nursing process should the nurse complete before notifying a physician of a client's emergency admission?

Accepted Answer

A)  Nursing assessment 
B)  Nursing diagnosis 
C)  Planning 
D)  Implementation 
A)  Nursing assessment 
B)  Nursing diagnosis 
C)  Planning 
D)  Implementation

Question 17

The steps in the nursing process lead to specific results. The characteristics of the nursing process are critical to its effectiveness. Based on this information, which description best demonstrates a continuous approach to nursing care?

Accepted Answer

A)  The nurse follows specific, orderly, and logical steps based on the client's most important and often most vital needs. 
B)  The nurse focuses on meeting individualized client needs, rather than on performing specific skills. 
C)  Goals, objectives, or expected outcomes are established as an early part of the nursing process. 
D)  Existing nursing process must be redesigned spontaneously to fit the most current and highest priority needs. 
A)  The nurse follows specific, orderly, and logical steps based on the client's most important and often most vital needs. 
B)  The nurse focuses on meeting individualized client needs, rather than on performing specific skills. 
C)  Goals, objectives, or expected outcomes are established as an early part of the nursing process. 
D)  Existing nursing process must be redesigned spontaneously to fit the most current and highest priority needs.

Question 18

Which statement by the nurse identifies the step of the nursing process that is similar to formulating a tentative solution in the scientific problem-solving method?

Accepted Answer

A)  "The client's demonstrating paranoid behavior." 
B)  "This client's plan of care focuses on 'Risk for self-harm'." 
C)  "Please be sure to give the client an explanation for all care you provide." 
D)  "I imagine its frightening to believe that there are people here who want to harm you." 
A)  "The client's demonstrating paranoid behavior." 
B)  "This client's plan of care focuses on 'Risk for self-harm'." 
C)  "Please be sure to give the client an explanation for all care you provide." 
D)  "I imagine its frightening to believe that there are people here who want to harm you."

Question 19

Which intervention should the nurse perform to measure the effectiveness of nursing care?

Accepted Answer

A)  Document observable evidence. 
B)  Identify the client's actual problem. 
C)  Reassess the client's needs. 
D)  Set goals for the client. 
A)  Document observable evidence. 
B)  Identify the client's actual problem. 
C)  Reassess the client's needs. 
D)  Set goals for the client.

Question 20

The nursing process provides individualized care that is accountable. What action demonstrates the nursing role in the assessment step of the nursing process?

Accepted Answer

A)  Acquiring a client's baseline blood pressure 
B)  Recording the client's daily blood pressure in the medical record 
C)  Updating the client's plan of care to include daily blood pressure monitoring 
D)  Delegating the client's daily blood pressure assessment to a nursing assistant 
A)  Acquiring a client's baseline blood pressure 
B)  Recording the client's daily blood pressure in the medical record 
C)  Updating the client's plan of care to include daily blood pressure monitoring 
D)  Delegating the client's daily blood pressure assessment to a nursing assistant

Exam 33: Introduction to the Nursing Process

The nursing process provides individualized care that is accountable. What is the nursing role in the implementation step of the nursing process?

Which description best demonstrates a systematic approach to nursing care?

What characteristic of a nursing care plan allows care for specific client needs?

Which step in the nursing process is similar to the identification of the problem in the scientific problem-solving process?

Which response by the nurse demonstrates trial and error problem-solving method?

Which statement demonstrates an accurate understanding of the process of problem- solving?

What statements describe the character of the nursing process? Select all that apply.

Which interventions should a nurse implement to the plan of care of a client whose condition is not improving? Select all that apply.

Which statement is the foundation upon which a nurse manages the care of multiple client simultaneously?

The nurse observes that the client has had a productive cough with thick, purulent sputum several times in the past hour. Which form of problem solving prompts the nurse to notify the physician?

What does critical thinking in problem-solving involve?

The nurse is administering medications to a client. In what stage of the nursing process is the nurse engaging?

A client continuously reports alternating episodes of constipation and diarrhea. The nurse gives the client a different prescribed medication each day to determine an effective treatment. Which method of problem solving is the nurse implementing?

The nurse documents, "client walked 40 ft and reported no shortness of breath." Which part of the nursing process does this statement represent?

What is the correct sequence for the first four steps of scientific problem-solving? 1) Identify the problem 2) Plan action to test suggested solution 3) Gather information relative to the problem 4) Formulate tentative solutions and choose preferred solution

What step of the nursing process should the nurse complete before notifying a physician of a client's emergency admission?

The steps in the nursing process lead to specific results. The characteristics of the nursing process are critical to its effectiveness. Based on this information, which description best demonstrates a continuous approach to nursing care?

Which statement by the nurse identifies the step of the nursing process that is similar to formulating a tentative solution in the scientific problem-solving method?

Which intervention should the nurse perform to measure the effectiveness of nursing care?

The nursing process provides individualized care that is accountable. What action demonstrates the nursing role in the assessment step of the nursing process?

The Origins of Nursing

Beginning Your Nursing Career

The Healthcare Delivery System

Legal and Ethical Aspects of Nursing

Basic Human Needs

Health and Wellness

Community Health

Transcultural Healthcare

The Family

Infancy and Childhood

Adolescence

Early and Middle Adulthood

Older Adulthood and Aging

Death and Dying

Organization of the Human Body

The Integumentary System

Fluid and Electrolyte Balance

The Musculoskeletal System

The Nervous System

The Endocrine System

The Sensory System

The Cardiovascular System

The Hematologic and Lymphatic Systems

The Immune System

The Respiratory System

The Digestive System

The Urinary System

The Male Reproductive System

The Female Reproductive System

Basic Nutrition

Transcultural and Social Aspects of Nutrition

Diet Therapy and Special Diets

Nursing Assessment

Nursing Diagnosis and Planning

Implementing and Evaluating Care

Documenting and Reporting

The Healthcare Facility Environment

Emergency Preparedness

Introduction to Microbiology

Medical Asepsis

Infection Control

Emergency Care and First Aid

Therapeutic Communication Skills

Admission, Transfer, and Discharge

Vital Signs

Data Collection in Client Care

Body Mechanics and Positioning

Beds and Bed Making

Personal Hygiene and Skin Care

Elimination

Specimen Collection

Bandages and Binders

Heat and Cold Applications

Client Comfort and Pain Management

Preoperative and Postoperative Care

Surgical Asepsis

Wound Care

End-Of-Life Care

Review of Mathematics