Question 1

Which of the following is a specific and measurable behavioural response that reflects independence in function?

Accepted Answer

A)  Client goal 
B)  Priority setting 
C)  Nursing diagnosis 
D)  Concept mapping 
A)  Client goal 
B)  Priority setting 
C)  Nursing diagnosis 
D)  Concept mapping A

Question 2

In documentation of nursing care plans,how do critical pathways differ from traditional nursing care plans?

Accepted Answer

A)  Multidisciplinary approach 
B)  Nursing interventions 
C)  Client outcomes 
D)  Client assessment 
A)  Multidisciplinary approach 
B)  Nursing interventions 
C)  Client outcomes 
D)  Client assessment A

Question 3

Which one of the following interventions selected by the nurse is classified as Level 2,Domain 2 (Physiological: Complex Care)?

Accepted Answer

A)  Maintaining regular bowel elimination 
B)  Promoting the health of the family 
C)  Managing restricted body movement 
D)  Restoring tissue integrity 
A)  Maintaining regular bowel elimination 
B)  Promoting the health of the family 
C)  Managing restricted body movement 
D)  Restoring tissue integrity D

Question 4

When an etiological factor cannot change,at which of the following should interventions be directed?

Accepted Answer

A)  Eliminating risk factors 
B)  Treating signs and symptoms 
C)  Creating a safe environment for the client 
D)  Understanding the scientific rationale for the interventions 
A)  Eliminating risk factors 
B)  Treating signs and symptoms 
C)  Creating a safe environment for the client 
D)  Understanding the scientific rationale for the interventions

Question 5

Which of the following is measurable along a continuum in response to a nursing intervention?

Accepted Answer

A)  Client goal 
B)  Nursing diagnosis 
C)  Time-limited nursing intervention 
D)  Nursing-sensitive client outcome 
A)  Client goal 
B)  Nursing diagnosis 
C)  Time-limited nursing intervention 
D)  Nursing-sensitive client outcome

Question 6

Nursing interventions may be categorized based on the degree of nursing autonomy.Which one of the following is an example of a nurse-initiated intervention?

Accepted Answer

A)  Providing client teaching 
B)  Administering medication 
C)  Ordering a computed tomography scan 
D)  Referring a client to physiotherapy 
A)  Providing client teaching 
B)  Administering medication 
C)  Ordering a computed tomography scan 
D)  Referring a client to physiotherapy

Question 7

What is the primary reason for establishing standing orders?

Accepted Answer

A)  To provide appropriate nursing autonomy in settings where client needs can change rapidly 
B)  To facilitate adequate care when direct contact with a primary health care provider is not immediately possible 
C)  To allow the nurse to provide certain routine therapies without first notifying the primary health care provider 
D)  To afford the client interventions that reflect the appropriate standard of care in the absence of a primary health care provider 
A)  To provide appropriate nursing autonomy in settings where client needs can change rapidly 
B)  To facilitate adequate care when direct contact with a primary health care provider is not immediately possible 
C)  To allow the nurse to provide certain routine therapies without first notifying the primary health care provider 
D)  To afford the client interventions that reflect the appropriate standard of care in the absence of a primary health care provider

Question 8

The nurse is working with postoperative clients on a surgical unit.One aspect of care is manipulation of the client's environment.What does this involve on the part of the nurse?

Accepted Answer

A)  Delegating ambulation of clients to the unregulated care provider 
B)  Providing pain medication to the client before a dressing change 
C)  Maintaining client privacy during procedures 
D)  Repositioning the client every two hours 
A)  Delegating ambulation of clients to the unregulated care provider 
B)  Providing pain medication to the client before a dressing change 
C)  Maintaining client privacy during procedures 
D)  Repositioning the client every two hours

Question 9

During which aspect of the nursing process will the nurse most likely consult with other health professionals?

Accepted Answer

A)  Assessment 
B)  Diagnosis 
C)  Implementation 
D)  Evaluation 
A)  Assessment 
B)  Diagnosis 
C)  Implementation 
D)  Evaluation

Question 10

Which of the following is often missing when writing nursing interventions and is acknowledged as a frequent error?

Accepted Answer

A)  Etiology 
B)  Frequency 
C)  Action verbs 
D)  Purpose of the intervention 
A)  Etiology 
B)  Frequency 
C)  Action verbs 
D)  Purpose of the intervention

Question 11

The nurse may use a concept map when implementing a plan of care.What is the purpose and distinction of a concept map?

Accepted Answer

A)  Quality assurance in the health care facility 
B)  Multidisciplinary communication 
C)  Provision of a standardized format for client problems 
D)  Identification of the relation of client problems and interventions 
A)  Quality assurance in the health care facility 
B)  Multidisciplinary communication 
C)  Provision of a standardized format for client problems 
D)  Identification of the relation of client problems and interventions

Question 12

What is the first step in the implementation process?

Accepted Answer

A)  Providing care 
B)  Reassessing the client 
C)  Reviewing and revising the existing nursing care plan 
D)  Organizing resources and care delivery before delivering an intervention 
A)  Providing care 
B)  Reassessing the client 
C)  Reviewing and revising the existing nursing care plan 
D)  Organizing resources and care delivery before delivering an intervention

Question 13

Which of the following processes is an example of indirect care?

Accepted Answer

A)  Documentation 
B)  Medication administration 
C)  Catheterization 
D)  Grief counselling 
A)  Documentation 
B)  Medication administration 
C)  Catheterization 
D)  Grief counselling

Question 14

The nurse is working with a client who is being prepared for a diagnostic test this afternoon.The client tells the nurse that she wants to have her hair shampooed.Which of the following is the most appropriate label with regard to assigning a priority for the client's request?

Accepted Answer

A)  Low priority 
B)  An unmet need 
C)  Intermediate priority 
D)  A safety and security need 
A)  Low priority 
B)  An unmet need 
C)  Intermediate priority 
D)  A safety and security need

Question 15

A number of different types of nursing interventions may be incorporated into the plan of care.Which of the following interventions is an example of a specific life-saving measure that the nurse may implement?

Accepted Answer

A)  Restraining a violent client 
B)  Administering analgesics 
C)  Initiating stress-reduction therapy 
D)  Teaching the client how to take his or her pulse 
A)  Restraining a violent client 
B)  Administering analgesics 
C)  Initiating stress-reduction therapy 
D)  Teaching the client how to take his or her pulse

Exam 13: Planning and Implementing Nursing Care

Which of the following is a specific and measurable behavioural response that reflects independence in function?

In documentation of nursing care plans,how do critical pathways differ from traditional nursing care plans?

Which one of the following interventions selected by the nurse is classified as Level 2,Domain 2 (Physiological: Complex Care)?

When an etiological factor cannot change,at which of the following should interventions be directed?

Which of the following is measurable along a continuum in response to a nursing intervention?

Nursing interventions may be categorized based on the degree of nursing autonomy.Which one of the following is an example of a nurse-initiated intervention?

What is the primary reason for establishing standing orders?

The nurse is working with postoperative clients on a surgical unit.One aspect of care is manipulation of the client's environment.What does this involve on the part of the nurse?

During which aspect of the nursing process will the nurse most likely consult with other health professionals?

Which of the following is often missing when writing nursing interventions and is acknowledged as a frequent error?

The nurse may use a concept map when implementing a plan of care.What is the purpose and distinction of a concept map?

What is the first step in the implementation process?

Which of the following processes is an example of indirect care?

The nurse is working with a client who is being prepared for a diagnostic test this afternoon.The client tells the nurse that she wants to have her hair shampooed.Which of the following is the most appropriate label with regard to assigning a priority for the client's request?

A number of different types of nursing interventions may be incorporated into the plan of care.Which of the following interventions is an example of a specific life-saving measure that the nurse may implement?

Health and Wellness

The Canadian Health Care Delivery System

The Development of Nursing in Canada

Community Health Nursing Practice

Theoretical Foundations of Nursing Practice

Research As a Basis for Practice

Nursing Values and Ethics

Legal Implications in Nursing Practice

Global Health, culture, and Diversity

Nursing Leadership, management, and Collaborative Practice

Critical Thinking in Nursing Practice

Nursing Assessment and Diagnosis

Evaluation of Nursing Care

Documenting and Reporting

Nursing Informatics and Canadian Nursing Practice

Communication

Caring in Nursing Practice

Family Nursing

Patient Education

Developmental Theories

Conception Through Adolescence

Young to Middle Adulthood

Older Adulthood

Self-Concept

Sexuality

Spiritual Health

The Experience of Loss, death, and Grief

Stress and Adaptation

Vital Signs

Health Assessment and Physical Examination

Infection Control

Medication Administration

Complementary and Alternative Therapies

Activity and Exercise

Safety

Hygiene

Cardiopulmonary Functioning and Oxygenation

Fluid, electrolyte, and Acid-base Balances

Sleep

Pain Assessment and Management

Nutrition

Urinary Elimination

Bowel Elimination

Mobility and Immobility

Skin Integrity and Wound Care

Sensory Alterations

Care of Surgical Patients

the Health Care Delivery System

Community-Based Nursing Practice

Theoretical Foundations of Nursing Practice

Evidence-Based Practice

Health and Wellness

Caring in Nursing Practice

Caring for the Cancer Survivor

Culture and Ethnicity

Caring for Families

Developmental Theories

Conception Through Adolescence

Young and Middle Adults

Older Adults

Critical Thinking in Nursing Practice

Nursing Assessment

Nursing Diagnosis

Planning Nursing Care