Question 1

A client has suffered a mild stroke.Which type of nursing diagnosis would reflect the client's health status?

Accepted Answer

A) wellness 
B) risk 
C) perceived 
D) actual 
A) wellness 
B) risk 
C) perceived 
D) actual

Question 2

How does a nursing diagnosis differ from a medical diagnosis?

Accepted Answer

A) A nursing diagnosis is a clinical judgment about a family's,individual's,or community's responses to actual or potential health problems. 
B) A nursing diagnosis is a clinical judgment that identifies a specific disease condition or pathological state. 
C) Only a physician can make a medical diagnosis,but anyone can make a nursing diagnosis. 
D) The physician specifically defines medical interventions to be performed by the medical staff for treatment only after a nursing diagnosis is made. 
A) A nursing diagnosis is a clinical judgment about a family's,individual's,or community's responses to actual or potential health problems. 
B) A nursing diagnosis is a clinical judgment that identifies a specific disease condition or pathological state. 
C) Only a physician can make a medical diagnosis,but anyone can make a nursing diagnosis. 
D) The physician specifically defines medical interventions to be performed by the medical staff for treatment only after a nursing diagnosis is made.

Question 3

Which of these statements about the relationship between nursing process and critical thinking is TRUE?

Accepted Answer

A) Critical thinking is important to the nurse primarily during the assessment phase. 
B) Critical thinking is important to the nurse primarily during the evaluation phase. 
C) The nurse must use critical thinking in every component of the nursing process. 
D) The nursing process is primarily linear. 
A) Critical thinking is important to the nurse primarily during the assessment phase. 
B) Critical thinking is important to the nurse primarily during the evaluation phase. 
C) The nurse must use critical thinking in every component of the nursing process. 
D) The nursing process is primarily linear.

Question 4

Using the Alfaro-LeFevre approach to prioritizing nursing diagnoses,which of these nursing diagnoses should the nurse focus on first?

Accepted Answer

A) Airway clearance,ineffective,related to excessive secretions 
B) Anxiety related to unknown outcome of illness 
C) Coping,individual,ineffective,related to loss of independence 
D) Self-care deficit,feeding,related to decreased strength and endurance 
A) Airway clearance,ineffective,related to excessive secretions 
B) Anxiety related to unknown outcome of illness 
C) Coping,individual,ineffective,related to loss of independence 
D) Self-care deficit,feeding,related to decreased strength and endurance

Question 5

The nurse uses this type of assessment and organizes client data to determine if a client's current health patterns are working or not working:

Accepted Answer

A) body systems model 
B) functional health patterns 
C) hierarchy of needs 
D) human response patterns 
A) body systems model 
B) functional health patterns 
C) hierarchy of needs 
D) human response patterns

Question 6

Which of the following is a key factor in many malpractice cases?

Accepted Answer

A) incomplete incident reports 
B) inadequate documentation 
C) absence of signed informed-consent forms 
D) lack of nursing diagnoses for clients 
A) incomplete incident reports 
B) inadequate documentation 
C) absence of signed informed-consent forms 
D) lack of nursing diagnoses for clients

Question 7

Which statement BEST describes how the assessment and the diagnosis steps of the nursing process are related?

Accepted Answer

A) If insufficient data is collected,then the problem may not be accurately identified. 
B) After the problem is decided,the nurse should do an assessment to validate the data. 
C) Once the nurse knows about the client,actions can be planned to fit the client's lifestyle. 
D) Assessments need to be done repeatedly to determine if the goals have been met. 
A) If insufficient data is collected,then the problem may not be accurately identified. 
B) After the problem is decided,the nurse should do an assessment to validate the data. 
C) Once the nurse knows about the client,actions can be planned to fit the client's lifestyle. 
D) Assessments need to be done repeatedly to determine if the goals have been met.

Question 8

Which of these provide the basis for selecting nursing interventions to achieve the goals for which the nurse is accountable?

Accepted Answer

A) medical diagnosis 
B) nursing diagnosis 
C) nursing process 
D) specific orders 
A) medical diagnosis 
B) nursing diagnosis 
C) nursing process 
D) specific orders

Question 9

The nurse uses an assessment model that is derived from Maslow's theory.This model is based upon:

Accepted Answer

A) body systems model 
B) functional health patterns 
C) hierarchy of needs 
D) human response patterns 
A) body systems model 
B) functional health patterns 
C) hierarchy of needs 
D) human response patterns

Question 10

A client has a nursing diagnosis of Readiness for enhanced spiritual well-being.Which type of nursing diagnosis does this represent?

Accepted Answer

A) wellness 
B) risk 
C) perceived 
D) actual 
A) wellness 
B) risk 
C) perceived 
D) actual

Question 11

The legal aspects of documentation require which of the following?

Accepted Answer

A) factual and time-sequenced descriptive entries 
B) legible printing 
C) proof or evidence of any form of malpractice or negligence that occurs during a client's stay 
D) lack of abbreviations 
A) factual and time-sequenced descriptive entries 
B) legible printing 
C) proof or evidence of any form of malpractice or negligence that occurs during a client's stay 
D) lack of abbreviations

Question 12

During an initial assessment,the nurse notes that the client reports being unable to walk more than a few steps without becoming short of breath.Which of these functional health patterns needs further investigation?

Accepted Answer

A) elimination 
B) sleep/rest 
C) coping/stress tolerance 
D) activity/exercise 
A) elimination 
B) sleep/rest 
C) coping/stress tolerance 
D) activity/exercise

Question 13

Which step of the nursing process involves the execution of the nursing implementations derived from the nursing care plan?

Accepted Answer

A) assessment 
B) evaluation 
C) implementation 
D) planning 
A) assessment 
B) evaluation 
C) implementation 
D) planning

Question 14

Which of these nursing documentation methods take an unstructured approach to documenting on the client record and often present disorganized client information?

Accepted Answer

A) charting by exception and critical pathways 
B) computerized documentation and point-of-care charting 
C) narrative and source-oriented charting 
D) SOAP (-IE,-IER)and PIE charting 
A) charting by exception and critical pathways 
B) computerized documentation and point-of-care charting 
C) narrative and source-oriented charting 
D) SOAP (-IE,-IER)and PIE charting

Question 15

When client data are broken down into parts that can be examined,which step of the nursing process is involved?

Accepted Answer

A) diagnosis 
B) assessment 
C) evaluation 
D) synthesis 
A) diagnosis 
B) assessment 
C) evaluation 
D) synthesis

Question 16

Which of the following statements could be included in a definition of nursing diagnosis?

Accepted Answer

A) directly derived from pathological changes 
B) directly derived from client responses 
C) highly dependent on diagnostic test results 
D) purpose is to remove or modify the cause of the disease 
A) directly derived from pathological changes 
B) directly derived from client responses 
C) highly dependent on diagnostic test results 
D) purpose is to remove or modify the cause of the disease

Question 17

Subjective data differs from objective data in that subjective data is usually:

Accepted Answer

A) concretely measurable 
B) obtained from the client 
C) observable 
D) totally unreliable 
A) concretely measurable 
B) obtained from the client 
C) observable 
D) totally unreliable

Question 18

If a nurse makes a mistake while charting,which of these actions is correct?

Accepted Answer

A) Black out the entry so that it cannot be read;then date,time,and initial the entry. 
B) Cross out the entry with a single line;then write "mistaken entry" with date,time,and initials. 
C) Erase the entry if possible. 
D) Use correction fluid to obliterate the incorrect entry;then enter the correct notation over the previous one. 
A) Black out the entry so that it cannot be read;then date,time,and initial the entry. 
B) Cross out the entry with a single line;then write "mistaken entry" with date,time,and initials. 
C) Erase the entry if possible. 
D) Use correction fluid to obliterate the incorrect entry;then enter the correct notation over the previous one.

Question 19

The nurse is unable to obtain information from the client and knows the BEST secondary source of client information is which of the following?

Accepted Answer

A) client 
B) client records 
C) close friends 
D) neighbors 
A) client 
B) client records 
C) close friends 
D) neighbors

Question 20

Using Maslow's hierarchy of needs to prioritize nursing diagnoses,which of these nursing diagnoses should the nurse focus on LAST?

Accepted Answer

A) Airway clearance,ineffective,related to excessive secretions 
B) Anxiety related to unknown outcome of illness 
C) Coping,individual,ineffective,related to loss of independence 
D) Self-care deficit,feeding,related to decreased strength and endurance 
A) Airway clearance,ineffective,related to excessive secretions 
B) Anxiety related to unknown outcome of illness 
C) Coping,individual,ineffective,related to loss of independence 
D) Self-care deficit,feeding,related to decreased strength and endurance

Exam 9: Nursing Processdocumentationinformatics

A client has suffered a mild stroke.Which type of nursing diagnosis would reflect the client's health status?

How does a nursing diagnosis differ from a medical diagnosis?

Which of these statements about the relationship between nursing process and critical thinking is TRUE?

Using the Alfaro-LeFevre approach to prioritizing nursing diagnoses,which of these nursing diagnoses should the nurse focus on first?

The nurse uses this type of assessment and organizes client data to determine if a client's current health patterns are working or not working:

Which of the following is a key factor in many malpractice cases?

Which statement BEST describes how the assessment and the diagnosis steps of the nursing process are related?

Which of these provide the basis for selecting nursing interventions to achieve the goals for which the nurse is accountable?

The nurse uses an assessment model that is derived from Maslow's theory.This model is based upon:

A client has a nursing diagnosis of Readiness for enhanced spiritual well-being.Which type of nursing diagnosis does this represent?

The legal aspects of documentation require which of the following?

During an initial assessment,the nurse notes that the client reports being unable to walk more than a few steps without becoming short of breath.Which of these functional health patterns needs further investigation?

Which step of the nursing process involves the execution of the nursing implementations derived from the nursing care plan?

Which of these nursing documentation methods take an unstructured approach to documenting on the client record and often present disorganized client information?

When client data are broken down into parts that can be examined,which step of the nursing process is involved?

Which of the following statements could be included in a definition of nursing diagnosis?

Subjective data differs from objective data in that subjective data is usually:

If a nurse makes a mistake while charting,which of these actions is correct?

The nurse is unable to obtain information from the client and knows the BEST secondary source of client information is which of the following?

Using Maslow's hierarchy of needs to prioritize nursing diagnoses,which of these nursing diagnoses should the nurse focus on LAST?

Student Nurse Skills for Success

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