Deck 33: Introduction to the Nursing Process

Question 1

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

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

Answer 1

1, 3, 4, 2

Question 2

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

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

Answer 2

Basic skill of identifying a problem and taking steps to resolve it

Question 3

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

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."

Answer 3

"Let's see if the new medication helps your nausea better than the last medication
Did."

Question 4

What does critical thinking in problem-solving involve?

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 5

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

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

Question 6

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

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

Question 7

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

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

Question 8

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?

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 9

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?

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

Question 10

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

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

Question 11

Which description best demonstrates a systematic approach to nursing care?

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 12

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?

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 13

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

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 14

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

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

Question 15

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

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

Question 16

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

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 17

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

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

Question 18

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?

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

Question 19

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

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

Question 20

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

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.