ANSWERS | 2026 UPDATE | WITH COMPLETE
SOLUTION
which activity would the nurse perform under the practice of implementation
after learning about about the standards of nursing practice? Select all that
apply. Answer - educating pt for health awareness
using therapeutic produces for pt care
providing consultation to enhance pt care
rationale
implementation is the practice in which the nurse actually uses and performs a
particular action or puts a strategy into use. The nurse implements the health
awareness plan by educating patients about disease prevention and health
promotion. The nurse uses medical and therapeutic knowledge and
implements therapeutic procedures for patient care. The nurse implements the
plan of care by providing consultation to enhance patient care. Developing
strategies for patient care is a part of planning in nursing practice. Analyzing
the assessment data for diagnosis is a part of diagnosis in nursing practice.
which situation would the nurse address to meet the safety and security needs
of the client according to Maslow's hierarchy of needs? Answer - "I fear my
house may be broken into and I might lose my things."
rationale
The nurse would attend to the safety and security needs of the client by
,addressing the client's fear of losing things due to a home break in. When the
client says that they are on liquid diet, the nurse would consider this as a
possible lack of nutrition. This is a physiological need. When the client says that
the blood pressure level fluctuates, the nurse would consider this as an
example of physiological needs. When the client says that family members
"avoid me," the nurse would understand this to be a love and belonging need.
which feature distinguishes nursing diagnoses from medical diagnoses? Select
all that apply. One, some, or all responses may be correct. Answer - -nursing
diagnoses involve the client when possible.
-nursing diagnoses involve the sorting of health problems within the nursing
domain.
-nursing diagnoses involve clinical judgment about the client's response to
health problems.
rationale
Establishing a nursing diagnosis is the second step in the nursing process. It is
unique and involves the client's participation in the process. Nursing diagnoses
classify health problems to be treated primarily by nurses. The nurse reviews
the client assessment, sees cues and patterns in the data, and identifies the
client's specific health care problems. The nursing diagnosis is a clinical
judgment about the client's actual or potential health problems that the nurse
is licensed to treat. A medical diagnosis is based on results of diagnostic tests
and procedures, whereas a nursing diagnosis is based on the results of the
nursing assessment. A medical diagnosis identifies a disease condition in the
client.
Which example mentioned by the nurse belongs to the fifth level of Maslow's
hierarchy of needs? Select all that apply. One, some, or all responses may be
correct. Answer - "A client wishes to become the best swimmer in the whole
world."
"A client tells the nurse that he or she wishes to become a successful engineer
despite having dyslexia."
, "A client who is bedridden requests a physical therapist consultation to achieve
maximum mobility."
rationale
According to Maslow's hierarchy of needs, the fifth level of needs include self-
actualization needs. At this level, the individual wishes to reach his or her
maximum potential while coping realistically with the situations of life. A client
who wants to become the best swimmer in the world, become a successful
engineer, or achieve maximum mobility after being bedridden is displaying self-
actualization needs. Feeling the urge to urinate every 10 minutes is a
physiological health problem that belongs to the first level of needs. A client
who feels like a failure for not being able to complete college education may
have a lack of self-worth and achievement. This situation belongs to the fourth
level of needs.
Which nursing action(s) reflect(s) the evaluation phase of the critical thinking
process? Select all that apply. One, some, or all responses may be correct.
Answer - Looking at all the situations objectively
Using several criteria to determine the effectiveness of a nursing intervention
rationale
During the evaluation phase of the critical thinking process, the nurse would
look at the situations objectively to identify the client's response to
interventions. The results of the nursing actions should be evaluated using
criteria such as expected outcomes, pain characteristics, and learning
objectives. The nurse demonstrates interpretation skills by collecting all the
data in order. Supporting one's findings and drawing conclusions reflects the
explanation aspect of the critical thinking process. The nurse would be open-
minded while looking at the information about the client to help in accurate
analysis.