m m m
IBERS 1ST EDITION LUU KAYINGO’S TEST B
m m m m m m
ANK
,CHm 1:m Anm Introductionm tom Evidence-Basedm Clinicalm Practicem Guidelines
MULTIPLEmCHOICE
• Whatmismthem primarympurposemofmthem nursingm assessment?
• Identifyingm underlyingm pathologicm conditions
• Assistingmthem physicianminmidentifyingmmedicalm conditions
• Determiningmthempatientsmmentalmstatus
• Exploringmpatientm responsesm tom healthm problems
PRECISEmANSWER:-D
REASONING:-
>>>mAmnursingmassessmentmismdonemtomidentifymthempatientsmresponsemt
omhealthmproblems.mDuringmthemnursingmassessmentmphase,mamcomprehen
siveminformationmbasemismdevelopedmthroughmam physicalmexamination,mn
ursingmhistory,mmedicationmhistory,mandmprofessionalmobservation.mIdentif
yingmunderlyingmpathologicm conditionsmandmassistingmthemphysicianm inm i
dentifyingmedicalmconditionsmismnotmpartmofmthemnursingmprocess.mDeter
miningmthempatientsm mentalmstatusmism onempartm ofm themnursingmassessme
nt,mbutmitm ism notmthemprimarympurpose.
DIFFICULT:m Cognitivem Level:m Com
prehensionmREF:mdmm36mOBJ:m1m|m3m
TOPIC:mNursingmProcessmStep:mAsses
sment
MSC:mNCLEXmPatientm NeedsmCategory:m Healthm PromotionmandmMaintenance
• WhatmismthembasismofmthemNANDAmIm taxonomy?
• Functionalmhealthmpatterns
• Humanmresponsempatterns
• Basicmhumanm needs
• Pathophysiologicmneed
smPRECISEmANSWER:-B
REASONING:->>>m Them NANDAm Im taxonomym identifiesmmm human
responsem patterns.m Functionalmcomponentsmofmhealthmpatternsmaremlimi
tedmtomactivity,mfluidmvolume,mnutrition,mselfm care,mandmsensorympercep
tion.mBasicmhumanmneedsmcomprisemlessmthanmmerelymhealthmpatterns.m
Pathophysiologicm needsm arenotmpartmofmthemscopemofmNANDAmI.
,DIFFICULT:m Cognitivem Level:m
KnowledgemREF:mpp.m37-
38mOBJ:m5mTOPIC:
NursingmProcessmStep:mDiagnosis
MSC:mNCLEXm Patientm NeedsmCategory:m Physiologicalm Integrity
• Whichmtaskmismincludedminmthemassessmentmstepmofmthemnursingm process?
• Establishingm patientm goals/outcomes
• Implementingmthemnursingmcarem planm (NCP)
• Measuringm goal/outcomem achievement
• Collectingm andm communicatingm data
PRECISEmANSWER:-D
REASONING:-
>>>mDatamaremcollectedmandmcommunicatedminmthemassessmentm
phasemofmthenursingmprocess.mEstablishingmgoalsmismthemfunctio
nmofmplanning.
ImplementingmthemNCPmismthemfunctionmofmimplementation.mMeasur
ingmoutcomemachievementmismthemfunctionmofmevaluation.
DIFFICULT:m Cognitivem Level:m Com
prehensionmREF:mdmm36mOBJ:m2m|m3m
TOPIC:mNursingmProcessmStep:mAsses
sment
MSC:mNCLEXmPatientm NeedsmCategory:m Healthm PromotionmandmMaintenance
• Whichmstatementm regardingmnursingmdiagnosesm ism accurate?
• Nursingmdiagnosesmremainmthemsamemformasmlongmasmthemdiseasemism present.
• Nursingmdiagnosesmarem writtenmtomidentifymdiseasemstates.
• Nursingmdiagnosesm describem patientmproblemsmthatm professionalmnursesm treat.
• Nursingmdiagnosesm identifymcausesm relatedmtomillness.
PRECISEmANSWER:-C
REASONING:-
>>>mDiagnosticm statementsmidentifym problemsmamprofessionalmnursem ismi
ndependentlymablem totreatmwithinmthemscopemofmprofessionalmpractice.mN
ursingmdiagnosesm varymwithmthemchangingmconditionmofmthempatient.mThe
m responsem patternsmare muniquemtomthem patientmandmaremnot mdisease mspeci
fic.mNursingmdiagnosesmdescribemthempatientsmhumanmresponsempattern.
DIFFICULT:m Cognitivem Level:m Comprehension
, REF:mpp.m37-38mOBJ:m5mTOPIC:mNursing
ProcessmStep:mDiagnosis
MSC:mNCLEXm Patientm NeedsmCategory:m Physiologicalm Integrity
• WhatmdomthemclassificationmsystemsmNICmandmNOCmprovide?
• Individualizedmdatam banksmofmtreatmentsmrelatedmtomdiseasemprocesses
• Standardizedmlanguagem formreportingmandmanalyzingm nursingmcarem delivery
• Ammeasurem formcostm containmentmwithinmmedicalm institutions
• Specializedminterventionsmform rarem diseases
PRECISEmANSWER:-B
REASONING:-
>>>mNursingmclassificationmsystemsmsuchmasmNICmandmNOCmaremdesign
edmtomprovidemamstandardizedmlanguagem form reportingmandmanalyzingm nu
rsingmcaremdeliverymthatm ismindividualizedm formeachmpatient.
Standardizedmterminologymassistsmpractitionersminmthemimplementationmof
m themfivem phases m ofm them nursingprocess.m Classification m systemsm arem notm
relatedmtomdiseasemprocessmandmaremnotm usedm form financialm purposes.m Cl
assificationmsystemsm includeminterventionsmformallmhealthmconditions.
DIFFICULT:mCognitivem Level:mKno
wledgemREF:mdmm34mOBJ:m11mTOPI
C:mNursingmProcessmStep:mImplement
ation
MSC:mNCLEXm Patientm NeedsmCategory:mSafe,m EffectivemCaremEnvironment
• Whichmtypemofmnursingmdiagnosismwillmbemwrittenmwhenmthem
patientmexhibitsmfactorsmthatmmakesmhimmormhermsusceptiblemt
omthemdevelopmentmofmamproblem?
• Actualmdiagnosis
• Riskm diagnosis
• Possiblemdiagnosis
• Wellnessmdiagnosis
PRECISEmANSWER:-B
REASONING:-
>>>mWhenmpatientsmhavemthempotentialmormriskmformamproblemmtomdevelo
p,mamriskmdiagnosism ismwritten.mThesemdiagnosesmaremtwompartmstatement
sm suchmasmRiskformfallsmrelatedmtomunsteadymgait.mAnmactualmdiagnosism
consistsmofmamNANDAmdiagnosticmlabel,mcontributingmfactorm(ifmknown),
m andm definingmcharacteristics m suchm asm signsm andm symptoms.mAmpossible
m nursingm diagnosis