Questions LATEST VERSIONS 280 QUESTIONS
AND CORRECT VERIFIED ANSWERS WITH
RATIONALES (100% CORRECT) A+ GRADED
ASSURED
"The nursing process is _____" - CORRECT ANSWER: dynamic
*PRIORITIZATION AND DELEGATION* - CORRECT ANSWER: *PRIORITIZATION AND
DELEGATION*
*STEPS OF THE NURSING PROCESS* - CORRECT ANSWER: 1. assessment
2. diagnosis
3. planning
4. implementation
5. evaluation
1st method of data collection - CORRECT ANSWER: Interiew patient, health history. Patient is
your primary source
2nd method of data collection - CORRECT ANSWER: Physical examination ( guided by
subjective and objective)
3 part nursing diagnosis (diagnosis) - CORRECT ANSWER: P:problem; ex impaired physical
mobility
E: etiology/ related factor; ex incisional pain
S: symptom or defining characteristics; ex evidence by restricted turning and positioning
,5 concepts of critical thinking - CORRECT ANSWER: Standards Attitudes Competencies
Experience Specific Knowledge Base
5 RIGHTS OF DELEGATIONS: - CORRECT ANSWER: 1. person
2. tasks
3. circumstances
4. communication/direction
5. supervision/evaluation
A 72-year-old male patient comes to the health clinic for an annual follow-up. The nurse enters
the patient's room and notices him to be diaphoretic, holding his chest and breathing with
difficulty. The nurse immediately checks the patient's heart rate and blood pressure and asks him,
"Tell me where your pain is." Which of the following assessment approaches does this scenario
describe? - CORRECT ANSWER: A problem-oriented approach
A nurse assesses a patient who comes to the pulmonary clinic. "I see that it's been over 6 months
since you've been here, but your appointment was for every 2 months. Tell me about that. Also I
see from your last visit that the doctor recommended routine exercise. Can you tell me how
successful you've been in following his plan?" The nurse's assessment covers which of Gordon's
functional health patterns? - CORRECT ANSWER: Health perception-health management
pattern
A nurse is assigned to a 42-year-old mother of 4 who weighs 136.2 kg (300 lbs), has diabetes,
and works part time in the kitchen of a restaurant. The patient is facing surgery for gallbladder
disease. Which of the following approaches demonstrates the nurse's cultural competence in
assessing the patient's health care problems? - CORRECT ANSWER: "You have four children;
do you have any concerns about going home and caring for them?"
A nurse is checking a patient's intravenous line and, while doing so, notices how the patient
bathes himself and then sits on the side of the bed independently to put on a new gown. This
observation is an example of assessing: - CORRECT ANSWER: Patient's level of function.
,A patient who visits the surgery clinic 4 weeks after a traumatic amputation of his right leg tells
the nurse practitioner that he is worried about his ability to continue to support his family. He
tells the nurse he feels that he has let his family down after having an auto accident that led to the
loss of his left leg. The nurse listens and then asks the patient, "How do you see yourself now?"
On the basis of Gordon's functional health patterns, which pattern does the nurse assess -
CORRECT ANSWER: Self-perception-self-concept pattern
Acting Ethically - CORRECT ANSWER: Doing the right thing.
Advanced begginer nurse - CORRECT ANSWER: Shows acceptable performance, has gained
prior experience in actual nursing situations. Looks for support through their peers and
supervisors but not constantly
Advocacy - CORRECT ANSWER: Nurses and patients alike view this action ass the last line of
defense on behalf of the patient.
Advocacy Examples: - CORRECT ANSWER: Sharing with family members the details of a
conversation you had with their loved one previously in the day.
Listening carefully to help family members carry out their wishes, and work with the hospital to
do what you can to help that happen.
Communication with the family about their loved ones surgery schedule., course of events, and
expected finish time.
Working to get prescriptions filled before a homeless person leaves the hospital.
An initial patient-centered interview involves - CORRECT ANSWER: (1) setting the stage, (2)
gathering information about the patient's problems and setting an agenda, (3) collecting the
assessment or a nursing health history, and (4) terminating the interview.
ANA Standards of Professional Nursing Practice - CORRECT ANSWER: standard of care
provided to patients.
, - Includes identifying and acknowledging expertise of those inside and outside nursing
profession
- Includes referring client to others in order to meet client's needs
Analysis - CORRECT ANSWER: Ability to break down complex information ( organize and
prioritize) also higher level of application
Analysis and database - CORRECT ANSWER: Lead to the identification of nursing diagnosis
Analytic reasoning - CORRECT ANSWER: Situation is unfamiliar
analytic reasoning (interpreting) - CORRECT ANSWER: based on theoretical knowledge. nurse
makes a hypothesis or best guess about the pt care situation and then tests. typically students and
novice nurses
Application - CORRECT ANSWER: Ability to apply learned material to a situation. ( highest
level of understanding)
Application to thinking noticing - CORRECT ANSWER: Collect: Subjective & objective data
VS, Complaints, self-described symptoms. What nurse notices, such as rashes, swelling,
bruising, etc
Assessing Systematically and Comprehensively - CORRECT ANSWER: Noticing
Assessment - CORRECT ANSWER: Collecting and analyzing data from the patient, family
members, health care team
assessment (nursing process) - CORRECT ANSWER: 1- collection of info from primary source
(pt) and secondary (family, friends, health professionals, medical record).
2- interpretation and validation of data to ensure a complete data base