Test Bank - Kozier & Erb's Fundamentals of Nursing: Concepts, Process, and Practice 10th

Chapter 11: Assessing Question 1 Type: MCSA The student is learning the steps of the nursing process. What is the first thing that the student should realize about the purpose of this process? 1. Deliver care to a client in an organized way. 2. Implement a plan that is close to the medical model. 3. Identify client needs and deliver care to meet those needs. 4. Make sure that standardized care is available to clients. Correct Answer: 3 Rationale 1: Delivery of organized care is not part of the nursing process, although each phase is interrelated. Rationale 2: The nursing process is not part of the medical model, as nurses treat the clients response to the disease or problem. Rationale 3: The purpose of the nursing process is to identify a clients health status and actual or potential health care problems or needs, to establish plans to meet the identified needs, and to deliver specific nursing interventions to meet those needs. Rationale 4: The nursing process is individualized for each clients care plan. It is not about standardizing care. Global Rationale: Cognitive Level: Applying Client Need: Safe and Effective Care Environment Client Need Sub: Management of Care QSEN Competencies: I.A. 1. Integrate understanding of multiple dimensions of patient centered care AACN Essentials Competencies: IX. 1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches NLN Competencies: Context and Environment; Practice; conduct population-based transcultural health assessments and interventions Nursing/Integrated Concepts: Nursing Process: Planning Learning Outcome: 1. Describe the phases of the nursing process. MNL Learning Outcome: 1.4.1. Analyze the role of assessment in the establishment of the nursing process. Page Number: 155 Question 2 Type: MCSA While conducting a dressing change, the nurse notes a new area of skin breakdown that was caused from the tape used to secure the dressing. In which phase of the nursing process is the nurse working? T