NURSING PRACTICE I)
What is the least effective decision making process - ANSWER: establishing
assumptions
what does the trial-and-error method of problem solving lack - ANSWER: exactness
The research process of problem solving is - ANSWER: most effective when used by
experienced nurses
why is the nursing process method used in nursing - ANSWER: it creates interaction
between client and nurse, used to set healthcare needs and goals and plans, and
works well in all environments
what does critical thinking allow nurses to do during emergencies - ANSWER:
recognize important cues
child cannot grasp the mechanics behind a spirometer so the nurse uses balloons
and jar of bubbles instead, what does this represent - ANSWER: creativity and critical
thinking
what does it mean when a nurse has a feeling of something going wrong or
happening - ANSWER: intuition
a nurse observes a gsw patient and assumes the client is at an increased risk for
hypovolemic shock after observing the blood spurting out of the wound. what is this
an example of - ANSWER: inductive reasoning
while attending a nursing educator conference a nursing instructor obtains
information about the use of concept maps and pathways. the instructor returns to
work and uses these techniques, what does this show? - ANSWER: creating an
environment that supports critical thinking
what is the definition of the nursing process - ANSWER: systematic rational method
of planning and providing individualized nursing care
how are nursing cognitive skills learned - ANSWER: through reading and applying
health related literature
what nursing process phase identified the most current scope and standards of
nursing practice thats not recognized by the NCLEX - ANSWER: outcomes
identifications and diagnosis
, during the interview phase, what will the nurse consider may have a cultural
implication? - ANSWER: physical distance between the nurse and client and seating
arrangement
what is an example of an open-ended question that the nurse may use in the
interview process - ANSWER: how have you been feeling lately
what is the name of the head to toe approach during a physical assessment -
ANSWER: cephalocaudal
what framework is based on 11 functional health patterns and collects data about
dysfunctional and functional behavior - ANSWER: Gordons functional health patterns
after health history and physical assessment, the nurse identifies discrepancies in the
information. what is this process - ANSWER: validating
the nurse takes the clients vital signs, the nurse is performing which phase of the
nursing process - ANSWER: assessing
the nurse reassesses a clients temperature 45 minutes after administering
acetaminophen, this is an example of what type of assessment - ANSWER: ongoing
the nurse is measuring the drainage from a Jackson-Pratt drain. what is considered
objective data? - ANSWER: the drainage measurement is 25 ml
what is the purpose of data collection and analysis - ANSWER: to identify actual or
potential health concerns
which statement is a nursing diagnosis - ANSWER: potential for sleep-pattern
disturbances
what is the purpose of a nursing diagnosis - ANSWER: to identify a client's problem
and etiology
what might the nurse perform during the diagnosing component of the nursing
process - ANSWER: compare data against current nursing standards, cluster or group
the data to generate a tentative hypothesis, identify gaps and inconsistencies in the
data
what is a nursing function during the diagnosing phase of the nursing process -
ANSWER: clarify all inconsistencies in the data before making infereces
readiness for enhanced parenting is an example of which type of diagnosis -
ANSWER: wellness diagnosis
which part of the following nursing diagnostic statements would be correct -
ANSWER: impaired skin integrity related to immobility