With Correccct Detailed Answers.
During which of the five steps in the nursing process does the nurse determine whether
outcomes of care are achieved?
1. Implementation
2. Evaluation
3. Planning
4. Analysis - ANSWER- 2
When considering the nursing process, the word "observe" is to "assess" as the word
"explore" is to which of the following words?
1. Plan
2. Analyze
3. Evaluate
4. Implement - ANSWER- 2
Which statement is related to the concept that is central to the nursing process?
1. It is dynamic rather than static.
2. It focuses on the role of the nurse.
3. It moves from the simple to the complex. 4. It is based on the patient's medical
problem. - ANSWER- 1
Which word best describes the role of the nurse when using the nursing process to
meet the needs of the patient holistically?
1. Teacher
2. Advocate
3. Surrogate
4. Counselor - ANSWER- 2
Which word is most closely associated with scientific principles?
1. Data
2. Problem
3. Rationale
4. Evaluation - ANSWER- 3
A pebble dropped into a pond causes ripples on the surface of the water. Which part of
the nursing diagnosis is directly related to this concept?
1. Defining characteristics
2. Outcome criteria
3. Etiology
4. Goal - ANSWER- 3
, A nurse teaches a patient to use visualization to cope with chronic pain. Which step of
the nursing process is associated with this nursing intervention?
1. Planning
2. Analysis
3. Evaluation
4. Implementation - ANSWER- 4
Which action reflects the assessment step of the nursing process?
1. Taking a patient's apical pulse rate every 2 hours after being admitted for an episode
of chest pain
2. Scheduling a patient's fluid intake over 12 hours when the patient has a fluid
restriction
3. Examining a patient for injury after a patient falls in the bathroom 4. Obtaining a
patient's respiratory rate after a nebulizer treatment - ANSWER- 3
A nurse is caring for a patient with a fever. Which is a well-designed goal for this
patient?
1. "The patient will have a lower temperature."
2. "The patient will be taught how to take an accurate temperature."
3. "The patient will maintain fluid intake adequate to prevent dehydration."
4. "The patient will be given aspirin every eight hours whenever necessary." -
ANSWER- 3
Which should the nurse do during the evaluation step of the nursing process?
1. Set the time frames for goals.
2. Revise a plan of care.
3. Determine priorities.
4. Establish outcomes. - ANSWER- 2
During which step of the nursing process does determining which actions will be
employed to meet the needs of a patient occur?
1. Implementation
2. Assessment
3. Planning
4. Analysis - ANSWER- 3
Which information supports the appropriateness of a nursing diagnosis?
1. Defining characteristics
2. Planned interventions
3. Diagnostic statement
4. Related risk factors - ANSWER- 1
Which is the primary goal of the assessment phase of the nursing process?
1. Build trust
2. Collect data
3. Establish goals