The Nursing Process EXAM QUESTIONS AND VERIFIED
ACCURATE SOLUTION |GET IT 100% ACCURATE!!!
Nursing diagnoses , definitions, and classifications are labeled using what association's standards? -
ANSWER-North American Nursing Diagnosis Association - International, now called NANDA I.
NANDA develops a standardized nursing terminology for identifying (diagnosing), defininig, and
classifying what? - ANSWER-patient's actual or potential responses to health problems
What is included in nursing outcomes classification? - ANSWER-A list of concepts, definitions, and
measures that describe patient outcomes influenced by nursing interventions.
True or False: the NANDA nursing diagnoses are rigid and cannot be modified - ANSWER-False. It is
continually evolving with research.
This data set has coded numbers, facilitating the use of electronic collection of standardized nursing
data to evaluate the effectiveness of intervention. - ANSWER-N.I.C., or the Nursing Interventions
Classification. There are over 500 interventions with a labeled name, definition, and set of activities to
choose from to carry out the intervention.
True or false: In clinical practice, nursing care plans are often adapted for a specific setting, then used as
guides for routine nursing care. - ANSWER-True, then nurses individualize the plan to each patient's
unique needs.
What model is used for effective communication from Nurse to nurse, physician, or other health
professional? - ANSWER-S.BAR
Before calling the physician (or other health professional), what 3 things should you do? - ANSWER-
Assess the patient yourself.
Check most recent notes.
Have chart available.
What does the S in S.BAR stand for? - ANSWER-Situation. Put the bottom line up front: Why are you
calling?
, What does the B in S.BAR stand for? - ANSWER-Background. Why is the patient with us, what's their
health picture, what have we been doing so far.
What does the A in S.BAR stand for? - ANSWER-Assessment. What do you as a nurse think is causing the
problem?
What does the R in S.BAR stand for? - ANSWER-Request or Recommendation. What would you like to
have happen?
Identifying a patient with a feeding tube as being at risk for aspiration is an example of what nursing
activity? - ANSWER-Nursing Diagnosis
What 3 resources are used to provide guides for planning care? - ANSWER-Linking NANDA diagnoses,
N.O.C. outcomes, and N.I.C. interventions
Part 3 Resource: Ackley textbook sec. 1 - ANSWER-
The "patient's story" is made up of what kind of information? - ANSWER-Objective and subjective
information that describes who the client is as a person in addition to medical history.
Who is the primary source of data? - ANSWER-The client (or patient)
When is someone other than the client the primary source of data? - ANSWER-When the client is
incompetent, such as a patient with severely altered mental status or a child
To elicit as much information as possible, the nurse should use what kind of questions? - ANSWER-Open-
ended that require more than a yes or no answer
Are diagnostic test results objective or subjective? - ANSWER-Objective
When is a nursing diagnosis formed? - ANSWER-After analysis of the data obtained in the assessment.
ACCURATE SOLUTION |GET IT 100% ACCURATE!!!
Nursing diagnoses , definitions, and classifications are labeled using what association's standards? -
ANSWER-North American Nursing Diagnosis Association - International, now called NANDA I.
NANDA develops a standardized nursing terminology for identifying (diagnosing), defininig, and
classifying what? - ANSWER-patient's actual or potential responses to health problems
What is included in nursing outcomes classification? - ANSWER-A list of concepts, definitions, and
measures that describe patient outcomes influenced by nursing interventions.
True or False: the NANDA nursing diagnoses are rigid and cannot be modified - ANSWER-False. It is
continually evolving with research.
This data set has coded numbers, facilitating the use of electronic collection of standardized nursing
data to evaluate the effectiveness of intervention. - ANSWER-N.I.C., or the Nursing Interventions
Classification. There are over 500 interventions with a labeled name, definition, and set of activities to
choose from to carry out the intervention.
True or false: In clinical practice, nursing care plans are often adapted for a specific setting, then used as
guides for routine nursing care. - ANSWER-True, then nurses individualize the plan to each patient's
unique needs.
What model is used for effective communication from Nurse to nurse, physician, or other health
professional? - ANSWER-S.BAR
Before calling the physician (or other health professional), what 3 things should you do? - ANSWER-
Assess the patient yourself.
Check most recent notes.
Have chart available.
What does the S in S.BAR stand for? - ANSWER-Situation. Put the bottom line up front: Why are you
calling?
, What does the B in S.BAR stand for? - ANSWER-Background. Why is the patient with us, what's their
health picture, what have we been doing so far.
What does the A in S.BAR stand for? - ANSWER-Assessment. What do you as a nurse think is causing the
problem?
What does the R in S.BAR stand for? - ANSWER-Request or Recommendation. What would you like to
have happen?
Identifying a patient with a feeding tube as being at risk for aspiration is an example of what nursing
activity? - ANSWER-Nursing Diagnosis
What 3 resources are used to provide guides for planning care? - ANSWER-Linking NANDA diagnoses,
N.O.C. outcomes, and N.I.C. interventions
Part 3 Resource: Ackley textbook sec. 1 - ANSWER-
The "patient's story" is made up of what kind of information? - ANSWER-Objective and subjective
information that describes who the client is as a person in addition to medical history.
Who is the primary source of data? - ANSWER-The client (or patient)
When is someone other than the client the primary source of data? - ANSWER-When the client is
incompetent, such as a patient with severely altered mental status or a child
To elicit as much information as possible, the nurse should use what kind of questions? - ANSWER-Open-
ended that require more than a yes or no answer
Are diagnostic test results objective or subjective? - ANSWER-Objective
When is a nursing diagnosis formed? - ANSWER-After analysis of the data obtained in the assessment.
