C HAPTER 05: N URSING P ROCESS AND
C RITICAL T HINKING
Cooper: Foundation of Nursing, 9th Edition
MULTIPLE CHOICE
1. What assists the nurse in the identification of patient problems?
a. Objective data
b. Subjective data
c. Data clustering
d. Validated data
ANS: C
Data clustering assists the nurse in determining patient problems.
DIF: Cognitive Level: Comprehension REF: p. 82 OBJ: 4
TOP: Patient problem KEY: Nursing Process Step:
Assessment MSC: NC LEX: N/A
2. What organized approach might the nurse use when performing a complete
physical examination?
a. Maslow’s hierarchy of needs
b. A head-to-toe assessment
c. Subjective data collection
d. Objective data collection
, ANS: B
A head-to-toe format provides a systematic approach.
DIF: Cognitive Level: Application REF: p. 82 OBJ: 3
TOP: Assessment KEY: Nursing Process Step:
Assessment MSC: NC LEX: N/A
3. Who is the person responsible for anal yzing and interpreting data to arrive
at a patient problem?
a. Health care provider
b. LPN/LVN
c. RN
d. Technician
ANS: C
The RN is responsible for anal yzing and interpreting data.
DIF: Cognitive Level: Knowledge REF: p. 81 OBJ: 4
TOP: Role responsibilit y KEY: Nursing Process
Step: N/A MSC: NC LEX: N/A
4. What is the basis for designing and selecting nursing interventions to meet
patient needs?
a. Patient problem
b. Care plan
c. Health care provider’s orders
d. Nurse’s notes
, ANS: A
The patient problem is the basis for developing nursing interventions.
DIF: Cognitive Level: Knowledge REF: p. 87 OBJ: 4
TOP: Patient problem KEY: Nursing Process Step:
Planning MSC: NC LEX: N/A
5. The patient is confined to bed rest, which con tributes to immobilit y. What
is bed rest considered in this situation?
a. Contributing to the patient’s recovery
b. A risk factor
c. Difficult to maintain
d. A nursing responsibilit y
ANS: B
Risk factors are those that increase the susceptibilit y of a patient to a
problem.
DIF: Cognitive Level: Application REF: p. 84 OBJ: 5
TOP: Risk factors KEY: Nursing Process Step:
Evaluation MSC: NC LEX: Physiological Integrit y
6. What is a patient problem considered when a problem is suspected but
data to support it are lackin g?
a. A syndrome patient problem
, b. An actual patient problem
c. A “risk for” diagnosis
d. A possible patient problem
ANS: D
A possible patient problem requires additional data to confirm a
problem or to complete a data cluster so that it can be related to a
NANDA-I label.
DIF: Cognitive Level: Comprehension REF: p. 81 | p. 86
OBJ: 4 | 10 TOP: Patient problem KEY: Nursing
Process Step: Assessment MSC: NC LEX: N/A
7. In which phase of the nursing process does the nurse select interventions
to assist the patient t o meet the needs demonstrated?
a. Assessment
b. Planning
c. Implementation
d. Evaluation
ANS: B
During the planning phase, the nurse connects nursing interventions to
nursing orders.
DIF: Cognitive Level: Comprehension REF: p. 86 OBJ: 2
TOP: Nursing process KEY: Nursing Process Step:
Planning MSC: NC LEX: N/A
C RITICAL T HINKING
Cooper: Foundation of Nursing, 9th Edition
MULTIPLE CHOICE
1. What assists the nurse in the identification of patient problems?
a. Objective data
b. Subjective data
c. Data clustering
d. Validated data
ANS: C
Data clustering assists the nurse in determining patient problems.
DIF: Cognitive Level: Comprehension REF: p. 82 OBJ: 4
TOP: Patient problem KEY: Nursing Process Step:
Assessment MSC: NC LEX: N/A
2. What organized approach might the nurse use when performing a complete
physical examination?
a. Maslow’s hierarchy of needs
b. A head-to-toe assessment
c. Subjective data collection
d. Objective data collection
, ANS: B
A head-to-toe format provides a systematic approach.
DIF: Cognitive Level: Application REF: p. 82 OBJ: 3
TOP: Assessment KEY: Nursing Process Step:
Assessment MSC: NC LEX: N/A
3. Who is the person responsible for anal yzing and interpreting data to arrive
at a patient problem?
a. Health care provider
b. LPN/LVN
c. RN
d. Technician
ANS: C
The RN is responsible for anal yzing and interpreting data.
DIF: Cognitive Level: Knowledge REF: p. 81 OBJ: 4
TOP: Role responsibilit y KEY: Nursing Process
Step: N/A MSC: NC LEX: N/A
4. What is the basis for designing and selecting nursing interventions to meet
patient needs?
a. Patient problem
b. Care plan
c. Health care provider’s orders
d. Nurse’s notes
, ANS: A
The patient problem is the basis for developing nursing interventions.
DIF: Cognitive Level: Knowledge REF: p. 87 OBJ: 4
TOP: Patient problem KEY: Nursing Process Step:
Planning MSC: NC LEX: N/A
5. The patient is confined to bed rest, which con tributes to immobilit y. What
is bed rest considered in this situation?
a. Contributing to the patient’s recovery
b. A risk factor
c. Difficult to maintain
d. A nursing responsibilit y
ANS: B
Risk factors are those that increase the susceptibilit y of a patient to a
problem.
DIF: Cognitive Level: Application REF: p. 84 OBJ: 5
TOP: Risk factors KEY: Nursing Process Step:
Evaluation MSC: NC LEX: Physiological Integrit y
6. What is a patient problem considered when a problem is suspected but
data to support it are lackin g?
a. A syndrome patient problem
, b. An actual patient problem
c. A “risk for” diagnosis
d. A possible patient problem
ANS: D
A possible patient problem requires additional data to confirm a
problem or to complete a data cluster so that it can be related to a
NANDA-I label.
DIF: Cognitive Level: Comprehension REF: p. 81 | p. 86
OBJ: 4 | 10 TOP: Patient problem KEY: Nursing
Process Step: Assessment MSC: NC LEX: N/A
7. In which phase of the nursing process does the nurse select interventions
to assist the patient t o meet the needs demonstrated?
a. Assessment
b. Planning
c. Implementation
d. Evaluation
ANS: B
During the planning phase, the nurse connects nursing interventions to
nursing orders.
DIF: Cognitive Level: Comprehension REF: p. 86 OBJ: 2
TOP: Nursing process KEY: Nursing Process Step:
Planning MSC: NC LEX: N/A
