Bank
,
, AdvancedPharmacologyforPrescribers1stEditionLuuKayingoTestBank
Chapter1:AnIntroductiontoEvidence-BasedClinicalPracticeGuidelines
MULTIPLECHOICE v
• Whatistheprimarypurposeofthenursingassessment?
• Identifying underlyingpathologicconditions
v
• Assistingthephysicianinidentifyingmedicalconditions
• Determiningthepatientsmentalstatus
• Exploring patientresponsestohealthproblems
v
ANS:D
Anursingassessmentisdonetoidentifythepatientsresponsetohealthproblems. x v
xDuringthenursingassessment phase,a comprehensiveinformationbase
v v v v
isdevelopedthroughaphysicalexamination,nursinghistory,medication
x v v
history,andprofessionalobservation.Identifyingunderlyingpathologic
x x v
conditionsandassistingthephysicianinidentifying medicalconditionsis
x v x x v v v
not partofthenursingprocess.Determiningthepatients
x v v v x v
mentalstatusisone part ofthe nursingassessment,butitis nottheprimary purpose.
x v x v x x v v x
DIF:CognitiveLevel:Comprehension
REF:dm36OBJ:1|3TOP:Nursing
x v
ProcessStep:Assessment
x v
MSC:NCLEXClientNeeds Category:HealthPromotionand v x x Maintenance
• Whatisthebasisofthe NANDAI taxonomy? v v
• Functionalhealth patterns v
• Humanresponsepatterns
• Basichumanneeds
• Pathophysiologicneeds
ANS:B
The NANDA I taxonomy identifies human response patterns. Functional
x x x x x x x x
components of health patterns are limited to activity, fluid volume, nutrition, self
x x x x x x x x x x x x
care, and sensory perception. Basic human needs comprise less than merely
x x x x x x x x x x x
healthpatterns.Pathophysiologicneedsarenotpartofthe scopeof NANDAI.
x x x x x x x x x x x x
, DIF:CognitiveLevel:KnowledgeREF:
pp.37-38OBJ:5TOP:
NursingProcessStep:Diagnosis
MSC:NCLEXClientNeedsCategory:PhysiologicalIntegrity
x
• Whichtaskisincludedintheassessmentstepofthenursingprocess? v
• Establishingpatientgoals/outcomes
• Implementingthenursingcareplan(NCP)
• Measuring goal/outcomeachievement
v
• Collecting andcommunicatingdata
v v
ANS:D
Dataarecollectedandcommunicatedintheassessmentphaseofthenursing x x xv
process.Establishinggoalsisthefunctionofplanning. v
ImplementingtheNCPisthefunctionofimplementation.Measuringoutcome v x
achievementisthefunctionofevaluation.
x v
DIF:CognitiveLevel:Comprehension
REF:dm36OBJ:2|3TOP:Nursing
x v
ProcessStep:Assessment
x v
MSC:NCLEXClientNeedsCategory: HealthPromotionand v xv x x x Maintenance
• Whichstatementregardingnursingdiagnosesisaccurate?
• Nursingdiagnosesremainthesameforaslongasthediseaseispresent.
• Nursingdiagnosesarewrittentoidentifydiseasestates.
v
• Nursing diagnoses describepatientproblemsthat nurses treat.
v v v v
• Nursingdiagnosesidentifycausesrelatedtoillness.
ANS:C
Diagnosticstatementsidentifyproblemsanurseisindependentlyabletotreat
withinthescopeofprofessionalpractice.Nursingdiagnosesvarywiththe
x v v v v
changingconditionofthepatient.Theresponsepatternsareuniquetothepatient
x x v v v
andarenotdiseasespecific.Nursingdiagnosesdescribethepatientshuman
x v v v v
responsepattern.
x
DIF:CognitiveLevel:Comprehension