CLINICAL 3 Test Questions and Answers Graded A+
The first step of the nursing process is
assessment. What action do you perform during During the patient interview, the patient shows
assessment? signs of acute respiratory distress. What should
A. Acquire and validate information about the you do next?
patient's health A. Continue the interview so you can get the
B. Collaborate with the patient and family to whole picture before taking action.
prioritize interventions B. Immediately assess the affected body system.
C. Identify a pattern to reach a diagnostic C. Reassure the patient that everything will be all
conclusion right.
D. Provide direct care - ANSWER -Acquire D. Refer the patient to his or her primary health
and validate information about the patient's care provider. - ANSWER -Immediately
health assess the affected body system.
Rationale: During assessment you acquire and Rationale: If a patient experiences acute distress,
validate information about the patient's health. stop the interview and immediately assess the
Collaborating with the patient and family to affected body system. Notify the practitioner.
prioritize interventions is done during the Take action immediately, rather than refer a
planning stage. Identifying a pattern to reach a patient in acute distress to his or her primary
diagnostic conclusion is done during the health care provider. Do not continue the
diagnosis stage. Providing direct care is done interview or general assessment until the acute
during the implementation stage. symptoms are resolved. Do not provide false
reassurance.
During the interview, the patient provides
information about his or her symptoms and What is it called when you reinforce your interest
health status. What is this data called? in what a patient has to say by using active
A. Invalid data listening prompts such as "go on" or "uh-huh"?
B. Objective data A. Back channeling
C. Perceptual data B. Observation
D. Subjective data - ANSWER -Subjective C. Leading questions
data D. Probing - ANSWER -Back channeling
Rationale: Subjective data is the patient's Rationale: Reinforcing your interest in what a
account of his or her feelings, perceptions or patient has to say by using active listening
health problem, in the patient's own words. prompts such as "go on" or "uh-huh" is called
Objective data include verifiable, concrete back channeling. With observation, you observe
observations and measurements of a patient's a patient's nonverbal communication to gain
health status. Invalid data refers to data element information about the patient's condition. Leading
values that are outside of the range of allowable questions suggest a specific answer. This can be
values or are presented in an incorrect format, a risky interview tool because the patient may tell
such as when entering information into a you what he or she thinks you want to hear.
computer program. Perceptual data is data Probing is a technique that uses open-ended
perceived via sensory input. questions to prompt more complete answers.
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, CLINICAL 3 Test Questions and Answers Graded A+
Which of the following is an example of a direct,
closed-ended question?
A. "How many times in the last month have you What type of nursing diagnosis applies when a
slipped and fallen?" patient has an increased likelihood of developing
B. "Is there anything else you can tell me about a problem or complication?
this situation?" A. Health promotion nursing diagnosis
C. "Tell me about your balance issues." B. Medical diagnosis
D. "You're losing your balance more often than C. Problem-focused nursing diagnosis
before, right?" - ANSWER -"How many D. Risk nursing diagnosis - ANSWER -Risk
times in the last month have you slipped and nursing diagnosis
fallen?"
Rationale: Risk nursing diagnoses apply when a
Rationale: "How many times in the last month patient has an increased likelihood of developing
have you slipped and fallen?" is an example of a a problem or complication. Health promotion
direct, closed-ended question. "Is there anything nursing diagnoses identify a patient's desire or
else you can tell me about this situation?" is an motivation to improve health status through a
example of a probing question. "Tell me about change in the patient's behavior. A medical
your balance issues." is an example of an open- diagnosis is not a nursing diagnosis. Problem-
ended question. "You're losing your balance focused nursing diagnoses identify an
more often than before, right?" is an example of undesirable human response to a patient's
a leading question. existing problems or concerns.
The second step of the nursing process is 3. What type of nursing diagnosis applies when a
diagnosis. What action do you perform during patient has an interest in improving his or her
diagnosis? health status by making behavioral changes?
A. Acquire and validate information about the A. Health promotion nursing diagnosis
patient's health. B. Medical diagnosis
B. Collaborate with the patient and family to C. Problem-focused nursing diagnosis
prioritize interventions. D. Risk nursing diagnosis - ANSWER -
C. Identify a pattern to reach a diagnostic Health promotion nursing diagnosis
conclusion.
D. Provide direct care. - ANSWER -Identify Rationale: Health promotion nursing diagnoses
a pattern to reach a diagnostic conclusion. identify a patient's desire or motivation to improve
health status through a change in the patient's
Rationale: Identifying a pattern to reach a behavior. A medical diagnosis is not a nursing
diagnostic conclusion is done during the diagnosis. Problem-focused nursing diagnoses
diagnosis stage. Acquiring and validating identify an undesirable human response to a
information about the patient's health is done patient's existing problems or concerns. Risk
during assessment, not diagnosis. Collaborating nursing diagnoses apply when a patient has an
with the patient and family to prioritize increased likelihood of developing a problem or
interventions is done during the planning stage. complication.
Providing direct care is done during the
implementation stage.
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The first step of the nursing process is
assessment. What action do you perform during During the patient interview, the patient shows
assessment? signs of acute respiratory distress. What should
A. Acquire and validate information about the you do next?
patient's health A. Continue the interview so you can get the
B. Collaborate with the patient and family to whole picture before taking action.
prioritize interventions B. Immediately assess the affected body system.
C. Identify a pattern to reach a diagnostic C. Reassure the patient that everything will be all
conclusion right.
D. Provide direct care - ANSWER -Acquire D. Refer the patient to his or her primary health
and validate information about the patient's care provider. - ANSWER -Immediately
health assess the affected body system.
Rationale: During assessment you acquire and Rationale: If a patient experiences acute distress,
validate information about the patient's health. stop the interview and immediately assess the
Collaborating with the patient and family to affected body system. Notify the practitioner.
prioritize interventions is done during the Take action immediately, rather than refer a
planning stage. Identifying a pattern to reach a patient in acute distress to his or her primary
diagnostic conclusion is done during the health care provider. Do not continue the
diagnosis stage. Providing direct care is done interview or general assessment until the acute
during the implementation stage. symptoms are resolved. Do not provide false
reassurance.
During the interview, the patient provides
information about his or her symptoms and What is it called when you reinforce your interest
health status. What is this data called? in what a patient has to say by using active
A. Invalid data listening prompts such as "go on" or "uh-huh"?
B. Objective data A. Back channeling
C. Perceptual data B. Observation
D. Subjective data - ANSWER -Subjective C. Leading questions
data D. Probing - ANSWER -Back channeling
Rationale: Subjective data is the patient's Rationale: Reinforcing your interest in what a
account of his or her feelings, perceptions or patient has to say by using active listening
health problem, in the patient's own words. prompts such as "go on" or "uh-huh" is called
Objective data include verifiable, concrete back channeling. With observation, you observe
observations and measurements of a patient's a patient's nonverbal communication to gain
health status. Invalid data refers to data element information about the patient's condition. Leading
values that are outside of the range of allowable questions suggest a specific answer. This can be
values or are presented in an incorrect format, a risky interview tool because the patient may tell
such as when entering information into a you what he or she thinks you want to hear.
computer program. Perceptual data is data Probing is a technique that uses open-ended
perceived via sensory input. questions to prompt more complete answers.
1/7
, CLINICAL 3 Test Questions and Answers Graded A+
Which of the following is an example of a direct,
closed-ended question?
A. "How many times in the last month have you What type of nursing diagnosis applies when a
slipped and fallen?" patient has an increased likelihood of developing
B. "Is there anything else you can tell me about a problem or complication?
this situation?" A. Health promotion nursing diagnosis
C. "Tell me about your balance issues." B. Medical diagnosis
D. "You're losing your balance more often than C. Problem-focused nursing diagnosis
before, right?" - ANSWER -"How many D. Risk nursing diagnosis - ANSWER -Risk
times in the last month have you slipped and nursing diagnosis
fallen?"
Rationale: Risk nursing diagnoses apply when a
Rationale: "How many times in the last month patient has an increased likelihood of developing
have you slipped and fallen?" is an example of a a problem or complication. Health promotion
direct, closed-ended question. "Is there anything nursing diagnoses identify a patient's desire or
else you can tell me about this situation?" is an motivation to improve health status through a
example of a probing question. "Tell me about change in the patient's behavior. A medical
your balance issues." is an example of an open- diagnosis is not a nursing diagnosis. Problem-
ended question. "You're losing your balance focused nursing diagnoses identify an
more often than before, right?" is an example of undesirable human response to a patient's
a leading question. existing problems or concerns.
The second step of the nursing process is 3. What type of nursing diagnosis applies when a
diagnosis. What action do you perform during patient has an interest in improving his or her
diagnosis? health status by making behavioral changes?
A. Acquire and validate information about the A. Health promotion nursing diagnosis
patient's health. B. Medical diagnosis
B. Collaborate with the patient and family to C. Problem-focused nursing diagnosis
prioritize interventions. D. Risk nursing diagnosis - ANSWER -
C. Identify a pattern to reach a diagnostic Health promotion nursing diagnosis
conclusion.
D. Provide direct care. - ANSWER -Identify Rationale: Health promotion nursing diagnoses
a pattern to reach a diagnostic conclusion. identify a patient's desire or motivation to improve
health status through a change in the patient's
Rationale: Identifying a pattern to reach a behavior. A medical diagnosis is not a nursing
diagnostic conclusion is done during the diagnosis. Problem-focused nursing diagnoses
diagnosis stage. Acquiring and validating identify an undesirable human response to a
information about the patient's health is done patient's existing problems or concerns. Risk
during assessment, not diagnosis. Collaborating nursing diagnoses apply when a patient has an
with the patient and family to prioritize increased likelihood of developing a problem or
interventions is done during the planning stage. complication.
Providing direct care is done during the
implementation stage.
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