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1. Before modifying a care plan to meet a patient's changing needs, the nurse's
first action should be to:
A. re-do the entire care plan
B. focus only on the nursing diagnoses with moderate priority
C. assess/reassess the patient's responses to interventions
D. add more nursing interventions from a standardized plan of care: C. assess/re-
assess the patient's responses to interventions
2. True or False: Actual or potential health problems that can be prevented or
resolved by dependent nursing intervention are termed nursing diagnoses.: -
True
3. Objective data is usually recorded:
A. by body systems.
B. after the assessment and plan.
C. before the health history.
D. in the problem list.: A. by body systems
4. The examiner's evaluation of a patient's mental status belongs in the:
A. history of present illness.
B. review of systems.
C. physical examination.
D. patient education.: C. physical examination.
5. Which following component is not related to the format of nursing diagno-
sis?
A. Problem
B. Etiology
C. Sign and Symptom
D. Pain: D. Pain
6. Differential diagnoses belong in the:
history.
assessment.
plan.
laboratory data.: Assessment
, NR606 Midterm Exam
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7. Which of the following outcome statements contains the best example of
performance criteria? The patient will
Turn herself in bed frequently while awake
Understand how to use crutches by Day 2
State that pain is decreased after being medicated
Eat 75% of each meal without complaint of nausea: Eat 75% of each meal without complaint
of nausea
8. True or False: Nursing assessments have the same components as medical
assessment, but with less detail.: False
9. A patient tells the nurses that he is nervous, he is nauseated and he "feels
hot". This type of data would be:
objective
reflective
subjective
introspective: Subjective
10. A 42-year-old Asian patient is being seen at the clinic for an initial examina-
tion. The nurse knows that it is important to include cultural information in his
health assessment to:
Identify the cause of his illness
Make accurate disease diagnoses
Provide cultural health rights for the individual
Provide culturally sensitive and appropriate care: Provide culturally sensitive and appropriate
care
11. When questioning a patient regarding alcohol intake, she tells you that she
is "only a social drinker." Which initial response is appropriate?
I am glad that you are a responsible drinker
Many people who are really alcoholic say they are social drinkers
What amount and what kind of alcohol do you drink in a week?
If you only drink socially, you won't need a designated driver: What amount and what
kind of alcohol do you drink in a week?
12. True or False: Carrying out a physician-initiated order is an example of an
independent nursing action.: False