Exam 2 NURS3020 exam with correct ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
answers
What term best describes the nature of the nursing process? ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
a. Static
||\\||\\
b. Linear ||\\||\\
c. Dynamic
||\\||\\
d. Predictable - correct answer✔✔c. Dynamic
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
The nursing process is dynamic, changing over time in response
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
to patients' individual needs. The dynamic, responsive nature of
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
the nursing process allows it to be used effectively with patients
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
in any setting and at every level of care, from the intensive care
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
unit to outpatient wellness clinics. ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
A disoriented patient is admitted to the hospital accompanied
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
by his spouse. From whom should the nurse collect subjective
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
data on this patient? ||\\||\\ ||\\||\\ ||\\||\\
,a. An experienced nurse on the unit
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
b. The patient's medical record
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
c. The patient's wife
||\\||\\ ||\\||\\ ||\\||\\
d. His physician - correct answer✔✔c. The patient's wife
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Subjective data (i.e., symptoms) are spoken. Patients' feelings ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
about a situation or comments about how they are feeling are ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
examples of subjective data. Data shared by a source verbally ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
are considered subjective. Subjective data may be difficult to
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
validate because they cannot be independently and objectively ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
measured. Subjective data are most often gathered during a ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
patient interview or health history. Use of an interpreter may be ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
necessary when the patient or family members speak a
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
language unfamiliar to the nurse. Subjective data are typically ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
documented in the patient's medical record as direct ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
quotations; for example, "I didn't get much sleep last night" or ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
"I've had diabetes since I was 10 years old." ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
LO: 5.4 ||\\||\\
DIF: Understanding ||\\||\\
MSC: NCLEX Client Needs: Safe and Effective Care Environment: ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Management of Care ||\\||\\ ||\\||\\
, Prior to identifying accurate nursing diagnoses, what action
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
must be taken by the nurse? ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
a. Reading the patient's history
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
b. Setting realistic, measurable goals
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
c. Comparing evidence-based practices
||\\||\\ ||\\||\\ ||\\||\\
d. Clustering related patient data - correct answer✔✔d.
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Clustering related patient data ||\\||\\ ||\\||\\ ||\\||\\
In the diagnosis step, patient data are analyzed, validated, and
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
clustered to identify patient problems. Each problem is then ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
stated in standardized language as a specific nursing diagnosis ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
to provide greater clarity and universal understanding by all care
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
providers. Reading the patient's history is part of assessment.
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Goal setting and considering evidence-based practice are part of
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
planning.
||\\||\\
LO: 5.4 ||\\||\\
DIF: Applying ||\\||\\
answers
What term best describes the nature of the nursing process? ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
a. Static
||\\||\\
b. Linear ||\\||\\
c. Dynamic
||\\||\\
d. Predictable - correct answer✔✔c. Dynamic
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
The nursing process is dynamic, changing over time in response
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
to patients' individual needs. The dynamic, responsive nature of
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
the nursing process allows it to be used effectively with patients
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
in any setting and at every level of care, from the intensive care
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
unit to outpatient wellness clinics. ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
A disoriented patient is admitted to the hospital accompanied
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
by his spouse. From whom should the nurse collect subjective
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
data on this patient? ||\\||\\ ||\\||\\ ||\\||\\
,a. An experienced nurse on the unit
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
b. The patient's medical record
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
c. The patient's wife
||\\||\\ ||\\||\\ ||\\||\\
d. His physician - correct answer✔✔c. The patient's wife
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Subjective data (i.e., symptoms) are spoken. Patients' feelings ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
about a situation or comments about how they are feeling are ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
examples of subjective data. Data shared by a source verbally ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
are considered subjective. Subjective data may be difficult to
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
validate because they cannot be independently and objectively ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
measured. Subjective data are most often gathered during a ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
patient interview or health history. Use of an interpreter may be ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
necessary when the patient or family members speak a
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
language unfamiliar to the nurse. Subjective data are typically ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
documented in the patient's medical record as direct ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
quotations; for example, "I didn't get much sleep last night" or ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
"I've had diabetes since I was 10 years old." ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
LO: 5.4 ||\\||\\
DIF: Understanding ||\\||\\
MSC: NCLEX Client Needs: Safe and Effective Care Environment: ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Management of Care ||\\||\\ ||\\||\\
, Prior to identifying accurate nursing diagnoses, what action
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
must be taken by the nurse? ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
a. Reading the patient's history
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
b. Setting realistic, measurable goals
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
c. Comparing evidence-based practices
||\\||\\ ||\\||\\ ||\\||\\
d. Clustering related patient data - correct answer✔✔d.
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Clustering related patient data ||\\||\\ ||\\||\\ ||\\||\\
In the diagnosis step, patient data are analyzed, validated, and
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
clustered to identify patient problems. Each problem is then ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
stated in standardized language as a specific nursing diagnosis ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
to provide greater clarity and universal understanding by all care
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
providers. Reading the patient's history is part of assessment.
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Goal setting and considering evidence-based practice are part of
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
planning.
||\\||\\
LO: 5.4 ||\\||\\
DIF: Applying ||\\||\\
