, AdvancedsPharmacology ssforssPrescribers ss1st ssEditionssLuussKayingo ssTest ssBank
Chapter ss1: ssAn ssIntroduction ssto ssEvidence-Based ssClinical ssPractice ssGuidelines
MULTIPLE ssCHOICE
• What ssis ssthe ssprimary sspurpose ssof ssthe ssnursing ssassessment?
• Identifying ssunderlying sspathologic ssconditions
• Assisting ssthe ssphysician ssin ssidentifying ssmedical ssconditions
• Determining ssthe sspatients ssmental ssstatus
• Exploring sspatient ssresponses ssto sshealth ssproblems
ANS: ssD
A ssnursing ssassessment ssis ssdone ssto ssidentify ssthe sspatients
ssresponse to health ssproblems. ssDuring ssthe ssnursing ssassessment ssphase, ssa
zz zz
sscomprehensive ssinformation ssbase ssis ssdeveloped ssthrough ssa ssphysical
ssexamination, ssnursing sshistory, ssmedication sshistory, ssand ssprofessional
ssobservation. ssIdentifying ssunderlying sspathologic ssconditions ssand
ssassisting ssthe ssphysician in ssidentifying ssmedical ssconditions ssis ssnot sspart
zz
ssof ssthe nursing ssprocess.
zz
Determining ssthe sspatients ssmental ssstatus ssis ssone part ssof the ssnursing
zz zz
ssassessment, ssbut ssit ssis ssnot ssthe ssprimary sspurpose.
DIF:ssCognitivessLevel:ssComprehension
ssREF: ssdm ss36 ssOBJ: ss1 ss| ss3 ssTOP:
Nursing ssProcess ssStep: ss Assessment
MSC: ssNCLEX ssClient ssNeeds ssCategory: ssHealth Promotion ssand ssMaintenance
zz
• What ssis ssthe basis ssof the ssNANDA ssI sstaxonomy?
zz zz
• Functional sshealth sspatterns
• Human ssresponse sspatterns
• Basic sshuman ssneeds
• Pathophysiologic s s needs
ANS: ssB
The ssNANDA ssI sstaxonomy ssidentifies sshuman ssresponse sspatterns.
ssFunctional sscomponents ssof sshealth sspatterns ssare sslimited ssto ssactivity,
ssfluid ssvolume, ssnutrition, s s self s s care, s s and s s sensory ssperception.
s s Basic sshuman ssneeds sscomprise ssless ssthan ssmerely sshealth sspatterns.
ssPathophysiologic ssneeds ssare s s not sspart ssof ssthe ssscope ssof ssNANDA ssI.
,DIF:ssCognitivessLevel:ssKnowledge
ssREF: sspp. ss37-38 ssOBJ: ss5 ssTOP:
NursingssProcess ssStep: ssDiagnosis
MSC: ssNCLEX ssClient ssNeeds ssCategory: ssPhysiological ssIntegrity
• Which sstask ssis ssincluded ssin ssthe ssassessment ssstep ssof ssthe ssnursing ssprocess?
• Establishing sspatient ssgoals/outcomes
• Implementing ssthe ssnursing sscare ssplan ss(NCP)
• Measuring ssgoal/outcome ssachievement
• Collecting ssand sscommunicating ssdata
ANS: ssD
Data ssare sscollected ssand sscommunicated ssin ssthe ssassessment ssphase of the
zz zz
ssnursing ssprocess. ssEstablishing ssgoals ssis ssthe ssfunction ssof ssplanning.
Implementing ssthe ssNCP ssis ssthe ssfunction ssof ssimplementation. Measuring
zz
ssoutcome ssachievement ssis ssthe ssfunction ssof ssevaluation.
DIF:ssCognitivessLevel:ssComprehension
ssREF: ssdm ss36 ssOBJ: ss2 ss| ss3 ssTOP:
Nursing ssProcess ssStep: ss Assessment
MSC: ssNCLEX ssClient ssNeeds ssCategory: Health ssPromotion and ssMaintenance
zz zz
• Which ssstatement ssregarding ssnursing diagnoses ssis ssaccurate?
zz
• Nursing ssdiagnoses remain ssthe sssame ssfor ssas sslong ssas ssthe ssdisease ssis sspresent.
zz
• Nursingssdiagnoses ssare written ssto ssidentify ssdisease ssstates.
zz
• Nursing diagnoses ssdescribe sspatient ssproblems ssthat ssnurses sstreat.
zz
• Nursing ssdiagnoses ssidentify sscauses ssrelated ssto ssillness.
ANS: ssC
Diagnostic ssstatements ssidentify ssproblems ssa ssnurse ssis ssindependently ssable
ssto sstreat sswithin ssthe ssscope ssof ssprofessional sspractice. ssNursing ssdiagnoses
ssvary sswith ssthe sschanging sscondition ssof ssthe sspatient. ssThe ssresponse
sspatterns ssare ssunique ssto ssthe sspatient ssand ssare ssnot ssdisease ssspecific.
ssNursing ssdiagnoses ssdescribe ssthe sspatients sshuman ssresponse sspattern.
DIF: ssCognitive ssLevel: ssComprehension
, REF: sspp. ss37-38 ssOBJ: ss5 ssTOP: ssNursing
Process ssStep: ssDiagnosis
MSC: ssNCLEX ssClient ssNeeds ssCategory: ssPhysiological ssIntegrity
• What ssdo ssthe ssclassification sssystems ssNIC ssand ssNOC ssprovide?
• Individualized ssdata ssbanks ssof sstreatments ssrelated ssto ssdisease ssprocesses
• Standardized sslanguage ssfor ssreporting ssand ssanalyzing ssnursing sscare ssdelivery
• A ssmeasure ssfor sscost sscontainment sswithin ssmedical ssinstitutions
• Specialized ssinterventions ssfor ssrare ssdiseases
ANS: ssB
Nursing ssclassification sssystems sssuch ssas ssNIC ssand ssNOC ssare ssdesigned ssto
ssprovide ssa ssstandardized sslanguage ssfor ssreporting ssand ssanalyzing nursing
zz
sscare ssdelivery ssthat ssis ssindividualized ssfor sseach sspatient. ssStandardized
ssterminology ssassists sspractitioners ssin ssthe ssimplementation ssof ssthe ssfive
ssphases ssof ssthe ssnursing ssprocess. ssClassification sssystems ssare ssnot
ssrelated to disease ssprocess ssand ssare ssnot ssused ssfor ssfinancial sspurposes.
zz zz
ssClassification sssystems include ssinterventions ssfor ssall sshealth ssconditions.
zz
DIF: ssCognitive ssLevel:
ssKnowledge ssREF: ssdm ss34 ssOBJ: ss11
ssTOP: ssNursing ssProcess ssStep:
ssImplementation
MSC: ssNCLEX ssClient ssNeeds ssCategory: Safe, ssEffective ssCare ssEnvironment
zz
• Which sstype ssof ssnursing ssdiagnosis sswill be sswritten sswhen
zz
ssthe sspatient ssexhibits ssfactors that ssmakes sshim ssor ssher
zz
sssusceptible ssto ssthe ssdevelopment ssof a ssproblem?
zz
• Actual diagnosis
zz
• Risk diagnosis
zz
• Possible diagnosis
zz
• Wellness ssdiagnosis
ANS: ssB
When sspatients sshave ssthe sspotential ssor ssrisk ssfor ssa ssproblem ssto ssdevelop,
ssa ssrisk ssdiagnosis ssis sswritten. ssThese ssdiagnoses ssare sstwo sspart
ssstatements sssuch ssas ssRisk ssfor ssfalls ssrelated ssto ssunsteady ssgait. ssAn
ssactual ssdiagnosis ssconsists ssof ssa ssNANDA ssdiagnostic sslabel,
sscontributing ssfactor ss(if ssknown), ssand ssdefining sscharacteristics sssuch ssas
sssigns ssand sssymptoms. ssA sspossible ssnursing s s diagnosis
Chapter ss1: ssAn ssIntroduction ssto ssEvidence-Based ssClinical ssPractice ssGuidelines
MULTIPLE ssCHOICE
• What ssis ssthe ssprimary sspurpose ssof ssthe ssnursing ssassessment?
• Identifying ssunderlying sspathologic ssconditions
• Assisting ssthe ssphysician ssin ssidentifying ssmedical ssconditions
• Determining ssthe sspatients ssmental ssstatus
• Exploring sspatient ssresponses ssto sshealth ssproblems
ANS: ssD
A ssnursing ssassessment ssis ssdone ssto ssidentify ssthe sspatients
ssresponse to health ssproblems. ssDuring ssthe ssnursing ssassessment ssphase, ssa
zz zz
sscomprehensive ssinformation ssbase ssis ssdeveloped ssthrough ssa ssphysical
ssexamination, ssnursing sshistory, ssmedication sshistory, ssand ssprofessional
ssobservation. ssIdentifying ssunderlying sspathologic ssconditions ssand
ssassisting ssthe ssphysician in ssidentifying ssmedical ssconditions ssis ssnot sspart
zz
ssof ssthe nursing ssprocess.
zz
Determining ssthe sspatients ssmental ssstatus ssis ssone part ssof the ssnursing
zz zz
ssassessment, ssbut ssit ssis ssnot ssthe ssprimary sspurpose.
DIF:ssCognitivessLevel:ssComprehension
ssREF: ssdm ss36 ssOBJ: ss1 ss| ss3 ssTOP:
Nursing ssProcess ssStep: ss Assessment
MSC: ssNCLEX ssClient ssNeeds ssCategory: ssHealth Promotion ssand ssMaintenance
zz
• What ssis ssthe basis ssof the ssNANDA ssI sstaxonomy?
zz zz
• Functional sshealth sspatterns
• Human ssresponse sspatterns
• Basic sshuman ssneeds
• Pathophysiologic s s needs
ANS: ssB
The ssNANDA ssI sstaxonomy ssidentifies sshuman ssresponse sspatterns.
ssFunctional sscomponents ssof sshealth sspatterns ssare sslimited ssto ssactivity,
ssfluid ssvolume, ssnutrition, s s self s s care, s s and s s sensory ssperception.
s s Basic sshuman ssneeds sscomprise ssless ssthan ssmerely sshealth sspatterns.
ssPathophysiologic ssneeds ssare s s not sspart ssof ssthe ssscope ssof ssNANDA ssI.
,DIF:ssCognitivessLevel:ssKnowledge
ssREF: sspp. ss37-38 ssOBJ: ss5 ssTOP:
NursingssProcess ssStep: ssDiagnosis
MSC: ssNCLEX ssClient ssNeeds ssCategory: ssPhysiological ssIntegrity
• Which sstask ssis ssincluded ssin ssthe ssassessment ssstep ssof ssthe ssnursing ssprocess?
• Establishing sspatient ssgoals/outcomes
• Implementing ssthe ssnursing sscare ssplan ss(NCP)
• Measuring ssgoal/outcome ssachievement
• Collecting ssand sscommunicating ssdata
ANS: ssD
Data ssare sscollected ssand sscommunicated ssin ssthe ssassessment ssphase of the
zz zz
ssnursing ssprocess. ssEstablishing ssgoals ssis ssthe ssfunction ssof ssplanning.
Implementing ssthe ssNCP ssis ssthe ssfunction ssof ssimplementation. Measuring
zz
ssoutcome ssachievement ssis ssthe ssfunction ssof ssevaluation.
DIF:ssCognitivessLevel:ssComprehension
ssREF: ssdm ss36 ssOBJ: ss2 ss| ss3 ssTOP:
Nursing ssProcess ssStep: ss Assessment
MSC: ssNCLEX ssClient ssNeeds ssCategory: Health ssPromotion and ssMaintenance
zz zz
• Which ssstatement ssregarding ssnursing diagnoses ssis ssaccurate?
zz
• Nursing ssdiagnoses remain ssthe sssame ssfor ssas sslong ssas ssthe ssdisease ssis sspresent.
zz
• Nursingssdiagnoses ssare written ssto ssidentify ssdisease ssstates.
zz
• Nursing diagnoses ssdescribe sspatient ssproblems ssthat ssnurses sstreat.
zz
• Nursing ssdiagnoses ssidentify sscauses ssrelated ssto ssillness.
ANS: ssC
Diagnostic ssstatements ssidentify ssproblems ssa ssnurse ssis ssindependently ssable
ssto sstreat sswithin ssthe ssscope ssof ssprofessional sspractice. ssNursing ssdiagnoses
ssvary sswith ssthe sschanging sscondition ssof ssthe sspatient. ssThe ssresponse
sspatterns ssare ssunique ssto ssthe sspatient ssand ssare ssnot ssdisease ssspecific.
ssNursing ssdiagnoses ssdescribe ssthe sspatients sshuman ssresponse sspattern.
DIF: ssCognitive ssLevel: ssComprehension
, REF: sspp. ss37-38 ssOBJ: ss5 ssTOP: ssNursing
Process ssStep: ssDiagnosis
MSC: ssNCLEX ssClient ssNeeds ssCategory: ssPhysiological ssIntegrity
• What ssdo ssthe ssclassification sssystems ssNIC ssand ssNOC ssprovide?
• Individualized ssdata ssbanks ssof sstreatments ssrelated ssto ssdisease ssprocesses
• Standardized sslanguage ssfor ssreporting ssand ssanalyzing ssnursing sscare ssdelivery
• A ssmeasure ssfor sscost sscontainment sswithin ssmedical ssinstitutions
• Specialized ssinterventions ssfor ssrare ssdiseases
ANS: ssB
Nursing ssclassification sssystems sssuch ssas ssNIC ssand ssNOC ssare ssdesigned ssto
ssprovide ssa ssstandardized sslanguage ssfor ssreporting ssand ssanalyzing nursing
zz
sscare ssdelivery ssthat ssis ssindividualized ssfor sseach sspatient. ssStandardized
ssterminology ssassists sspractitioners ssin ssthe ssimplementation ssof ssthe ssfive
ssphases ssof ssthe ssnursing ssprocess. ssClassification sssystems ssare ssnot
ssrelated to disease ssprocess ssand ssare ssnot ssused ssfor ssfinancial sspurposes.
zz zz
ssClassification sssystems include ssinterventions ssfor ssall sshealth ssconditions.
zz
DIF: ssCognitive ssLevel:
ssKnowledge ssREF: ssdm ss34 ssOBJ: ss11
ssTOP: ssNursing ssProcess ssStep:
ssImplementation
MSC: ssNCLEX ssClient ssNeeds ssCategory: Safe, ssEffective ssCare ssEnvironment
zz
• Which sstype ssof ssnursing ssdiagnosis sswill be sswritten sswhen
zz
ssthe sspatient ssexhibits ssfactors that ssmakes sshim ssor ssher
zz
sssusceptible ssto ssthe ssdevelopment ssof a ssproblem?
zz
• Actual diagnosis
zz
• Risk diagnosis
zz
• Possible diagnosis
zz
• Wellness ssdiagnosis
ANS: ssB
When sspatients sshave ssthe sspotential ssor ssrisk ssfor ssa ssproblem ssto ssdevelop,
ssa ssrisk ssdiagnosis ssis sswritten. ssThese ssdiagnoses ssare sstwo sspart
ssstatements sssuch ssas ssRisk ssfor ssfalls ssrelated ssto ssunsteady ssgait. ssAn
ssactual ssdiagnosis ssconsists ssof ssa ssNANDA ssdiagnostic sslabel,
sscontributing ssfactor ss(if ssknown), ssand ssdefining sscharacteristics sssuch ssas
sssigns ssand sssymptoms. ssA sspossible ssnursing s s diagnosis
