Nurs 220 Midterm
Which critical thinking skill helps the nurse to see relationships among the data?
A) Validation
B) Clustering related cues
C) Identifying gaps in data
D) Distinguishing relevant from irrelevant - answerB. Clustering related cues
The nurse knows that developing appropriate nursing interventions for a patient relies
on the appropriateness of the _____ diagnosis.
A) nursing
B) medical
C) admission
D) collaborative - answerA. Nursing
The nursing process is a sequential method of problem solving that nurses use, and
includes which steps?
A) Assessment, treatment, planning, evaluation, discharge, follow-up
B) Admission, assessment, diagnosis, treatment, discharge planning
C) Admission, diagnosis, treatment, evaluation, discharge planning
D) Assessment, diagnosis, outcome identification, planning, implementation,
evaluation - answerD. Assessment, diagnosis, outcome identification, planning,
implementing, evaluation
A newly admitted patient is in acute pain, has not been sleeping well lately, and is
having difficulty breathing. How should the nurse prioritize these problems?
A) Breathing, pain, sleep
B) Breathing, sleep, pain
C) Sleep, breathing, pain
D) Sleep, pain, breathing - answerA. Breathing, pain, sleep
Which of these would be formulated by a nurse using diagnostic reasoning?
A) Nursing diagnosis
B) Medical diagnosis
C) Diagnostic hypothesis
D) Diagnostic assessment - answerC. Diagnostic hypothesis
Barriers to incorporating evidence-based practice (EBP) include:
A) nurses' lack of research skills in evaluating quality of research studies.
B) lack of significant research studies.
C) insufficient clinical skills of nurses.
D) inadequate physical assessment skills. - answerA. Nurses' lack of research skills in
evaluating quality of research studies
,What is the step of the nursing process that includes data collection by health history,
physical examination, and interview?
A) Planning
B) Diagnosis
C) Evaluation
D) Assessment - answerD. Assessment
During a staff meeting, nurses discuss the problems with accessing research studies in
order to incorporate evidence-based clinical decision making into their practice. Which
suggestion by the nurse manager would best help this problem?
A) Form a committee to conduct research studies.
B) Post published research studies on the unit's bulletin boards.
C) Encourage the nurses to visit the library to review studies.
D) Teach the nurses how to conduct electronic searches for research studies. -
answerD) Teach the nurses how to conduct electronic searches for research studies.
When reviewing concepts of health, the nurse recalls that components of holistic health
include which of these?
A) Disease originates from the external environment.
B) The individual human is a closed system.
C) Nurses are responsible for a patient's health state.
D) Holistic health views the mind, body, and spirit as interdependent. - answerD)
Holistic health views the mind, body, and spirit as interdependent.
The nurse recognizes that the concept of prevention in describing health is essential
because:
A) disease can be prevented by treating the external environment.
B) the majority of deaths among Americans under age 65 years are not preventable.
C) prevention places emphasis on the link between health and personal behavior.
D) the means to prevention is through treatment provided by primary health care
practitioners. - answerC) prevention places emphasis on the link between health and
personal behavior.
The nurse is reviewing the components of the nursing process. Which statement about
nursing diagnoses is true?
A) They evaluate the etiology of disease.
B) They are a process based on the medical diagnosis.
C) They are clinical judgments about a person's response to an actual or potential
health state.
D) They focus on the function and malfunction of a specific organ system in response to
disease. - answerC) They are clinical judgments about a person's response to an actual
or potential health state.
The nurse is performing a physical assessment on a newly admitted patient. An
example of objective information obtained during the physical assessment includes the:
,A) patient's history of allergies.
B) patient's use of medications at home.
C) last menstrual period 1 month ago.
D) 2 x 5 cm scar present on the right lower forearm. - answerD) 2 x 5 cm scar present
on the right lower forearm.
A visiting nurse is making an initial home visit for a patient who has many chronic
medical problems. Which type of data base is most appropriate to collect in this setting?
A) A follow-up data base to evaluate changes at appropriate intervals
B) An episodic data base because of the continuing, complex medical problems of this
patient
C) A complete health data base because of the nurse's primary responsibility for
monitoring the patient's health
D) An emergency data base because of the need to rapidly collect information and
make accurate diagnoses - answerC) A complete health data base because of the
nurse's primary responsibility for monitoring the patient's health
Which situation is most appropriate for the nurse to perform a focused or problem-
centered history?
A) A patient's admission to a long-term care facility
B) A patient has sudden, severe shortness of breath
C) A patient's admission to the hospital for surgery the following day
D) A patient in an outpatient clinic has cold and flu-like symptoms - answerD) A patient
in an outpatient clinic has cold and flu-like symptoms
A patient is at the clinic to have her blood pressure checked. She has been coming to
the clinic weekly since she changed medications 2 months ago. The nurse should:
A) collect a follow-up data base and then check her blood pressure.
B) ask her to read her health record and indicate any changes since her last visit.
C) check only her blood pressure because her complete health history was documented
2 months ago.
D) obtain a complete health history before checking her blood pressure because much
of her history information may have changed. - answerA) collect a follow-up data base
and then check her blood pressure.
A patient is brought by ambulance to the emergency department with multiple traumas
received in an automobile accident. He is alert and cooperative, but his injuries are quite
severe. How would the nurse proceed with the data collection?
A) Collect history information first, then perform the physical examination and institute
life-saving measures.
B) Simultaneously ask history questions while performing the examination and initiating
life-saving measures.
C) Collect all information on the history form, including social support patterns,
strengths, and coping patterns.
, D) Perform life-saving measures and not ask any history questions until he is
transferred to the intensive care unit. - answerB) Simultaneously ask history questions
while performing the examination and initiating life-saving measures.
A 42-year-old Asian patient is being seen at the clinic for an initial examination. The
nurse knows that it is important to include cultural information in his health assessment
to:
A) identify the cause of his illness.
B) make accurate disease diagnoses.
C) provide cultural health rights for the individual.
D) provide culturally sensitive and appropriate care. - answerD) provide culturally
sensitive and appropriate care.
In the health promotion model, the focus of the health professional includes:
A) changing the patient's perceptions of disease.
B) identifying biomedical model interventions.
C) identifying negative health acts of the consumer.
D) helping the consumer choose a healthier lifestyle. - answerD) helping the consumer
choose a healthier lifestyle.
The nurse is classifying nursing diagnoses. Which of these would be considered a risk
diagnosis?
A) Identifying existing levels of wellness
B) Evaluating previous problems and goals
C) Identifying potential problems the individual may develop
D) Focusing on strengths and reflecting an individual's transition to higher levels of
wellness - answerC) Identifying potential problems the individual may develop
The nurse has implemented several planned interventions to address the nursing
diagnosis of acute pain. Which would be the next appropriate action?
A) Establish priorities.
B) Identify expected outcomes.
C) Evaluate the individual's condition and compare actual outcomes with expected
outcomes.
D) Interpret data and then identify clusters of cues and make inferences. - answerC)
Evaluate the individual's condition and compare actual outcomes with expected
outcomes.
Which statement best describes a proficient nurse? A proficient nurse is one who:
A) has little experience with a specified population and uses rules to guide performance.
B) has an intuitive grasp of a clinical situation and quickly identifies the accurate
solution.
C) sees actions in the context of daily plans for patients.
D) understands a patient situation as a whole rather than a list of tasks and sees long-
term goals for the patient. - answerD) understands a patient situation as a whole rather
than a list of tasks and sees long-term goals for the patient.
Which critical thinking skill helps the nurse to see relationships among the data?
A) Validation
B) Clustering related cues
C) Identifying gaps in data
D) Distinguishing relevant from irrelevant - answerB. Clustering related cues
The nurse knows that developing appropriate nursing interventions for a patient relies
on the appropriateness of the _____ diagnosis.
A) nursing
B) medical
C) admission
D) collaborative - answerA. Nursing
The nursing process is a sequential method of problem solving that nurses use, and
includes which steps?
A) Assessment, treatment, planning, evaluation, discharge, follow-up
B) Admission, assessment, diagnosis, treatment, discharge planning
C) Admission, diagnosis, treatment, evaluation, discharge planning
D) Assessment, diagnosis, outcome identification, planning, implementation,
evaluation - answerD. Assessment, diagnosis, outcome identification, planning,
implementing, evaluation
A newly admitted patient is in acute pain, has not been sleeping well lately, and is
having difficulty breathing. How should the nurse prioritize these problems?
A) Breathing, pain, sleep
B) Breathing, sleep, pain
C) Sleep, breathing, pain
D) Sleep, pain, breathing - answerA. Breathing, pain, sleep
Which of these would be formulated by a nurse using diagnostic reasoning?
A) Nursing diagnosis
B) Medical diagnosis
C) Diagnostic hypothesis
D) Diagnostic assessment - answerC. Diagnostic hypothesis
Barriers to incorporating evidence-based practice (EBP) include:
A) nurses' lack of research skills in evaluating quality of research studies.
B) lack of significant research studies.
C) insufficient clinical skills of nurses.
D) inadequate physical assessment skills. - answerA. Nurses' lack of research skills in
evaluating quality of research studies
,What is the step of the nursing process that includes data collection by health history,
physical examination, and interview?
A) Planning
B) Diagnosis
C) Evaluation
D) Assessment - answerD. Assessment
During a staff meeting, nurses discuss the problems with accessing research studies in
order to incorporate evidence-based clinical decision making into their practice. Which
suggestion by the nurse manager would best help this problem?
A) Form a committee to conduct research studies.
B) Post published research studies on the unit's bulletin boards.
C) Encourage the nurses to visit the library to review studies.
D) Teach the nurses how to conduct electronic searches for research studies. -
answerD) Teach the nurses how to conduct electronic searches for research studies.
When reviewing concepts of health, the nurse recalls that components of holistic health
include which of these?
A) Disease originates from the external environment.
B) The individual human is a closed system.
C) Nurses are responsible for a patient's health state.
D) Holistic health views the mind, body, and spirit as interdependent. - answerD)
Holistic health views the mind, body, and spirit as interdependent.
The nurse recognizes that the concept of prevention in describing health is essential
because:
A) disease can be prevented by treating the external environment.
B) the majority of deaths among Americans under age 65 years are not preventable.
C) prevention places emphasis on the link between health and personal behavior.
D) the means to prevention is through treatment provided by primary health care
practitioners. - answerC) prevention places emphasis on the link between health and
personal behavior.
The nurse is reviewing the components of the nursing process. Which statement about
nursing diagnoses is true?
A) They evaluate the etiology of disease.
B) They are a process based on the medical diagnosis.
C) They are clinical judgments about a person's response to an actual or potential
health state.
D) They focus on the function and malfunction of a specific organ system in response to
disease. - answerC) They are clinical judgments about a person's response to an actual
or potential health state.
The nurse is performing a physical assessment on a newly admitted patient. An
example of objective information obtained during the physical assessment includes the:
,A) patient's history of allergies.
B) patient's use of medications at home.
C) last menstrual period 1 month ago.
D) 2 x 5 cm scar present on the right lower forearm. - answerD) 2 x 5 cm scar present
on the right lower forearm.
A visiting nurse is making an initial home visit for a patient who has many chronic
medical problems. Which type of data base is most appropriate to collect in this setting?
A) A follow-up data base to evaluate changes at appropriate intervals
B) An episodic data base because of the continuing, complex medical problems of this
patient
C) A complete health data base because of the nurse's primary responsibility for
monitoring the patient's health
D) An emergency data base because of the need to rapidly collect information and
make accurate diagnoses - answerC) A complete health data base because of the
nurse's primary responsibility for monitoring the patient's health
Which situation is most appropriate for the nurse to perform a focused or problem-
centered history?
A) A patient's admission to a long-term care facility
B) A patient has sudden, severe shortness of breath
C) A patient's admission to the hospital for surgery the following day
D) A patient in an outpatient clinic has cold and flu-like symptoms - answerD) A patient
in an outpatient clinic has cold and flu-like symptoms
A patient is at the clinic to have her blood pressure checked. She has been coming to
the clinic weekly since she changed medications 2 months ago. The nurse should:
A) collect a follow-up data base and then check her blood pressure.
B) ask her to read her health record and indicate any changes since her last visit.
C) check only her blood pressure because her complete health history was documented
2 months ago.
D) obtain a complete health history before checking her blood pressure because much
of her history information may have changed. - answerA) collect a follow-up data base
and then check her blood pressure.
A patient is brought by ambulance to the emergency department with multiple traumas
received in an automobile accident. He is alert and cooperative, but his injuries are quite
severe. How would the nurse proceed with the data collection?
A) Collect history information first, then perform the physical examination and institute
life-saving measures.
B) Simultaneously ask history questions while performing the examination and initiating
life-saving measures.
C) Collect all information on the history form, including social support patterns,
strengths, and coping patterns.
, D) Perform life-saving measures and not ask any history questions until he is
transferred to the intensive care unit. - answerB) Simultaneously ask history questions
while performing the examination and initiating life-saving measures.
A 42-year-old Asian patient is being seen at the clinic for an initial examination. The
nurse knows that it is important to include cultural information in his health assessment
to:
A) identify the cause of his illness.
B) make accurate disease diagnoses.
C) provide cultural health rights for the individual.
D) provide culturally sensitive and appropriate care. - answerD) provide culturally
sensitive and appropriate care.
In the health promotion model, the focus of the health professional includes:
A) changing the patient's perceptions of disease.
B) identifying biomedical model interventions.
C) identifying negative health acts of the consumer.
D) helping the consumer choose a healthier lifestyle. - answerD) helping the consumer
choose a healthier lifestyle.
The nurse is classifying nursing diagnoses. Which of these would be considered a risk
diagnosis?
A) Identifying existing levels of wellness
B) Evaluating previous problems and goals
C) Identifying potential problems the individual may develop
D) Focusing on strengths and reflecting an individual's transition to higher levels of
wellness - answerC) Identifying potential problems the individual may develop
The nurse has implemented several planned interventions to address the nursing
diagnosis of acute pain. Which would be the next appropriate action?
A) Establish priorities.
B) Identify expected outcomes.
C) Evaluate the individual's condition and compare actual outcomes with expected
outcomes.
D) Interpret data and then identify clusters of cues and make inferences. - answerC)
Evaluate the individual's condition and compare actual outcomes with expected
outcomes.
Which statement best describes a proficient nurse? A proficient nurse is one who:
A) has little experience with a specified population and uses rules to guide performance.
B) has an intuitive grasp of a clinical situation and quickly identifies the accurate
solution.
C) sees actions in the context of daily plans for patients.
D) understands a patient situation as a whole rather than a list of tasks and sees long-
term goals for the patient. - answerD) understands a patient situation as a whole rather
than a list of tasks and sees long-term goals for the patient.
