Nursing Critical Thinking Quizlet

  • 1. 

    What is the "Nursing Process"? Select all that apply

    • A. 

      Organizational framework for the practice of Nursing

    • B. 

      Systematic method by which nurses plan and provide care for patients

    • C. 

      The application of the nursing process only applies to RN's and not LPN's

    • D. 

      The Nursing Scope and Standards of Practice of the ANA outlines the steps of the nursing process

  • 2. 

    Match the Nursing Process on the left with its description on the right 

    • C. Plan and Identify Outcome
  • 3. 

    ANA defines it as a"systematic dynamic process by which the nurse, through interaction with the client, significant others  and health care providers collect and analyzes data about the client

    • A. 

    • B. 

    • C. 

    • D. 

  • 4. 

    Which of the following is not true about Focused ASSESSMENT

    • A. 

      When patient is critically ill or disoriented

    • B. 

      When patient is unable to respond

    • C. 

      Preferably early in the morning before breakfast.

    • D. 

      When drastic changes are happening to a patient.

  • 5. 

    A synonym for significant data that usually demonstrate an unhealthy response. 

    • A. 

    • B. 

    • C. 

    • D. 

  • 6. 

    Headache, itchiness, warmth

    • A. 

    • B. 

    • C. 

    • D. 

  • 7. 

    Secondary Source of Data. (Select all that apply) 

    • A. 

    • B. 

    • C. 

    • D. 

  • 8. 

    Which of the following is not a method of data collection?

    • A. 

    • B. 

    • C. 

    • D. 

  • 9. 

    If the first method of data collection is to conduct an interview, what is the second method?

    • A. 

    • B. 

    • C. 

    • D. 

      Performance of a physical examination

  • 10. 

    After establishing a database and before the identification of nursing diagnosis, what does a nurse do? 

    • A. 

      Documentation of database

    • B. 

    • C. 

    • D. 

      Acquiring a database of information

  • 11. 

    Data Clustering

    • A. 

      Analyzing signs and symptoms

    • B. 

      Identifying patient statements

    • C. 

      Grouping related cues together

    • D. 

      Entering patient data in the computer

  • 12. 

    Deficient Fluid Volume (Select all that apply)

    • A. 

    • B. 

      Dry skin and dry oral mucous

    • C. 

    • D. 

  • 13. 

    Which of the following refers to the definition of a Nursing Problem?

    • A. 

      Nurse overload and nurse burnout

    • B. 

      When the nurse calls in sick

    • C. 

      Any health care condition that requires diagnostic, therapeutic, or educational actions.

    • D. 

  • 14. 

     Clinical judgment

    • A. 

    • B. 

      Job description of a clinical nurse

    • C. 

    • D. 

  • 15. 

    Components of a Nursing Diagnosis. Select all that apply  

    • A. 

      Nursing diagnosis title or label

    • B. 

      Definition of the title or label

    • C. 

    • D. 

      Contributing, etiologic or related factors

    • E. 

  • 16. 

    Which of the following are true regarding nursing diagnosis? 

    • A. 

      A nursing diagnosis is any problem related to the health of a patient

    • B. 

      When writing a nursing diagnosis, place the adjective before the noun modified

    • C. 

      A nursing diagnosis is usually the etiology of the disease

    • D. 

      Both medical and nursing diagnosis can be converted into a nursing intervention.

  • 17. 

    Clear, precise description of a problem 

    • A. 

    • B. 

    • C. 

    • D. 

  • 18. 

    Risk factors

    • A. 

    • B. 

      Analysis of a health issue

    • C. 

    • D. 

      Circumstances that increase the susceptibility of a patient to a problem

  • 19. 

    Clinical cues, signs, symptoms that furnish evidence that the problem exists. 

    • A. 

    • B. 

    • C. 

    • D. 

  • 20. 

    How cues, signs and symptoms identified in patient's assessment are written

    • A. 

    • B. 

    • C. 

    • D. 

  • 21. 

    "Constipation related to insufficient fluid intake manifested by increased abdominal pressure". What is the defining characteristic? 

    • A. 

    • B. 

    • C. 

      Increased abdominal pressure

    • D. 

  • 22. 

    What is RISK NURSING DIAGNOSIS as described by NANDA-I?  Select all that apply

    • A. 

      Human responses to health conditions/life processes that may develop in a vulnerable individual/family

    • B. 

      Describes the symptoms of the disease

    • C. 

      Supported by risk factors that contribute to increased vulnerability

    • D. 

      Proof that the person is suffering from an illness

  • 23. 

    How many parts does a RISK NURSING DIAGNOSIS have?

    • A. 

    • B. 

    • C. 

    • D. 

  • 24. 

    Which of the following is a Risk Nursing Diagnosis statement? 

    • A. 

      Risk for falls related to unstable balance

    • B. 

      Constipated because of fecal impaction

    • C. 

    • D. 

      Constipation related to dehydration

  • 25. 

    Syndrome Nursing Diagnosis

    • A. 

      An isolated disease with numerous symptoms

    • B. 

      Numerous symptoms describing a single disease

    • C. 

      Used when a cluster of actual or risk nursing diagnosis are predicted to be present

    • D. 

      Numerous symptoms leading to an idiopathic disorder

  • 26. 

    Wellness Nursing Diagnosis

    • A. 

    • B. 

    • C. 

      Human responses to levels of good health in an individual, family or community

    • D. 

  • 27. 

    Certain Physiologic complications that nurses monitor to detect their onset or changes in the patient's status.    

    • A. 

    • B. 

    • C. 

    • D. 

  • 28. 

    Potential complications: hypoglycemia.  This is a sample of what?

    • A. 

    • B. 

    • C. 

    • D. 

  • 29. 

    Identification of a disease or condition by a scientific evaluation of physical signs, symptoms, history, laboratory test and procedures. 

    • A. 

    • B. 

    • C. 

    • D. 

  • 30. 

    Difference between Medical and Nursing Diagnoses

    • A. 

      Medical is etiology; Nursing is human response

    • B. 

      Medical is disease; Nursing is the cause of disease

    • C. 

      Medical is illness; Nursing is illness too

    • D. 

      Medical is to heal the disease: Nursing is to discover the disease

  • 31. 

    Difference between a goal statement and an outcome statement

    • A. 

      A good outcome statement is specific to the patient

    • B. 

      Goals are general deadlines that are to be met

    • C. 

      An outcome statement refers to what the nurse will do

    • D. 

      Goals and Statements are practically the same

  • 32. 

    The purpose to which an effort is directed 

    • A. 

    • B. 

    • C. 

    • D. 

  • 33. 

    Which of the following statements describe a well-written patient outcome statement? Select all that apply.  

    • A. 

    • B. 

      Focuses on the completion of nursing interventions

    • C. 

      Does not interfere with the medical care plan

    • D. 

      Includes a time frame for patient reevaluation

  • 34. 

    A common framework that helps guide the prioritization of nursing tasks during the process of planning

    • A. 

      Ericsson's psychosocial development

    • B. 

    • C. 

    • D. 

  • 35. 

    Nursing interventions

    • A. 

      Depend on the tasks delegated by the nursing supervisor

    • B. 

      A sequence of prioritized tasks that describe a nurse's job

    • C. 

      Activities that promote the achievement of the desired patient outcome

    • D. 

      An act of taking care of the sick

  • 36. 

    Which of the following is not a Physician Prescribed intervention?

    • A. 

      Ordering diagnostic tests

    • B. 

    • C. 

    • D. 

      Elevating an edematous leg

  • 37. 

    Which of the following is not a nurse-prescribed intervention?

    • A. 

      Turning the patient every two hours

    • B. 

    • C. 

      Offering a vitamin supplement

    • D. 

      Monitoring a patient for complications

  • 38. 

    Which of the following statements about the nursing process is true. 

    • A. 

      A nursing process is written together with a nursing care plan

    • B. 

      A nursing care plan is a product of the nursing process

    • C. 

      Both the nursing process and the nursing care plan are purely critical thinking strategies

    • D. 

      The nursing process is not an accurate clinical theory

  • 39. 

    IN which of the following scenarios would a standardized nursing care plan be appropriate? 

    • A. 

    • B. 

      Center for infection control

    • C. 

    • D. 

      Maternity floor without a single Cesarean delivery

  • 40. 

    Prioritization of tasks belongs to which phase of the Nursing Process? 

    • A. 

    • B. 

    • C. 

    • D. 

    • E. 

  • 41. 

    Documentation is a vital component of which phase of the nursing process?

    • A. 

    • B. 

    • C. 

    • D. 

    • E. 

  • 42. 

    Validation of patient outcome and goals

    • A. 

    • B. 

    • C. 

    • D. 

  • 43. 

    Evidence based practice

    • A. 

      Past educational knowledge

    • B. 

    • C. 

    • D. 

      Integration of research and clinical experience

  • 44. 

    Which of the following is not considered a standardized language in nursing?

    • A. 

    • B. 

    • C. 

    • D. 

  • 45. 

    Variance

    • A. 

    • B. 

      Patient does not achieve expected outcome

    • C. 

    • D. 

  • 46. 

    Which of the following is not the role of the LPN/LVN in the nursing process?

    • A. 

    • B. 

      Gather further data to confirm problems

    • C. 

      Discuss details of the disease as part of patient education

    • D. 

      Observe and report signficant cues

  • 47. 

    Which of the following are functions of managed care? Select all that apply. 

    • A. 

      Provides control over health care services

    • B. 

      Standardized diagnosis and treatment

    • C. 

    • D. 

      Primary resource for patient advocacy

  • 48. 

    Clinical pathway

    • A. 

      Nursing career development plan

    • B. 

    • C. 

      A concept map for care plans

    • D. 

      Specific location in a healthcare facility

  • 49. 

    A reflective reasoning process that guides a nurse in generating, implementing and evaluating approaches for dealing with client care and professional concerns

    • A. 

    • B. 

    • C. 

    • D. 

  • 3/29/15, 11:27 PM Nursing Process fashcards | Quizlet Page 2 oF 14 http://quizlet.com/15945626/nursing-process-fash-cards/ (Answer: ) D (Rationale: During the evaluation step of the nursing process the nurse determines whether the goals established have been achieved, and evaluates the success of the plan. Answer A involves data collection. Answer B involves setting priorities, and Answer C is the actual intervention.) A nurse is revising a client's care plan. During which step of the nursing process does such a revision take place? A. Assessment B. Planning C. Implementation D. Evaluation (Answer: ) D (Rationale: You should begin with the simplest interventions. Answer A is incorrect because medications should be avoided whenever possible. Answer B would be a thorough sleep assessment, and should be done only after common sense interventions fail. Answer C would be appropriate only after common sense interventions fail.) Which intervention should the nurse in charge try first for a client that exhibits signs of sleep disturbance? A. Administer sleeping medication before bedtime B. Ask the client each morning to describe the quantity of sleep the night before C. Teach the client relaxation techniques, such as guided imagery and progressive muscle relaxation D. Provide the client normal sleep aids, such as pillows, back rubs, and snacks (Answer: ) C (Rationale- Making appropriate referrals is a valid part of planning the client's care. The nurse normally does not provide sex counseling. While providing time for privacy and providing support for the spouse

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