Question 1

Impaired verbal communication related to hearing deficit is categorized into which type of nursing diagnosis?&#10;A) Health promotion&#10;B) Actual&#10;C) Risk&#10;D) Wellness

Accepted Answer

Impaired verbal communication related to hearing deficit is an actual nursing diagnosis as it describes a current problem that requires nursing intervention to address.

Question 2

Which type of nursing diagnosis statement begins with the stem readiness for enhanced and does not include related factors or supporting data?&#10;A) Health promotion&#10;B) Wellness&#10;C) Risk&#10;D) Actual

Accepted Answer

Wellness nursing diagnoses are unique in that they begin with the phrase "readiness for enhanced" and do not require the identification of related factors or supporting data. These diagnoses focus on the patient's potential for improving their health status and achieving a higher level of wellness.

Question 3

Which phase of the nursing process provides basic therapeutic and preventive nursing measures?&#10;A) Assessment&#10;B) Implementation&#10;C) Planning&#10;D) Evaluation

Accepted Answer

Implementation is the phase of the nursing process where the basic therapeutic and preventive nursing measures are provided. The other phases (assessment, planning, and evaluation) involve the gathering of information, making a plan of care, and evaluating the effectiveness of the interventions, respectively.

Question 4

Which of the following steps in the nursing process is the careful observation and evaluation of a client's health status?&#10;A) Planning&#10;B) Nursing diagnosis&#10;C) Assessment&#10;D) Evaluation

Accepted Answer

Assessment is the careful observation and evaluation of a client's health status. Planning is the process of developing goals and interventions based on the assessment. Nursing diagnosis involves identifying actual or potential health problems of the client. Evaluation is the process of determining the effectiveness of the interventions implemented.

Question 5

Which of the following is an important element of implementation?&#10;A) Client database&#10;B) Critical thinking&#10;C) Nursing orders&#10;D) Documentation

Accepted Answer

Documentation is an important element of implementation as it ensures that care provided to the client is accurately recorded, enables communication among healthcare providers, and provides a legal record of the care provided. While each option listed may be important in various aspects of nursing care, documentation is the most essential element of implementation.

Question 6

Which of the following are involved in the implementation step of the nursing process?&#10;A) Selecting nursing interventions&#10;B) Documenting nursing care and client responses&#10;C) Documenting the plan of care&#10;D) Identifying measurable outcomes

Accepted Answer

The answer of Which of the following are involved in...

Question 7

Which phase of the nursing process enables the nurse to compare the actual outcomes with the expected outcomes?&#10;A) Assessment&#10;B) Planning&#10;C) Implementation&#10;D) Evaluation

Accepted Answer

Evaluation is the phase of the nursing process where the nurse compares the actual outcomes with the expected outcomes to determine if the interventions were successful in achieving the goals. Assessment collects data, Planning sets the goals and identifies interventions, and Implementation puts the plan into action.

Question 8

Which of the following is part of a nursing diagnostic statement?&#10;A) Medical diagnosis&#10;B) Sign and symptoms&#10;C) Associated diagnostic findings&#10;D) Evaluation of the planning process

Accepted Answer

Signs and symptoms are part of a nursing diagnostic statement because they describe the patient's health status and are used to identify the nursing diagnosis.

Question 9

Which step of the nursing process involves reporting or analysis of data to identify and define health problems?&#10;A) Assessment&#10;B) Diagnosis&#10;C) Planning&#10;D) Implementation

Accepted Answer

The step of the nursing process that involves reporting or analysis of data to identify and define health problems is the Diagnosis step. This is where the nurse takes the information gathered from the Assessment and uses it to identify potential health issues that need to be addressed.

Question 10

The role of the LPN or LVN with regard to the nursing diagnosis portion of the nursing process includes which of the following?&#10;A) Establishing nursing diagnoses&#10;B) Contributing to the plan of care&#10;C) Understanding the nursing diagnoses written by the RN&#10;D) Gathering data and performing the assessment

Accepted Answer

The answer of The role of the LPN or LVN...

Question 11

Which of the following is a true statement about expected outcomes?&#10;A) They are derived from medical diagnoses.&#10;B) They are developed in collaboration with the client only.&#10;C) They are established with an unlimited achievement time.&#10;D) They are documented as measurable goals.

Accepted Answer

The answer of Which of the following is a true...

Question 12

Which of the following is a true statement about critical thinking according to Alfaro-LeFevre (2006)?&#10;A) It makes judgments based on conjecture.&#10;B) It is based on the medical model.&#10;C) It considers only the client's needs.&#10;D) It is guided by professional standards and codes of ethics.

Accepted Answer

The answer of Which of the following is a true...

Question 13

Determination of client-centered outcomes stems from what portion of the nursing process?&#10;A) Nursing diagnosis&#10;B) Assessment&#10;C) Planning&#10;D) Implementation

Accepted Answer

The answer of Determination of client-centered outcomes stems from what...

Question 14

Which of the following is a true statement about critical thinking in nursing?&#10;A) It involves purposeful, outcome-directed thinking.&#10;B) It shows trends and patterns in client status.&#10;C) It makes judgments based on conjecture.&#10;D) It supplies validation for reimbursement.

Accepted Answer

The answer of Which of the following is a true...

Question 15

Which of the following identifies a diagnosis associated with a cluster of other diagnoses?&#10;A) Risk nursing diagnoses&#10;B) Wellness diagnoses&#10;C) Syndrome diagnoses&#10;D) Health promotion nursing diagnoses

Accepted Answer

The answer of Which of the following identifies a diagnosis...

Question 16

Which of the following is a role of the licensed practical nurse (LPN) or licensed vocational nurse (LVN)?&#10;A) Evaluating effects of care given&#10;B) Drawing conclusions&#10;C) Establishing priorities&#10;D) Making diagnoses

Accepted Answer

The answer of Which of the following is a role...

Question 17

Which type of nursing diagnosis has as its goal to increase well-being and enhance specific health behaviors?&#10;A) Health promotion&#10;B) Risk&#10;C) Wellness&#10;D) Actual

Accepted Answer

The answer of Which type of nursing diagnosis has as...

Deck 3: The Nursing Process