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1118
Ch.5 Nursing Process EAQ
| Question | Answer |
|---|---|
| Which aspect of the problem statement includes the patient's signs and symptoms? | Defining Characteristics |
| During which phase of the nursing process would the nurse anticipate possibly making modifications to the nursing care plan? | Evaluation |
| Which dimension would the nurse not include during the assessment phase of the nursing process? | Personal Finance |
| In which phase of the nursing process would you find a review of the patient's centered goals or desired patient's outcomes? | Evaluation |
| Which component of the nursing process includes the degree of wellness desired, expected, or possible for the patient to achieve and contains a patient's goal statement? | Outcomes Identification |
| Prioritizing occurs at which stage in the nursing process? | Planning |
| Which method of data collection does the nurse use to establish a data base for the development of the patient's problem statement? | Performing a physical assessment |
| Which step of the nursing process includes patient teaching about the importance of using an incentive spirometer every two hours and breathing deeply to clear any secretions? | Implementation of a nursing intervention |
| Which step comes first after after the nurse gathers subjective and objective data, obtains a health history, and performs a physical assessment? | Patient Problem Statement |
| Which action would the nurse take if a patient is not responding to the therapeutic intervention? | Modify the care plan |
| Place in order the steps a nurse would follow when using the nursing process, to plan and provide nursing care. | Assessment, Diagnosis, Outcomes Identification, Planning, Implementation, Evaluation |
| Which plan of care considers characteristics such as age, culture, medical diagnosis and mutual interest? | Individualized |
| Which observation would the nurse document as objective data? | Blood Pressure= 118/90 mmHg |
| Which type of data source includes a patient report of " I've had diarrhea for 3 days? | Primary |
| While orienting to a new facility, which statement by the nurse to the nurse preceptor indicates accurate understanding of a clinical pathway? | It is a multidisciplinary plan of care that incorporates evidence based practice to provide optimal patient outcome. |
| Which type of data source would the nurse consider if a patient's family tells the nurse that the patient seemed very depressed lately. | Secondary |
| Which function does the patient goal statement serve on a patient's health plan? | Guides selection of nursing intervention. Establishes the measuring standard that is used to evaluate the effectiveness of the nursing interventions. |
| The nurse reads the activity intervention on the electronical record as: ambulate the patient three times a day at 0900 1400 and 1900 as tolerated. And identifies this a which part of the nursing process? | Nurse prescribe intervention |
| Which assessment would the nurse perform for a patient crying uncontrollably and in severed abdominal pain? | Focused |
| Which option would the nurse use to accomplished all of the tasks of a patient's assignment in a timely manner? | Prioritizing tasks based on importance |
Created by:
anaobeso96