DETAILED VERIFIED AND 100% ACCURATE ANSWERS
The client states, "My lips feel numb, and I can't see very well." What is
the type and source of this data? Correct Answers subjective data from a
primary source
Which step of the nursing process is being used when the nurse says to a
newly admitted patient, "You look tired"? Correct Answers Assessment
What information supports the appropriateness of a nursing diagnosis?
-Defining characteristics
-Planned interventions
-Diagnostic statement
-Related Risk factors Correct Answers Defining characteristics
A nurse collects information about a patient. Which should the nurse do
next? Correct Answers Determine significance of the data
When two nursing diagnoses appear closely related, which should the
nurse do first to determine which diagnosis most accurately reflects the
,needs of the patient? Correct Answers Review the defining
characteristics
A nurse is collecting subjective data associated with a patient's anxiety.
Which assessment method should be sued to collect this information?
Correct Answers Interviewing
Which component is missing for the goal: Client performs self-
monitoring of blood sugar level? (subject, verb, modifier, desired
performance) Correct Answers desired performance (what do you want
BS to be)
What is missing from the following desired outcome: "Client will
ambulate by 6/1/2017?" (subject, action, criterion/modifier, performance
criterion) Correct Answers Conditions or modifiers (how far)
What is missing from the following desired outcome: "Client will be
able to climb one flight of stairs without shortness of breath?" (subject,
action, condition/modifier, criterion of desired performance) Correct
Answers criterion of desired performance (how)
Foundation for Dx is Correct Answers assessment
____ is Putting together pieces of information to make a judgment
Correct Answers Inductive reasoning
, ____ is Breaking down a concept into smaller parts to clarify Correct
Answers Deductive reasoning
The Nursing Process purpose #1 Correct Answers Identify the client's
health(strengths and weaknesses)
The Nursing Process purpose #2 Correct Answers Establish a plan to
meet client needs
The Nursing Process purpose #3 Correct Answers Deliver nursing
actions to meet client needs
ADPIE part = analysis of data to determine client strengths and/or
problems. Correct Answers Diagnosing
ADPIE part= determine how to reinforce strengths or prevent, reduce, or
resolve identified problems. Correct Answers Planning
Purpose of assessing: Correct Answers To establish a database about the
client's response to a health concern
Steps of assessing in order Correct Answers collecting, organizing,
validating, documenting data
This step of assessing requires a framework (i.e. Gordon's Functional
Health patterns) Correct Answers Organizing Data