INTRODUCTION TO THE NURSING PROCESS EXPECTED
QUESTIONS WITH VERIFIED ANSWERS
Question 1.
Which questions would the nurse ask to evaluate the effectiveness of nursing interventions?
Select all that apply.
Should the plan of care be discontinued?
Which nursing diagnosis covers this cluster of signs and symptoms?
Have new assessment data been identified that should be considered?
Did the patient meet the goals established during the implementation phase?
Does the plan of care need to be modified in response to patient changes?
ANSWER
Should the plan of care be discontinued? "Should the plan of care be discontinued?" is an
essential question to ask during the evaluation phase.
Have new assessment data been identified that should be considered?
"Have new assessment data been identified that should be considered?" is an essential
question to ask during the evaluation phase to measure the effectiveness of interventions.
Does the plan of care need to be modified in response to patient changes?
"Does the care plan need to be modified in response to patient changes?" is an essential
question to ask during the evaluation phase.
Question 2.
Which step of the nursing process considers the effectiveness of nursing care?
Planning
Analysis
Evaluation
Implementation
ANSWER
Evaluation
During the evaluation step, the nurse reviews patient outcomes to determine achievement of
patient goals and effectiveness of nursing care.
Question 3.
Which phrase describes the primary purpose of nursing analysis and diagnosis?
Resolves patient confusion Communicates patient problems Articulates the nursing scope of practice
Describes the medical context of the patient problem
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, ANSWER
Communicates patient problems
In the analysis step, patient data are analyzed, validated, and clustered to identify patient
problems. Each problem is then stated in standardized language as a specific nursing
diagnosis to provide greater clarity and universal understanding by all health care providers.
Question 4.
Which organization defines standards of nursing practice and states that the nursing process forms
the foundation for clinical decision making?
American Academy of Nursing National Student Nurses Association National League for Nursing
American Nurses Association
ANSWER
American Nurses Association
The American Nurses Association defines the standards of nursing practice and states that the
nursing process, as a critical-thinking model, demonstrates competency in nursing practice
and forms the foundation for clinical decision making.
Question 5.
Which intervention reflects direct nursing care?
Giving an injection
Asking the health care provider to prescribe a special diet
Documenting nursing interventions Working with a social worker to set up home care
ANSWER
Giving an injection
Giving an injection is an example of direct care, which is care performed on or with patients.
Question 6.
Which step of the nursing process does the nurse use when obtaining the following patient
information: blood pressure of 180/75, pulse of 90, and a complaint of chest pain?
Analysis
Evaluation
Assessment
Implementation
ANSWER
Assessment
Assessment is always the first step when managing patient care. The nurse must analyze the
data to create nursing diagnoses and a patient-centered care plan.
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QUESTIONS WITH VERIFIED ANSWERS
Question 1.
Which questions would the nurse ask to evaluate the effectiveness of nursing interventions?
Select all that apply.
Should the plan of care be discontinued?
Which nursing diagnosis covers this cluster of signs and symptoms?
Have new assessment data been identified that should be considered?
Did the patient meet the goals established during the implementation phase?
Does the plan of care need to be modified in response to patient changes?
ANSWER
Should the plan of care be discontinued? "Should the plan of care be discontinued?" is an
essential question to ask during the evaluation phase.
Have new assessment data been identified that should be considered?
"Have new assessment data been identified that should be considered?" is an essential
question to ask during the evaluation phase to measure the effectiveness of interventions.
Does the plan of care need to be modified in response to patient changes?
"Does the care plan need to be modified in response to patient changes?" is an essential
question to ask during the evaluation phase.
Question 2.
Which step of the nursing process considers the effectiveness of nursing care?
Planning
Analysis
Evaluation
Implementation
ANSWER
Evaluation
During the evaluation step, the nurse reviews patient outcomes to determine achievement of
patient goals and effectiveness of nursing care.
Question 3.
Which phrase describes the primary purpose of nursing analysis and diagnosis?
Resolves patient confusion Communicates patient problems Articulates the nursing scope of practice
Describes the medical context of the patient problem
1/7
, ANSWER
Communicates patient problems
In the analysis step, patient data are analyzed, validated, and clustered to identify patient
problems. Each problem is then stated in standardized language as a specific nursing
diagnosis to provide greater clarity and universal understanding by all health care providers.
Question 4.
Which organization defines standards of nursing practice and states that the nursing process forms
the foundation for clinical decision making?
American Academy of Nursing National Student Nurses Association National League for Nursing
American Nurses Association
ANSWER
American Nurses Association
The American Nurses Association defines the standards of nursing practice and states that the
nursing process, as a critical-thinking model, demonstrates competency in nursing practice
and forms the foundation for clinical decision making.
Question 5.
Which intervention reflects direct nursing care?
Giving an injection
Asking the health care provider to prescribe a special diet
Documenting nursing interventions Working with a social worker to set up home care
ANSWER
Giving an injection
Giving an injection is an example of direct care, which is care performed on or with patients.
Question 6.
Which step of the nursing process does the nurse use when obtaining the following patient
information: blood pressure of 180/75, pulse of 90, and a complaint of chest pain?
Analysis
Evaluation
Assessment
Implementation
ANSWER
Assessment
Assessment is always the first step when managing patient care. The nurse must analyze the
data to create nursing diagnoses and a patient-centered care plan.
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