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nursing
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Question Answer:
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Question 7.
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the patient, including feelings, perceptions, and concerns. Objective Data:
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,Two nurses work together to reposition a patient in bed to prevent the development of a
This includes
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pressure
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protection from harm. 3. Love and Belongingness: The third level involves the
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Which of the B. Dependent
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relationships,
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In which order should nursing diagnoses be listed in the patient's record? A. List nursing
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Relationship
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in alphabetical 8.
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47.
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in
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chronological process:
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which of these from lowest
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perform during
Correct Answer:
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Correct Answer: of C.
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Correct Answer: Self-concept is a mental image that a person has of themselves.
NANDA Nursing Diagnosis domain 8. Sexuality
Question
Self-concept
Correct Answer: 9.
76.
48. is considered
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the patient's health.
Correct
refers
Question toAnswer:
the 1.
subjectiveSexual function
feelings of Sexual dysfunction
self-acceptance and self-respect.
The nursing 80.
Self-concept process: Planning
Question 39.
Types of Nursing Interventions
Correct
Question Answer:
24. • Planning
49. begins after identification of a patient's nursing
During the interview, the patient provides information about their symptoms and health
Correct Answer:
diagnoses Nurse-initiated
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goals and expected -Do not
NANDA Nursing
status. What
Cultural safety Diagnosis
is this domain
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require orders
outcomes, plans from
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• Planning
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nursing Answer:
requires
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critical thinking,
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Post-trauma
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Risk
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Correct
care solving.
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Answer: -Interdependent
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autonomic
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well-being, allowing them to provide care that is respectful,
77.
40.
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81. appropriate for the individual's cultural context.
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During of nursing
the patient care occurs
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the patient showedphases:signs of acute respiratory distress. What
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NANDA Nursing
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Correct Answer: • Characteristics of nursing diagnosis • Goals and expected
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that everything
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Question •78.
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character traits across thelifespan. Actions that demonstrate interpersonal
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Correct Answer:
respect and 11.
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Question 51.
active listening prompts such as "go on" or "uh-huh"? A. Back channeling B. Observation C.
Correct
Question Answer:
6. REVIEW
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ALL POSSIBLE NURSING
2. Physical injury INTERVENTIONS
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Historical Approaches to Health A medical approach to health
ASSOCIATED
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Answer: WITH dentition
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and enable tissue
Answer: OFintegrity
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Question 83.
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27.
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Correct Answer: SPECIFIC, MEASURABLE CHANGE IN A PATIENT'S STATUS THAT
different countries B. Guidelines about how to care for patients who are immigrants C.
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Answer: RESPONSE
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DETERMINE
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NURSING-SENSITIVE
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promotion strategies, and lifestyle behaviours in order to
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required to meet1. the Primary
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Question 85.
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relationships,
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during implementation?
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identifying
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domain 1.that
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Health Promotion
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Question satisfaction
75. Communication with current and future financial situations. Intellectual:
Correct Answer: 1. Health
Establish
Attention Awareness
a Skills:
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Acute Management
and effective
for
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questioning.
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nursing
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diagnoses
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communication diverse
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outcomes,
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in alphabetical
Question
Impaired beliefs
Nurse-Patient
17.order.
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communication during assessment.
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of connection, belonging, deliberate
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nurse and the patient.
in chronological order. D. List Develop
nursing Care Plan: Provides
diagnoses from lowest data necessary
priority to highest for priority, in
NANDA Nursing
problem
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a sense domain 2. Nutrition
of purpose and meaning in life. Cultural: How one
developing
alphabetical
Question 6.an individualized care plan. Monitor Changes: Allows for ongoing
order.
21.
interacts with others with different values and beliefs.
Correct Answer:
monitoring and evaluation 1. Ingestion of Imbalanced
the patient's nutrition:
responses less to than body requirements
interventions.
NANDA
CorrectNursing
Question Answer:
77. Diagnosis domain 6.diagnoses
C. List nursing Self-Perception from highest priority to lowest
Readiness for enhanced nutrition Impaired swallowing 2. Metabolism Risk for
Correct
priority,Answer:
Question and 1. Self-concept
5.ofinnursing
chronological Hopelessness Readiness for enhanced
order.
unstable
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Question blood
31. glucose care level
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in three phases: Risk for electrolyte imbalance
self-concept 2. Self-esteem Chronic low self-esteem 3. Body image Disturbed
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Fill fluid volume
in the blanks. "Health Excess
is a state fluid volume Risk
of __________ physical,for imbalanced
mental, and social fluid _____________,
volume
Nursing
body
Correct
Question Process:
imageAnswer:
76. Steps in Assessment
• Initial • Ongoing • Discharge
and not merely the ___________________________ and infirmity."
Correct
The nursing
Question Answer:
process:
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Collection of Data: Subjective Data: Information provided by
Question 7.
22.
78.
the patient, including feelings, perceptions, and concerns. Objective Data:
NANDA
CorrectNursingAnswer: Diagnosis
• Planning domain 3. Elimination
begins and exchange
after identification of a patient's nursing
NANDA
Goals ofNursing
Observable Careand Diagnosis
measurable domain data7. Role Relationship
obtained through physical examination, lab
diagnoses and strengths. • Nurse sets patient-centred goals and expected
Correct
reports,Answer: and other 1. diagnostic
Urinary function tests. Impaired
2. Organizing urinary Data: elimination
Sort and Functional
organize the
,Two nurses work together to reposition a patient in bed to prevent the development of a
This includes
Question 46.personal safety, financial stability, access to healthcare, and
pressure
Question injury.
78. This is an example of which kind of intervention? A. Collaborative nursing
protection from harm. 3. Love and Belongingness: The third level involves the
intervention
Which of the B. Dependent
following is annursing
example intervention C. Independent
of a problem-focused nursing
nursing intervention
diagnostic D.
statement?
need
Goals of forCare
social connection, love, and a sense of belonging. This includes
Interdependent
A. Chronic obstructive nursingpulmonary
intervention disease B. Impaired nutritional status: deficient food
relationships,
Correct Answer: Patient-centred
friendships,
1. Self-concept goal
and aHopelessness
feeling • Aofspecific
being and of
part
Readiness measurable
aforcommunity
enhancedbehavioural
or family.
intake related to inability to absorb nutrients C. Readiness for enhanced knowledge of
response
Correct
4. Esteem
self-concept that
Answer: 2.reflects
Needs: C.After
Self-esteem highest
Interdependent
social levelnursing
needs
Chronic of
are
low wellness
self-esteem and
intervention
fulfilled, independence
individuals
3. Body image Short-term
seek self-esteem
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smoking cessation D. Risk for fall related to generalized weakness
goal the
and
body •image
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esteem patien This
of others. tbehaviour
includes orfeelings
response ofexpected
self-worth, within hours toand
confidence, a
week
Correct
Question Long-term
recognition Answer: fromB.
75. goal • An5. objective
Impaired
peers. nutritional patientbehaviour
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the top orofresponseexpected
food
theintake
pyramid related
is to
within
inability
Question days,
to22.
self-actualization, weeks,or
absorb months
nutrients
where individuals strive for personal growth, creativity,
In which order should nursing diagnoses be listed in the patient's record? A. List nursing
self-fulfillment, and realizing their full potential.
diagnoses
NANDA by how
Nursing quickly each
Diagnosis domain condition
7. Rolecan be resolved. B. List nursing diagnoses solely
Relationship
Question
in alphabetical 8.
79.order. C. List nursing diagnoses from highest priority to lowest priority, and
47.
Correct
Question Answer:
38. 1. Caregiving roles Caregiver role strain Risk for caregiver role
The
in
When nursing
chronological process:
formulating order. Implementation
D. Listdiagnosis,
a nursing nursing diagnoses
which of these from lowest
should priority
one do to highest
first? priority, in
A. Cluster
strain 2. Family relationships Dysfunctional family processes 3. Role
alphabetical
assessment
The first stepdataorder.
of theinto meaningful
nursing processpatterns. B. Interpret
is assessment. What assessment
action do you information. C. Findthe
perform during
Correct Answer:
performance The implementation
Impaired social interaction step of the nursing process is the initiation
and select theA.specific
assessment? Acquirediagnoses
and validate thatinformation
fit your patient. aboutD.the Verify the nursing
patient's health.diagnosis.
B. Collaborate
or completion
Correct Answer: of C.
planned actions
List nursing or nursing
diagnoses frominterventions
highest priorityVNursing intervention
to lowest
with the patient and caregiver(s) to prioritize interventions. C. Identify a pattern to reach a
VDirect Answer:
priority,
Correct
Question care
and 23. VIndirect
in chronological
A. Clustercare assessment
VConsultation
order. data Three
into levels:
meaningful• Domains • Classes •
patterns.
diagnostic conclusion. D. Provide direct care.
Interventions
Correct Answer: Self-concept is a mental image that a person has of themselves.
NANDA Nursing Diagnosis domain 8. Sexuality
Question
Self-concept
Correct Answer: 9.
76.
48. is considered
A. Acquirethe andcognitive aspect of self,
validate information whereas
about self esteem
the patient's health.
Correct
refers
Question toAnswer:
the 1.
subjectiveSexual function
feelings of Sexual dysfunction
self-acceptance and self-respect.
The nursing 80.
Self-concept process: Planning
Question 39.
Types of Nursing Interventions
Correct
Question Answer:
24. • Planning
49. begins after identification of a patient's nursing
During the interview, the patient provides information about their symptoms and health
Correct Answer:
diagnoses Nurse-initiated
and strengths. • Nurse -Independent
sets patient-centred nursing interventions
goals and expected -Do not
NANDA Nursing
status. What
Cultural safety Diagnosis
is this domain
data called? A. 9. Coping/Stress
Invalid Tolerance
data B. Objective data C. Perceptual data D.
require orders
outcomes, plans from
nursingotherinterventions,
health care providers and prioritizesPhysician-initiated
interventions. -Dependent
• Planning
Subjective data
nursing Answer:
requires
Correct interventions
critical thinking,
1. -Require
Post-trauma
Cultural applied
safety orders
through
responses
is fromdeliberate
essential physicians
Risk
for providing or nurse
decision
for relocation effective practitioners
making
stress and and
syndrome
equitable 2.
Collaborative
problem
Coping
Correct
care solving.
to responses
patients
Answer: -Interdependent
D.Anxiety
from Subjective
diverse nursingcoping
Ineffective
backgrounds.
data interventions
ItDeath
ensures -Established
anxiety Fear Grieving
that healthcare
ininterdisciplinary
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professionals grieving healthcare
are aware of theteam
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3. factors
Neurobehavioral stress Risk
that may influence for
a patient's
Question
autonomic
health and10. dysreflexia
well-being, allowing them to provide care that is respectful,
77.
40.
sensitive,
Question and
81. appropriate for the individual's cultural context.
The planning
During of nursing
the patient care occurs
interview, in three
the patient showedphases:signs of acute respiratory distress. What
Question
Selection
should you ofdo25.
Interventions
next? A. ContinueSix factors
the interview so you can get the whole picture before
Correct Answer:
Question 50. • Initial • Ongoing • Discharge
NANDA Nursing
taking action. B.Diagnosis
Immediately domain
assess10.theLifeaffected
Principles body system. C. Reassure the patient
Correct Answer: • Characteristics of nursing diagnosis • Goals and expected
Cultural humilitywill be all right. D. Refer the patient to their primary health care provider.
that everything
outcomes
Correct
Question •78.
Answer: Evidence base •for
Readiness Feasibility
enhanced ofspiritual
the intervention
well-being • Acceptability
Decisional conflict to the
patient •
Spiritual
Correct Nurse'sA
distress
Answer: competence
B. lifelong
Immediatelylearning assessexperience,
the affected value, or virtue
body system. that shapes
Goals of Care
character traits across thelifespan. Actions that demonstrate interpersonal
Question
Correct Answer:
respect and 11.
82.
26.
41. "Health isreflectionof
interpersonal a state of completeone's cultural physical, mental, and
assumptions andsocial
biases
well-being, and not merely the absence of disease and infirmity."
Critical
NANDA
What is Thinking
Nursing in Implementation
it called Diagnosis
when you domain
reinforce 11. Safety/Protection
your interest in what a patient has to say by using
Question 51.
active listening prompts such as "go on" or "uh-huh"? A. Back channeling B. Observation C.
Correct
Question Answer:
6. REVIEW
1. InfectionTHERiskSET for OF infection
ALL POSSIBLE NURSING
2. Physical injury INTERVENTIONS
Ineffective
Leading questions
Culturally competent D. Probing
care
FOR THE
airway PATIENT'S
clearance Risk PROBLEM. REVIEW
for aspiration Risk ALL forPOSSIBLE
bleeding CONSEQUENCES
Risk for falls Risk for
Historical Approaches to Health A medical approach to health
ASSOCIATED
injury
Correct Impaired
Answer: WITH dentition
A.Bridge
• EACH POSSI-
Risk forBLE
Back channeling
cultural pressure
gapsNURSING ulcer
in care, ACTION.
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work withDETERMINE
skin integrity
cultural THE
differences,
PROBABILITY
Impaired
Correct
and enable tissue
Answer: OFintegrity
patients ALLand
Medical POSSIBLE CONSEQUENCES.
3. Violence
intervention
families Risk
to receive DETERMINE
forsensitivity,
restores suicide
health. 4.Health
Environmental
creative THE EFFECT
problems
and hazards
areOFTHE
meaningful
INTERVENTION
Risk
PRIMARILY
care. for poisoning
• Nurses dueneedON THE
5. PATIENT.
Defensive
to physiological
to exhibit processes
risk factors
specific Risk
ability, for allergybody
(individual's
knowledge, response
sensitivity, 6. openness,
or biology).
Thermoregulation
Accessible
and flexibility andtoward Hyperthermia
quality health
the care Hypothermia
appreciation could ofsolve
cultural all health problems.
difference
Question 83.
Question
The nursing 12.
27.
7.
52.
process: Planning Expected Outcomes
NANDA
Historical
To whatNursing
does Diagnosis
Approaches
culturally domain
tocompetent
Health 12. Comfort
A behavioral
care refer?approach
A. Rules to
andhealth
caring for patients from
Correct Answer: SPECIFIC, MEASURABLE CHANGE IN A PATIENT'S STATUS THAT
different countries B. Guidelines about how to care for patients who are immigrants C.
IS EXPECT-
Correct ED INHealth
Answer: RESPONSE
1. Physical TO NURSING
carecomfort
alone CARE.
isImpaired
not enough PROVIDE
comfort FOCUS
Nausea
to improve ORHealth
Acute
health. DIRECTION.
pain is the
Culturally based care and health knowledge expressed in sensitive, creative, and
DETERMINE
Chronic painWHEN
responsibility ASPECIFIC
2.ofSocial comfort
individuals. PATIENT-CENTRED
Risk forneeded
Changes to GOAL
loneliness be made HASinBEEN MET.
the environment,
meaningful ways D. Understanding religious and ethnic habits of patients
NURSING-SENSITIVE
risk reduction, healthPATIENT OUTCOME.
promotion strategies, and lifestyle behaviours in order to
achieve
Correct
Question health.
Answer:
28. D. Understanding religious and ethnic habits of patients
Question 84. Diagnosis domain 13. Growth/Development
NANDA Nursing
Question
The nursing 13.
8.
53.
process: Implementation Process Steps
Correct Answer: Risk for delayed development
HistoricalofApproaches
Sources Data to Health A socioenviornmental approach to health
, Correct Answer: Reassessing the patient Reviewing and revising the existing
Correct
Question Answer:
53. The Nursing Care Plan (NCP) is an individualized and
nursing care plan Organizing resources and care delivery • Equipment •
comprehensive plan, guiding nursing care to achieve client-centered outcomes.
Personnel
Sources • Environment • Patient
of Data
It includes priority problems (nursing diagnoses), client goals, interventions
Correct Answer:
required to meet1. the Primary
identified • Patient
goals,2.and Secondary
evaluation sources
of the•client's
Family response
and to
Question 85.
significant
the interventions. others •The Health
NCP care team •Medical
contributes to quality records 3. Tertiary sources
and consistency in patient •
Direct care includes
Literature • Nurse's experience
care.
different types of human needs, and they are typically arranged from the most
basic to Answer:
Correct the mostDirect advanced. 1. Physiological
care actions are thoseNeeds: that the This
nurseis the foundational
provides directly to
Question
level,
the patient 14.
54.
66.
encompassing
(such as wound the most basic
care) requirements
Activities of dailyfor human
living (ADLs)survival, including
Instrumental
air, water,
activities
Methods
Nursing ofof
Care food,
Datadaily
Plan shelter, sleep, and
living Physical
Collection
Formats care physical
techniques health. 2. Safetymeasures
Life-saving and Security
Question 72.
Needs:
Counselling Once
Correct Answer: physiological
Teaching It may
1. needs
Controlling are met,
for adverse
take on aHopelessness
Self-concept variety individuals
reactions
of formats,
Readiness seek
such safety
Preventive
as enhanced
for and security.
measures
a handwritten or
Correct
An Answer:
intervention that • Interview
addresses •An organized
a patient's long-term conversation
health care with the patient •
This includes
electronic
self-concept plan personal
2. of care,
Self-esteem safety,
pre-printed financial
Chronic stability,
pathways,
low self-esteemcareaccess
maps,
3. toneeds,
Body rather
healthcare,
standardized
image than
or a
and
Disturbed
Open-ended
specific illness, questions
would • Closed-ended
generally beandassigned questions
which priority? • Orientation
A.third
High B. phase • Working
Intermediate
protection
individualized
body
Question image from
86.
42. careharm. plans.3. Love Belongingness: The level involves C. theLow
phase
D. It would• Termination
not beconnection, phase
assigned a priority • Nursing health history • Family history • Physical
need for social love, and a sense of belonging. This includes
Indirect
Which ofCare includes is an example of a direct, closed-ended question? A. "How many
the following
Question
relationships,
Correct
times in the 15.
67.
22.
Answer:
friendships, and a feeling of being part of a community or family.
last month C. Low have you slipped and fallen?" B. "Is there anything else you can tell
Correct
4. Esteem Answer:
Needs:Indirect After social care actions
needs are arefulfilled,
those that are provided
individuals seek indirectly
self-esteem but
The about
me
NANDAStandards ofDiagnosis
Practice C.
this situation?"
Nursing for Registered
"Tell
domain me about
7. Role Nurses
your define
balance
Relationship the RN's responsibilities
issues." D. "You're losing in care
your
are
and still
the doneesteem onof the patient's
others. Thisbehalf
includes (such as a consultation
feelings of self-worth, with another health
confidence, and
planning
balance
Question as 73.
more follows:
often than before, right?"
care provider)
recognition
Correct Answer:from Communicating
peers.
1. nursing
5. Self-Actualization:
Caregiving roles interventions
Caregiver At
rolethe • Written
top
strain of thefor
Risk or caregiver
oral is role
pyramid
Consulting
Communicating
Correct
strain 2.Answer: with another
self-actualization,
Family Delegating,
where
• Uses
A. "How health
relationships criticalcare provider
supervising,
individuals
many inquiry
times
Dysfunctional strive
into about
theandfor patient
evaluating
assess,
last personal
family plan,
month care is anyou
the
growth,
intervene,
have
processes example
work
3. of
of other
creativity,
and
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Role which
evaluate
andstaff
type ofcare
members care?and
self-fulfillment,
client
fallen?"
performance A.Impaired
Direct care
and realizing
relatedservices. B. Indirect
social their care
interaction C. Patient-centred
full potential.
• Establishes the initialgoal nursing D. Patient-centred
plan of care
outcome
based on a comprehensive assessment. • Monitors the effectiveness of the plan
of care and16.
Question revises the plan as needed in collaboration with the client and the
87.
38.
43.
23.
Correct Answer: B. Indirect care
health care team.
The
NANDAnursing
first
second step
Nursingprocess:
of Diagnosis
step the
of the Evaluation
nursing
nursing process
domain 8. is
process assessment.
is diagnosis.What
Sexuality Whatactionactiondo youone
does perform
perform during the
during
assessment?
diagnosis?
QuestionA.74. A. Acquire
Acquire and and validate
validate information
information about
about thethe patient's
patient's health.
health. B. B. Collaborate
Collaborate
Correct
Question Answer:
68. Evaluation
1. Sexual function is the final Sexual stepdysfunction
of the nursing process. Involves two
with the patient and caregiver(s) family to prioritizeto prioritize interventions.
interventions. C. Identify
C. Identify a pattern a pattern
to reachto reach
a a
Two nurses work
components: VAn together to reposition
examination of a a patient inor
condition bed to prevent
situation VAthe development
judgement as toof a
diagnostic
The Standards conclusion.
of Practice D. Provide
for LPNsdirectin Canadacare. define the LPNs responsibilities in care
pressure
whether
Question injury.
change
24. This has is an example of which kind of intervention? A. Collaborative nursing
occurred
planning as follows:
intervention
Correct Answer: B. Dependent
A. Acquire
C. Identify nursing
and intervention
validate
a pattern C. Independent
information
to reach about
a diagnostic nursing intervention
the patient's
conclusion. D.
health.
NANDA Nursing Diagnosis domain 9. Coping/Stress Tolerance
Interdependent
Correct Answer:
Question 88. nursing interventionin the development, review, and revision of the
• Collaborates
Question
Correct
plan of care
Correct 17.
Answer:
39.
44.
Answer:
Critical Thinking and
1. Post-trauma
to address
C. Evaluation
client needs responses Risk for relocation
and preferences
Interdependent nursing intervention
stress syndrome
and to establish client 2.
Coping
centered responses
goals. • DevelopsAnxiety Ineffective
and/or modifies copingthe Deathplananxiety
of careFear based Grieving
on the
During
What type the ofinterview, the patient
nursing diagnosis provides
applies when information
a patient abouthas antheir symptoms
increased and health
likelihood of
Correct
Complicated
concepts Answer: grieving
of individual Evaluation is an ongoing,
Powerlessness
LPN competence, continuous process.
3. Neurobehavioral
environmental stress Collaboration
supports, Riskand forclient is a
status.
developing
Question Whata75. is this data
problem or called? A. Invalid
complication? data B.promotion
A. Health Objective data nursing C. Perceptual
diagnosis B. data D.
Medical
key
needs component.
autonomic dysreflexia Nurses gather subjective data from the patient as well as
Subjective
diagnosis C. data
Problem-focused nursing diagnosis D. Risk nursing diagnosis
In which order
objective data should
from nursing
the family diagnoses
and health be listed in the
care team patient's
members record? A. Listthinking:
Critical nursing
diagnoses
A complex
Correct
Question by how quickly
phenomenon
Answer:
25.
69. Riskeach
D. Subjective thatcondition
nursing can
data can be resolved.
be defined
diagnosis as a process B. List andnursingas adiagnoses
set of solely
in alphabetical order.
skillsEvaluation C. List nursing
is dynamic diagnoses from highest priority to lowest priority, and
and ever-changing
NANDA Nursing
While nursing Diagnosis
care planning domain
is done 10.in Life Principles between nursing professionals, the RN
collaboration
in chronological
Question 18.
103.
40.
45. order. D. List nursing diagnoses from lowest priority to highest priority, in
remains responsible for the following practices:
alphabetical
Correct
Question order.Readiness for enhanced spiritual well-being Decisional conflict
Answer:
89.
You
Whatdetermine
During the of
type patientthatinterview,
nursing a diagnosis
patient the is applies
not meeting
patient showed
when aanutritional
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an because
acute respiratory
interest they
in are not their
distress.
improving What
Spiritual
Correct Answer: distress• Developing the initial NCP. • Developing additional plans to
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The nursing
following
should
health youAnswer:
the
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next?
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behavioral thediagnoses
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diagnosis B. chronological
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diagnosis importance
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Reassure
nursing the the
diagnosis dietary
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the initial
Question Answer:
care
26. Consists of
resources, five elements:
referrals, or care1. toIdentifying
support the evaluative
client to achievecriteria their
and
plan. C. Label the
that everything willpatient
be all noncompliant
right. D. Referand the discontinue
patient to their thatprimary
part of the healthplan. D. provider.
care
standards
Correct
care goals. 2.
• Collecting
Answer: A. Health
Customizing data to determine
promotion
nursing nursing
interventions whether
diagnosis the criteria
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or high-riskare
NANDA
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Question NursingwhyDiagnosis
76. the patient domain
is not 11. Safety/Protection
following the plan.
met 3. Interpreting
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problems. Answer:
• Evaluating and the
B. Immediatelysummarizing
overall assess findings
the affected
effectiveness 4. Documenting
of thebody NCP system. findings and any
The nursing
clinical
Correct
Question 46. process:
judgment
Answer: 1.
D.5. Planning
Infection
Terminating,
Understand Risk why for infection
continuing,
the patient 2.
or Physical
revising
is not injury
the
following care Ineffective
theplan.
plan.
airway
Question clearance Risk for aspiration Risk for bleeding Risk for falls Risk for
Correct the41.
Which of Answer: 70.
following • Planning
is an example begins of after identification
a problem-focused of a patient's
nursing diagnosticnursing statement?
Question
injury
diagnoses
What
A. Chronic
SMART
Impaired
is Goals 19.
104.
90.
and when
it called
obstructive
dentition Risk for pressure ulcer Impaired skin integrity
strengths.you • Nurse
reinforce
pulmonary your
diseasesets B.patient-centred
interest
Impairedin what goals
a patient
nutritional and
has
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Impaired tissue integrity 3. Violence Risk for suicide 4. Environmental hazards
outcomes,
Critical
Written
active Thinking
Plans of
intake listening
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Requirements
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as "gonutrients
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C. Readiness A. Back interventions.
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B. Observation of C.
Risk
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poisoning 5. Defensive
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Measurable, Risk for Realistic,
Attainable, allergy response Timely 6.
Correct
requires
Leading Answer:
critical
smoking questions
cessation D. Nursing
thinking,
D. Probing care
appliedplan Institutional
through deliberate
Risk for fall related to generalized weakness care plans
decision Computerized
making and care
Correct Answer: • Requires
Thermoregulation Hyperthermia both Hypothermia
cognitive skills and an individual's habit
plans Care
problem plans for community-based settings Critical pathways
solving.
(disposition)
Correct
Question 71. Answer: • An A.
B. individual's
Back
Impaired channelinghabit
nutritional (disposition):
status: deficient• Ability foodto askintake questions
related•to
Being
inability
Question well informed
to27.absorb nutrients • Being honest in facing personal biases • Being willing to
Question
The third step 20.
91.
77. of the nursing process is planning. What action do you perform during
reconsider and think differently about issues
NANDA
planning? Nursing
A. AcquireDiagnosis domain information
and validate 12. Comfortabout the patient's health. B. Collaborate
The fourth step
planning
Question 47.of of the nursing
nursing process
care occurs in is implementation.
three phases: What action do you perform
with the patient and caregiver(s) to prioritize interventions. C. Identify a pattern to reach a
during implementation?
Correct Answer:
Question 105. a1. Physical comfort Impaired comfortabout
A. Acquire and validate information Nausea the Acute
patient's painhealth. B.
Correct
When Answer:
formulating
diagnostic conclusion. • nursing
Initial •diagnosis,
D. Provide Ongoing
directwhich • Discharge
care. of these should one do first? A. Cluster
