FUNDAMENTALS OF NURSING CARE
QUESTIONS AND ANSWERS WITH
VERIFIED SOLUTIONS 2024
Assume you are scheduled for clinical tomorrow. How would you obtain information about your patient
so that you can begin to develop a plan of care?
a. Read the nursing admissions assessment and recent nurse's notes.
b. Read the health-care provider's admission note and recent progress notes.
c. Listen to the end-of-shift report at the nurse's station.
d. Review the medication administration record and any treatment plans or notes. - ANSWER All of the
above
Objective data - ANSWER Data that can be assessed through the senses
Primary data - ANSWER Data provided by the patient
Secondary data - ANSWER Data obtained from a source other than the patient
Subjective data - ANSWER Symptoms knowable only by the patient
Care plan - ANSWER A documented strategy that includes the health-care provider's orders, nursing
diagnoses, and nursing orders is called the _____
Critical thinking - ANSWER _____ is using competent reasoning and logical thought processes to
determine the merits of a belief or action
Validate - ANSWER To avoid making decisions based on assumptions, nurses _______ the information
they obtain.
Nursing process - ANSWER The ______ is an overlapping, five-step method for decision making.
,Rapport - ANSWER Creating a relationship of mutual trust is called establishing a ______.
Nursing diagnosis - ANSWER The concise statement of a problem that the patient is experiencing as a
result of his or her medical diagnoses is called the _______.
Defining characteristics - ANSWER The signs and symptoms experienced by the patient that directly
influence the nursing diagnosis are called the ________.
Expected outcome - ANSWER The ______ is the overall direction that will indicate improvement in a
problem.
Nursing goals - ANSWER ______ are statements of measurable action for the patient within a specific
time frame in response to nursing interventions.
Direct patient care - ANSWER When an individual nurse performs hands-on or one-on-one nursing
interventions, it is called ______.
Indirect patient care - ANSWER Activities that a nurse performs that do not involve hands-on or one-on-
one patient care but nonetheless have an impact on the patient are called ______.
Independent interventions - ANSWER Actions the nurse performs that do not require a written order are
called _______.
Dependent interventions - ANSWER Actions the nurse performs that require a written order are called
______.
Collaborate interventions - ANSWER Nursing actions that involve working with other disciplines such as
physical therapy or social services are called.
Refer to the Real-World Connection feature called Critical Thinking in Patient Care located in Chapter 4 in
your textbook. What did the nurse and the therapist do that is a characteristic feature of critical
thinking?
a. They made important observations
,b. They made a difference in patient care
c. They thought they could get to the bottom of the problem
d. They made a conscious decision to think in a new way about the problem. - ANSWER d. They made a
conscious decision to think in a new way about the problem.
You are accepting a patient who is being transferred to your general care unit after 3 days in the
intensive care unit (ICU) following a stroke. Many of the stroke symptoms have resolved, and the patient
needs only minimal physical and occupational therapy. Because the care in uncomplicated and you are
busy with patients who are sicker, you ask the unlicensed assistant to develop the care plan, after which
you will assess it and revise it as needed. Which of the following statements about your actions is true?
a. This is fine; you may delegate care planning as long as a licensed nurse reviews it.
b. This is fine as long as you choose the nursing diagnosis.
c. This is not allowed because nursing decisions and care planning cannot be delegated.
d. This is not allowed because the patient is coming from an ICU. - ANSWER c. This is not allowed
because nursing decisions and care planning cannot be delegated.
Your patient was admitted to the hospital with severe abdominal pain. It was determined that he had
pancreatitis as a result of severely elevated triglycerides. He was also diagnosed with type 2 diabetes,
and you plan to teach him about his diagnosis. He is not allowed anything by mouth yet because of the
pancreatitis, is receiving IV fluids, and requires pain medication every 3 to 4 hours. You enter the room
and let him know you want to discuss his health conditions with him. He responds by saying, "Not now,
please, I just got my pain shot." Which of the following explains how the patient's comment reflects
Maslow's hierarchy of needs?
a. He has to have his safety and security needs met before he can address cognitive needs.
b. Cognitive needs are less important than physical needs.
c. He cannot deal with learning new issues while he feels physically uncomfortable.
d. His discomfort is preventing him from cooperati - ANSWER c. He cannot deal with learning new issues
while he feels physically uncomfortable.
A student in your class is given the name of a patient for whom she will proved care the following day in
clinical. She goes to the unit, which specializes in diabetes care, to find out information and sees the
patient sitting in a wheelchair with his chart in his lap. He is on his way to radiology for an x-ray. She
notes that his left leg is amputated just below the knee and the right foot s bandaged . Your class has
been studying diabetes and the student knows that vascular problems and amputations are unfortunate
complications of diabetes. She plans to study about the diabetic foot care tonight so that she will be
, prepared for clinical the next day. Which of the following represents an accurate statement about her
decision to study diabetic foot care?
a. It reflects careful observation and good planning.
b. The amputation and bandage are pretty obvious, so her plan is just common sense.
c. She should read the pati - ANSWER d. She has made a serious thinking error.
Which step of the nursing process is concerned with identifying physical findings?
a. Assessment
b. Diagnosis
c. Planning
d. Implementation
e. Evaluation - ANSWER a. Assessment
In which step of the nursing process would you look at outcomes?
a. Assessment
b. Diagnosis
c. Planning
d. Implementation
e. Evalutation - ANSWER e. Evaluation
In which step of the nursing process are priorities set?
a. Assessment
b. Diagnosis
c. Planning
d. Implementation
e. Evaluation - ANSWER c. Planning
In which step of the nursing process do you label problems?
a. Assessment
QUESTIONS AND ANSWERS WITH
VERIFIED SOLUTIONS 2024
Assume you are scheduled for clinical tomorrow. How would you obtain information about your patient
so that you can begin to develop a plan of care?
a. Read the nursing admissions assessment and recent nurse's notes.
b. Read the health-care provider's admission note and recent progress notes.
c. Listen to the end-of-shift report at the nurse's station.
d. Review the medication administration record and any treatment plans or notes. - ANSWER All of the
above
Objective data - ANSWER Data that can be assessed through the senses
Primary data - ANSWER Data provided by the patient
Secondary data - ANSWER Data obtained from a source other than the patient
Subjective data - ANSWER Symptoms knowable only by the patient
Care plan - ANSWER A documented strategy that includes the health-care provider's orders, nursing
diagnoses, and nursing orders is called the _____
Critical thinking - ANSWER _____ is using competent reasoning and logical thought processes to
determine the merits of a belief or action
Validate - ANSWER To avoid making decisions based on assumptions, nurses _______ the information
they obtain.
Nursing process - ANSWER The ______ is an overlapping, five-step method for decision making.
,Rapport - ANSWER Creating a relationship of mutual trust is called establishing a ______.
Nursing diagnosis - ANSWER The concise statement of a problem that the patient is experiencing as a
result of his or her medical diagnoses is called the _______.
Defining characteristics - ANSWER The signs and symptoms experienced by the patient that directly
influence the nursing diagnosis are called the ________.
Expected outcome - ANSWER The ______ is the overall direction that will indicate improvement in a
problem.
Nursing goals - ANSWER ______ are statements of measurable action for the patient within a specific
time frame in response to nursing interventions.
Direct patient care - ANSWER When an individual nurse performs hands-on or one-on-one nursing
interventions, it is called ______.
Indirect patient care - ANSWER Activities that a nurse performs that do not involve hands-on or one-on-
one patient care but nonetheless have an impact on the patient are called ______.
Independent interventions - ANSWER Actions the nurse performs that do not require a written order are
called _______.
Dependent interventions - ANSWER Actions the nurse performs that require a written order are called
______.
Collaborate interventions - ANSWER Nursing actions that involve working with other disciplines such as
physical therapy or social services are called.
Refer to the Real-World Connection feature called Critical Thinking in Patient Care located in Chapter 4 in
your textbook. What did the nurse and the therapist do that is a characteristic feature of critical
thinking?
a. They made important observations
,b. They made a difference in patient care
c. They thought they could get to the bottom of the problem
d. They made a conscious decision to think in a new way about the problem. - ANSWER d. They made a
conscious decision to think in a new way about the problem.
You are accepting a patient who is being transferred to your general care unit after 3 days in the
intensive care unit (ICU) following a stroke. Many of the stroke symptoms have resolved, and the patient
needs only minimal physical and occupational therapy. Because the care in uncomplicated and you are
busy with patients who are sicker, you ask the unlicensed assistant to develop the care plan, after which
you will assess it and revise it as needed. Which of the following statements about your actions is true?
a. This is fine; you may delegate care planning as long as a licensed nurse reviews it.
b. This is fine as long as you choose the nursing diagnosis.
c. This is not allowed because nursing decisions and care planning cannot be delegated.
d. This is not allowed because the patient is coming from an ICU. - ANSWER c. This is not allowed
because nursing decisions and care planning cannot be delegated.
Your patient was admitted to the hospital with severe abdominal pain. It was determined that he had
pancreatitis as a result of severely elevated triglycerides. He was also diagnosed with type 2 diabetes,
and you plan to teach him about his diagnosis. He is not allowed anything by mouth yet because of the
pancreatitis, is receiving IV fluids, and requires pain medication every 3 to 4 hours. You enter the room
and let him know you want to discuss his health conditions with him. He responds by saying, "Not now,
please, I just got my pain shot." Which of the following explains how the patient's comment reflects
Maslow's hierarchy of needs?
a. He has to have his safety and security needs met before he can address cognitive needs.
b. Cognitive needs are less important than physical needs.
c. He cannot deal with learning new issues while he feels physically uncomfortable.
d. His discomfort is preventing him from cooperati - ANSWER c. He cannot deal with learning new issues
while he feels physically uncomfortable.
A student in your class is given the name of a patient for whom she will proved care the following day in
clinical. She goes to the unit, which specializes in diabetes care, to find out information and sees the
patient sitting in a wheelchair with his chart in his lap. He is on his way to radiology for an x-ray. She
notes that his left leg is amputated just below the knee and the right foot s bandaged . Your class has
been studying diabetes and the student knows that vascular problems and amputations are unfortunate
complications of diabetes. She plans to study about the diabetic foot care tonight so that she will be
, prepared for clinical the next day. Which of the following represents an accurate statement about her
decision to study diabetic foot care?
a. It reflects careful observation and good planning.
b. The amputation and bandage are pretty obvious, so her plan is just common sense.
c. She should read the pati - ANSWER d. She has made a serious thinking error.
Which step of the nursing process is concerned with identifying physical findings?
a. Assessment
b. Diagnosis
c. Planning
d. Implementation
e. Evaluation - ANSWER a. Assessment
In which step of the nursing process would you look at outcomes?
a. Assessment
b. Diagnosis
c. Planning
d. Implementation
e. Evalutation - ANSWER e. Evaluation
In which step of the nursing process are priorities set?
a. Assessment
b. Diagnosis
c. Planning
d. Implementation
e. Evaluation - ANSWER c. Planning
In which step of the nursing process do you label problems?
a. Assessment
