Chapter 5---Nursing Process and Critical Thinking
1st Maslow's hierarchy of needs - ansPhysiological Needs
2nd in Maslows Hierarchy of Needs - ansSafety and Security
3rd in Maslows Hierarchy of Needs - ansRelationships, Love and Affection
4th of Maslow's hierarchy of needs - ansSelf Esteem
5th of Maslow's hierarchy of needs - ansSelf Actualization
a clinical judgment about a person's, family's or community's motivation and desire to increase well being and
actualize human health potential as expressed in the readiness to enhance specific health behaviors, and can
be used in any health state. - answellness nursing diagnosis
A clinical judgment about individual, family, or community responses to actual or potential health problems/life
processes is known as a _____________ ___________. - ansNursing diagnosis
A clinical judgment describing a specific cluster of nursing diagnoses that occur together, and are best
addressed together and through similar interventions. - anssyndrome nursing diagnosis
A clinical judgment that describes human responses to health conditions/life processes that may develop in a
vulnerable individual, family, or community. - ansrisk nursing diagnosis
A health care system that provides control over health care services for a specific group of individuals in an
attempt to control cost is known as ___________ ______________. - ansmanaged care
A health care system whose goals are to provide cost effective quality care. Control costs. - ansmanaged care
,A multidisciplinary plan that schedules clinical interventions over an anticipated time frame for high-risk, high-
volume, and high-cost types of cases is known as a ___________ ____________. - anscritical pathway
A nurse is formulating a nursing diagnosis. What is an example of an appropriately written nursing diagnosis?
Risk for impaired skin integrity related to physical immobilization
Physical immobilization secondary to risk for impaired skin integrity
Risk for impaired skin integrity related to diagnosis of decubitus ulcers
Physical immobilization secondary to decreased cognitive ability - ansRisk for impaired skin integrity related to
physical immobilization
A patient has returned from surgery and has a history of smoking. The physician has orders for the use of
incentive spirometry (IS) every 2 hours. The patient asks why he has to do IS so often. The nurse teaches the
patient about the importance of breathing deeply to clear any secretions and prevent pneumonia. What is this
teaching an example of?
a nursing diagnosis
an outcome statement
implementation of a nursing intervention
the nursing process - ansimplementation of a nursing intervention
A patient is admitted to the hospital with a sacral wound that has a foul odor, purulent drainage, and necrotic
tissue in the center. It measures 4 cm in circumference by 2 cm deep. What is the most appropriate nursing
, diagnosis?
Risk for infection
Impaired skin integrity
Chronic pain
Impaired peripheral circulation - ansImpaired skin integrity
A patient with a urinary tract infection is assessed using a clinical pathway. When a projected outcome is not
met by a predetermined date, it is determined that what has occurred?
Omission
Variance
Failure
Error - ansVariance
a structured vocabulary that provides nurses with a common means of communication. - ansstandardized
languages
A systematic method by which nurses plan and provide care for patients is known as the _________
____________. - ansnursing process
a systematic, dynamic process by which the registered nurse, through interaction with the patient, family,
groups, communities, populations, and health care providers, collects and analyzes data. - ansassessment
A systemic, dynamic process by which the nurse, through interaction with the patient, significant others, and
health care providers, collects and analyzes data about the patient is known as ______________________. -
1st Maslow's hierarchy of needs - ansPhysiological Needs
2nd in Maslows Hierarchy of Needs - ansSafety and Security
3rd in Maslows Hierarchy of Needs - ansRelationships, Love and Affection
4th of Maslow's hierarchy of needs - ansSelf Esteem
5th of Maslow's hierarchy of needs - ansSelf Actualization
a clinical judgment about a person's, family's or community's motivation and desire to increase well being and
actualize human health potential as expressed in the readiness to enhance specific health behaviors, and can
be used in any health state. - answellness nursing diagnosis
A clinical judgment about individual, family, or community responses to actual or potential health problems/life
processes is known as a _____________ ___________. - ansNursing diagnosis
A clinical judgment describing a specific cluster of nursing diagnoses that occur together, and are best
addressed together and through similar interventions. - anssyndrome nursing diagnosis
A clinical judgment that describes human responses to health conditions/life processes that may develop in a
vulnerable individual, family, or community. - ansrisk nursing diagnosis
A health care system that provides control over health care services for a specific group of individuals in an
attempt to control cost is known as ___________ ______________. - ansmanaged care
A health care system whose goals are to provide cost effective quality care. Control costs. - ansmanaged care
,A multidisciplinary plan that schedules clinical interventions over an anticipated time frame for high-risk, high-
volume, and high-cost types of cases is known as a ___________ ____________. - anscritical pathway
A nurse is formulating a nursing diagnosis. What is an example of an appropriately written nursing diagnosis?
Risk for impaired skin integrity related to physical immobilization
Physical immobilization secondary to risk for impaired skin integrity
Risk for impaired skin integrity related to diagnosis of decubitus ulcers
Physical immobilization secondary to decreased cognitive ability - ansRisk for impaired skin integrity related to
physical immobilization
A patient has returned from surgery and has a history of smoking. The physician has orders for the use of
incentive spirometry (IS) every 2 hours. The patient asks why he has to do IS so often. The nurse teaches the
patient about the importance of breathing deeply to clear any secretions and prevent pneumonia. What is this
teaching an example of?
a nursing diagnosis
an outcome statement
implementation of a nursing intervention
the nursing process - ansimplementation of a nursing intervention
A patient is admitted to the hospital with a sacral wound that has a foul odor, purulent drainage, and necrotic
tissue in the center. It measures 4 cm in circumference by 2 cm deep. What is the most appropriate nursing
, diagnosis?
Risk for infection
Impaired skin integrity
Chronic pain
Impaired peripheral circulation - ansImpaired skin integrity
A patient with a urinary tract infection is assessed using a clinical pathway. When a projected outcome is not
met by a predetermined date, it is determined that what has occurred?
Omission
Variance
Failure
Error - ansVariance
a structured vocabulary that provides nurses with a common means of communication. - ansstandardized
languages
A systematic method by which nurses plan and provide care for patients is known as the _________
____________. - ansnursing process
a systematic, dynamic process by which the registered nurse, through interaction with the patient, family,
groups, communities, populations, and health care providers, collects and analyzes data. - ansassessment
A systemic, dynamic process by which the nurse, through interaction with the patient, significant others, and
health care providers, collects and analyzes data about the patient is known as ______________________. -
