It connects the assessment with planning, interventions, and follow-up evaluation. -
ANSWER Why is the diagnosis step critical to the nursing process?
A medical diagnosis defines an illness or disease with a certain pathology, while a
nursing diagnosis is geared toward the client's health status and how a nurse can help
independently. - ANSWER Which is the best explanation of the difference between a
medical diagnosis and a nursing diagnosis?
Hard, painful bowel movement approximately every 3 to 4 days; sedentary lifestyle; low
dietary fiber intake; dry skin
Pain and limited range of motion in knees, use of walker, medical diagnosis of
osteoarthritis
Urinary incontinence, lower abdominal pain, bladder spasm - ANSWER Which are
examples of cue clusters for a nursing diagnosis?
Wellness diagnosis - ANSWER A statement such as "readiness for enhanced self-care"
is an example of which type of nursing diagnosis?
Basic three-part statement - ANSWER The abbreviations "AEB" and "AMB" are
considered connecting phrases for which portion of the nursing plan?
Focused assessment - ANSWER Which type of assessment is performed to obtain data
about an actual, potential, or possible problem that has been identified or is suspected?
Objective - ANSWER During an assessment, the nurse notes that the client has an
elevated temperature. Which type of data is this?
doing, delegating, documenting - ANSWER Which describes components of
implementation in the nursing process? Select all that apply.
The nurse notes the client has a rash and asks the client if the rash is itching. -
ANSWER Which is an example of a nurse using subjective data to clarify objective
data?
1. Create a working problem list.
2. Identify problems that can be managed with a critical pathway or standardized plan of
care.
3. Individualize the standardized plan as needed.
4. Transcribe medical orders to the appropriate documents.
5. Address ADLs and basic care needs as part of the plan of care.
6. Develop care plans for problems not addressed by the standardized documents. -
ANSWER Correctly order the steps in creating a nursing care plan.