Answers 100% Pass
Which step of the nursing process does a nurse use when finding blood pressure of
180/75, a heart rate of 90, and a patient complaint of chest pain? - ✔✔Assessment
Which best describes the diagnosis step of the nursing process? - ✔✔The nurse
analyzes, validates, and clusters patient data to identify patient problems. Patient data
clusters are stated in standardized language, which provides clarity and universal
understanding by all health care providers
Which term describes the nurse prioritizing the diagnoses and identifying goals that are
realistic, measurable, and patient-focused with specific outcomes? - ✔✔Planning
Which actions demonstrate a nurse utilizing critical thinking when her patient
complains of increased pain at the surgical site?
- The nurse verifies that no pain medications were ordered and calls provider on call for
pain medications
- The nurse verifies that no pain medications were ordered and tells patient she has no
medications ordered
- The nurse uses non-pharmaceutical treatment of focused deep breaths to relieve pain
for patient
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,- The nurse assesses vital signs and checks to see when patient was last medicated for
pain
- The nurse assesses the surgical site to determine the cause of increased pain - ✔✔- The
nurse verifies that no pain medications were ordered and calls provider on call for pain
medications
- The nurse uses non-pharmaceutical treatment of focused deep breaths to relieve pain
for patient
- The nurse assesses vital signs and checks to see when patient was last medicated for
pain
- The nurse assesses the surgical site to determine the cause of increased pain
A patient reports that his pain level is now a 6 out of 10. The patient's goal for a pain
level of 3-4 out of 10 is not met. Which step of the nursing process does this statement
reflect? - ✔✔Evaluation
A nurse educator is reviewing the steps of the nursing process with the class. While
reviewing a case study, the educator asks the students to determine which part of the
process a nurse uses when establishing short- and long-term goals with the patient.
How should the students respond? - ✔✔Planning
A nurse is preparing a presentation to the unit on ANA, the organization that defined
the five steps of the nursing process. What does ANA stand for? - ✔✔American Nurses
Association
What is the primary purpose of the nursing diagnosis? - ✔✔Communicating patient
needs
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, A patient comes to the emergency department complaining of fever and diarrhea. What
should the nurse ask the patient first? - ✔✔"What is the severity and duration of your
fever and diarrhea?"
Stella Jones, RN, reassesses a patient one hour after giving morphine for the patient's
pain. The patient states that she is still in horrible pain, eliciting a response of 8 out of
10. What would be the most appropriate intervention? - ✔✔Give additional
breakthrough pain medication
Who first pioneered the term "nursing process"? - ✔✔Lydia Hall
The five steps that make up the nursing process allow it to be: - ✔✔Dynamic
What does the term "dynamic nature" of the nursing process refer to? - ✔✔Change over
time in response to the patient's needs
What is a part of the assessment process? - ✔✔Data collection
What analytical questions are asked at each step in the nursing process?
- "Is the data collection thorough and accurate?"
- "Are outcomes general and hopeful?"
- "Have all underlying factors been addressed in the care plan?"
- "Are the interventions available?"
- "Could interventions impact the patient negatively?" - ✔✔- "Is the data collection
thorough and accurate?"
- "Have all underlying factors been addressed in the care plan?"
- "Could interventions impact the patient negatively?"
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