Fundamentals of Nursing Chapter 11 Exam 2025

Which of the following behaviors is most representative of the "nursing diagnosis" phase of the nursing process? A: Identifying major problems or needs B: Organizing data in the client's family history C: Establishing short-term and long-term goals D: Administering an antibiotic - Correct Ans-A: Identifying major problems or needs Which of the following behaviors would indicate that the nurse was utilizing the assessment phase of the nursing proess to provide nursing care? A: Proposes hypotheses B: Generates desired outcomes C: Reviews results of laboratory tests D: Documents care - Correct Ans-C: Reviews results of laboratory tests Which of the following elements is best characterized as secondary subjective data? A: The nurse measures a weight loss of 10 lbs since the last clinic visit B: Spouse states the client has lost all appetite C: The nurse palpates edema in lower extremities D: Client states severe pain when walking up stairs - Correct Ans-B: Spouse states the client has lost all appetite The nurse wishes to determine the client's feelings about a recent diagnosis. Which interview question is most likely to elicit this information? A: "What did the doctor tell you about your diagnosis?" B: "Are you worried about how the diagnosis will affect you in the future?" C: "Tell me about your reactions to the diagnosis" D: "How is your family responding to the diagnosis?" - Correct Ans-C: "Tell me about your reactions to the diagnosis" The most important component to the effective use of the nursing process is: A: Collaboration B: Critical thinking C: Client compliance with the plan D: Nursing theory - Correct Ans-B: Critical thinking Characteristics of the nursing process include: (select all that apply) A: It is nursing centered B: It is universally applicable in all settings C: It is individual and autonomous D: Decision making is involved in each phase of the nursing process E: Data from each phase is used in the next phase - Correct Ans-B: It is universally applicable in all settings D: Decision making is involved in each phase of the nursing process E: Data from each phase is used in the next phase The client has had a stroke and has difficulty speaking. An example of the most appropriate form of communication the nurse can use is: A: "Are you having pain?" B: "Tell me about your family." C: "Tell me about your health history." D: "Count backwards from 100." - Correct Ans-A: "Are you having pain?" The nurse considers advantages of asking open-ended questions are: (select all that apply) A: They are easy to answer and are nonthreatening B: They can convey interest and trust C: They can provide information this interviewer may not ask for D: They may reveal the interviewee's lack of information, misunderstanding of words, prejudices, or sterotypes E: They may inhibit communication and convey lack of interest by the interviewer - Correct Ans-A: They are easy to answer and are nonthreatening B: They can convey interest and trust C: They can provide information this interviewer may not ask for D: They may reveal the interviewee's lack of information, misunderstanding of words, prejudices, or sterotypes The nurse determines the status of a specific problem identified earlier in the shift during: A: Problem-focused assessment B: The initial assessment C: Emergency assessment D: Time-lapsed reassessment - Correct Ans-A: Problem-focused assessment The nurse conducts a time-lapsed reassessment in what setting? A: While the client is being admitted B: Community health screening event C: In a home care setting D: In the urgent care center - Correct Ans-C: In a home care setting The nurse is asking the client how often the nausea occurs and if there is anything that alleviates the problem. This is an example of what method of data collection? A: Secondary B: Examining C: Observation D: Interviewing - Correct Ans-D: Interviewing During the nursing history and physical, the nurse obtains: (select all that apply) A: Subjective data B: Objective data C: Prioritized data D: Directed interview data E: Primary data - Correct Ans-A: Subjective data B: Objective data E: Primary data Subjective data is important to the nurse's assessment because: A: It provides the nurse with overt data B: It contributes secondary information C: It provides the nurse with information that no one else can offer D: It provides the most accurate data - Correct Ans-C: It provides the nurse with information that no one else can offer Two hours after administration of blood pressure medication, the nurse takes the client's blood pressure. This is an example of what phase of the nursing process? A: Diagnosis B: Planning C: Implementation D: Evaluation - Correct Ans-D: Evaluation The nurse is repositioning the client to avoid skin breakdown, which is an example of what phase of the nursing process? A: Evaluation B: Diagnosis C: Implementation D: Assessment - Correct Ans-C: Implementation During assessment, the nurse: (select all that apply) A: Collects data B: Organizes data C: Documents data D: Validates data E: Prioritizes data - Correct Ans-A: Collects data B: Organizes data C: Documents data D: Validates data When the client reports experiencing nausea, the nurse recognizes this data as: A: Subjective B: Alternate C: Objective D: Secondary - Correct Ans-A: Subjective The client is brought to the hospital after experiencing a seizure and the nurse collects data from the husband regarding the witnessed seizure activity. This is an example of what type of data? A: Inaccurate B: Primary C: Objective D: Support - Correct Ans-D: Support What nursing framework is based on 11 functional health patterns and collects data about dysfunctional a