The Five Steps of the Nursing Process
Exam Questions and Answers
Why must nursing diagnoses include up-to-date diagnostic labels as determined by
NANDA International? - ANSWER-Standardized language facilitates care recognized
by all health care team members.
When a patient reports feeling anxious, what is the subjective data called? -
ANSWER-Symptom
Match the type of nursing diagnoses to the correct example of that diagnosis. -
ANSWER-Actual: Objective: skin red with open lesion
risk: patient unsteady when walking
Health-promotion: patient voices readiness to learn
Actual: Subjective- "my head hurts"
What type of patient-centered care respects the input of family members and other
members of the health care team? - ANSWER-Collaborative
Match type of outcome or goal with its correct definition or example. - ANSWER-
Within 1 week, the patient will stand with support to brush teeth.: short-term goal
Within 3 months, the patient will stand unsupported for 20 minutes.: long-term goal
Classification of patient outcomes evaluating the effects of interventions.: Nursing
Intervntions classification (NIC)
Classification of interventions that nurses perform on behalf of patients.: Nursing
outcomes classifications (NOC)
What is the most important aspect of a patient-centered care plan? - ANSWER-
Matching the patient's goals and relevant current status
The nurse establishes the ____ of unlicensed health care team members as a
crucial balance between collaboration and overlapping responsibilities. - ANSWER-
Scope of practice
What is the primary purpose for documenting nursing interventions? - ANSWER-
Facilitate communication
Nursing care can be categorized as direct or indirect, depending on the nursing
___________. - ANSWER-Interventions
Exam Questions and Answers
Why must nursing diagnoses include up-to-date diagnostic labels as determined by
NANDA International? - ANSWER-Standardized language facilitates care recognized
by all health care team members.
When a patient reports feeling anxious, what is the subjective data called? -
ANSWER-Symptom
Match the type of nursing diagnoses to the correct example of that diagnosis. -
ANSWER-Actual: Objective: skin red with open lesion
risk: patient unsteady when walking
Health-promotion: patient voices readiness to learn
Actual: Subjective- "my head hurts"
What type of patient-centered care respects the input of family members and other
members of the health care team? - ANSWER-Collaborative
Match type of outcome or goal with its correct definition or example. - ANSWER-
Within 1 week, the patient will stand with support to brush teeth.: short-term goal
Within 3 months, the patient will stand unsupported for 20 minutes.: long-term goal
Classification of patient outcomes evaluating the effects of interventions.: Nursing
Intervntions classification (NIC)
Classification of interventions that nurses perform on behalf of patients.: Nursing
outcomes classifications (NOC)
What is the most important aspect of a patient-centered care plan? - ANSWER-
Matching the patient's goals and relevant current status
The nurse establishes the ____ of unlicensed health care team members as a
crucial balance between collaboration and overlapping responsibilities. - ANSWER-
Scope of practice
What is the primary purpose for documenting nursing interventions? - ANSWER-
Facilitate communication
Nursing care can be categorized as direct or indirect, depending on the nursing
___________. - ANSWER-Interventions
