FOR PEDIATRIC NURSING: CRITICAL
COMPONENTS OF NURSING CARE
EXAM SERIES
The nurse is documenting care of a patient following the APIE method. Which of the following would
you expect to see in the nursing note?Select all that apply.
1) Pt able to get dressed and eat in dining room
2)Developed therapeutic relationship w/ pt, stayed w/ pt while ehe ate dinner, encouraged getting
dressed and going to dining rm
3) Discussed with nurse or therapist behaviors that impede the development of interpersonal
relationships
4) Impaired social interaction related to lack of motivation and depressed mood
5) Pt stated he is "sad and depressed," stays in room, not involved in group activities ------------
CORRECT ANSWERS------------1,2,4,5
The nurse is following the nursing process to care for a pt with a nursing dx of Risk for suicide. Which
activity is the priority?
1)Identify outcomes to include pt safety
2) Plan care to include suicide precautions
3) Assess for suicidal ideation
4) Maintain safe and therapeutic environment ------------CORRECT ANSWERS------------3) Assess for
suicidal ideation
The nurse is documenting the care of a patient with a nursing diagnosis of risk for suicide. Which of
the following is correct documentation for using problem-oriented record? Select all that apply.
1)Patient crying frequently, stays in room alone, superficial stretch marks on wrist.
2) Patient attended group. Reported decreased thoughts of suicide. Has no current plan.