FOUNDATION-EXAM-2-review-question-answers ANSWER SHEET

Chapter 05: Introduction to the Nursing Process Answer Key for Review Questions 1. What is the purpose of the nursing process? a. a. Providing patient-centered care b. b. Identifying members of the health care team c. c. Organizing the ways nurses think about patient care d. d. Facilitating communication among members of the health care team Answer: c The nursing process is the methodology used to “think like a nurse.” Providing patient-centered care and enhancing communication among health team members is facilitated through the use of care plans. Collaborating with rather than identifying members of the health care team is part of many plans of care. LO: 5.1 Blooms: Understanding TOP: Nursing process MSC: NCLEX Client Needs: Safe and effective care environment: Management of care 2. A patient comes to the emergency department complaining of nausea and vomiting. What should the nurse ask the patient about first? a. a. Family history of diabetes b. b. Medications the patient is taking c. c. Operations the patient has had in the past d. d. Severity and duration of the nausea and vomiting Answer: d In an emergent situation, the nurse initially focuses on the patient’s chief complaint to determine its cause. Before initiating care, the nurse gathers information on the other topics. LO: 5.4 Blooms: Analyzing TOP: Assessment MSC: NCLEX Client Needs: Safe and effective care environment: Management of care 3. An alert, oriented patient is admitted to the hospital with chest pain. Who is the best source of primary data on this patient? a. Family member b. Physician c. Another nurse d. Patient Answer: d The nurse collects primary data directly from patients who are alert and oriented. Family members and other members of the health care team may provide secondary data on patients. LO: 5.4 Blooms: Understanding TOP: Assessment MSC: NCLEX Client Needs: Safe and effective care environment: Management of care 4. What is the primary purpose of the nursing diagnosis? a. Resolving patient confusion b. Communicating patient needs c. Meeting accre