Nursing Process (Fundamentals of Success) #1 |100% Correct Answers| Graded A+

Nursing Process (Fundamentals of Success) #1 |100% Correct Answers| Graded A+ When two nursing diagnoses appear closely related, what should the nurse do first to determine which diagnosis most accurately reflects the needs of the patient? A: Reassess the patient B: Examine the related to factors C: Analyze the secondary to factors D: Review the defining characteristics *Ans* D: REVIEW THE DEFINING CHARACTERS--The first thing the nurse should do to differentiate between two closely associated nursing diagnoses is to compare the data collected to the major and minor defining characteristics of each of the nursing diagnoses being considered. The nurse performs an assessment of a newly admitted patient. The nurse understands that this admission assessment is conducted primarily to: A: Diagnose if the patient is at risk for falls. B: Ensure that the patient's skin is intact C: Establish a therapeutic relationship D: Identify important data *Ans* D: IDENTIFY IMPORTANT DATA--This is the primary purpose of a nursing admission assessment. Data must be collected and then analyzed to determine significance, and grouped in meaningful clusters before a nursing diagnosis can be made. The nurse identifies that the patient statement that provides subjective data is: A: "I'm not sure that I am going to be able to manage at home by myself." B: "I can call a home-care agency if I feel I need help at home." C: "What should I do if I have uncontrollable pain at home?" D: "Will a home health aide help me with my care at home?" *Ans* A: "I'm not sure that i am going to be able to manage at home by myself." -- This is subjective information because it is the patient's perception and can be verified only by the patient. Subjective data are those adaptations, feelings, beliefs, preferences, and information that only the patient can confirm. The nurse understands that evaluation most directly relates to which aspect of the Nursing Process? A: Goal B: Problem C: Etiology D: Implementation *Ans* A: Goal-- To evaluate the effectiveness of a nursing action, the nurse needs to compare the actual patient outcome with the expected patient outcome. The expected outcomes are the measurable data that reflect goal achievement, and the actual outcomes are what really happened