NUR 200 Final Exam with 100% Verified Answers

During which of the five steps in the nursing process does the nurse determine whether outcomes of care are achieved? a. Implementation b. Evaluation c. Planning d. Analysis - -ANSWER-- b. Evaluation Which statement is related to the concept that is central to the nursing process? a. It is dynamic rather than static b. It focuses on the role of the nurse c. It moves from the simple to the complex d. It is based on the patient's medical problem - -ANSWER-- a. It is dynamic rather than static A nurse teaches a patient to use visualization to cope with chronic pain. Which step of the nursing diagnosis is directly related to this concept? a. Planning b. Analysis c. Evaluation d. Implementation - -ANSWER-- d. Implementation Which action reflects the assessment step of the nursing process? a. Taking a patient's apical pulse every 2 hours after being admitted for an episode of chest pain b. Scheduling a patient's fluid intake over 12 hours when the patient has a fluid restriction c. Examining a patient for injury after a patient falls in the bathroom d. Obtaining a patient's respiratory rate after a nebulizer treatment - -ANSWER-- c. Examining a patient for injury after a patient falls in the bathroom A nurse is caring for a patient with a fever. Which is a well-designed goal for this patient? a. The patient will have a lower temperature b. The patient will be taught how to take an accurate temperature c. The patient will maintain fluid intake adequate to prevent dehydration d. The patient will be given aspirin every eight hours whenever necessary - -ANSWER-- c. The patient will maintain fluid intake adequate to prevent dehydration During which step of the nursing process does determining which actions will be employed to meet the needs of a patient occur? a. Implementation b. Assessment c. Planning d. Analysis - -ANSWER-- c. Planning Which is the primary goal of the assessment phase of the nursing process? a. Build trust b. Collect data c. Establish goals d. Validate the medical diagnosis - -ANSWER-- b. Collect data When two nursing diagnoses appear closely related, which 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 - -ANSWER-- d. Review the defining characteristics Which is the primary reason why a nurse performs a physical assessment of a newly admitted patient? a. Identify if the patient is at risk for falls b. Ensure that the patient's skin is totally intact c. Identify important information about the patient d. Establish a therapeutic relationship with the patient - -ANSWER-- c. Identify important information about the patient A nurse evaluates a patient's response to a nursing intervention. To which aspect of the nursing process