QUESTIONS AND ANSWERS WITH
SOLUTIONS 2024
Define the nursing process. - ANSWER A five-step sequential but overlapping critical thinking process
that systematically achieves optimal client outcomes. It provides a framework through which nurses can
apply knowledge, experience, judgement, skills, and established standards to formulate a plan of nursing
care.
What are the five steps of the nursing process? - ANSWER 1:Assessment/data collection
2:Diagnose
3:Planning/ Outcome identification/ Goals
4:Implement
5:Evaluate
What does the nursing process result in? - ANSWER A comprehensive, individualized, client centered
plan of nursing care that nurses can deliver in a reasonable and timely manner.
What is the purpose of assessment/ data collection? - ANSWER Gives us information about a client's
health status to identify patient needs and any additional patient data based on findings. FOCUS ON THE
PATIENTS RESPONSES TO HEALTH PROBLEMS.
When does the RN collect data? - ANSWER -Initial assessment (baseline data)
-Focused assessment (gathering data about a specfific problem already identified; routinely part of
ongoing data collection)
-Ongoing assessment
Name three methods used to collect data. - ANSWER -observation
-Interviews
-medical history
-physical examination
-lab tests
, -Interdisciplinary collaboration
T/ F: The RN collects assessment data prior to establishing interventions. - ANSWER TRUE.
What is the nursing history in relation to assessment? - ANSWER Identifies patient's health status,
strengths, health problems, health risks, and need for nursing care.
What is subjective data? - ANSWER -Patient symptoms (non measurable); collected during nursing
history.
-Client feelings, perceptions, descriptions of health status
What is objective data? - ANSWER -Signs a patient displays during a physical examination.
-Feel, see, hear, and smell through observation or physcial assessment.
T/ F: Client saying "My shoulder is really sore" is a subjective statement. - ANSWER TRUE.
T/ F: Another RN tells the nurse, "She told me her shoulder is sore every morning" is an example of
objective data. - ANSWER FALSE. This is an example of subjective data, it is not a patient sign we can feel,
see, hear, or smell.
T/ F: Data the nurse obtains from observation and examination is objective data. - ANSWER TRUE.
What is the purpose of diagnosing/ analysis? - ANSWER -Using critical thinking to identify client health
problems, interpret/monitor collected data, reach an appropriate nursing judgement about
functioning/coping, provides the direction for how nursing care will be provided.
-THE DIAGNOSIS CLARIFIES THE EXACT NATURE OF THE PROBLEMS NEEDED TO ACHIEVE THE EXPECTED
OUTCOMES OF PATIENT CARE.
T/F : Analysis/diagnosing requires nurses to look at data and RECOGNIZE PATTERNS, COMPARE data
WITH expected STANDARDS, and arrive at CONCLUSIONS that GUIDE NURSING CARE. - ANSWER TRUE.