The first step of the nursing process is assessment. What action do you perform during
assessment? - -A. Acquire and validate information about the patient's health
B. Collaborate with the patient and family to prioritize interventions
C. Identify a pattern to reach a diagnostic conclusion
D. Provide direct care
CORRECT ANSWER: A
During the interview, the patient provides information about his or her symptoms and
health status. What is this data called? - -A. Invalid data
B. Objective data
C. Perceptual data
D. Subjective data
CORRECT ANSWER: D
During the patient interview, the patient shows signs of acute respiratory distress. What
should you do next? - -A. Continue the interview so you can get the whole picture
before taking action.
B. Immediately assess the affected body system.
C. Reassure the patient that everything will be all right.
D. Refer the patient to his or her primary health care provider.
CORRECT ANSWER: B
What is it called when you reinforce your interest in what a patient has to say by using
active listening prompts such as "go on" or "uh-huh"? - -A. Back channeling
B. Observation
C. Leading questions
D. Probing
CORRECT ANSWER: A
Which of the following is an example of a direct, closed-ended question? - -A. "How
many times in the last month have you slipped and fallen?"
B. "Is there anything else you can tell me about this situation?"
C. "Tell me about your balance issues."
D. "You're losing your balance more often than before, right?"
CORRECT ANSWER: A
The second step of the nursing process is diagnosis. What action do you perform during
diagnosis? - -A. Acquire and validate information about the patient's health
, B. Collaborate with the patient and family to prioritize interventions
C. Identify a pattern to reach a diagnostic conclusion
D. Provide direct care
CORRECT ANSWER: B
What type of nursing diagnosis applies when a patient has an increased likelihood of
developing a problem or complication? - -A. Health promotion nursing diagnosis
B. Medical diagnosis
C. problem-focused nursing diagnosis
D. Risk nursing diagnosis
CORRECT ANSWER: D
What type of nursing diagnosis applies when a patient has an interest in improving his
or her health status by making behavioral changes? - -A. Health promotion nursing
diagnosis
B. Medical diagnosis
C. problem-focused nursing diagnosis
D. Risk nursing diagnosis
CORRECT ANSWER: A
Which of the following is an example of a problem focused nursing diganostic
statement? - -A. chronic obstructive pulmonary disease
B. Impaired nutrional status: deficient food intake related to inability to absorb nutrients
C. Readiness for enhanced knowledge of smoking cessation
D. Risk for fall related to generalized weakness
CORRECT ANSWER: B
When formulating a nursing diagnosis, which of these should you do first? - -A. Cluster
assessment data into meaningful patterns
B. Interpret assessment information
C. Find and select the specific diagnoses that fit your patient
D. Refer to the official ICNP or NANDA-I list to verify accurate use of the nursing
diagnostic label
CORRECT ANSWER: A
The third step of the nursing process is planning. What action do you perform during
planning? - -A. Acquire and validate information about the patient's health
B. Collaborate with the patient and family to prioritize interventions
C. Identify a pattern to reach a diagnostic conclusion
D. Provide direct care