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Chapter 08: Outcome Identification and Planning

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1. Which of the following nursing diagnosis is high priority? a. Spiritual distress b. Stress incontinence c. Anxiety d. Ineffective breathing patterns CORRECT ANSWER: D Feedback: High-priority nursing diagnoses are those that are potentially life-threatening and require immediate action. 2. A patient is scheduled for surgery for an abdominal hysterectomy. During the preoperative assessment, the patient states, I am very nervous and scared to have surgery. What patient outcome is the priority? a. Evaluate the need for antibiotics b. Resolve the patients anxiety c. Provide preoperative education d. Prepare the patient for surgery CORRECT ANSWER: B Feedback: A priority is something that takes precedence in position, deemed the most important among several items. The patients preparation for surgery is important, but to have a successful outcome, the nurse must address the psychosocial issues related to anxiety. 3. The Nursing-Sensitive Outcomes Classification system organizes outcomes by a. Nursing diagnosis b. Medical diagnosis c. Critical pathway d. Measurement activities

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Chapter 08: Outcome Identification and
Planning

1. Which of the following nursing diagnosis is high priorit y?
a. Spiritual di stress
b. Stress incontinence
c. Anxiet y
d. Ineffective breathing patterns



CORRECT ANSWER: D



Feedback:

High-priorit y nursing diagnoses are those that are potentiall y life -
threatening and require immediate action.



2. A patient is scheduled for surgery for an abdominal hysterectom y. During
the preoperative assessment, the patient states, I am very nervous and
scared to have surgery. What patient outcome is the priorit y?
a. Evaluate the need for antibiotics
b. Resolve the patients anxiet y
c. Provide preoperativ e education
d. Prepare the patient for surgery



CORRECT ANSWER: B



Feedback:

, A priorit y is something that takes precedence in position, deemed the
most important among several items. The patients preparation for
surgery is important, but to have a success ful outcome, the nurse must
address the psychosocial issues related to anxiet y.



3. The Nursing-Sensitive Outcomes Classification system organizes
outcomes by
a. Nursing diagnosis
b. Medical diagnosis
c. Critical pathway
d. Measurement activities



CORRECT ANSWER: D



Feedback:

The outcomes are organized according to categories, classes, labels,
outcome indicators, and measurement activities for outcomes.



4. A computerized information system developed to classify patient
outcomes is the
a. North American Nursing Diagnoses List
b. Nursing-Sensitive Outcomes Classification
c. McCaffery Pain Management Scale
d. Outcome Criteria Listing Source



CORRECT ANSWER: B



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