Answers 100% Pass
A nurse provides care for a client with an elevated temperature. The client is given the
prescribed medication and the nurse checks the client's temperature at repeated
intervals. What step of the nursing process is the nurse using to determine if the client
has achieved the outcome criteria of the treatment?
Evaluation
Diagnosis
Implementation
Assessment - ✔✔Evaluation
Explanation:
The evaluation stage of the nursing process involves assessing whether the outcome
criteria have been met and the nursing care plan needs to be revised. The assessment
stage involves collecting subjective and objective data. The diagnosis phase involves
analyzing subjective and objective data to make a professional nursing judgment. The
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,implementation phase involves carrying out the plan to meet the determined outcome
criteria.
Staff are talking to the hospital educator and ask about "a government project that is
meant to improve the health of people in the United States." The educator bases her
response on the knowledge of
the nursing process
the Department of Health and Human Services
the three levels of preventative care
Healthy People 2020 - ✔✔Healthy People 2020
Explanation:
Healthy People 2020 is a government project intended to increase the quality of life for
people in the United States.
A nurse recommends that a client come back once every 3 months in the coming year to
have his cholesterol checked, to make sure he is maintaining a healthy level. Which type
of assessment is the nurse proposing?
Emergency
Initial comprehensive
Focused or problem-oriented
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,Ongoing or partial - ✔✔Ongoing or partial
The nurse is reviewing a client's health history and the results of the most recent
physical examination. Which of the following data would the nurse identify as being
subjective? Select all that apply.
"I feel so tired sometimes."
"My father died of a heart attack."
Weight: 145 lbs
Lungs clear to auscultation
Client complains of a headache
Pupils equal, round, and reactive to light - ✔✔"I feel so tired sometimes."
Client complains of a headache
"My father died of a heart attack."
The nurse is utilizing the Health Belief Model in the care of a client whose type 1
diabetes is inadequately controlled. When implementing this model, the nurse should
begin by assessing which of the following?
The client's learning style
The client's prognosis for recovery
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, The client's motivation for change
The client's medical comorbidities - ✔✔The client's motivation for change
Explanation:
The Health Belief Model is based on three concepts: the existence of sufficient
motivation, the belief that one is susceptible or vulnerable to a serious problem, and the
belief that change following a health recommendation would be beneficial to the
individual at a level of acceptable cost. As a result, implementation of this model should
begin with an appraisal of the client's motivation to change. This consideration would
precede the other listed variables, although each may affect care.
What is the best action by a nurse when a client has difficulty describing the chief
complaint?
Ignore the complaint & return to it at a later time in the interview
Restate the question using simple terms
Provide the client with a laundry list of words to choose from
Wait in silence until the client can find the correct words - ✔✔Provide the client with a
laundry list of words to choose from
A nurse draws a genogram to help organize and illustrate a client's family history.
Which shape is a standard format for representing a deceased female relative?
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