Care, Health-Care Delivery 110 complete
solutions.
Nursing Process, Theory Based Nursing
Care, Health-Care Delivery 110 complete
solutions.
A nurse makes a home-care visit for a client who had a total hip replacement surgery 1 week ago. During
which of the five steps in the nursing process does the nurse determine whether outcomes of care are
achieved? - ANSWER Evaluation
When considering the nursing process, the word "observe" is to "assess" as the word "explore" is to
which of the following words? - ANSWER Analyze
Which statement is related to the concept that is central to the nursing process? - ANSWER It is dynamic
rather than static
Which word best describes the role of the nurse when using the nursing process to meet the needs of
the client holistically? - ANSWER Advocate
Which word is most closely associated with scientific principles? - ANSWER Rationale
A pebble dropped into a pond causes ripples on the surface of the water. Which part of the nursing
diagnosis is directly related to this concept? - ANSWER Etiology
A nurse teaches a client to use visualization to cope with chronic pain. Which step of the nursing process
is associated with this nursing intervention? - ANSWER Implementation
A nurse is caring for several clients. Which nursing action reflects the assessment step of the nursing
process? - ANSWER Examining a client for injury after a fall in the bathroom
, Nursing Process, Theory Based Nursing
Care, Health-Care Delivery 110 complete
solutions.
A nurse is caring for a client with a fever. Which is a well-designed goal for this client? - ANSWER The
client will maintain fluid intake adequate to prevent dehydration
Which should the nurse do during the evaluation step of the nursing process? - ANSWER Revise a plan of
care
A client is admitted to a postoperative surgical unit after abdominal surgery. During which step of the
nursing process does the nurse determine which actions are required to meet the needs of this client? -
ANSWER Planning
Which information supports the appropriateness of a nursing diagnosis? - ANSWER Defining
characteristics
Which is the primary goal of the assessment phase of the nursing process? - ANSWER Collect data
Which most directly influences the planning step of the nursing diagnosis? - ANSWER related factors
A nurse collects information about a client. Which should the nurse do next? - ANSWER Determine
significance of the data
When two nursing diagnoses appear closely related, what should the nurse do first to determine which
diagnosis most accurately reflects the needs of the client? - ANSWER Review the defining characteristics
Which is the primary reason why a nurse performs a physical assessment of a newly admitted client? -
ANSWER Identify important information about the client
A nurse evaluates a client's response to a nebulizer treatment. To which aspect of the nursing process is
this evaluation most directly related? - ANSWER Goal