NU205 Fundamental of Nursing Chapter 11 Exam

During which of the five steps in the nursing process does the nurse determine whether outcomes of care are achieved? 1. Implementation 2. Evaluation 3. Planning 4. Analysis - Correct Ans-Evaluation When considering the nursing process, the word "observe" is to "assess" as the word "explore" is to which of the following words? 1. Plan 2. Analyze 3. Evaluate 4. Implement - Correct Ans-Analyze Which statement is related to the concept that is central to the nursing process? 1. It is dynamic rather than static 2. It focuses on the role of the nurse 3. It moves from the simple to the complex 4. It is based on the patient's medical problem - Correct Ans-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 patient holistically? 1. Teacher 2. Advocate 3. Surrogate 4. Counselor - Correct Ans-Advocate Which word is most closely associated with scientific principles? 1. Data 2. Problem 3. Rationale 4. Evaluation - Correct Ans-Rationale A pebble dropped into a pond causes ripples on the surface of the water. Which part of the nursing diagnosis is most directly related to this concept? 1. Defining characteristics 2. Outcome criteria 3. Etiology 4. Goal - Correct Ans-Etiology A nurse teaches a patient to use visualization to cope with chronic pain. Which step of the nursing process is associated with this intervention? 1. Planning 2. Analysis 3. Evaluation 4. Implementation - Correct Ans-Implementation Which action reflects the assessment step of the nursing process? 1. Taking a patient's apical pulse rate every 2 hours after being admitted for an episode of chest pain 2. Scheduling a patient's fluid intake over 12 hours when the patient has a fluid restriction 3. Examining a patient for injury after a patient falls in the bathroom 4. Obtaining a patient's respiratory rate after a nebulizer treatment - Correct Ans-Examining a patient for injury after a patient falls in the bathroom A nurse is caring for a patient with a fever. Which is a well-designed goal for this patient? 1. The patient will have a lower temperature 2. The patient will be taught how to take an accurate temperature 3. The patient will maintain fluid intake adequate to prevent dehydration 4. The patient will be given aspirin every eight hours whenever necessary - Correct Ans-The patient will maintain fluid intake adequate to prevent dehydration. Which should the nurse do during the evaluation step of the nursing process? 1. Set the time frames for goals 2. Revise a plan of care 3. Determine priorities 4. Establish outcomes - Correct Ans-Establish outcomes During which step of the nursing process does determining which actions will be employed to meet the needs of a patient occur? 1. Implementation 2. Assessment 3. Planning 4. Analysis - Correct Ans-Planning Which information supports the appropriateness of a nursing diagnosis? 1. Defining characteristics 2. Planned interventions 3. Diagnostic statement 4. Related risk factors - Correct Ans-Diagnostic statement Which is the primary goal of the assessment phase of the nursing process? 1. Build trust 2. Collect data 3. Establish goals 4. Validate the medical diagnosis - Correct Ans-Collect data Which most directly influences the planning step of the nursing process? 1. Related factors 2. Diagnostic label 3. Secondary factors 4. Medical