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THE FIVE STEPS OF THE NURSING PROCESS EXAM QUESTIONS AND ANSWERS

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THE FIVE STEPS OF THE NURSING PROCESS EXAM QUESTIONS AND ANSWERS

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THE FIVE STEPS OF THE NURSING
PROCESS EXAM QUESTIONS AND
ANSWERS
What is the fifth step of the nursing process that includes a decision point on whether
to discontinue, continue, or revise the plan of care? - ANSWER-Evaluation

What questions should the nurse ask when evaluating the effectiveness of nursing
interventions? - ANSWER-Did the patient meet the goals established during the
planning phase?, Should the plan of care be discontinued?, Does the care plan need
to be modified in response to patient changes?

The evaluation phase loops back to which earlier phases of the nursing process
when considering new data? - ANSWER-Assessment, Diagnosis, Planning

What does the evaluation phase include? - ANSWER-Patient's achievement of short-
and long-term goals.

A nurse is ready to set goals for a patient who is recovering from a hip replacement.
The nurse sets goals for the first three days and for the first three weeks. What part
of the nursing process is this? - ANSWER-Planning

What word does the nurse use to describe the five steps? - ANSWER-Process

A nurse is admitting a new patient who has heart failure and pitting edema. At each
step of the nursing process, what is likely to happen? - ANSWER-Information from
other steps will be used to complete the plan of care.

A nurse is caring for a patient at risk for appendicitis. When considering the
assessment, why should the nurse use the five-step nursing process? - ANSWER-
To systematically identify actual or potential patient problems

A nurse is caring for a patient who is cyanotic and has edema. The nurse is making
a list of the patient's physical, psychological, emotional, environmental, cultural, and
spiritual health. What stage of the nursing process is this? - ANSWER-Assessment

A nurse is caring for a 10-year-old tracheotomy patient admitted the previous night.
When assessing the patient's pain level, is the nurse assessing subjective or
objective data? - ANSWER-Subjective data, because only the patient can
experience the pain.

A nurse is caring for a patient who just had a colostomy. What type of nursing
diagnosis (actual, risk, or health-promotion) should the nurse select when developing
the plan of care? - ANSWER-Risk, since the patient is at risk for infection at the site
of the surgical incision.

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