N504- Chapter 1- EAQ
Which pieces of data are considered subjective?
· Signs observed by the nurse
· Symptoms reported by the patient
· Findings obtained from x-ray reports
· Results obtained from blood test Bottom of Form - answer Symptoms reported by the
patient
While assessing a Hispanic child, the nurse finds that the child's parents use herbal
remedies, perform prayers, and consult the health care provider only when the child is
ill. Which approach will the nurse take to provide culturally competent care?
· Acknowledging the parents' practices
· Suggesting that the parents avoid using herbal remedies
· Explaining the benefits of medications over herbal remedies
· Suggesting that the parents give herbal remedies with food - answer Acknowledging
the parents' practices
Which activity is the primary focus of the nursing process?
· Determining and treating any potential physical or biological defects
· Guiding patients through the process of receiving medical care
· Diagnosing patient responses to actual or potential health problems
· Applying theoretical frameworks to determine the patient's problems -
answerDiagnosing patient responses to actual or potential health problems
Arrange the phases of the nursing process in the order in which they are generally
executed- Diagnosis, outcome identification, evaluation, assessment, planning,
implementation - answer· 1st- Assessment
· 2nd- Diagnosis
· 3rd- ***Outcome identification
· 4th- Planning
· 5th- Implementation
· 6th- Evaluation
Nursing care plans are written accurately and kept up-to-date. Which rationale supports
the practice of writing accurate nursing care plans and keeping them up-to-date? Select
all that apply.
· Is useful for conducting research
· Assists with insurance reimbursement
· Helps evaluate the patient's response to treatment
· Aids in establishing a therapeutic relationship with the patient
· Is essential for providing culturally competent care for the patient - answer· Is useful
for conducting research
, · Assists with insurance reimbursement
· Helps evaluate the patient's response to treatment
Which type of database is suitable for a short-term problem?
· Emergency
· Follow-up
· Problem-centered
· Complete - answerProblem-centered
Which statement made by the student nurse about the "evaluation" phase of the nursing
process indicates effective learning?
"It is the final phase of the nursing process and ends the plan of care."
"It is done to determine whether outcome goals have been met."
"It can be done only as a result of independent nursing interventions."
"It means that all the nursing interventions have been accomplished." - answer"It is
done to determine whether outcome goals have been met."
Which nurse is most likely to skip steps and arrive at a clinical judgment instantly during
the nursing process?
The novice nurse
The competent nurse
The proficient nurse
The expert nurse - answerThe expert nurse
Which interventions will the nurse do to obtain objective data? Select all that apply.
Speak to the patient's family.
Conduct a physical examination.
Review the laboratory reports.
Summon previous medical records.
Interview the patient. - answerConduct a physical examination.
Review the laboratory reports.
Summon previous medical records.
Which condition would the nurse categorize as a third-level priority problem?
Impaired circulation
Acute pain
Impaired physical activity
Mental status change - answerImpaired physical activity
Which function(s) do the nursing diagnoses in a plan of care serve? Select all that
apply.
Guarantee financial reimbursement
Organize the appropriate assessment data
Serve as a focus for nursing documentation
Provide a basis for developing a care plan
Which pieces of data are considered subjective?
· Signs observed by the nurse
· Symptoms reported by the patient
· Findings obtained from x-ray reports
· Results obtained from blood test Bottom of Form - answer Symptoms reported by the
patient
While assessing a Hispanic child, the nurse finds that the child's parents use herbal
remedies, perform prayers, and consult the health care provider only when the child is
ill. Which approach will the nurse take to provide culturally competent care?
· Acknowledging the parents' practices
· Suggesting that the parents avoid using herbal remedies
· Explaining the benefits of medications over herbal remedies
· Suggesting that the parents give herbal remedies with food - answer Acknowledging
the parents' practices
Which activity is the primary focus of the nursing process?
· Determining and treating any potential physical or biological defects
· Guiding patients through the process of receiving medical care
· Diagnosing patient responses to actual or potential health problems
· Applying theoretical frameworks to determine the patient's problems -
answerDiagnosing patient responses to actual or potential health problems
Arrange the phases of the nursing process in the order in which they are generally
executed- Diagnosis, outcome identification, evaluation, assessment, planning,
implementation - answer· 1st- Assessment
· 2nd- Diagnosis
· 3rd- ***Outcome identification
· 4th- Planning
· 5th- Implementation
· 6th- Evaluation
Nursing care plans are written accurately and kept up-to-date. Which rationale supports
the practice of writing accurate nursing care plans and keeping them up-to-date? Select
all that apply.
· Is useful for conducting research
· Assists with insurance reimbursement
· Helps evaluate the patient's response to treatment
· Aids in establishing a therapeutic relationship with the patient
· Is essential for providing culturally competent care for the patient - answer· Is useful
for conducting research
, · Assists with insurance reimbursement
· Helps evaluate the patient's response to treatment
Which type of database is suitable for a short-term problem?
· Emergency
· Follow-up
· Problem-centered
· Complete - answerProblem-centered
Which statement made by the student nurse about the "evaluation" phase of the nursing
process indicates effective learning?
"It is the final phase of the nursing process and ends the plan of care."
"It is done to determine whether outcome goals have been met."
"It can be done only as a result of independent nursing interventions."
"It means that all the nursing interventions have been accomplished." - answer"It is
done to determine whether outcome goals have been met."
Which nurse is most likely to skip steps and arrive at a clinical judgment instantly during
the nursing process?
The novice nurse
The competent nurse
The proficient nurse
The expert nurse - answerThe expert nurse
Which interventions will the nurse do to obtain objective data? Select all that apply.
Speak to the patient's family.
Conduct a physical examination.
Review the laboratory reports.
Summon previous medical records.
Interview the patient. - answerConduct a physical examination.
Review the laboratory reports.
Summon previous medical records.
Which condition would the nurse categorize as a third-level priority problem?
Impaired circulation
Acute pain
Impaired physical activity
Mental status change - answerImpaired physical activity
Which function(s) do the nursing diagnoses in a plan of care serve? Select all that
apply.
Guarantee financial reimbursement
Organize the appropriate assessment data
Serve as a focus for nursing documentation
Provide a basis for developing a care plan
