PRESCRIBERS 1ST EDITION LUU KAYINGO’S
TEST BANK
,CH 1: An Introduction to Evidence-Based Clinical Practice Guidelines
MULTIPLE CHOICE
• What is the primary purpose of the nursing assessment?
• Identifying underlying pathologic conditions
• Assisting the physician in identifying medical conditions
• Determining the patients mental status
• Exploring patient responses to health problems
PRECISE ANSWER:-D
REASONING:->>> A nursing assessment is done to identify the patients
response to health problems. During the nursing assessment phase, a
comprehensive information base is developed through a physical
examination, nursing history, medication history, and professional
observation. Identifying underlying pathologic conditions and assisting the
physician in identifyingmedical conditions is not part of the nursing
process. Determining the patients mental status is one part of the nursing
assessment, but it is not the primary purpose.
DIFFICULT: Cognitive Level:
ComprehensionREF: dm 36 OBJ: 1 | 3
TOPIC: Nursing Process Step:
Assessment
MSC: NCLEX Patient Needs Category: Health Promotion and Maintenance
• What is the basis of the NANDA I taxonomy?
• Functional health patterns
• Human response patterns
• Basic human needs
• Pathophysiologic needs
PRECISE ANSWER:-B
REASONING:->>> The NANDA I taxonomy identifies human
response patterns. Functional components of health patterns are limited
to activity, fluid volume, nutrition, self care, and sensory perception.
Basic human needs comprise less than merely health patterns.
Pathophysiologic needs arenot part of the scope of NANDA I.
,DIFFICULT: V Cognitive V Level:
V KnowledgeVREF: V pp. V37-38
V OBJ: V5 VTOPIC:
Nursing VProcess V Step: V Diagnosis
MSC: V NCLEX V Patient V Needs V Category: V Physiological V Integrity
• Which V task V is Vincluded V in Vthe V assessment V step V of V the V nursing V process?
• Establishing V patient V goals/outcomes
• Implementing V the V nursing V care V plan V (NCP)
• Measuring V goal/outcome V achievement
• Collecting V and V communicating V data
PRECISE VANSWER:-D
REASONING:->>> VData Vare Vcollected Vand Vcommunicated Vin
Vthe Vassessment Vphase Vof Vthenursing Vprocess. VEstablishing
Vgoals Vis Vthe Vfunction V of V planning.
Implementing Vthe VNCP Vis Vthe Vfunction Vof Vimplementation.
VMeasuring Voutcome Vachievement V is Vthe Vfunction V of Vevaluation.
DIFFICULT: V Cognitive V Level:
V ComprehensionVREF: V dm V 36 V OBJ:
V 2 V| V 3 VTOPIC: V Nursing VProcess
VStep: VAssessment
MSC: V NCLEX V Patient V Needs V Category: V Health V Promotion V and V Maintenance
• Which V statement V regarding V nursing V diagnoses V is V accurate?
• Nursing Vdiagnoses V remain V the V same V for V as Vlong Vas V the V disease Vis V present.
• Nursing V diagnoses V are V written V to V identify V disease Vstates.
• Nursing V diagnoses V describe V patient V problems V that V professional Vnurses V treat.
• Nursing V diagnoses V identify V causes V related V to V illness.
PRECISE VANSWER:-C
REASONING:->>> VDiagnostic V statements V identify V problems V a
Vprofessional Vnurse V is V independently V able V totreat V within V the V scope V of
Vprofessional V practice. V Nursing V diagnoses V vary Vwith V the V changing
V conditionVof Vthe V patient. V The V response V patterns V are Vunique V to Vthe
V patient V and Vare V not Vdisease V specific. V Nursing V diagnoses Vdescribe Vthe
Vpatients Vhuman Vresponse Vpattern.
DIFFICULT: V Cognitive V Level: V Comprehension
, REF: V pp. V 37-38 V OBJ: V 5 VTOPIC: V Nursing
Process VStep: V Diagnosis
MSC: V NCLEX V Patient V Needs V Category: V Physiological V Integrity
• What Vdo V the V classification V systems V NIC V and V NOC V provide?
• Individualized V data V banks V of V treatments V related V to V disease V processes
• Standardized V language V for V reporting V and V analyzing V nursing V care V delivery
• A Vmeasure V for V cost V containment V within V medical V institutions
• Specialized V interventions V for V rare V diseases
PRECISE VANSWER:-B
REASONING:->>> VNursing Vclassification V systems Vsuch V as VNIC Vand
V NOCVare V designed V to Vprovide V a V standardized V language V for V reporting
V and Vanalyzing V nursing V care Vdelivery V that V is V individualized V for V each
V patient.
Standardized V terminology Vassists V practitioners V in V the V implementation
V of V theVfive V phases V of V the V nursingprocess. V Classification V systems V are
V not V related V to Vdisease V process V and V are Vnot V used V for V financial
V purposes. V Classification Vsystems V include Vinterventions Vfor Vall Vhealth
Vconditions.
DIFFICULT: V Cognitive V Level:
V Knowledge VREF: V dm V 34 V OBJ: V 11
VTOPIC: V NursingVProcess VStep:
V Implementation
MSC: V NCLEX V Patient V Needs V Category: V Safe, V Effective V Care V Environment
• Which Vtype V of Vnursing Vdiagnosis V will Vbe Vwritten V when Vthe
VpatientVexhibits V factors V that V makes Vhim V or V her V susceptible
V to V the Vdevelopment Vof Va Vproblem?
• Actual Vdiagnosis
• Risk V diagnosis
• Possible V diagnosis
• Wellness Vdiagnosis
PRECISE VANSWER:-B
REASONING:->>> VWhen V patients V have V the V potential V or V risk V for V a
V problemVto V develop, V a V risk Vdiagnosis V is V written. V These V diagnoses V are
V two V part Vstatements V such V as V Riskfor V falls V related V to V unsteady V gait.
VAn V actual Vdiagnosis V consists V of V a VNANDA Vdiagnostic V label,
V contributing V factor V (if Vknown), V and V defining Vcharacteristics V such V as
V signs V and V symptoms. VA Vpossible V nursing V diagnosis