Critical Thinking Exam 1 Questions With
New Update Solutions
/.What are the 5 steps of the nursing process?
1. Assessment - Gathering data
2. Diagnosis - Identify Problem
3. Planning - Set goals & desired outcomes
4. Implementation - Perform nursing actions
5. Evaluation - Determine if goals achieved
/.What are the 3 classifications for a NANDA-I nursing diagnoses?
1. Problem-focused
2. Risk
3. Health Promotion
2.
/.What 3 factors are needed for a complete problem-focused nursing diagnosis?
1. Problem
2. Etiology (related factor)
3. Symptom (defining characteristic)
/.Select the correct problem-focused nursing diagnosis.
A. Acute pain due to osteoarthritis as evidence by impaired mobility
B. Impaired mobility due to incisional pain as evidenced by restricted turning
C. Risk for infection related to surgical wound
D. Fatigue related to heart disease as evidence by dyspnea
B. Impaired mobility due to incisional pain as evidenced by restricted turning
/.What is the best way to make sure a patient understands the instructions given
to them?
Have the patient demonstrate the skill
/.What is an independent nursing intervention?
Are interventions or actions that a nurse initiates without supervision or directions from
others. These interventions do not require an order from a physician.
/.What is a dependent nursing intervention?
, Are interventions or actions that require an order from a physician. They are based on
the health care provider's response to treating or managing a medical diagnosis.
/.Give an example of an independent nursing intervention.
Positioning patients to prevent pressure ulcer formation, instructing patients in side
effects of medications, or providing skin care to an ostomy site.
/.Give an example of a dependent nursing intervention.
Administering a medication, Inserting a foley catheter, starting an IV, preparing a patient
for diagnostic tests
/.What is subjective data?
Are your patient's verbal descriptions of their health problems. Includes patients'
feelings, perceptions, and self-report or symptoms.
/.What is objective data?
Are observations or measurements of a patient's health status. It measured on the basis
of an accepted standard (fahrenheit/celsius, inches/centimeters/pain rating scale)
/.What is an example of subjective data?
Patient's self report of pain, location, quality.
Patient's descriptions of symptoms (weakness, fatigue).
Patient's report of mental status (feeling down, anxious).
/.What is an example of objective data?
Inspecting the condition of a surgical incision or wound.
Describing an observed behavior.
Measuring blood pressure, temperature, pulse.
/.Which type of interview question does the nurse 1st use when assessing the
reason for a pt seeking health care?
A. Probing
B. Open-ended
C. Problem-oriented
D. Confirmation
B. Open-ended
New Update Solutions
/.What are the 5 steps of the nursing process?
1. Assessment - Gathering data
2. Diagnosis - Identify Problem
3. Planning - Set goals & desired outcomes
4. Implementation - Perform nursing actions
5. Evaluation - Determine if goals achieved
/.What are the 3 classifications for a NANDA-I nursing diagnoses?
1. Problem-focused
2. Risk
3. Health Promotion
2.
/.What 3 factors are needed for a complete problem-focused nursing diagnosis?
1. Problem
2. Etiology (related factor)
3. Symptom (defining characteristic)
/.Select the correct problem-focused nursing diagnosis.
A. Acute pain due to osteoarthritis as evidence by impaired mobility
B. Impaired mobility due to incisional pain as evidenced by restricted turning
C. Risk for infection related to surgical wound
D. Fatigue related to heart disease as evidence by dyspnea
B. Impaired mobility due to incisional pain as evidenced by restricted turning
/.What is the best way to make sure a patient understands the instructions given
to them?
Have the patient demonstrate the skill
/.What is an independent nursing intervention?
Are interventions or actions that a nurse initiates without supervision or directions from
others. These interventions do not require an order from a physician.
/.What is a dependent nursing intervention?
, Are interventions or actions that require an order from a physician. They are based on
the health care provider's response to treating or managing a medical diagnosis.
/.Give an example of an independent nursing intervention.
Positioning patients to prevent pressure ulcer formation, instructing patients in side
effects of medications, or providing skin care to an ostomy site.
/.Give an example of a dependent nursing intervention.
Administering a medication, Inserting a foley catheter, starting an IV, preparing a patient
for diagnostic tests
/.What is subjective data?
Are your patient's verbal descriptions of their health problems. Includes patients'
feelings, perceptions, and self-report or symptoms.
/.What is objective data?
Are observations or measurements of a patient's health status. It measured on the basis
of an accepted standard (fahrenheit/celsius, inches/centimeters/pain rating scale)
/.What is an example of subjective data?
Patient's self report of pain, location, quality.
Patient's descriptions of symptoms (weakness, fatigue).
Patient's report of mental status (feeling down, anxious).
/.What is an example of objective data?
Inspecting the condition of a surgical incision or wound.
Describing an observed behavior.
Measuring blood pressure, temperature, pulse.
/.Which type of interview question does the nurse 1st use when assessing the
reason for a pt seeking health care?
A. Probing
B. Open-ended
C. Problem-oriented
D. Confirmation
B. Open-ended
