NURSING ASSESSMENT QUESTIONS UPDATE|EXAM QUESTIONS WITH MULTIPLE CHOICES |VERIFIED & REVISED ANSWERS (NEW)!!!

NURSING ASSESSMENT QUESTIONS
UPDATE|EXAM
QUESTIONS WITH MULTIPLE
CHOICES |VERIFIED & REVISED
ANSWERS (NEW)!!!
Whichmofmthemfollowingmbehaviorsmismmostmrepresentativemofmthemnursingmdiagnosismphasemofmth
emnursingmprocess?
m



a)mIdentifyingmmajormproblemsmormneeds.

m b)Organizingmdataminmthemclient'smfamilymhistory.

c)mEstablishingmshort-termmandmlong-termmgoals.

m d)Administeringmanmantibiotic.m-mCORRECTmANSWERmA)mIdentifyingmmajormproblemsmormneeds.

mRationale:mIdentifyingmproblems/needsmismpartmofmamnursingmdiagnosis.mFormexample,mamclientmw
ithmdifficultymbreathingmwouldmhavemImpairedmGasmExchangemrelatedmtomconstrictedmairwaysmasm
manifestedmbymshortnessmofmbreathm(dyspnea)masmamnursingmdiagnosis.mOrganizingmthemfamilymhis
torymismpartmofmthemassessmentmphase.mEstablishingmgoalsmismampartmofmthemplanningmphase.mAdm
inisteringmanmantibioticmismpartmofmthemimplementationmphase.



Whichmofmthemfollowingmbehaviorsmwouldmindicatemthatmthemnursemwasmutilizingmthemassessmentm
phasemofmthemnursingmprocessmtomprovidemnursingmcare?
m



m a)Proposesmhypotheses.

m b)Generatesmdesiredmoutcomes.

m c)Reviewsmresultsmofmlaboratorymtests.

m d)Documentsmcare.m-mCORRECTmANSWERmc)mReviewsmresultsmofmlaboratorymtests.

mRationale:mDuringmassessment,mdatamaremcollected,morganized,mvalidated,mandmdocumented.mHy
pothesesmaremgeneratedmduringmdiagnosing;moutcomesmaremsetmduringmplanning;mandmdocument
ationmoccursmthroughoutmthemnursingmprocess.

,Whichmofmthemfollowingmelementsmismbestmcategorizedmasmsecondarymsubjectivemdata?
m



m a)Themnursemmeasuresmamweightmlossmofm10mpoundsmsincemthemlastmclinicmvisit.

m b)mSpousemstatesmthemclientmhasmlostmallmappetite.

m c)mThemnursempalpatesmedemaminmlowermextremities.

md)mClientmstatesmseverempainmwhenmwalkingmupmstairs.m-
mCORRECTmANSWERmB)mSpousemstatesmthemclientmhasmlostmallmappetite.



mRationale:mPrimarymdatamcomemfrommthemclientm(optionm4),mwhereasmsecondarymdatamcomemfro
mmanymothermsourcem(chart,mfamily).mSubjectivemdatamaremcovertm(reportedmormanmopinion),mwher
easmobjectivemdatamcanmbemmeasuredmormvalidatedm(weight—optionm1,medema—
optionm3).mIfmthemspousemhadmstatedmthatmthemclientmhadmeatenmonlymtoastmandmtea,mthismwouldm
bemsecondarymobjectivem(measured)mdata.



Themnursemwishesmtomdeterminemthemclient'smfeelingsmaboutmamrecentmdiagnosis.mWhichmintervie
wmquestionmismmostmlikelymtomelicitmthisminformation?
m



m a)m"Whatmdidmthemdoctormtellmyoumaboutmyourmdiagnosis?"

m b)m"Aremyoumworriedmaboutmhowmthemdiagnosismwillmaffectmyouminmthemfuture?"

m c)m"Tellmmemaboutmyourmreactionsmtomthemdiagnosis."

md)m"Howmismyourmfamilymrespondingmtomthemdiagnosis?"m-
mCORRECTmANSWERmc)m"Tellmmemaboutmyourmreactionsmtomthemdiagnosis."



mRationale:mElicitingmfeelingsmrequiresmanmopen-
endedmquestionmthatmdoesmmoremthanmseekmfactualminformationm(optionm1)mandmcannotmbemans
weredmwithmamsinglemwordm(optionm2).mThemfamilymcanmprovidemindirectminformationmaboutmthemc
lient,mbutmismnotmmostmlikelymtomprovidemthemmostmaccurateminformationm(optionm4).



Themusemofmamconceptualmormtheoreticalmframeworkmformcollectingmandmorganizingmassessmentmd
atamensuresmwhichmofmthemfollowing?
m



m a)mCorrelationmofmthemdatamwithmothermmembersmofmthemhealthmcaremteam.

, m b)mDemonstrationmofmcost-effectivemcare.

m c)mUtilizationmofmcreativitymandmintuitionminmcreatingmamplanmofmcare.

md)mCollectionmofmallmnecessaryminformationmformamthoroughmappraisal.m-
mCORRECTmANSWERmCollectionmofmallmnecessaryminformationmformamthoroughmappraisal.



mRationale:mFrameworksmhelpmthemnursembemsystematicminmdatamcollection.mOthermmembersmofmt
hemhealthmcaremteammmaymusemverymdifferentmconceptualmorganizingmframeworksmsomdatammaymn
otmcorrelatem(optionm1).mCost-
effectivemcarem(optionm2)mismmoremlikelymtomoccurmwithmsystematicmapplicationmofmthemNursingmPr
ocess,mbutmusemofmamframeworkmformassessmentmalonemmaymnotmaccomplishmthismgoal.mBecausemt
hemframeworkmismstructuredmandmbecausemofmthemnaturemofmclientmneeds/problems,mcreativityma
ndmintuitionminmcaremplanningmaremnotmassuredm(optionm3).



Whichmofmthemfollowingmismthempurposemofmassessing?
m



m a)mEstablishmamdatabasemofmclientmresponsesmtomtheirmhealthmstatus.

m b)mIdentifymclientmstrengthsmandmproblems.

m c)mDevelopmanmindividualizedmplanmofmcare.

md)mImplementmcare,mpreventmillness,mandmpromotemwellness.m-
mCORRECTmANSWERma)mEstablishmamdatabasemofmclientmresponsesmtomtheirmhealthmstatus.



mRationale:mAssessingmprovidesmamdatabasemofmthemclient'smphysiologicalmandmpsychosocialmrespo
nsesmtomhismormhermhealthmstatus.mClientmstrengthsmandmproblemsm(optionm2)maremidentifiedminmth
emdiagnosingmphasemofmthemnursingmprocess,mamcaremplanmismestablishedm(optionm3)minmthemplanni
ngmphase,mandmcare,mprevention,mandmwellnessmpromotionm(optionm4)marempartmofmthemimplemen
tingmphase.



Inmthemvalidatingmactivitymofmthemassessingmphasemofmthemnursingmprocess,mthemnursemperformsmw
hichmofmthemfollowing?
m



m a)mCollectsmsubjectivemdata.

m b)mAppliesmamframeworkmtomthemcollectedmdata.

c)mConfirmsmdatamismcompletemandmaccurate.