Chapter 11
A major characteristic of the nursing process is which of the following?
1. A focus on client needs
2. Its static nature
3. An emphasis on physiology and illness
4. Its exclusive use by and with nurses - ANS-Answer 1
Rationale: The nursing process focuses on client needs. It is dynamic rather than static (option
2), emphasizes client responses rather than physiology and illness (option 3), and its
collaborative rather than used exclusively by nurses (option 4).
In the validating activity of the assessing phase of the nursing process, the nurse preforms
which of the following?
1. Collects subjective data
2. Applies a framework to the collected data
3. Confirms data is complete and accurate
4. Records data in the client record - ANS-Answer 3
Rationale: In validating, the nurse confirms that data is complete and accurate. Subjective data
is collected in the collecting activity (option 1), a framework is applied to the data in the
organizing activity (option 2), and data is recorded in the documenting activity (option 4).
The nurse wishes to determine the client's feelings about a recent diagnosis. Which interview
question is most likely to elicit this information?
1. "What did the doctor tell you about your diagnosis?"
2. "Are you worried about how the diagnosis will affect you in the future?"
3. "Tell me about your reactions to the diagnosis."
4. "How is your family responding to the diagnosis?" - ANS-Answer 3
Rationale: Eliciting feelings requires an open-minded question that does more than seek factual
information (option 1) and cannot be answered with a single word (option 2). The family can
provide indirect information about the client, but is not most likely to provide the most accurate
information (option 4).
The use of a conceptual or theoretical framework for collecting and organizing assessment data
ensures which of the following?
1. Correlation of the data with other members of the health care team
2. Demonstration of cost-effective care
3. Utilization of creativity and intuition in creating a plan of care
4. Collection of all necessary information for a thorough appraisal - ANS-Answer 4
A major characteristic of the nursing process is which of the following?
1. A focus on client needs
2. Its static nature
3. An emphasis on physiology and illness
4. Its exclusive use by and with nurses - ANS-Answer 1
Rationale: The nursing process focuses on client needs. It is dynamic rather than static (option
2), emphasizes client responses rather than physiology and illness (option 3), and its
collaborative rather than used exclusively by nurses (option 4).
In the validating activity of the assessing phase of the nursing process, the nurse preforms
which of the following?
1. Collects subjective data
2. Applies a framework to the collected data
3. Confirms data is complete and accurate
4. Records data in the client record - ANS-Answer 3
Rationale: In validating, the nurse confirms that data is complete and accurate. Subjective data
is collected in the collecting activity (option 1), a framework is applied to the data in the
organizing activity (option 2), and data is recorded in the documenting activity (option 4).
The nurse wishes to determine the client's feelings about a recent diagnosis. Which interview
question is most likely to elicit this information?
1. "What did the doctor tell you about your diagnosis?"
2. "Are you worried about how the diagnosis will affect you in the future?"
3. "Tell me about your reactions to the diagnosis."
4. "How is your family responding to the diagnosis?" - ANS-Answer 3
Rationale: Eliciting feelings requires an open-minded question that does more than seek factual
information (option 1) and cannot be answered with a single word (option 2). The family can
provide indirect information about the client, but is not most likely to provide the most accurate
information (option 4).
The use of a conceptual or theoretical framework for collecting and organizing assessment data
ensures which of the following?
1. Correlation of the data with other members of the health care team
2. Demonstration of cost-effective care
3. Utilization of creativity and intuition in creating a plan of care
4. Collection of all necessary information for a thorough appraisal - ANS-Answer 4
