NCLEX RN Fundamentals Exam with Questions and Answers

NCLEX RN Fundamentals Exam with Questions and Answers The nurse encourages a patient with a history of heart failure to reduce energy expenditure by alternating activity and rest. Which nursing process phase is this? a. Diagnosis b. Planning c. Implementation d. Evaluation ANSWER C. Implementation Teaching a patient about alternating activity and rest is a component of patient education, which falls into the implementation phase. This is an example of putting an individualized plan into action. Other components of implementation include assisting with hygienic care, promoting physical comfort, supporting respiratory and elimination functions, facilitating ingestion of food/fluids, managing the patient's surroundings, promoting a therapeutic relationship, and carrying out other therapeutic nursing activities. The nurse on the medical-surgical unit is interested in implementing evidence-based practice. The nurse knows when evidence-based practice is utilized: a. National health agencies create clinical practice guidelines that must be used. b. Findings from randomized trials are used to plan care. c. Clinical decision-making and nursing judgment are used to find which evidence works for each specific situation in clinical practice. d. Nursing interventions are statistically analyzed by a nurse in relation to patient outcomes to discover evidence for appropriate patient interventions. ANSWER c. Clinical decision-making and nursing judgment are used to find which evidence works for each specific situation in clinical practice.