SCENARIO. The cornerstone of the nursing vocation

SCENARIO. The cornerstone of the nursing vocation is the nursing care plan integrated within the context of nursing process. The nurse should always be well-versed on all phases from assessment to evaluation. Which of the following is a part of the planning phase of the nursing process? Formulating a nursing diagnosis Developing goals and expected outcomes Analyzing client data Carrying out nursing orders It is important to identify the etiology of a nursing diagnosis because the etiology, Enables the nurse to individualize nursing interventions for a particular client Describes the pathophysiology of the client’s disease Determines whether the problem is actual or potential Includes the defining characteristics of the diagnosis Which of the following is a correctly written measurable desired outcome? The client will be adequately hydrated by May 6 The client will lose 5lbs within the next two weeks The client will walk better after resting for 10mins The nurse will provide emotional support at least 3 times a day A nursing diagnosis focuses on: The pathophysiology of the client’s disease The client’s strengths or health problems Describing the client’s symptoms Describing the client’s needs What is the best way for the nurse to accomplish a health history on a 14-year-old client? Have his mother present to verify the information Allow an opportunity for the teen to express his feelings Use the same type of language as the adolescent Focus the discussion of risk factors in the peer group During the evaluation phase, the nurse should focus on: All of the physical and psychosocial stressors of the client and family The client’s status, progress toward goal achievement, and ongoing re-evaluation Setting short and long-term goals to ensure continuity of care from hospital to home All of the above What particular nursing diagnosis focuses on well patients? Actual diagnosis Risk diagnosis Possible diagnosis Wellness diagnosis It is a clinical judgment that an individual, family or community is more vulnerable to develop the problem than the other in similar situations. Actual diagnosis Risk diagnosis Possible diagnosis Wellness diagnosis Which of the following nursing diagnosis has highest priority? Ineffective airway clearance r/t effects of anesthesia Ineffective breathing pattern r/t neuromuscular dysfunction Acute pain r/t discomfort when moving Body image disturbance r/t large abdominal incision Data or information obtained from the assessment of a patient is primarily used by the nurse to: Ascertain the patient’s response to health problems Assist in constructing the taxonomy of nursing interventions Determine the effectiveness of the doctor’s order Identify the patient’s disease process SCIENCE HEALTH SCIENCE NURSING NURSING 101

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