What does the scope and standard of nursing do?

Nursing Process
Question 1

Points: 1.00

Define Nursing

What does the scope and standard of nursing do?

The ANA has recognized NANDA, NIC, and NOC as languages that meet its criteria regarding the nursing process.

Identify the benefit of standardized language and the nursing process.

Question 2

Points: 1.00

The nurse gathers information to identify the condition of the patient’s health.

What does a complete assessment contain? When is a focused assessment necessary?

Identify the differences of the LPN/LVN role and the RN role in assessing and diagnosing patients.

Question 3

Points: 1.00

· What is subjective data?

· What is objective data?

· How might a nurse record subjective data?

· How might a nurse record objective data?

Question 4

Points: 1.00

· The patient is considered the primary source of information and is the most accurate.

· What type of sources are secondary sources?

· In what circumstances would the nurse be required to utilize secondary sources?

Question 5

Points: 1.00

There are two basic methods utilized to collect data.

· What is the first method?

· What type of data is collected during the interview process?

· What is the second method?

· What type of data is collected during the physical examination?

· When does data clustering occur?

· This clustering of data assists in the identification of a nursing diagnosis.

· How can categorizing data assist the nurse in developing a plan of care?

Question 6

Points: 1.00

What are NANDA nursing diagnoses?

What is the purpose of the nursing diagnosis?

Why does the nursing profession utilize nursing diagnosis and interventions?

What are the four components of the nursing diagnosis?

How is the nursing diagnosis stated to identify a problem?

Why is clarity an essential component of the nursing diagnosis?

What are contributing factors and risk factors?

What type of risk factors might increase a patient’s probability for problems?

Question 7

Points: 1.00

1. What are syndrome nursing diagnoses? In what situations would syndrome nursing diagnosis be utilized?

2. What is wellness nursing diagnosis? What terms are used in wellness nursing diagnosis?

3. How is medical diagnosis different from nursing diagnosis?

4.Why is it important for nurses to prioritize their nursing diagnoses?

Question 8

Points: 1.00

What is the difference between a goal statement and an outcome statement?

What components are necessary in the outcome statement to determine the patient’s progress? Identify potential patient outcomes.

Identify criteria that are required to achieve a well-written goal or outcome statement.

Question 9

Points: 1.00

What is the purpose of nursing interventions?

What is the difference between interventions that are classified as physician prescribed or nurse prescribed? Identify physician-prescribed interventions.

What are nursing orders?

What criteria are contained in nursing orders?

Question 10

Points: 1.00

What is the fifth phase of the nursing process? This phase provides ongoing evaluation and adjustments to the plan of care to promote continuity and achievement of the desired outcome. Why is documentation required to validate the outcome?

Distinguish situations in which progression or lack of progression towards the desired outcome is not communicated to other nursing staff and the effects on continuity of patient care.

Question 11

Points: 1.00

What is a clinical pathway? What are variances? What are the potential complications for miscommunication amongst the various disciplines when a patient does not fit the typical clinical pathway?

Question 12

Points: 1.00

Following the gathering of subjective and objective data, performing a health history and a physical assessment, the nurse sets up a plan of care. The first step is to identify the problem with a(n):

Question 13

Points: 1.00

“Ambulate the patient three times a day at 0900, 1400, 1900 as tolerated” is an example of:

Question 14

Points: 1.00

Your patient has returned from surgery and has a history of smoking. The physician has orders for the use of incentive spirometry (IS) every 2 hours. The patient asks why he has to do IS so often. You teach your patient about the importance of breathing deeply, to clear any secretions and its prevention of pneumonia. This teaching is an example of:

Question 15

Points: 1.00

The role of the Licensed Practical Nurse in writing a nursing diagnosis is:

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Medical diagnosis

Nursing intervention

Nursing diagnosis

Evaluation

Nursing order

Nursing diagnosis

Patient goal

Evaluation

A nursing diagnosis

An outcome statement

Implementation of a nursing interven

The nursing process

To assist with the determination of ac

To leave the writing of the nursing dia

To be responsible for writing the nurs

Not involved in the nursing process

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