WorksheetsNursing Process
Total questions: 25
Worksheet time: 13mins
The purpose of stating a two part diagnosis created after identifying a relationship between the health problem (stem) and factors related to the health problem (etiology) is to:
individualize the plan of nursing care for the patient.
include both dependent and independent nursing functions.
compare the patient’s problems to accepted standards.
use a functional category approach to organize the assessment data.
The stem part of the nursing diagnosis statement guides the nurse in developing which other part of the nursing care plan?
goal/outcome
intervention
evaluation
etiology
Name the steps of the nursing process
assessment, diagnosis, planning, intervention, evaluation
assessment, diagnosis, planning, implementation, evaluation
acknowledge, decision-making, planning, implementation, evaluation
assessment, decision-making, planning, intervention, evaluation
What are two types of nursing diagnosis?
direct and indirect
independent and collaborative
actual and potential
independent and dependent
Which of the following is/are subjective assessment data?
chest pain
IV site infiltration
scalp itching
A and C
All of the above
Which of the following are valid sources for patient assessment data?
patient's family
medical record/chart
healthcare team
All of the above
What are the parts of the nursing diagnosis statement.
assessment, diagnosis, plan, implementation, evaluation
actual and potential
cause and effect
problem, etiology, symptoms
The medical diagnosis is never included as a part of the nursing diagnosis.
True
False
The "risk for" nursing diagnosis contains:
etiology
symptoms
both etiology and symptoms
neither etiology or symptoms
Nursing interventions are guided by:
the NANDA list
the problem or stem of the nursing diagnosis
the etiology of the nursing diagnosis
the symptoms or defining characteristics
Which of the following terms defines the "patient's response to a disease or medical condition"?
nursing diagnosis
medical diagnosis
interventions
medical diagnosis
SMART characteristics are used for:
goals
outcomes
interventions
evaluations
Which of the following would be appropriate to use when writing an outcome using SMART criteria?
understand
know
demonstrate
feel
The implementation phase of the nursing care plan should include:
evaluation of the nursing care plan
patient teaching
identifying a nursing diagnosis
selection of the nursing diagnosis
Goals and outcomes should be:
written after determining patient interventions
written before developing a nursing diagnosis
evaluated based on doctor's orders
evaluated and labeled as met, unmet, partially met
The nurse’s initial actions as part of the evaluation phase are activities directed at assessing for:
scope of support data
accuracy of the nursing diagnoses
measurability of the goals/outcomes
effects of the stated nursing interventions
Which option best reflects nursing activities that occur within the implementation phase of the nursing process?
Obtaining the patient’s subjective rating of pain one hour after analgesia is given
Administering a dose of analgesia to a patient experiencing pain
Determining criteria that will reflect successful pain relief activities
Modifying the outcome after assessing reaction to the analgesia
Which of the following will help the nurse prioritize needs?
identifying a problem, cause of the problem, and defining characteristics
ensuring assessment data is thorough and complete
utilization of Maslow's Hierarchy
assessment, teaching, and evaluation
Which of the following is a well written nursing diagnosis statement?
Risk for infection R/T infection via surgical incision
Altered oral mucous embranes R/T forceful trauma during oral suctioning
Breathing pattern, ineffective, R/T retained secretions secondary to pulmonary edema
Decreased caloric intake R/T alteration in nutrition
During the assessment phase for the nursing process, the most unreliable source for accurate patient data would be:
a health care provider’s dictated History & Physical
responses from a patient determined to be awake & oriented X1 (A&Ox1)
the patient’s significant other.
report from the nursing staff at change of shift.
Collection of data in a systematic and organized manner during the initial assessment phase allows the nurse to:
predict patient responses to nursing interventions
change the nursing tasks identified in the plan of care
recognize elements of relevant data that are missing
complete the chart documentation in an organize manner
The nurse understands the following statement " The patient will reduce his risk of falls by correct use of his walker each time him ambulates" is an example of...
nursing diagnosis
outcome
goal
intervention
If the client has not completed the care plan, but the goal is still relevant...
create a new plan
reassess in 24 hours
initiate new interventions
adjust diagnosis to suit the outcome
Which of the following is true about interventions?
may assist with data collection
broadly applied to all patients
connect patients goals and outcomes
improve the relationship between nursing and allied health
Which of the following is objective data?
client reports a fever
itching
headache
temp of 99.1
