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Total questions: 137
Worksheet time: 2hrs 9mins
A judgment on a wellness state or condition based on client's performance, current competencies or clinical data, but no explicit expression of clients desire.
WELLNESS STATE
FIRST LEVEL ASSESSMENT
READINESS FOR ENHANCED WELLNESS STATE
WELLNESS POTENTIAL
A condition that is conducive to an accident or may result in a failure to maintain wellness or realize health potential.
HEALTH THREATS
WELLNESS STATE
READINESS FOR ENHANCED WELLNESS STATE
HEALTH DEFICITS
A process whereby existing and potential health conditions or problems of the family are determined.
HEALTH THREATS
WELLNESS POTENTIAL
FIRST LEVEL ASSESSMENT
THE SECOND LEVEL ASSESSMENT
The nature or type of nursing problem that the family encounters in performing the health task with respect to a given health condition
HEALTH DEFICITS
THE SECOND LEVEL ASSESSMENT
WELLNESS POTENTIAL
NURSING ASSESSMENT
The first major phase of the nursing process.
NURSING ASSESSMENT
FAMILY HEALTH ASSESSMENT
FIRST LEVEL ASSESSMENT
HEALTH THREATS
The anticipated periods of unusual demand on the individual or family in terms of adjustment
WELLNESS STATE
WELLNESS POTENTIAL
HEALTH THREATS
HEALTH DEFICITS
the end result of the two major types of nursing assessment in family nursing practice, based on framework.
FRAMEWORK
DATA COLLECTION
NURSING DIAGNOSIS
THE SECOND LEVEL ASSESSMENT
Uses framework in order to organize and come up with a comprehensive approach to assessment that includes first level and the second level assessment.
DATA COLLECTION
SECOND LEVEL ASSESSMENT
METHODS
SOCIAL- ECONOMIC AND CULTURAL CHARACTERISTICS
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 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
Which of the following is objective data?
client reports a fever
itching
headache
temp of 99.1
The purpose of the Nursing Process is to:
Cure illness
Guide written documentation
Achieve care that is person centered and holistic
Help plan your day
Although all sections of the nursing process (APIE) are important, which step provided the foundation of the process?
Assessment
Planning
Implementation
Evaluation
Each phase of the nursing process affects the others ▪ Overlapping, continuing processes
TRUE
FALSE
What phase of Nursing process involves Collecting, organizing, validating, and documenting client data
ASSESSMENT
DIAGNOSIS
PLANNING
IMPLEMENTATION
EVALUATION
What phase of Nursing process involves Analyzing and synthesizing data
ASSESSING
DIAGNOSING
PLANNING
IMPLEMENTING
EVALUATING
Nurses use critical thinking skills to interpret assessment data and identify client strengths and problems.
TRUE
FALSE
NANDA stands for (a)
A statement of nursing judgment based on education, experience, expertise and license to treat
NURSING DIAGNOSIS
MEDICAL DIAGNOSIS
Describes human response, the client’s physical, sociocultural, psychological, and spiritual responses to an illness or health problem
NURSING DIAGNOSIS
MEDICAL DIAGNOSIS
Remains the same as long as the disease process is present
NURSING DIAGNOSIS
MEDICAL DIAGNOSIS
Risk for Ineffective Airway Clearance related to accumulation of secretions in lungs
BASIC TWO-PART STATEMENT
BASIC THREE-PART STATEMENT
Risk for Impaired Skin Integrity related to immobility as evidenced by red blisters on the sacral area.
BASIC TWO-PART STATEMENT
BASIC THREE-PART STATEMENT
Oriented to the individual
NURSING DIAGNOSIS
MEDICAL DIAGNOSIS
Oriented to pathology
NURSING DIAGNOSIS
MEDICAL DIAGNOSIS
Is the systematic collection of data to determine the family’s status and to identify any actual or potential health problems.
(a)
A dynamic changing relative state of well-being which includes the biological, psychological, spiritual, sociological, and cultural factors of the family system.
(a)
Is the practice of nursing directed towards maximizing the health and well-being of all individuals within a family system.
(a)
Is a process whereby existing & potential health problems of the family are determined
(a)
Defines the nature or type of nursing problems that the family encounters in performing the health tasks with respect to a given health condition or problem, & the etiology or barriers to the family’s assumption of these tasks
(a)
Is an alternative tool for nursing diagnosis.
(a)
Is dealing with problems associated with health care with reasonable success
(a)
is when the family is unable to cope with one or another aspect of health care.
(a)
Refers to the family members’ mobility and ability to perform activities of daily living, such as feeding themselves and performing activities necessary for personal hygiene.
(a)
What is the family’s ability to comply with prescribed or recommended procedures and treatments to be done at home, which include medications, dietary recommendations, exercises, application of wound dressings and prosthetic devices?
(a)
- understanding of the health condition or essentials of care according to the developmental stages of family members
(a)
health promotion and recommended preventive measures such as maintaining family nutrition, securing adequate rest & relaxation, and carrying out preventive measures such as immunization.
(a)
Refers to the family’s perception of health care in general. This is observed in the family’s degree of responsiveness to promotive, preventive and curative efforts of health worker
(a)
Refers to the family’s perception of health care in general. This is observed in the family’s degree of responsiveness to promotive, preventive and curative efforts of health worker
(a)
refer to interpersonal relationships among family members, management of family finances, and the type of discipline in the home.
(a)
includes home, school, work, and community environment that may influence the health of family members.
(a)
Is the ability of the family to seek and utilize the community facilities for health, education, and welfare.
(a)
Which of the following behaviors would indicate that the nurse was utilizing the assessment phase of the nursing process to provide nursing care?
Proposes hypotheses
Generates desired outcomes
Review results of laboratory tests
Documents care
Which of the following is the purpose of assessing?
Establish a database of client responses to his or her health status
Identify client strengths and problems
Develop an individualized plan of care
Implement care, prevent illness, and promote wellness
The nurse is conducting the diagnosing phase (nursing diagnosis) of the nursing process for a client with a seizure disorder. Which step exists between data analysis and formulating the diagnostic statement?
Assess the client’s needs
Delineate the client’s problems and strengths
Determine which interventions are most likely to succeed.
Estimate the cost of several different approaches
Which of the following nursing diagnoses contains the proper components?
Risk for Caregiver Role Strain related to unpredictable illness course
Risk for Falls related to tendency to collapse when having difficulty breathing
Impaired Communication related to stroke
Sleep Deprivation secondary to fatigue and a noisy environment
Which of the following is likely to occur if a goal statement is poorly written?
There is no standard against which to compare outcomes.
The nursing diagnoses cannot be prioritized.
Only dependent nursing interventions can be used
It is difficult to determine which nursing interventions can be delegated.
Which of the following principles does the nurse use in selecting interventions for the care plan?
Actions should address the etiology of the nursing diagnosis
Always select independent interventions when possible
There is one best intervention for each goal/outcome.
Interventions should be “doing,” not just “monitoring.”
When initiating the implementation phase of the nursing process, the nurse performs which of the following phases first?
Carrying out nursing interventions
Determining the need for assistance
Reassessing the client
Documenting interventions
Which of the following is true regarding the relationship of implementing to the other phases of the nursing process?
The findings from the assessing phase are reconfirmed in the implementing phase.
After implementing, the nurse moves to the diagnosing phase
The nurse’s need for involvement of other health care team members in implementing occurs during the planning phase
Once all interventions have been completed, evaluating can begin.
The primary purpose of the evaluation phase of the care planning process is to determine whether
Desired outcomes have been met
Nursing activities were carried out.
Nursing activities were effective
Client’s condition has changed
Which of the following represents application of the components of evaluating?
Goal achievement must be written as either completely met or unmet.
Data related to expected outcomes must be collected
If the outcome was achieved, conclude that the plan was effective
After determining that the outcome was not met, start over with a new nursing care plan.
This part of the nursing health history is where we can establish rapport with the patient.
Diagnosing
Interview Process
Validating the Data
Organize Cluster
These are the activities during diagnosing except
Determine the client’s health problems
Analyze data before comparing with standard
Identify gaps and Inconsistencies in data
Formulate nursing diagnoses statements
The nurse is creating an actual nursing diagnosis, the proper format must use by the nurse is?
Contributing factors + Signs and Symptoms + Diagnostic Label
Diagnostic label + Contributing Factors + Signs and Symptoms
Signs and Symptoms + Diagnostic label + Contributing Factors
Diagnostic label + Signs and Symptoms + Contributing Factors
It is a type of nursing diagnosis that comprises a cluster of actual risk nursing diagnosis that is predicted to present because of a certain situation or event.
Risk
Actual
Syndrome
Wellness
The signs experienced by the patient are a type of what data?
Objective Data
Subjective Data
Secondary Data
Diagnostic Data
The type of nursing diagnosis which describes a clinical judgment that the nurse has validated because of the presence of major defining characteristics
Actual
Risk
Wellness
Syndrome
Which component of the nursing process includes analysis, synthesis, and problem identification?
Planning
Assessment
Evaluation
Diagnosis
Which is not included in secondary data?
Family members
Significant others
Health team members
Patient/client
It is defined as a statement of client’s potential or actual alteration of health status?
Nursing Diagnosis
Chief Complaint
History of Patient’s illness
Physical examination
The parts of the nursing process are below except?
Organized
Humanistic care
Systematic
Oriented
_______ assessments can be done with an initial assessment. They identify new or overlooked problems. They are important because they can "flag" existing problems.
Initial
Focused
On-going
Emergency
Time lapsed assessments compare current status to the ______data
Subjective
Projected
Objective
Baseline
The E in the HELP mnemonic ensure systematic person-centered observation stand for
Environmental equipment
Essential equipment
Environmental essentials
_______ data is observable and measurable data that can be seen, heard, felt or measured by someone other than the person experiencing them
Objective
Subjective
_______ is the conscious and deliberate use of the five senses to gather data
Assessment
Interview
Observation
The act of confirming or verifying data is__________
Interview
Inference
Validation
The four methods used to collect data during an assessment (select all that apply)
Inspection
Palpitation
Percussion
Clarify
Auscultation
The _____ step of the nursing process interprets and analyzes data gathered
Assessment
Diagnosis
Implementation
Evaluation
Alfaro-LaFevre in her book identifies the shift from diagnose and treat to _______, prevent, manage and promote (PPMP)
Preside
Propose
Pattern
Predict
The formulation of nursing diagnosis statements include
(select all that apply)
Problem
Defining characteristics
Related factors
Medical diagnosis
Etiology
Caring for a patient who presents with labored respirations, productive cough, and fever. What would be an appropriate nursing diagnosis for this patient? (select all that apply)
Bronchial pneumonia
Impaired gas exchange
Ineffective airway clearance
Potential complications: sepsis
Risk for septic shock
A client is struggling to explore and solve a problem. Which nursing statement would verbalize the implication of the client’s actions?
"You seem to be motivated to change your behavior.”
“The team recommends that you make only one behavioral change at a time.”
“Why don't you make a list of the behaviors you need to change.”
“How will these changes affect your family relationships?”
The nurse asks a newly admitted client, “What can we do to help you?” What is the purpose of this therapeutic communication technique?
To communicate that the nurse is listening to the conversation
To explore a subject, idea, experience, or relationship
To reframe the client’s thoughts about mental health treatment
To put the client at ease
A student nurse tells the instructor, “I’m concerned that when a client asks me for advice I won’t have a good solution.” Which should be the nursing instructor’s best response?
“Remember, clients, not nurses, are responsible for their own choices and decisions.”
“Just keep the client’s best interests in mind and do the best that you can.”
“It’s scary to feel put on the spot by a client. Nurses don't always have the answer.”
“Set a goal to continue to work on this aspect of your practice.”
Which nursing statement is a good example of the therapeutic communication technique of focusing?
“I’m having a difficult time understanding what you mean.”
“Describe one of the best things that happened to you this week.”
“You mentioned your relationship with your father. Let’s discuss that further.”
“Your counseling session is in 30 minutes. I’ll stay with you until then.”
After fasting from 10 p.m. the previous evening, a client finds out that the blood test has been canceled. The client swears at the nurse and states, “You are incompetent!” Which is the nurse’s best response?
“Do you believe that I was the cause of your blood test being canceled?”
“I see that you are upset, but I feel uncomfortable when you swear at me.”
“I'll give you some space. Let me know if you need anything.”
“Have you ever thought about ways to express anger appropriately?”
During a nurse-client interaction, which nursing statement may belittle the client’s feelings and concerns?
“Don’t worry. Everything will be alright.”
“You appear uptight.”
“I notice you have bitten your nails to the quick.”
“You are jumping to conclusions.”
A client on an inpatient psychiatric unit tells the nurse, “I should have died because I am totally worthless.” In order to encourage the client to continue talking about feelings, which should be the nurse’s initial response?
“You've been feeling sad and alone for some time now?”
“You feel worthless now, but that can change with time.”
“How would your family feel if you died?”
“It is great that you have come in for help.”
Which nursing response is an example of the nontherapeutic communication block of requesting an explanation?
“Are you not understanding the explanation I provided?”
“There is always an explanation for both good and bad behaviors.”
“Can you tell me why you said that?”
“Keep your chin up. I’ll explain the procedure to you.”
A client states, “You won’t believe what my husband said to me during visiting hours. He has no right treating me that way.” Which nursing response would best assess the situation that occurred?
“Describe what happened during your time with your husband.”
“Why do you think he behaved like that?”
“What do you think is your role in this relationship?”
“Does your husband treat you like this very often?”
Which therapeutic communication technique should the nurse use when communicating with a client who is experiencing auditory hallucinations?
“I wouldn't worry about these voices. The medication will make them disappear.”
“My sister has the same diagnosis as you and she also hears voices.”
“I understand that the voices seem real to you, but I do not hear any voices.”
“Why not turn up the radio so that the voices are muted.”
The following are examples of Objective Data, EXCEPT:
RBS: 180mg/dl
Grade 1, slight pitting Edema on lower extremities
Anosmia
Skin is warm to touch
A patient comes to the clinic with a 1st degree burn on his left dorsal hand. Which among these are considered a priority nursing diagnosis.
Risk for ineffective airway clearance
Acute pain
Risk for infection
Impaired skin integrity
A good nursing plan objective must be SMART, which stands for:
Specific, measurable, attainable, realistic, timely
Specific, manageable, achievable, relative, timely
Sustainable, meaningful, admirable, retainable, true
Specific, measurable, alternative, risky, transferrable
Which among these interventions is considered a direct care intervention?
Wound cleaning
Telephone consultation
Documentation
Shift endorsement
A good nursing intervention must have the following characteristics, EXCEPT for:
Acceptability
Evidence base
Feasibility
Communication
You noticed that your evaluation did not align with your expected outcome from your planning phase, hence your goal was not met. What would be your next step?
Revise your goal to meet your evaluation
Reassess the situation and make another nursing care plan
Notify your supervisor and document your findings
Change your evaluation no one will notice anyway
Community health nursing process involves providing nursing care with which of the following goals?
health restoration
health maintenance
prevention of illness
treatment of diseases
Which of the following statements supports the characteristic of community health nursing as a problem-solving process?
Community health nursing process allows the nurse to adapt individual service to each client in the community.
Community health nursing process involves implementing changes that improve the function of various health-related systems.
Community health nursing process involves situational analysis, organizing, planning and decision-making.
Community health nursing process addresses health problems of the individual, family and community.
Which of the following statements supports the characteristic of community health nursing as a management process?
Community health nursing process allows the nurse to adapt individual service to each client in the community.
Community health nursing process involves implementing changes that improve the function of various health-related systems
Community health nursing process involves situational analysis, planning, organizing and decision-making.
Community health nursing process addresses health problems of the individual, family and community.
Which of the following statements supports the characteristic of community health nursing process as client-focused?
The nurse use the process to help the individuals, families and community directly or indirectly to achieve and maintain their health.
The nurse use the process to help the client and the health team directly or indirectly to achieve and maintain health.
The nurse use the process to help the health team directly or indirectly to restore their health.
Which of the following statements supports the characteristic of community health nursing process as interactive?
The community health nurse engages in continuous data collection, analysis, intervention and evaluation.
The community health nurse use the process to help clients achieve and maintain health.
The community health nurse engages in the process of ongoing interpersonal communication.
Which of the following statements support that nurse-client interaction forms the core of the nursing process?
NURSE can effectively assess client's
needs, diagnose needs, and plan, implement, and evaluate care if the client maintain a unilateral exchange of information and trust.
NURSE can effectively assess client's
needs, diagnose needs, and plan, implement, and evaluate care if the nurse and client does not maintain a reciprocal exchange of information and trust.
NURSE can effectively assess client's
needs, diagnose needs, and plan, implement, and evaluate care if the nurse and client maintain a reciprocal exchange of information and trust.
NURSE can effectively assess client's
needs, diagnose needs, and plan, implement, and evaluate care if the nurse only provides information and trust in the interaction
Which of the following statements is TRUE regarding the need for communication as an element of nurse-client interaction?
The community health nurse collaborates with other professionals to achieve and maintain the health of the community.
The community health nurse serve as effective liaison facilitating communication between the government and non-government agencies and clients in the community.
Community health nurse provides nursing care not only to individuals but also their families and the whole community.
Which of the following statements is TRUE regarding aggregate application as an element of nurse-client interaction?
The community health nurse with other professionals to achieve and maintain the health of the community.
The nurse serve as liaison facilitating communication between government/non-government agencies and clients in the community
The nurse provides nursing care not only to individuals but also to their families and the whole community.
Which of the following statements is TRUE regarding forming partnership as an element of nurse-client interaction?
The nurse provides nursing care not only to individuals but also to their families and the whole community.
The nurse serve as liaison facilitating communication between government/non-government agencies and clients in the community
The community health nurse with other professionals to achieve and maintain the health of the community.
What do you call to the systematic, scientific, dynamic, on-going interpersonal process in which the nurses and the clients are viewed as a system with each affecting one and another and both being affected by the factors within the behavior?
(a)
Community health nursing process involves providing nursing care with which of the following goals?
health restoration
health maintenance
prevention of illness
treatment of diseases
Which of the following statements supports the characteristic of community health nursing as a problem-solving process?
Community health nursing process allows the nurse to adapt individual service to each client in the community.
Community health nursing process involves implementing changes that improve the function of various health-related systems.
Community health nursing process involves situational analysis, organizing, planning and decision-making.
Community health nursing process addresses health problems of the individual, family and community.
Which of the following statements supports the characteristic of community health nursing as a management process?
Community health nursing process allows the nurse to adapt individual service to each client in the community.
Community health nursing process involves implementing changes that improve the function of various health-related systems
Community health nursing process involves situational analysis, planning, organizing and decision-making.
Community health nursing process addresses health problems of the individual, family and community.
Which of the following statements supports the characteristic of community health nursing process as client-focused?
The nurse use the process to help the individuals, families and community directly or indirectly to achieve and maintain their health.
The nurse use the process to help the client and the health team directly or indirectly to achieve and maintain health.
The nurse use the process to help the health team directly or indirectly to restore their health.
Which of the following statements supports the characteristic of community health nursing process as interactive?
The community health nurse engages in continuous data collection, analysis, intervention and evaluation.
The community health nurse use the process to help clients achieve and maintain health.
The community health nurse engages in the process of ongoing interpersonal communication.
Which of the following statements support that nurse-client interaction forms the core of the nursing process?
NURSE can effectively assess client's
needs, diagnose needs, and plan, implement, and evaluate care if the client maintain a unilateral exchange of information and trust.
NURSE can effectively assess client's
needs, diagnose needs, and plan, implement, and evaluate care if the nurse and client does not maintain a reciprocal exchange of information and trust.
NURSE can effectively assess client's
needs, diagnose needs, and plan, implement, and evaluate care if the nurse and client maintain a reciprocal exchange of information and trust.
NURSE can effectively assess client's
needs, diagnose needs, and plan, implement, and evaluate care if the nurse only provides information and trust in the interaction
Which of the following statements is TRUE regarding the need for communication as an element of nurse-client interaction?
The community health nurse collaborates with other professionals to achieve and maintain the health of the community.
The community health nurse serve as effective liaison facilitating communication between the government and non-government agencies and clients in the community.
Community health nurse provides nursing care not only to individuals but also their families and the whole community.
Which of the following statements is TRUE regarding aggregate application as an element of nurse-client interaction?
The community health nurse with other professionals to achieve and maintain the health of the community.
The nurse serve as liaison facilitating communication between government/non-government agencies and clients in the community
The nurse provides nursing care not only to individuals but also to their families and the whole community.
Which of the following statements is TRUE regarding forming partnership as an element of nurse-client interaction?
The nurse provides nursing care not only to individuals but also to their families and the whole community.
The nurse serve as liaison facilitating communication between government/non-government agencies and clients in the community
The community health nurse with other professionals to achieve and maintain the health of the community.
What do you call to the systematic, scientific, dynamic, on-going interpersonal process in which the nurses and the clients are viewed as a system with each affecting one and another and both being affected by the factors within the behavior?
(a)
Community health nursing process involves providing nursing care with which of the following goals?
health restoration
health maintenance
prevention of illness
treatment of diseases
Which of the following statements supports the characteristic of community health nursing as a problem-solving process?
Community health nursing process allows the nurse to adapt individual service to each client in the community.
Community health nursing process involves implementing changes that improve the function of various health-related systems.
Community health nursing process involves situational analysis, organizing, planning and decision-making.
Community health nursing process addresses health problems of the individual, family and community.
Which of the following statements supports the characteristic of community health nursing as a management process?
Community health nursing process allows the nurse to adapt individual service to each client in the community.
Community health nursing process involves implementing changes that improve the function of various health-related systems
Community health nursing process involves situational analysis, planning, organizing and decision-making.
Community health nursing process addresses health problems of the individual, family and community.
Which of the following statements supports the characteristic of community health nursing process as client-focused?
The nurse use the process to help the individuals, families and community directly or indirectly to achieve and maintain their health.
The nurse use the process to help the client and the health team directly or indirectly to achieve and maintain health.
The nurse use the process to help the health team directly or indirectly to restore their health.
Which of the following statements supports the characteristic of community health nursing process as interactive?
The community health nurse engages in continuous data collection, analysis, intervention and evaluation.
The community health nurse use the process to help clients achieve and maintain health.
The community health nurse engages in the process of ongoing interpersonal communication.
Which of the following statements support that nurse-client interaction forms the core of the nursing process?
NURSE can effectively assess client's
needs, diagnose needs, and plan, implement, and evaluate care if the client maintain a unilateral exchange of information and trust.
NURSE can effectively assess client's
needs, diagnose needs, and plan, implement, and evaluate care if the nurse and client does not maintain a reciprocal exchange of information and trust.
NURSE can effectively assess client's
needs, diagnose needs, and plan, implement, and evaluate care if the nurse and client maintain a reciprocal exchange of information and trust.
NURSE can effectively assess client's
needs, diagnose needs, and plan, implement, and evaluate care if the nurse only provides information and trust in the interaction
Which of the following statements is TRUE regarding the need for communication as an element of nurse-client interaction?
The community health nurse collaborates with other professionals to achieve and maintain the health of the community.
The community health nurse serve as effective liaison facilitating communication between the government and non-government agencies and clients in the community.
Community health nurse provides nursing care not only to individuals but also their families and the whole community.
Which of the following statements is TRUE regarding aggregate application as an element of nurse-client interaction?
The community health nurse with other professionals to achieve and maintain the health of the community.
The nurse serve as liaison facilitating communication between government/non-government agencies and clients in the community
The nurse provides nursing care not only to individuals but also to their families and the whole community.
Which of the following statements is TRUE regarding forming partnership as an element of nurse-client interaction?
The nurse provides nursing care not only to individuals but also to their families and the whole community.
The nurse serve as liaison facilitating communication between government/non-government agencies and clients in the community
The community health nurse with other professionals to achieve and maintain the health of the community.
What do you call to the systematic, scientific, dynamic, on-going interpersonal process in which the nurses and the clients are viewed as a system with each affecting one and another and both being affected by the factors within the behavior?
(a)
Which phase of the nursing process involves analyzing and synthesizing data?
Assessment
Diagnosis
Planning
Implementation
Evaluation
This phase involves setting priorities and goals/ outcomes in collaboration with client.
Assessment
Diagnosis
Planning
Implementation
Evaluation
Which of the following is considered as the primary source of data?
Laboratory result
health professionals
client
family members
It is a planned communication or a conversation with a purpose.
Observing
Interviewing
Examining
All of the above
Which Gordon's functional health patter describes the client’s pattern of role participation and relationships?
Health perception/health management pattern.
Self-perception/ self-concept pattern
Role/relationship pattern
Sleep-rest pattern
It is a statement or conclusion regarding the nature of phenomenon.
Assessment
Diagnosis
Planning
Evaluatin
Which of the following type of diagnosis is a clinical judgment that a problem does not exist, but the presence of risk factors indicates that a problem is likely to develop unless nurses intervene?
Actual nursing diagnosis
Risk nursing diagnosis
Wellness diagnosis
Syndrome diagnosis
Which type of nursing diagnosis that is associated with a cluster of other diagnoses?
Actual nursing diagnosis
Risk nursing diagnosis
Wellness nursing diagnosis
Syndrome nursing diagnosis
Which of the following types of planning is initiated as soon as possible after the initial assessment, especially because of the trend toward shorter hospital stays?
Initial planning
Ongoing planning
Discharge planning
Emergency planning
Which of the following type of goals are often used for clients who live at home and have
chronic health problems and for clients in nursing homes, extended
care facilities, and rehabilitation centers?
Short term goal
Long term goal
Partial goal
All of the above
Identification:
What type of nursing intervention that nurses are licensed to initiate on the basis of their knowledge and skills.
(a)
Identification:
What type of nursing intervention that the nurse carries out in collaboration with other health team members, such as physical therapist, social workers, dietitians, and physicians.
(a)
Which of the following are Maslow's hierarchy of needs?
survival needs
Love and belonging needs
Self needs
Safety and security needs
Which of the following are developmental theories?
Erikson’s eight stages of development
Piaget’s phases of cognitive development
Physical fitness evaluation
Body system model
Which of the following is considered as an actual nursing diagnosis?
Readiness for Enhanced Family Coping
Risk for Infection
Anxiety
Activity Intolerance
Chronic pain syndrom
Essay: To be answered in 10 minutes (5 pts)
What is the importance of Nursing Process?
