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The Nursing Process

Total questions: 85

Worksheet time: 43mins

Name
Class
Date
1.

Which step of the nursing process involves gathering comprehensive data about the patient's health status through observation, interviews, and physical examination?

a)

Assessment

b)

Diagnosis

c)

Planning

d)

Implementation

2.

Which step of the nursing process involves analyzing assessment data to identify actual or potential health problems that nurses are competent and licensed to treat?

a)

Nursing Diagnosis

b)

Assessment

c)

Planning

d)

Evaluation

3.

Which step of the nursing process involves developing individualized care plans, setting patient-centered goals, and identifying appropriate nursing interventions to achieve desired outcomes?

a)

Planning

b)

Assessment

c)

Implementation

d)

Evaluation

4.

Which step of the nursing process involves putting the care plan into action by performing nursing interventions, delegating tasks, and continuously monitoring the patient?

a)

Implementation

b)

Assessment

c)

Evaluation

d)

Diagnosis

5.

Which step of the nursing process involves determining the effectiveness of the care plan, re-evaluating goals, and documenting all findings and adjustments made to the patient's care?

a)

Evaluation and Recording

b)

Assessment

c)

Planning

d)

Implementation

6.

What is Comprehensive Data Collection in the nursing process? Fill in the blank: Comprehensive Data Collection is an ongoing, holistic process initiated upon admission and continuing until discharge to build a complete _________?

a)

patient profile

b)

medical bill

c)

insurance claim

d)

treatment schedule

7.

What is the purpose of Focused Assessment in nursing? Fill in the blank: Focused Assessment involves collecting specific, additional data to validate potential problems or confirm nursing diagnoses for ________ care.

a)

targeted

b)

generalized

c)

routine

d)

emergency

8.

Fill in the blank: Actual nursing diagnosis consists of a three part statement that includes: 1) NANDA-I Diagnostic Label, 2) Contributing Factors, and 3) _________?

a)

Defining Characteristics

b)

Patient Goals

c)

Medical History

d)

Interventions

9.

Fill in the blank: Utilizes a standardized diagnostic label from NANDA-I to describe the patient's health response. This is called the _________.

a)

NANDA-I Diagnostic Label

b)

Nursing Intervention

c)

Patient Outcome

d)

Medical Diagnosis

10.

Fill in the blank: Identifies the related factors that are contributing to or causing the health problem. These are called _________.

a)

Contributing Factors

b)

Symptoms

c)

Diagnoses

d)

Treatments

11.

Which model organizes health data into 11 functional patterns, reflecting the patient's physical, psychological, social, and spiritual needs, providing a comprehensive framework for assessment?

a)

Gordon’s Functional Health Patterns Model

b)

NANDA-I Diagnostic Model

c)

Defining Characteristics Model

d)

Contributing Factors Model

12.

Fill in the blank: The type of nursing diagnosis that is based on observed human responses and supported by specific defining characteristics (signs and symptoms) is called _________.

a)

Actual

b)

Risk

c)

Wellness

d)

Possible

13.

Fill in the blank: The type of nursing diagnosis that identifies an individual's increased susceptibility to a particular health problem, requiring proactive nursing intervention, is called _________.

a)

Risk/High-risk

b)

Wellness

c)

Actual

d)

Syndrome

14.

Fill in the blank: The type of nursing diagnosis that focuses on a patient's readiness to improve their current level of wellness, recognizing strengths rather than deficits, and often starts with 'Readiness for...' is called _________?

a)

Health Promotion & Wellness

b)

Risk Diagnosis

c)

Actual Diagnosis

d)

Collaborative Problem

15.

Fill in the blank: The type of nursing diagnosis that is a cluster of signs and symptoms that reliably predict certain circumstances or events, used to anticipate and prevent complications (e.g., Disuse Syndrome), is called _________.

a)

Syndrome

b)

Risk

c)

Wellness

d)

Collaborative

16.

What does a nursing diagnosis usually refer to?

a)

The patient's ability to perform ADLs in relation to the impairment induced by the medical diagnosis

b)

The patient's alterations in structure and function

c)

The diagnosis of a disease

d)

The treatment plan for a disorder

17.

A medical diagnosis is a statement of the patient's alterations in ________ and ________, resulting in the diagnosis of a disease or disorder that impairs normal physiologic function.

a)

structure and function

b)

age and gender

c)

height and weight

d)

diet and exercise

18.

Which of the following is true about nursing diagnosis?

a)

It identifies the individual's response to the illness

b)

It remains unchanged throughout the illness

c)

It is only about physiologic function

d)

It does not vary depending on the patient's state of recovery

19.

Nursing diagnoses may vary depending on the patient's state of recovery.

a)

True

b)

False

20.

Conditions described by nursing diagnoses can be accurately identified by ________ assessment methods.

a)

nursing

b)

medical

c)

surgical

d)

laboratory

21.

Who assumes accountability for outcomes within the scope of nursing practice?

a)

Doctors

b)

Nurses

c)

Patients

d)

Researchers

22.

A medical diagnosis tends to remain unchanged throughout the illness.

a)

True

b)

False

23.

Which term refers to determining the most critical patient needs to address first, often guided by frameworks like Maslow's hierarchy, to ensure patient safety and well-being?

a)

Setting Priorities

b)

Delegation

c)

Documentation

d)

Evaluation

24.

Which term describes creating specific, measurable, achievable, relevant, and time-bound (SMART) goals that describe the desired changes in the patient's health status or behavior?

a)

Developing Measurable Goals & Outcomes

b)

Performing Patient Assessment

c)

Documenting Medical History

d)

Administering Interventions

25.

Which term refers to designing specific nursing actions and strategies tailored to assist the patient in achieving the established goals and preventing potential complications?

a)

Formulating Nursing Interventions

b)

Evaluating Patient Outcomes

c)

Documenting Patient History

d)

Administering Medications

26.

Which term is defined as outlining what the patient will be able to do or experience after care, contributing to the evaluation phase, and defining the expected results of the nursing interventions?

a)

Formulating Anticipated Outcomes

b)

Implementing Nursing Interventions

c)

Documenting Patient History

d)

Assessing Patient Needs

27.

What does the 'Specific' criterion in the SMART goals stand for? Fill in the blank: Specific means _________?

a)

Clearly defined and focused.

b)

Vague and general.

c)

Difficult to measure.

d)

Unrelated to the goal.

28.

What does the 'Measurable' criterion in the SMART goals stand for? Fill in the blank: Measurable means _________?

a)

Quantifiable, allowing progress to be tracked.

b)

Difficult to achieve without help.

c)

Unrelated to time constraints.

d)

Based on personal feelings.

29.

What does the 'Attainable' criterion in the SMART goals stand for? Fill in the blank: Attainable means _________?

a)

Realistic and achievable by the patient.

b)

Impossible to achieve.

c)

Irrelevant to the patient's needs.

d)

Unmeasurable and vague.

30.

What does the 'Realistic' criterion in the SMART goals stand for? Fill in the blank: Realistic means _________?

a)

Relevant to the patient's condition and resources.

b)

Always the easiest goal to achieve.

c)

Unrelated to available resources.

d)

Impossible to measure.

31.

What does the 'Timely' criterion in the SMART goals stand for? Fill in the blank: Timely means _________?

a)

Set with a defined time frame for achievement.

b)

Achievable within unlimited time.

c)

Related to financial goals only.

d)

Not necessary to have a deadline.

32.

During the phase of formulating nursing interventions, interventions are selected to be based on __________.

a)

anticipated patient behavior

b)

nurse's personal preference

c)

hospital budget

d)

family wishes

33.

During the phase of formulating nursing interventions, interventions are selected to address the __________.

a)

identified nursing diagnoses

b)

patient's family history

c)

hospital policies

d)

medical prescriptions

34.

During the phase of formulating nursing interventions, interventions are selected to utilize __________ for effective care.

a)

evidence-based practices

b)

personal opinions

c)

random selection

d)

traditional beliefs

35.

Each anticipated therapeutic outcome statement starts with __________.

a)

an action word

b)

a noun

c)

a preposition

d)

a conjunction

36.

Each anticipated therapeutic outcome statement describes the __________ to be performed by the patient or family.

a)

behavior(s)

b)

medication(s)

c)

procedure(s)

d)

diagnosis(es)

37.

Each anticipated therapeutic outcome statement specifies a __________ for achievement.

a)

timeframe

b)

location

c)

method

d)

person

38.

All goal and outcome statements must be individualized and based on the patient's unique abilities and resources to ensure relevance and attainability. Which of the following best describes this requirement?

a)

All patients should have the same goals

b)

Goals should be tailored to each patient

c)

Resources are not important

d)

Attainability is not necessary

39.

Which of the following is an example of a Dependent Action in nursing intervention?

a)

Administering prescribed medications

b)

Providing patient education

c)

Consulting with a dietitian

d)

Implementing comfort measures

40.

Interdependent Actions in nursing are implemented through collaborative efforts with other healthcare professionals.

a)

True

b)

False

41.

Independent Actions are initiated and performed by the nurse based on their professional judgment, education, and license, without needing a direct order.

a)

True

b)

False

42.

Fill in the blank: _______ Actions are performed by a nurse based on explicit orders from a healthcare provider, such as administering prescribed medications.

a)

Dependent

b)

Independent

c)

Collaborative

d)

Autonomous

43.

Which of the following is NOT a core nursing intervention during the implementation phase?

a)

A) Meeting the physical needs of the patient

b)

B) Providing for patient safety

c)

C) Ignoring changes in patient status

d)

D) Assessing and evaluating continuously

44.

Fill in the blank: Monitoring for potential complications and recognizing changes in patient status is a core nursing intervention during the _______ phase.

a)

implementation

b)

assessment

c)

evaluation

d)

planning

45.

What is the purpose of Outcome Determination in the evaluation and recording phase of the nursing process?

a)

To determine whether the expected outcomes and established goals for the patient were successfully met, assessing the effectiveness of the care plan.

b)

To document the patient's vital signs and daily progress only.

c)

To create new nursing diagnoses for the patient.

d)

To assign tasks to other healthcare team members.

46.

What does Goal Recognition highlight in the evaluation and recording phase?

a)

The successful completion of previously set goals, highlighting progress and positive changes in the patient's condition or behavior.

b)

The identification of new symptoms that require immediate intervention.

c)

The documentation of all medications prescribed during the treatment phase.

d)

The assessment of the healthcare provider's performance during patient care.

47.

What opportunity does New Data Input provide during the evaluation and recording phase?

a)

It provides an opportunity for the input of new significant data, which can indicate the development of additional problems or a lack of therapeutic responsiveness to interventions.

b)

It allows for the immediate discharge of the patient without further assessment.

c)

It ensures that only previously recorded data is considered, ignoring new developments.

d)

It restricts the evaluation to administrative tasks only, excluding clinical observations.

48.

Who is involved in Collaborative Feedback during the evaluation and recording phase?

a)

The patient, family, and other significant individuals who provide feedback and help determine if goals are being achieved or need adjustment.

b)

Only the healthcare provider, who evaluates and records progress independently.

c)

Administrative staff who document patient records without direct feedback.

d)

External auditors who review records annually without patient or family involvement.

49.

Which of the following is NOT a key element evaluated during patient care in the evaluation and recording phase?

a)

A) Nursing diagnoses with their corresponding goal statements

b)

B) Specific nursing interventions that were implemented

c)

C) Observed patient responses and reactions to the care provided

d)

D) Patient's financial status

50.

Fill in the blank: All patient care during the evaluation and recording phase is meticulously evaluated against key elements to ensure comprehensive and effective assessment, including _________

a)

Nursing diagnoses (with their corresponding goal statements), specific nursing interventions that were implemented, and observed patient responses and reactions to the care provided.

b)

Patient's insurance details and billing information.

c)

Hospital administrative policies and staff schedules.

d)

General medical history of the hospital's previous patients.

51.

The evaluation and recording phase is the first step in the five-step nursing process.

a)

True

b)

False

52.

The assessment phase in pharmacology integration focuses on thoroughly evaluating the patient's medication needs and history to ensure safe and effective drug therapy. Which of the following should be documented in a comprehensive drug history?

a)

Only prescription medications

b)

Over-the-counter drugs, prescription medications, dietary supplements (e.g., vitamins, minerals), herbal products, and street drugs

c)

Only dietary supplements

d)

Only herbal products

53.

When identifying drug-related risks, it is important to pinpoint potential problems and risk factors related to drug therapy, such as known ________ and the presence of underlying diseases that may limit the use of certain medications.

a)

drug allergies

b)

drug prices

c)

drug advertisements

d)

drug patents

54.

What type of source includes direct information obtained from the patient themselves through interviews, observations, and physical assessments, providing crucial subjective data about their symptoms, feelings, and personal history?

a)

Primary Sources

b)

Secondary Sources

c)

Tertiary Sources

d)

External Sources

55.

What type of source includes data from relatives, significant others, caregivers, and objective clinical records like medical charts, laboratory reports, diagnostic test results, and other healthcare providers?

a)

Secondary Sources

b)

Primary Sources

c)

Tertiary Sources

d)

Subjective Sources

56.

What type of source involves information derived from professional literature, textbooks, and research studies that provide background knowledge, evidence-based guidelines, and detailed insights into medical conditions, diagnostic tests, and dietary considerations?

a)

Tertiary Sources

b)

Primary Sources

c)

Secondary Sources

d)

Anecdotal Sources

57.

Which of the following is considered the most reliable source of information in patient assessment?

a)

Relatives

b)

Patient themselves

c)

Professional literature

d)

Caregivers

58.

Which of the following is a basis for formulating nursing diagnoses?

a)

Based on Drug Therapy

b)

Based on Patient's Age

c)

Based on Family History

d)

Based on Diet

59.

Nursing diagnoses are most commonly associated with which of the following?

a)

Drug treatment for a disease or adverse effects from drug therapy

b)

Patient's occupation

c)

Family history

d)

Patient's diet

60.

Nursing diagnoses can also originate from pathophysiology caused by what?

a)

Drug Interactions

b)

Patient's exercise routine

c)

Patient's education level

d)

Patient's gender

61.

Reviewing drug monographs helps to identify problems related to what aspect of patient care?

a)

Medication therapy

b)

Nutritional status

c)

Physical therapy

d)

Surgical procedures

62.

Patient is prescribed medications for Parkinson’s Disease. What is the formulation of nursing diagnosis in this case?

a)

Compromised mobility related to neuromuscular impairment (Parkinson disease)

b)

Ineffective airway clearance related to asthma

c)

Impaired skin integrity related to pressure ulcers

d)

Risk for infection related to surgical wound

63.

What is the primary goal during the 'Identify Therapeutic Intent & Effects' step in the planning phase of medication therapy?

a)

To prescribe medication without considering effects

b)

To clearly identify the therapeutic goal and anticipate both common and serious adverse effects to monitor for during treatment

c)

To ignore adverse effects

d)

To focus only on cost of medication

64.

During the planning phase, why is it important to confirm dosage and route of administration?

a)

To ensure medication is given at random times

b)

To verify the recommended dosage and appropriate route, cross-referencing with patient-specific factors such as age, weight, and organ function

c)

To avoid checking patient details

d)

To reduce paperwork

65.

Fill in the blank: Ensuring that the scheduling of medication administration aligns precisely with the healthcare provider's orders and the patient's daily routine promotes ______ and efficacy.

a)

adherence

b)

resistance

c)

neglect

d)

confusion

66.

Two essential aspects of patient teaching during the planning phase of medication therapy are:

a)

Explaining the purpose of the medication and discussing possible side effects

b)

Providing only written instructions and avoiding verbal communication

c)

Encouraging patients to skip doses if they feel better and not informing them about side effects

d)

Focusing solely on medication storage and ignoring administration techniques

67.

What is the implementation phase of the nursing process?

a)

Planning the care plan

b)

Putting the care plan into action

c)

Evaluating patient outcomes

d)

Diagnosing patient conditions

68.

Fill in the blank: Dependent nursing actions are performed by the nurse based on a healthcare provider's (HCP) ______ orders.

a)

written

b)

verbal

c)

suggested

d)

implied

69.

Which of the following best describes interdependent nursing actions?

a)

Actions performed independently by the nurse

b)

Actions based on HCP written orders

c)

Actions involving collaboration among different healthcare professionals

d)

Actions that do not require communication

70.

Fill in the blank: Effective implementation requires meticulous attention to detail, clear communication, and a strong understanding of each team member's role in the patient's ______.

a)

care

b)

diet

c)

exercise

d)

medication

71.

Accurately identify and gather all necessary equipment, such as syringes, needles, diluents, and other administration devices, based on the prescribed medication and route. What is this independent nursing action called?

a)

Select Correct Supplies

b)

Administer Medication

c)

Monitor Vital Signs

d)

Document Patient Response

72.

Before preparation, meticulously confirm all "rights" of medication administration: right patient, right drug, right dose, right route, right time, right documentation, and right reason. What is this independent nursing action called?

a)

Verify All Aspects

b)

Medication Calculation

c)

Patient Assessment

d)

Therapeutic Evaluation

73.

What is this independent nursing action called?

a)

Collect Baseline Data

b)

Administer Medication

c)

Perform Surgery

d)

Prescribe Treatment

74.

Utilize the specified route of administration (e.g., oral, intravenous, subcutaneous) with precise technique to ensure optimal absorption and therapeutic effect, minimizing discomfort or complications. What is this independent nursing action called?

a)

Administer by Correct Route

b)

Monitor Vital Signs

c)

Assess Patient History

d)

Document Medication Administration

75.

What is this independent nursing action called?

a)

Document All Aspects

b)

Administer Medication

c)

Perform Surgery

d)

Prescribe Treatment

76.

Implement proactive nursing interventions to prevent or reduce anticipated side effects, such as administering antiemetics before chemotherapy or providing comfort measures after a painful injection. What is this independent nursing action called?

a)

Minimize Side Effects

b)

Administer Medications

c)

Monitor Vital Signs

d)

Document Patient Status

77.

Provide clear and comprehensive education to the patient about their medication, including its purpose, expected effects, potential side effects, and important instructions for self-care or reporting concerns. What is this independent nursing action called?

a)

Educate Patient

b)

Administer Medication

c)

Monitor Vital Signs

d)

Document Care

78.

Which procedure involves assessing how patients respond to prescribed medications, looking for desired therapeutic effects and any unexpected changes in their condition?

a)

Monitor Medication Response

b)

Administer Immunizations

c)

Perform Surgical Procedures

d)

Conduct Physical Therapy

79.

The evaluation phase critically examines the therapeutic outcomes of drug therapy, ensuring patient safety and efficacy. Which procedure involves detecting any signs or symptoms indicating the recurrence of the underlying illness for which the medication is being administered?

a)

Identify Recurring Illness

b)

Monitor Drug Expiry

c)

Assess Patient Diet

d)

Check Prescription Refill

80.

Which procedure involves carefully assessing for any unintended or harmful adverse effects resulting from the drug therapy, ensuring prompt intervention if necessary?

a)

Evaluate Adverse Effects

b)

Administer Medication

c)

Monitor Vital Signs

d)

Document Patient History

81.

Which procedure involves determining the patient's capacity for understanding medication education, ability to self-administer, and likelihood of adhering to the treatment regimen?

a)

Assess Patient Capability & Compliance

b)

Monitor Vital Signs

c)

Perform Physical Assessment

d)

Obtain Informed Consent

82.

According to Maslow's Hierarchy, which level is associated with fulfilling one's full potential?

a)

Physiological

b)

Safety

c)

Self-Actualization

d)

Love & Belonging

83.

Fill in the blank: The most fundamental requirements in Maslow's Hierarchy are ________ needs, which include breathing, oxygen, food, water, shelter, and sleep.

a)

Physiological

b)

Safety

c)

Esteem

d)

Self-actualization

84.

According to Maslow's Hierarchy, safety needs must be met before self-esteem needs.

a)

True

b)

False

85.

Which level of Maslow's Hierarchy includes friendship, family, and social connection?

a)

Self-Esteem

b)

Love & Belonging

c)

Safety

d)

Physiological